SPINAL SOLUTIONS.CA

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SPINAL SOLUTIONS.CA

• DR. G. BLAIR LAMB
• OCTOBER 16, 2003

Understanding Pain
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Is Chronic Pain New?
SPINAL SOLUTIONS.CA

• BEGAN 1993
• ONTARIO PAIN PHYSICIAN ASSOCIATION (OPPA) 1996-97

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Chronic Pain
www.drlamb.com

• TRAUMA
• REPETITIVE WORK
• STRESS
• ABNORMAL SLEEP
• AGING POPULATION

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10 MIGRAINE HEADACHES
SPINAL SOLUTIONS.CA
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45 PAIN MEDICATIONS
SPINAL SOLUTIONS.CA
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70 MEDICAL VISITS
SPINAL SOLUTIONS.CA
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80 LOW BACK PAIN
SPINAL SOLUTIONS.CA
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50 BILLION TREATMENT FOR LOW BACK PAININ THE USA
SPINAL SOLUTIONS.CA
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REPETITIVE STRAIN INJURY (RSI)
SPINAL SOLUTIONS.CA

• CARPAL TUNNEL
• TENNIS/GOLFERS ELBOW
• ULNAR NEURITIS

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COST OF PAIN

• WSIB
• WORK DISABILITY INSURANCE
• MVA
• PHARMACEUTICALS/THERAPY
• HOSPITAL AND SURGERY
• FAMILY AND SOCIETY
• PRODUCTIVITY

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WHY DO WE DEVELOP CHRONIC PAIN?
SPINAL SOLUTIONS.CA
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MYOFASCIAL PAIN AND NEUROPATHY

• MUSCLE DYSFUNCTION
• TENDON DYSFUNCTION
• NERVE DYSFUNCTION

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PRINCIPLES MUSCLE / NERVE

• MATURATION-GROWTH HORMONE/DNA CHANGES
• MUSCLES SHORTEN AND SCAR
• TRAUMA, EXERCISE, STRESS, SLEEP
• SHORTENING OCCURS AT REST/SLEEP
• ALL MUSCLES-SPINE AND LIMBS

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SPINAL MUSCLES

• INTRINSIC (DEEP) MUSCLES
• CAUSE SPINE COMPRESSION/CRUSH
• DISK HERNIATION/DEGENERATION
• ARTHRITIS OF THE SPINE
• CAUSES NERVE PROBLEMS

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NERVE PROBLEMS CAUSE

• HEADACHES
• MUSCLE SHORTENING ARMS/LEGS
• TENDONITIS ARMS/LEGS
• CARPAL TUNNEL SYNDROME
• JOINT COMPRESSION
• ARTHRITIS ARMS/LEGS

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REVIEW

• DEEP SPINAL MUSCLES INJURE/SCAR
• SLOW CRUSH VERTEBRAE/DISKS
• CAUSES NERVE INJURY
• NERVES REFER PAIN
• CAUSING BACK, ARM AND LEG PAINS

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EARLY CLUES

• NUMBNESS AND TINGLING ARMS/LEGS/HEAD
• HEADACHES/ALLERGIES/JAW PAIN
• JOINT STIFFNESS/ PAIN AT REST
• DECREASED JOINT RANGE
• ITCHINESS
• RESTLESS SLEEP

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CLASSICAL THERAPY

• PHYSIOTHERAPY
• CHIROPRACTIC
• MEDICATIONS
• MASSAGE THERAPY
• CORTISONE
• SURGERY

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NEW TECHNOLOGY

• 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

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RECOMMENDATIONS

• DAILY STRETCHING-SPINE
• ADVIL 2/WEEK
• EARLY DIAGNOSIS AND TREATMENT
• EDUCATION PROGRAMS
• CAUTION-REPETITIVE, TRAUMA, SLEEP DISORDERS
• MET, SOUND WAVE, IMS, BOTOX
• 2ND OPINION

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PHYSICIAN RESOURCES
SPINAL SOLUTIONS.CA

• VIPDOCS.COM
• DR G. BLAIR LAMB

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PUBLIC AWARENESS

• NURSING SHORTAGE
• HOSPITAL BED/FUNDING CRISIS
• INCREASING DRUG COSTS/LIMITS
• DOCTOR CRISIS

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THE DOCTOR CRISIS

• ONGOING FOR 15-20 YEARS
• FALSE SECURITY
• CDN MDS-LARGE PRACTICES
• HIGH VOLUMES 50-100/DAY
• 70-100 HOURS/WEEK
• 1 MILLION WITHOUT DOCTOR

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DOCTOR MINUTEScoined by VIP Docs Inc.
SPINAL SOLUTIONS.CA

• FIXED AMOUNT TO SPEND

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WHY SUDDEN CHANGE?

• PHYSICIAN BURNOUT
• WORK STRESS
• FINANCIAL REMUNERATION POOR
• NO BENEFITS
• LIABILITY RISKS
• BUREAUCRATIC
• CMA/OMA

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ONTARIO MEDICINE

• 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 MRIS BUT NO RADIOLOGISTS

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QUEBEC PANICKED

• WORK IN ANY EMERGENCY IN QUEBEC
• 5000 FINE/PENALTIES
• MASS DEFIANCE BY MD's
• EXODUS
• BAD MESSAGE TO OUTSIDE MD's

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CANADA HEALTHCARE

• 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

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WORLDWIDE MEDICINE

• ABANDONMENT FAMILY MEDICINE
• BRITAIN, USA, EUROPE
• WORLDWIDE SHORTFALL-S. AFRICA
• 12 YEARS GP, 17 EYE DOCTOR
• LIABILITY
• EXPECTATIONS
• OVER-REGULATION

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PHYSICIAN RESOURCES

• AQUIRE GOOD DOCTOR ACCESS
• ACCESS SCANNING TECHNOLOGY
• MRI, CT, EBCT, PET,
• EDUCATION-VIDEO, SEMINARS
• LESS PHYSICIAN DEPENDENCE
• MEDICATION ACCESS

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FOR INFORMATION

• PAIN-------------SPINALSOLUTIONS.CA
• SCANS------------VIPDOCS.COM
• EDUCATION----BROADCASTDOCS.COM
• SEMINARS-------VIPDOCS.COM
• CONSULTING---US-CANADA-HEALTH.COM