Search results for: “”

  • Can a Medical Doctor Evaluate the Necessity of Chiropractic Care?

    People injured in automobile accidents need professional health care, and normally seek the assistance of a primary health care provider such as a medical doctor, chiropractor, or osteopath. When the injury is to soft tissue in the neck and back, the public has generally considered chiropractic care to be an effective alternative approach to standard…


  • Are Post-Concussion Syndrome and Compensation Claims Related?

    With post-concussion syndrome, also known as post-traumatic syndrome, symptoms can sometimes be difficult to verify objectively. The usual components of this syndrome are headaches, dizziness, and nervous instability. In addition to this triad of symptoms, the syndrome is also characterized by a tendency to worsen instead of improving as expected after injury, treatment, and convalescence.…


  • Low Speed Impact and Occupant Injury

    More and more scientific studies are demonstrating that while low speed impact may result in minor property damage, they can cause major injury. Recently, Dr. Francis Navin, Professor of Civil Engineering, and Dr. P. Romilly, Professor of Mechanical Engineering at the University of British Columbia, simulated low speed rear-end impacts to assess vehicle damage and…


  • Chiropractors vs. Out-Patient Hospital Care for Low Back Pain

    In 1990, the British Medical Journal reported on the long-awaited results of the British Medical Research Council’s ten year study comparing chiropractic and out-patient hospital care of patients suffering from acute and chronic mechanical low back pain. The Cochrane Commission’s 1979 report on back pain made several recommendations, one of which was that clinical trials…


  • The Role of Spinal Manipulations in the Management of Headaches

    One area of controversy within the insurance and medical communities is the role of the cervical spine in the causation of headaches. How can an injury to the cervical spine cause headaches? Is there a role for spinal manipulation in the management of headaches? A recent study published in the Journal of Manual Medicine entitled,…


  • Requesting and Producing Medical Records in King County

    The Medical-Legal Committee of the King County Medical Society and Seattle-King County Bar Association recently completed an extensive revision of the Medical-Legal Liaison Pamphlet, the introduction to which states that it is “designed to guide King County physicians and lawyers in matters requiring their professional interaction and mutual cooperation.” One common dispute between attorneys and…


  • Alternative Dispute Resolution – Alternatives to Trial

    The notion that taking someone to court as the first step to righting a wrong is deeply ingrained in our culture. The proliferation of courtroom television dramas and celebrity news notes about Melvin Belli and “Cowboy” Jerry Spence continue to perpetuate the myths that an attorney’s day is spent in court, and that all good…


  • Medical-Legal Terms for Pre-Existing Conditions

    One phrase or buzzword often causing confusion for the health care provider in a legal context is “pre-existing condition.” Under the law, there are two types of pre-existing conditions. The first is known as an “inactive” or “dormant” pre-existing condition. The second is an “active” or “symptomatic” pre-existing condition. A provider generally learns of a…


  • Washington’s Guidelines for Medical-Legal Fees

    The Medical-Legal Committee of the King County Medical Society and Seattle-King County Bar Association recently completed an extensive revision of the Medical-Legal Liaison Pamphlet, the introduction to which states that it is “designed to guide King County physicians and lawyers in matters requiring their professional interaction and mutual cooperation”. The most common recurring dispute between…


  • Biomechanics of a Cervical Hyper-extension/flexion Injury

    The cervical spine is a very complex structure. An understanding of the mechanisms involved in hyper-extension/flexion injuries requires the patient’s doctor to be familiar with the anatomy of the neck, how acceleration forces impact the delicate balance of the interconnecting structures in the neck, and how certain physical factors affect the acceleration rate, which consequently…