Monday, March 29, 2010

6 Sacroiliac Joint Tips: Dos and Don'ts

6 Sacroiliac Joint Tips: Dos and Don'ts

Sacroiliac Joint (SIJ) dyscfunction is becoming more frequent than ever.
Dr Simon suggests the following tips to avoid opening the sacroiliac joints and/or stressing the sprained ligaments of the SIJ:

1) Do Not Bring the Knee Across the Midline. For example, crossing the legs while sitting by placing the knee of upper leg on the opposite leg. However, crossing the ankle or lower leg over the opposite knee while sitting is okay. Also, while lying in bed; do not let the knee of the upper leg touch the bed. Rest the upper knee either on or behind the lower knee or, better yet, place a pillow between your knees.

2) Follow the 90 Degree Rule. The prohibited actions will cause the sacral base to rotate forward and the ilia to rotate relatively backward, opening the SI joint.
* With knees straight, do not flex the trunk to, or past, a 90 degree angle
with the legs.
* With knees bent, do not flex the knees closer than a 45 degree angle
between the legs and chest:
o When tying shoes do not bring knee to chest. Both arms should go
inside of knee.
o Bringing the foot up to the trunk is okay if they bring the knee out
to the side.

3) No Trunk Twisting Past 25 Degrees or to the point where mild tension is felt
in the low back. This action causes the sacrum to rotate away from the ilia.

4) No Hanging by the Arms or Feet. No lumbo-pelvic traction, with the exception of the Sacrotrac because its pull is from the sacrum. Hanging and conventional lumbo-pelvic traction pull the ilia and spine apart, stressing the SI ligaments.

5) No Extending the Back Past Neutral. For example, you can do back strengthening
exercises, but you should not bend backwards at the waist past neutral; this
action causes both the sacral base and ilia to rotate forward, but the
lumbo-sacral area becomes compressed, and this causes the sacral base to go
farther than the ilia, opening the joint.

6) No Heat on the Low Back. Ice is fine at 20-minute-intervals every hour for
three hours or more.

Monday, January 25, 2010

What (not) to say in an Auto Accident

When making an insurance claim, what you say can mean the difference between a fast payment check and a nightmarish process. Insurance companies are sensitive to certain words and using them incorrectly could result in a claim delay or even denial. Of course, lying to your insurance company or misrepresenting facts is fraud -- and your claim will surely be denied if the insurer finds out.

But using the right words to accurately describe your problem is important.
"What you say initially can affect the outcome of your claim," says Allan Sabel of Sabel & Associates, a Bridgeport, Conn.-based adjusting firm.
Here are common "wrong words" that could slow down or scuttle an otherwise legitimate insurance claim. For insurers, these words often conjure up images of a claim that should be denied.


Don't offer your opinion. Stick to the facts. For example, following a car accident, people can rarely provide an accurate estimate of the rate, speed and flow of traffic, says Pete Giancola, owner of Pete Giancola’s Insurance Agency Inc. in Deephaven, Minn.
For example, it's common for drivers to announce the speed at which they were traveling when the accident occurred. But, as Giancola points out, "unless you were staring at the speedometer, you don't know." Also, don’t estimate distances -- like how far other vehicles or objects were in relation to your car before the impact. Your estimate could turn out to be false -- "unless you jumped out of the car and measured it with a measuring tape," Giancola says. If you estimate such things and get them wrong, it could later be used against you. Giancola has seen clients give recorded statements about distance and be found "at fault" because the distance they estimated should have given them plenty of time to avoid the crash. However, be prepared for an insurance adjuster to try to finagle these estimates out of you.
"The insurance adjuster will try to ask you that same question in 14 different ways," Giancola says. "Stay away from it. Just give the hard, cold facts ... don’t say 'I think,' 'I feel,' 'I felt.' No touchy-feely stuff."

Without sounding insensitive, try to avoid saying "I'm sorry" because it can be interpreted as an admission of fault. In most car accident aftermaths, all the facts are not immediately known. Do not interpret the situation and theorize about who's at fault. Don't use words like "it's my fault," "it's not your fault," "I made a mistake" or "I'm not sure what happened." Describe what happened to the best of your ability. If you're not sure about how something happened, let the authorities and insurance companies figure it out. Don't assume anything.
"But when you talk to your insurance company and you are not at fault, then tell them you are not at fault," says Pete Moraga, spokesperson for the Insurance Information Network of California.
It's a good idea to check with your own insurance company about how you should handle communications with the other party's insurer. Don’t give a recorded statement to anybody until you speak with your insurance company first.
"Ask [your insurance company], 'If the other party calls me, should I talk [to them]?'"

Whiplash and whiplash-associated disorders represent a wide range of injuries to the neck caused by a sudden distortion of the neck.
Insurance companies often associate the term with exaggerated or fraudulent claims, so saying "I have whiplash" could delay the payment process.
Refer to your injuries in medical terms if you can, or wait until your chiropractor makes a diagnosis.

Plus: What Not to Do After a Car Accident
Do not give a recorded statement to the other driver’s insurance company. It can be used against you later on. You want to control your case and the release of information. Insurance companies must ask you for your permission in order to record an interview.
Do not make friendly conversation with the adjuster. Stick to business and only tell them the "who," "what," "when" and "where." Don't even tell them the how at this point.
Do not give out any information about your family. Do not give out the names of your doctors.
Do not sign a medical release. Federal law protects your medical records. The insurance companies may use this release to dig through all your medical history, even things not related to the car accident.
Lastly, please talk to your auto insurance agent about MED PAY coverage. It covers you and your passengers for injury related expenses including deductibles (an ambulance ride alone can run over $3,000 dollars per person). With rising health ins deductibles and It is cheap and will save you protect you from additional liability .Please don’t wait for a collision to do this.