What Is A Smart Injury Doctor?

What Is A Smart Injury Doctor?

What Is A Smart Injury Doctor?

What is this all about? What is this idea of a SmartInjuryDoctor? A smart injury doctor is an extremely effective injury doctor. Now what does that mean? It means they’re extremely effective at three things:

  • They’re extremely effective at the ability to diagnose the injuries that the patient has. They don’t miss injuries.
  • They can treat the injuries that they diagnose.
  • They can easily document everything about the injury and everything about the patient that is injured so that those who are in the benefits adjudication process such as insurers, attorneys, plaintiff attorneys, defense attorneys can easily understand what benefits the patient should have access to.

That’s what a smart injury doctor is. They live, breathe, and die with respect to injury results. Everything they do is based on getting better, faster, more effective results for patients. They provide the services that they themselves would want to receive if they were injured.

SmartInjuryDoctors® are Different

These doctors often earn exceptionally good money, but they don’t promote how much money they make or how much money they make on an individual claim. Today in the injury market, there’s so many doctors that actually talk… All you hear about as a doctor is how much money they make, but you never hear anything about the results with the patients they treat.

SmartInjuryDoctors are different. While they may make a great deal of money, their primary focus and what their talking about is trying to understand, figure out, and improve on is all centered on patient results. That’s what a SmartInjuryDoctor is.

A SmartInjuryDoctor knows that their job is to reduce insurance and benefit costs, they are the best friend of the insurance industry. As a SmartInjuryDoctor, we know that insurers want patients accurately diagnosed with fast and effective treatments, eliminating long-term benefit needs. That’s what everyone in the market wants. That’s what patients want.

In the last 40 years, I’ve been in the injury market, specifically the spinal injury market.

It’s interesting to hear doctors and lawyers who are in the injury market always saying, “The patient is only interested in money. These people are interested in money. A person who’s injured is interested in money.”

I say, “Wow, that’s such a bad doctor’s point of view.”

It’s certainly not a smart injury doctor’s point of view. It’s a bad doctor’s point of view because what the doctor is saying is, “Look, the person has a ligament injury at the base of the neck and now they have migraine headaches.” So, if they were in some kind of an auto accident. They got a settlement. Let’s say they got $4000 in their pocket, but they have migraine headaches for the rest of their life.

Would you accept $4000, $5000, $50,000, or even $100,000 to have a condition that caused you to suffer migraine headaches for the rest of your life? No, of course not.

Whenever anyone is injured, what they’re looking for is a supremely confident and competent injury provider. That’s a SmartInjuryDoctor. Whether they’re medical providers, osteopaths, doctors of chiropractic, doctors of physical therapy. It doesn’t matter. They’re extremely confident and competent.

With Competence, Comes Confidence

Everything they do is geared toward better education. They’re willing to spend money on education. They’re willing to invest in themselves because they understand that when they educate and improve themselves, they’re actually affecting every patient they’re going to touch from that moment forward. Their job is to rehabilitate and change lives.

Let me give you an example, say a mother of three children comes in with a serious neck injury. She’s married, she has these three children, a SmartInjuryDoctor recognizes that you’re not just treating that woman.

You’re treating the whole family as well. If she cannot get rid of the migraine headaches, will it affect their relationships? Of course it would. Would it affect her ability to have relationships with her children? Yes, it could. So not only are you treating the person, you’re treating everything dynamically connected to that person. That’s what a SmartInjuryDoctor realizes.

Injury Care is Only Unsustainable Because it’s Ineffective

Right now, in the injury market, injury care is unsustainable because it’s ineffective.

The main reason why it’s so ineffective is because the primary doctors treating spinal injuries don’t even know what the injuries look like. For example, if a dog bites you, there’s obvious visible evidence of an injury. It’s very, very easy to understand.

In the dog bite market, let’s say that a doctor didn’t know what a dog bite looked like, they probably wouldn’t treat it all that well. The results of that treatment would not be that good. In the U.S. spinal injury market, the majority of doctors do not actually know. They can’t tell you exactly what these injuries look like. With proper education it’s not that hard. All injuries are nothing more than derangements. SmartInjuryDoctors know this. They know exactly how to diagnose the injuries and they use the best professionals around them.

SmartInjuryDoctors are smart because they don’t try to do everything or be everything to everybody.

They don’t try to do imaging and try to read the images all by themselves. When they need images, yes, maybe they take x-rays in their own clinics, but they have professionals interpret those images for them.

If they need an MRI, they send it out. They find the best MRI centers and work with the best professionals they can in their local area. If they need a CT scan, same thing. If they need a medical specialist, same thing.

They work to find the best doctors in their area. They network because they know they can’t do everything. Even more importantly, they don’t want to do everything because they know what they want. They want to be really good at the treatment of these injuries.

SmartInjuryDoctors are a new breed of injury doctor. One that is results oriented. Results are in the DNA of a smart injury doctor. They’re what patients should be looking for, insurers should be looking for, and employers especially should be looking for because work related injuries today have costs that are at unsustainable levels. Everyone in the market knows this.

It’s the smart injury doctors that should be getting all the patients possible. And yes, we need to create more SmartInjuryDoctors. Again, that SmartInjuryDoctor is in the front of the bell curve. They’re not an average doctor. They’re not striving to be average. They’re striving to be in front of that bell curve for in the area of injuries that they handle. Register for my next Webinar to discover more about becoming a SamrtInjuryDcotor!

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WHAT IS A SPINAL INSTABILITY?

WHAT IS A SPINAL INSTABILITY?

WHAT IS A SPINAL INSTABILITY?

What I want to talk about today is what is a spinal instability? It seems like there’s all this information out there about spinal instabilities. And matter of fact, I did a video on spinal instabilities six years ago, put it out on YouTube, and it was one of 245 siting’s of spinal instability at that time. I thought it was absolutely crazy that there was not more information on simple spinal instability and understanding that it was the number one cause of chronic pain and disability in the world today.

Spinal Instability Is a Clinical Entity

Obviously, if I fracture your spine and your spinal cord was about to be severed, you would have catastrophic spinal instability. These types of cases would end up in the operating room that day. So, we’re not talking about catastrophic spinal instability due to fractures. What we’re talking about here is spinal instability due to ligament damage.

Spinal instability by definition is excessive motion to the spine. The spine is designed to actually move in very specific, very minute movement patterns that all combine together. It’s both very complex, but very simple at the same time. The thing that holds all these spinal components, all these bones and joints in the right location for that movement pattern are the ligaments. When the ligaments are damaged, there’s excessive motion. It’s that excessive motion which allows the spine to now move in a way that it was not designed to move, which can irritate the nerve, which can cause pain and inflammation.

It Takes More Than Just an X-Ray or MRI

It’s not something that you pick up on an x-ray or on an MRI alone. It’s an entity that you pick up when you detect evidence of excessive motion. The best test for excessive motion is the flexion-extension x-ray. This is a stress radiology and a very accurate measurement of what are called translation and angular patterns. Remember, the spine can move back and forth. When it moves, that’s called a translation pattern. It also angles when it moves, that’s called an angular pattern. So, we can have abnormal translation or abnormal angulation patterns. The more abnormal the pattern is, the more ligament damage there was.

These Types of Patterns Are Not Picked Up On MRI

They’re picked up on stress radiology. They’re picked up on standard x-rays. Standard digital x-rays are the best primary imaging tool to detect this. They’re very inexpensive and very easy to do. When providers get imaging done, when medical doctors get imaging done, they rely on radiologists to read those images or to measure those images. Osteopaths, same thing. Physical therapists, same thing. Chiropractors sometimes try to do this themselves.

Doctors Can Only Be Good at So Many Things

It’s highly recommended, especially in the spinal injury market that this be done independent of the doctor. In the injury market, we want doctors to be very good at treating injuries, not necessarily great at doing all the radiology studies or all the imaging studies that are possibly out there. You can’t be all and everything in the market.

Essentially, a spinal instability is very easy. It’s excessive motion. If you have excessive motion that causes a motor problem with the nerve, (In other words, something’s not able to function now. For example, I can’t move my arm as well. I’m not as strong with the muscle.) that’s a motor problem.

Each spinal level has a motor nerve associated with it which can be tested. So, the doctor’s task is to perform a motor challenge. Different types of muscle tasks for each level to see if that muscle group is strong on both sides. We also have sensory tests. When you have a nerve, there’s a motor component, there’s a sensory component, and there’s a visceral component to it. The motor is making things move. The sensory is sensing things so the body can make control adjustments. And the actual visceral is helping the body’s organs function better. All nerves have these three capacities.

The Two Things Needed to Diagnose Spinal Instability

As I said before, spinal instability is a clinical entity. It means that you have excessive motion on an imaging study that’s now causing a motor sensory or pain problem at that level. So, you have to have two things. You have to have imaging. And you have to have a doctor who knows how to do a correct spinal instability exam. Not all that common today. So, we have to grow doctors that know how to do this very simple exam procedure. It’s a very simple procedure, but not a lot of doctors do it currently in the market and it should be done every single day. Any injury patient should have this done right away.

Once you have a spinal instability, how do you get rid of it?

Well, you treat it. The ligaments have already been damaged. There’s already excessive motion. So, are you going to treat the excessive motion and make that go away? No, that’s generally permanent. But the motor, sensory, or pain problems are not permanent. They can be transient based on the care. So, the care is gaged at rehabilitating the function of the nerve to not cause pain, not lose power or force as in a motor deficit, or to regain its ability to sense. A spinal instability is no longer a spinal instability when the patient becomes asymptomatic. That’s what good doctors are trying to achieve with their patients, be asymptomatic. Really good injury doctors can actually treat spinal instability very, very well.

The good injury doctor also knows that spinal instability is the number one cause of chronic pain and has often been the thing that is most undiagnosed in chronic pain patients. Every patient knows and everyone in the market knows that if you don’t have a proper diagnosis for the condition, (I don’t care if you have cancer, diabetes, spinal pain. No matter what the condition is, if the doctor is not diagnosing it correctly) the chances of getting help are very slim.

It’s Not as Confusing as Many Think, We Just Need More Informed Providers

We need a lot more doctors in my Smart Injury Doctors program and Smart Injury Lawyers program. Throughout the country, we are teaching doctors and lawyers exactly how these procedures should be done so that they can understand exactly how and what a spinal injury patient needs.

For the chiropractic community, a spinal instability is what a spinal subluxation was and is. Today, there’s so much confusion in the chiropractic market around terminology, and subluxation is a great example of that:

  • Do we treat a subluxation or not?
  • Is it a “bad” or “good” word?

I look at it and say, “Look, a spinal subluxation has always been and has always been defined as a vertebra that’s either misaligned through mal static position or mal motion that causes nerve interference.”

It’s a misalignment either in position or in motion that causes nerve interference. The nerve has these three things:

  • Motor
  • Sensory
  • Visceral

A spinal subluxation is identical to a spinal instability. There is no difference. So, anybody that says, “Well, I’m having a hard time. I don’t understand spinal subluxation,” definitely doesn’t understand spinal instability because they’re the same. They’re identical.

This is the number one cause of chronic pain and disability in the world today and we need a lot more professionals that understand this very simple procedure.

It’s simple to diagnose, it’s simple to evaluate, and it’s very simple to treat. The key to it obviously, as with any condition is early detection. Which leads to early proper treatment that leads to much better outcomes. That’s what we need in the market today. Register for our next Webinar to discover more about diagnosing spinal ligament injuries.

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701 Richards Ave
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Medical Radiologists Can Provide Objective Impairment Findings

Medical Radiologists Can Provide Objective Impairment Findings

Medical Radiologists Can Provide Objective Impairment Findings

Computerized Radiographic Mensuration Analysis (CRMA) is a procedure that our Board Certified Medical Radiologists perform which brings motion analysis to static x-rays. Our Radiologists can now provide this motion analysis in order to accurately quantify Alteration of Motion Segment Integrity (AOMSI), AMA Permanent Impairment Guides 5th Edition Page 378-379. With CRMA technology these Specialized X-Rays (Called Dynamic Stress X-rays) reveal some of the most serious impairments found in spinal injuries today. For example in the cervical spine the CRMA is a process of measuring these injuries in two aspects, first in TRANSLATION (back and forth slippage) which should not exceed 3.5mm and second, ANGULATION (anterior wedging) which should not be greater than 11° that are being performed on neutral/flexion/extension standard X-Rays. Measurements exceeding these values are considered permanent injuries as establish by AMA and DRE table 15-5.

CRMA procedure captures, measures and quantifies the intervertebral motion in stress x-rays that is due to ligament sub-failure injuries that produces a significant condition called ligament laxity (728.4). These often serious spinal injuries are detected as excessive translation and angulation patterns in the spinal motion units. The resultant spinal instabilities, can be permanent painful and progressive if left undiagnosed. CRMA procedures provided by trained professionals that are not involved in the treatment of the patient is a way that provides Unbiased, Objective, Accurate Quantification of these significant connective tissue injuries that are all too commonly missed. THIS OBJECTIVE QUANTIFICATION IS A KEY FACTOR IN SPINAL INJURY CASES.

Spinal Ligament Damage: Ligament damage to the spine is demonstrated by abnormal translation and angular patterns of the spinal motion units. These serious injuries are accurately measured and then correlated directly to the AMA Guides for AOMSI, (AMA 5th Edition Page 378-379).

These unbiased objective services provided by highly trained Board Certified Medical Radiologist’s can quantify these spinal ligament injuries in the 4th, 5th or 6th edition of the AMA Guides to the Evaluation of Permanent Impairment.

No one needs to miss these serious findings any more. For more information regarding these services simply go to www.spinal-kinetics.com

 

 

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The Question Doctors Can’t Answer Regarding Spinal Ligament Injuries?

The Question Doctors Can’t Answer Regarding Spinal Ligament Injuries?

The Question Doctors Can’t Answer Regarding Spinal Ligament Injuries?

Spinal ligament injuries are the number one cause of pain and disability in the world today. Patients can become involved in many different kinds of mechanisms capable of causing a spinal ligament injury, such as work related injuries, car collisions, sports collisions, slip and fall, domestic violence, war, to name a few. The video below takes one mechanism (Whiplash from Car Collisions) and shows the dismal statistics that result from patients being treated for these injuries. These unfortunately are the statistics of our doctors today.

Why would these statistics be so bad when we are supposed to have the worlds best healthcare system? Perhaps the answer to this question is so simple that it has been overlooked. What is perhaps the most important question that most doctors that treat these spinal ligament injuries cannot answer? The answer when I share it will make it self evident why we today have such poor patient outcomes from such a simple injury.

The most important question that the majority of doctors that treat these spinal injury patients simply cannot answer is: “where exactly is the spinal ligament injury and how bad is it”? If a doctor does not know the exact location and severity of a injury, how in the world can we expect the patient to have a optimal outcome with their treatment? This then becomes a very important question that any treating provider had ought to be able to answer right away!

It is not enough today to simply say that the patient has injured their neck (#4 Cause of Disability Worldwide) or their lower back (#1 Cause of Disability Worldwide), or to simply say that they have sprained these areas. This tells us nothing as it is not specific enough. Todays doctors need to be able to tell us what spinal motion units are involved, and how bad is it?

Today there are specialized radiologists that can help doctors to determine the severity and location of these spinal ligament injuries through the use of Computerized Radiographic Mensuration Analysis. I recently wrote an article on it called: Today’s Radiologists Can Help Doctors Accurately Determine the Severity of Spinal Ligament Injuries.

Today no doctor should be treating these conditions without this type of information, as it puts the patient at risk for less than optimal recoveries and I believe it can put the doctor at risk for malpractice if the patient experiences an adverse response to their treatment. This is precisely why I developed a online education program that any doctor can take in order to become more competent with these kinds of injuries.

This educational program can be found at www.smartinjuryeducation.com Patients deserve the best and that’s what we as their doctors need to bring to them.

 

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Smart Injury Doctors
701 Richards Ave
Clearwater Florida 33755

labell@biocyberneticsinc.com
Call Lee Ann at 1-800-940-6513, ext 700

SEARCH THIS SITE

© 2019 Biocybernetics Inc.

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