spinal solutions.ca dr. g. blair lamb october 16, 2003 understanding pain
TRANSCRIPT
Is Chronic Pain Is Chronic Pain New?New?
BEGAN 1993ONTARIO PAIN PHYSICIAN ASSOCIATION (OPPA) 1996-97
SPINAL SOLUTIONS.CA
Chronic Chronic PainPain
TRAUMA REPETITIVE WORK STRESS ABNORMAL SLEEP AGING POPULATION
www.drlamb.comwww.drlamb.com
REPETITIVE REPETITIVE STRAIN INJURY STRAIN INJURY (RSI)(RSI)
CARPAL TUNNELTENNIS/GOLFERS ELBOWULNAR NEURITIS
SPINAL SOLUTIONS.CA
COST OF COST OF PAINPAIN
WSIB WORK DISABILITY INSURANCE MVA PHARMACEUTICALS/THERAPY HOSPITAL AND SURGERY FAMILY AND SOCIETY PRODUCTIVITY
MYOFASCIAL MYOFASCIAL PAIN AND PAIN AND NEUROPATHYNEUROPATHY
MUSCLE DYSFUNCTION TENDON DYSFUNCTION NERVE DYSFUNCTION
PRINCIPLES PRINCIPLES MUSCLE / MUSCLE / NERVENERVE
MATURATION-GROWTH HORMONE/DNA CHANGES
MUSCLES SHORTEN AND SCAR TRAUMA, EXERCISE, STRESS, SLEEP SHORTENING OCCURS AT REST/SLEEP ALL MUSCLES-SPINE AND LIMBS
SPINAL SPINAL MUSCLESMUSCLES
INTRINSIC (DEEP) MUSCLES CAUSE SPINE COMPRESSION/CRUSH DISK HERNIATION/DEGENERATION ARTHRITIS OF THE SPINE CAUSES NERVE PROBLEMS
NERVE PROBLEMS NERVE PROBLEMS CAUSECAUSE
HEADACHES MUSCLE SHORTENING ARMS/LEGS TENDONITIS ARMS/LEGS CARPAL TUNNEL SYNDROME JOINT COMPRESSION ARTHRITIS ARMS/LEGS
REVIEREVIEWW
DEEP SPINAL MUSCLES INJURE/SCAR SLOW CRUSH VERTEBRAE/DISKS CAUSES NERVE INJURY NERVES REFER PAIN CAUSING BACK, ARM AND LEG PAINS
EARLY EARLY CLUESCLUES
NUMBNESS AND TINGLING ARMS/LEGS/HEAD
HEADACHES/ALLERGIES/JAW PAIN JOINT STIFFNESS/ PAIN AT REST DECREASED JOINT RANGE ITCHINESS RESTLESS SLEEP
CLASSICAL CLASSICAL THERAPYTHERAPY
PHYSIOTHERAPY CHIROPRACTIC MEDICATIONS MASSAGE THERAPY CORTISONE SURGERY
NEW NEW TECHNOLOGYTECHNOLOGY
NEW TECHNOLOGY STRETCHING (THE LAMB PROGRAM)
INTRAMUSCULAR STIMULATION LAMB SPINAL BOTOX (PPWW) FOR LBP SOUND/SHOCK WAVE FOR SHOULDERS AND
PLANTAR FASCIITIS MICRO ELECTRICAL THERAPY FOR PAIN AND
DEPRESSION
RECOMMENDATIORECOMMENDATIONSNS
DAILY STRETCHING-SPINE ADVIL 2/WEEK EARLY DIAGNOSIS AND TREATMENT EDUCATION PROGRAMS CAUTION-REPETITIVE, TRAUMA, SLEEP
DISORDERS MET, SOUND WAVE, IMS, BOTOX 2ND OPINION
PUBLIC PUBLIC AWARENESSAWARENESS
NURSING SHORTAGE HOSPITAL BED/FUNDING CRISIS INCREASING DRUG COSTS/LIMITS DOCTOR CRISIS
THE DOCTOR THE DOCTOR CRISISCRISIS
ONGOING FOR 15-20 YEARS FALSE SECURITY CDN MD’S-LARGE PRACTICES HIGH VOLUMES 50-100/DAY 70-100 HOURS/WEEK 1 MILLION WITHOUT DOCTOR
““DOCTOR DOCTOR MINUTES”MINUTES”coined by VIP Docs Inc.coined by VIP Docs Inc.
FIXED AMOUNT TO SPEND
SPINAL SOLUTIONS.CA
WHY SUDDEN WHY SUDDEN CHANGE?CHANGE?
PHYSICIAN BURNOUT WORK STRESS FINANCIAL REMUNERATION POOR NO BENEFITS LIABILITY RISKS BUREAUCRATIC CMA/OMA
ONTARIO ONTARIO MEDICINEMEDICINE
1 MILLION WITHOUT FAMILY MD SPECIALIST ACCESS-3-12 MONTHS EXPECT 70% NO FAMILY DOCTOR IN 2-5
YEARS MRI SCANS WAITING AT 9 MONTHS ADD MRI’S BUT NO RADIOLOGISTS
QUEBEC QUEBEC PANICKEDPANICKED
WORK IN ANY EMERGENCY IN QUEBEC $5000 FINE/PENALTIES MASS DEFIANCE BY MD's EXODUS BAD MESSAGE TO OUTSIDE MD's
CANADA CANADA HEALTHCAREHEALTHCARE
FAMILY DOCTORS MOST AFFECTED FD-8O% HEALTH CARE/40% MD's 50-80% GRADS NOT SETTING UP FD CANADA LOWEST MD/POP RATIO EDUCATED POPULATION-DEMAND NEW TECHNOLOGY- DEMAND MANITOBA-NO LICENSE MIXED MESSAGE-COME/GO
WORLDWIDE WORLDWIDE MEDICINEMEDICINE
ABANDONMENT FAMILY MEDICINE BRITAIN, USA, EUROPE WORLDWIDE SHORTFALL-S. AFRICA 12 YEARS GP, 17 EYE DOCTOR LIABILITY EXPECTATIONS OVER-REGULATION
PHYSICIAN PHYSICIAN RESOURCESRESOURCES
AQUIRE “GOOD” DOCTOR ACCESS ACCESS SCANNING TECHNOLOGY MRI, CT, EBCT, PET, EDUCATION-VIDEO, SEMINARS LESS PHYSICIAN DEPENDENCE MEDICATION ACCESS