The Advocate

  • Neuro-Chemical Changes in the Brain Connected to PTSD

    Neuro-Chemical Changes in the Brain Connected to PTSD

    Suffering a traumatic event can cause life-long anxiety problems, manifested in emotional and/or physiological issues.  This trauma-induced anxiety can be significant enough to rise to an even more serious condition known as post-traumatic stress disorder…

  • New Law Affecting Uber and Lyft Ridesharing Insurance Coverage

    New Law Affecting Uber and Lyft Ridesharing Insurance Coverage

    With the help of mobile technology, the “sharing economy” is booming. Smartphone apps allow us to arrange services through a simple tap of the screen. Transportation, a service traditionally available only through public transit or…

  • Handling Requests for Patient Records

    Handling Requests for Patient Records

    Recently, we have received several questions concerning the Federal Health Information Technology for Economic and Clinical Health (HITECH) Act and how it impacts a health care professional’s practice when responding to requests for electronic patient…

  • Hidden Cardiovascular Damage from Airbag Deployment

    Hidden Cardiovascular Damage from Airbag Deployment

    Ever since the first air bags became standard in passenger vehicles during the 1990s, there has been consistent debate over the amount of physical injury an airbag can cause versus the amount of physical injury…

  • MySpine vs USAA Casualty Insurance Company

    MySpine vs USAA Casualty Insurance Company

    The Superior Court of Washington, Judge Theresa B. Doyle, recently published a “Notice of Proposed Settlement” related to a class action lawsuit against USAA that impacts the interests of BOTH patients and healthcare providers alike.…

  • Head Trauma, Inner Ear and the Perilymph Fistula

    Head Trauma, Inner Ear and the Perilymph Fistula

    Dizziness, vertigo, tinnitus or hearing loss can result from traumatic brain injury or head trauma, neck, temporomandibular joint or inner ear.  These symptoms of pain or dysfunction can result from the acceleration-deceleration motion of a…

  • Alar Ligament Injury Related to Chronic Pain in the Elderly

    Alar Ligament Injury Related to Chronic Pain in the Elderly

    The alar ligament restrains excessive axial rotation and lateral flexion and can be damaged in a whiplash-type injury.  When this occurs, the damage is typically to the ends of the alar ligament.  This tearing of…

  • Treatment of Lower Back Pain in Geriatric Patients

    Treatment of Lower Back Pain in Geriatric Patients

    Low back pain is a pervasive problem for many people that are often at a cross-roads on where to seek care following an injury.  A unique 2013 study analyzed the perspectives of geriatric patients (aged…

  • Seat Belt Fulcrum Injury and Cauda Equina Syndrome

    Seat Belt Fulcrum Injury and Cauda Equina Syndrome

    Seat belts are well known for saving lives and preventing serious injury during a motor vehicle collision.  Originally introduced to automobiles decades ago, seat belts are designed as a safety device to prevent occupants from…

  • Women with Whiplash Are Not More Anxious Than Men

    Women with Whiplash Are Not More Anxious Than Men

    An acute whiplash injury results from the sudden hyper-extension, hyper-flexion of the neck with an acceleration-deceleration type traumatic insult, and it is the most common soft tissue injury sustained in motor vehicle collisions.[1]  Most cases…