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Howie Morenz Jersey[; Howie Morenz Jersey[
Topic Started: Aug 25 2015, 07:37 PM (214 Views)
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The Whipla Syndro: Cervical TrtionBy Dr. Frank Gozwww.sayvillechiroprtor.Whipla injuries include damage to the soft tissues of the neck such as muscles Henri Richard Jersey , tendons, ligants, and myofascial tissues. The degree of injury is typically graded on a 1-3 scale from least to most tissue damaged, respectively. A grade 1 sprain (ligant injury) or strain (muscle or muscle tendon injury) includes minimal tissue disruption or tearing while grade 3 sprains and strains include significant tissue tearing and subsequently longer healing tis with greater chance of long-term residual problems. More severe whipla injuries can result in frture but those types of injuries are not indicated for trtion forms of therapy until after the frture heals and stability is restored to the neck. So, the question is, what role does cervical trtion play in the managent of neck pain associated with whipla?In whipla injuries, when it feels good to the patient to have soone pull on their neck, that person is a candidate for cervical trtion. The amount of weight or trtion force and length of ti are based on patient fort and are highly variable. Therefore, it is important to start with a low enough weight so injury to the patient from the trtion therapy is avoided. Typically, 5#15 minutes is a safe starting point Dickie Moore Jersey , gradually increasing the weight to a maximum tolerated level. Many insurance panies, based on the publied literature regarding cervical trtion, regard it as a “dically necessary form of treatnt and hence, a covered service. There are many different cervical trtion devices available for ho use of which the over-the-door trtion unit is typically the least expensive and in so cases mandated prior to insurance allowance for a more expensive pneumatic cervical trtion device. Unless there are reasons that over-the-door trtion is not tolerated such as jaw pain (due to the chin strap pressure), this approh is monly utilized. This device includes a water bag that is calibrated for water weight and can be done multiple tis a day, depending on eh case. There is also a collar-type of trtion unit which allows the patient to move around rather than sit in one ple. However, the amount of weight is better regulated with the water bagsitting type. There are laying down types of neck trtion which can also be regulated aurately for weight. These tend to be more expensive and insurance panies may require use of the less expensive over the door type first, unless there is a dical reason that a chin strap not tolerated. 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