|Posted on October 29, 2017 at 9:45 PM|
|Posted on August 25, 2017 at 3:20 PM|
|Posted on February 11, 2017 at 3:25 PM|
|Posted on October 12, 2016 at 2:05 PM|
Dr. David B. Starkey DC MS Dipl. Ac.
Correlating Crash Severity with Injury Risk, Injury Severity, and Long-term Symptoms in Low Velocity Motor Vehicle Collisions
Medical Science Monitor
October 2005; 11(10): RA316-321
Arthur C. Croft and Michael D. Freeman
These authors note: In the mid-1990s, a set of guidelines was published by a leading U.S. auto insurer instructing claims adjusters that injury claims resulting from motor vehicle crashes with less than $1,000 US in claimant's vehicle property are "unlikely to — or cannot cause significant or permanent injury" and should "be handled as a fraudulent claim," regardless of medical evidence of injury. The "claim goal was to close without payment."
The MIST (minor impact soft tissue) protocol uses vehicle property damage as a construct for injury, and all injury claims less than $1,000 US of vehicle property damage are considered to be false.
These authors "conducted a comprehensive best evidence synthesis of the existing medical and engineering literature to investigate the relationship between vehicular structural damage and occupant injury in motor vehicle crashes."
The key points noted in this article include:
1. A substantial number of injuries are reported in crashes of little or no property damage.
2. Property damage is an unreliable predictor of injury risk or outcome in low velocity crashes!
3. 95% of rear impact injury crashes occur below 25 mph.
4. Rear-end collision injury severity and duration can be reduced with a head restraint closer to the occupant's head.
5. Well-done studies documented cases of injury with "almost no vehicle damage."
6. There is "no statistically significant associations between crash severity and the 6-month injury status."!
7. "Persons who were unaware of the impending crash were significantly more likely to have persistent symptoms."
8."No statistically significant relationships existed between measures of crash severity in terms of calculated velocity change or maximum deformation and long-term symptoms."
9. There are no significant correlations between crash severity and long-term symptoms.
10.There is a substantial injury risk in frontal and rear impact low speed crashes without sustaining appreciable vehicle damage.
11."It seems clear that property damage in low velocity motor vehicle crashes does not provide a reliable means of assessing the validity of injury claims and, provides no reliable means of prognosticating long term outcome."
12."A substantial number of injuries are reported in crashes of severities that are unlikely to result in significant property damage."
13."Property damage is neither a valid predictor of acute injury risk nor of symptom duration."
14."Based upon our best evidence synthesis, the level of vehicle property damage appears to be an invalid construct for injury presence, severity, or duration."
15. "The MIST protocol for prediction of injury does not appear to be valid."
Similar reviews of articles pertaining to whiplash trauma, subluxation, neurology, neuroimmunology, nutrition, and health can be accessed on this webpage, www.danmurphydc.com.
Dr. David B. Starkey DC MS Dipl. Ac.
|Posted on September 19, 2016 at 12:10 AM|
|Posted on May 5, 2015 at 11:45 AM|
Whiplash is a generic term applied to injuries of the neck caused when the neck is suddenly and/or violently jolted in one direction and then another, creating a whip-like movement. Whiplash is most commonly seen in people involved in motor vehicle accidents, but it can also occur from falls, sports injuries, work injuries, and other incidents.
What structures are injured in a whiplash?
Whiplash injuries most often result in sprain-strain of the neck. The ligaments that help support, protect, and restrict excessive movement of the vertebrae are torn, which is called a sprain. The joints in the back of the spine, called the facet joints, are covered by ligaments called facet capsules, which seem to be particularly susceptible to whiplash injury.
In addition, the muscles and tendons are strained—stretched beyond their normal limits. The discs between the vertebrae, which are essentially ligaments, can be torn, potentially causing a disc herniation. The nerve roots between the vertebrae may also be stretched and become inflamed. Even though it is very rare, vertebrae can be fractured and/or dislocated in a whiplash injury.
What are the common signs and symptoms of whiplash?
The most common symptoms of whiplash are pain and stiffness in the neck. These symptoms are generally found in the areas that are “whiplashed.” For example, during a whiplash, first the head is lifted up from the upper-cervical spine. This creates a sprain/strain in the region just below the skull, where symptoms usually occur. Symptoms may also commonly be seen in the front and back of the neck. Turning the head often makes the pain and discomfort worse.
Headache, especially at the base of the skull, is also a common symptom, seen in more than two thirds of patients. These headaches may be one-sided (unilateral) or experienced on both sides (bilateral). In addition, the pain and stiffness may extend down into the shoulders and arms, upper back, and even the upper chest.
In addition to the musculoskeletal symptoms, some patients also experience dizziness, difficulty swallowing, nausea, and even blurred vision after a whiplash injury. While these symptoms are disconcerting, in most cases, they disappear within a relatively short time. If they persist, it is very important to inform your doctor that they are not resolving. Vertigo (the sensation of the room spinning) and ringing in the ears may also be seen. In addition, some patients may feel pain in the jaw. Others will even complain of irritability, fatigue, and difficulty concentrating. These symptoms also resolve quickly in most cases. In rare cases, symptoms can persist for weeks, months, or even years.
Another important and interesting aspect of whiplash is that the signs and symptoms often do not develop until 2 to 48 hours after the injury. This scenario is relatively common but not completely understood. Some speculate that it may be due to delayed muscle soreness, a condition seen in other circumstances.
How is whiplash treated?
One of the most important aspects of whiplash management is for the patient to stay active, unless there is some serious injury that requires immobilization. Patients should not be afraid to move and be active, within reason. In addition, your doctor will often prescribe an exercise or stretching program. It is particularly important to follow this program as prescribed, so that you can achieve the best long-term benefits.
Chiropractic manipulation and physical therapy
Ice and/or heat are often used to help control pain and reduce the muscle spasm that results from whiplash injuries. Other physical therapy modalities, such as electrical stimulation and/or ultrasound, may provide some short-term relief. They should not, however, replace an active-care program of exercise and stretching. Spinal manipulation and/or mobilization provided by a chiropractor can also give relief in many cases of neck pain.
Can whiplash be prevented?
Generally speaking, whiplash cannot be “prevented,” but there are some things that you can do while in a motor vehicle that may reduce the chances of a more severe injury. Always wear restraints (lap or shoulder belt), and ensure that the headrest in your vehicle is adjusted to the appropriate height.
|Posted on May 5, 2015 at 11:20 AM|
DR. DAVID B. STARKEY DC MS DIPL. AC.
The most important piece of
golf equipment is your spine!
Professional golf instructors estimate that 80-100% of golfers' swing problems begin from faulty posture. Therefore, having a Chiropractor evaluate your posture should be the first and most important step toward building an optimal golf swing. Most postural faults are caused by muscle and connective tissue imbalances that pull a golfers body out of alignment, or a misalignment in spinal bones. The result of an unbalanced or asymmetrical standing posture will always be unbalanced and decreased performance. If the golf instructors are correct, a poor posture, when addressing the ball, will result in a poor and/or inconsistent golf swing. Moreover, sooner or later, golfing with a poor posture and swing motion will cause injuries. Research states that 80% of the population has lower back pain.
An onlooker may assume that the never-ending quest to put the little white ball into the cup calls upon little of the athleticism required by other warm-weather sports such as tennis or cycling. Not true. Many avid golfers contort their bodies into oddly twisted postures, generating a great deal of torque-the twisting force that opens a bottle cap-on the back. Couple this motion with a bent-over stance, repeat 90 to 120 times over three or four hours, add the fatigue that comes with several miles of walking, and you've got a good workout-and a recipe for potential lower back trouble.
As America's love affair with the game continues to grow and are playing in a big tournament, chiropractors advocate taking a proactive approach that will prepare your body for many years of pain-free play. "Most golfers go until they are in pain, then look for immediate relief. "Dr. David B. Starkey advocates a different approach-by helping patients look at what they can do right now to reduce the likelihood of future injury.” We want people to be able to play without pain and have the greatest potential for a lifetime.
If you take this approach, you're in good company. As a chiropractor I have found the direct connection between the spine and performance. Nerves control every muscle in your spine. A pinched nerve will decrease performance. “The difference between winning and losing could be just one stroke.” Many professional golfers such as Tiger Woods, Jack Nicklaus, and Tom Watson rely on chiropractors to increase their performance. To find out if chiropractic could increase your performance in golf please call me to schedule an appointment.
|Posted on March 10, 2015 at 12:05 AM|
Drug Companies Spend TWENTY-TWO BILLION DOLLARS A Year On Advertising To Make Sure You Never Learn This One Simple Truth!
Let me ask you a question. If you cut your finger with a sharp object, does the wound HEALS ITSELF? Of course!
…and if the damage is not extensive, the repair job is SO perfect, that after a few weeks you cannot even remember which finger was hurt. Even the fingerprints are reconstructed.
In other words, our bodies are “Self HEALING”!
But self-healing is not limited to scratches and bruises.
For example, if you fall off your rollerblades and break your arm, what drugs does the body need to mend the fracture? None. The body heals itself and the mend will be stronger than the original bone.
You catch the flu. What drugs does the body need to overcome the virus? None. Antibiotics only work on bacteria. The body mobilizes its own immune system and neutralizes the flu.
I don’t think anyone on the planet would deny that the body is Self-HEALING…after all, not only is it self-evident, but it’s also a scientific fact!
The most AMAZING thing about this Self HEALING, Self Regulating Body of ours is that it does everything it needs to do without us ever having to think about it!
Do you have to “consciously” think about mending and repairing a broken bone? No! Your body just knows exactly what to do.
So, here’s the MILLION DOLLAR Question!
“…how does the body “know” how to HEAL ITSELF?”
The Answer: No one really knows.
All we can understand is that there seems to be some sort of Inner Intelligence governing the body and this Inner Intelligence is responsible for all functions in the body, including HEALING.
This Inner Intelligence is the reason your heart beats, your stomach digests, your lungs breathe, your liver filters out waste and so on.
Think about it. What’s the difference between a Live Body and a Dead One?
The Answer: A Live Body has LIFE in it!
The Live body has an Inner Intelligence, a Spirit. That’s the difference! ...and it’s a big one! This Inner Intelligence is the reason you are ALIVE.
This Inner Intelligence is the reason your body knows how to HEAL Itself!
Medical Doctors usually give DRUGS – ALL of which have side effects – and ALL of which harm the body! And DRUGS only cover up the symptoms.
Are Medical Doctors and Pharmaceutical Manufacturers “smarter” than this Inner Intelligence? I don’t think so.
This Inner Intelligence “made” you. It took you from a single cell to over One Trillion Cells in just 9 months!
…this Inner Intelligence knew which group of cells to turn into an arm, it knew which group to turn into a eye and yet another group into a heart.
The Power That Made The Body, Heals The Body!
…and it happens no other way.
Drugs allow you to feel better, at least temporarily, but in the mean time, your pain, sickness or disease is actually getting worse!
Drugs only mask problems.
The bottom line is…
Drugs don’t heal.
Chiropractic works with your body, not against it.
Chiropractic removes interference to HEALING by removing interference to the Nerve System (The Master Controlling System of the Body)…and letting your Inner Intelligence, the same Inner Intelligence that “made” you, HEAL You!
Doctors don’t HEAL anyone of anything, “REAL” Doctors will simply remove interference to HEALING and let your Inner Intelligence do what it was so intricately designed to do, Self Regulate and Self Heal.
“The doctor of the future will give no medicine but
will interest his patients in the care of the human
frame, in diet and in the cause and prevention
of disease”. -- Thomas Edison
|Posted on March 10, 2015 at 12:00 AM|
Health Care vs Sick Care
Are You My Hero?
One of the distinctions we try to make at this office is the difference between health care and sick care.
The news, the magazines, the radio and even the government has abused the term “health CARE” so much, it’s lost its TRUE meaning.
The mainstay of many television dramas is the heroic lifesaving that takes place in hospitals, with the underlying message that medicine saves lives.
And it does.
But it isn’t health care.
True, the fragility of life creates the theater necessary to hold the attention of viewers. But what’s missing from these fantasies you see on screen is the fact that our so-called health care system is burdened by expensive, heroic measures delivered in the last six months or so of life.
These procedures are often used to TREAT disease states caused by neglect or poor lifestyle choices.
I’m only mentioning this today because real… true… health care isn’t heroic. Unless you consider getting adjusted on a regular basis heroic! Or eating a salad instead of a burger. Or climbing the stairs rather than pressing a button. Or drinking pure water instead of a sugary drink.
But if you CONSIDER -GETTING ADJUSTED- ON A REGULAR BASIS… true health care, - you are my hero! Thank you for being my patient. I love helping you.
|Posted on January 20, 2015 at 7:15 PM|
Vaccination Evidence Says It’s Time to Question Medical Authority
(Health Secrets) Recent outbreaks of mumps were surprising because virtually all those infected had received vaccination for mumps. Approximately 80% of the almost 2000 afflicted had received the required two shots of MMR (measles, mumps, rubella) vaccine. But amazingly, regional health authorities’ answer was to recommend a third dangerous shot as the solution, a logic that defies reason.
Questioning Medical Authority
Even a CDC vaccine FAQ site admits that mumps in children is a mild disease, and once they’ve had the mumps, they won’t get it again. This is because they’ve been naturally immunized by having it!
In rural communities years ago, parents intentionally exposed their kids to children with measles, mumps, or chickenpox to confer future immunity. This was done successfully and without exposing the children to toxins and side effects. Today, we have to wonder if the risk of immediate or future negative effects from vaccinating against usually harmless childhood diseases makes sense.
Mumps and measles used to occur naturally in children well before puberty. In this recent outbreak among completely vaccinated youngsters, the average age for the afflicted was 15, leading to the conclusion that they came down with mumps as a result of being vaccinated.
Administering a third MMR shot raises the stakes that injury or long term health issues will occur as the result of vaccination to purportedly prevent this mild childhood disease. Vaccines are loaded with toxic ingredients such as thimerasol (mercury), aluminum and formaldehyde, and the immune system is bypassed when live attenuated viruses are directly injected into the blood stream. Many vaccine authorities have concluded that a three phase vaccination provides the greatest risk of a cytokine storm, which occurs when an overly stimulated immune system feeds on the host with terrible, often life crippling and even lethal consequences.
Double Speak and Double Think
In his novel 1984, George Orwell explained double speak as expressing contradictory comments in one statement. Later the notion of double think arose to describe the ability to hold contradicting views simultaneously.
An example of contradicting views held at the same time: Newborns are required to receive hepatitis B vaccinations; hepatitis B is transmitted sexually or by sharing needles. Obviously newborns are not having sex and sharing needles. And hepatitis B vaccinations have caused nightmarish consequences for many inoculated in the past. That’s with short term results. Longer term side effects remain to be seen.
Following the mumps outbreaks, the CDC told mainstream media that the MMR vaccine was not 100% effective against mumps, but actually only 75% to 85% effective. And strikingly, the percentage range of the mumps victims who did receive both MMR vaccinations was 75% to 85%! These two statements were printed very near each other in the same body of a media report, a blatant case of double speak.
Think about it. When an attenuated live virus is injected into the blood stream, the very disease vaccinated against can be contracted. So if a third shot is administered, maybe closer to 100% of the “immunized” will come down with mumps!
Vaccine Industry Scientist Blows the Whistle
Sanitizing vaccines by removing the preservatives thimerosal (mercury) and formaldehyde, or even withholding the adjuvants squalene and aluminum (both dangerous neurotoxins) from vaccines simply won’t do. Those who truly understand the immune system and vaccinations will tell you that vaccination science is flawed at its foundation.
Investigative journalist Jon Rappaport recently interviewed a former vaccine scientist who used the pseudonym Dr. Mark Randall to avoid harassment and pension loss since he was once of the inner circle. Here’s a small sampling of Mark Randall’s remarks from this revealing interview:
The decline of disease is due to improved living conditions. [After investigating] I realized I was working in a sector based on a collection of lies. Most dangerous? The DPT shot. The MMR. As far as I’m concerned, all vaccines are dangerous. They can actually cause the disease they are supposed to prevent. They can cause other diseases.
Whether you think those who oppose vaccinations are conspiracy nuts or you’re sitting on the fence regarding vaccinations, and even if you already know they’re dangerous, it may be helpful to read the complete interview of Dr. Randall by Jon Rappaport, which is available here. http://www.alternative-doctor.com/vaccination/rappaport.htm
For more information: