Chiropractors

Americans suffer from headaches more than ever. Studies show that 9 out of 10 Americans suffer from some type of headache.  Only around 5% of headaches indicate that something else is physically wrong, while 95% of headaches are just that – headaches.

We sit more than we used to in the past due to most jobs involving sitting at a desk in front of a computer. Because of this, our posture becomes out of alignment and our joints and muscles tense up, causing our heads to ache.

Chiropractic care can help realign your spine to relax your muscles and calm any nerve pain. Here are some common headaches that can be helped by seeing a chiropractor.

Tension Headaches

Tension headaches are the most common form of headaches and women are twice as likely to experience tension headaches. While tension headaches don’t prevent you from living your life or impact your vision or balance, they can be very uncomfortable.

These headaches can be cause by stress, not getting enough sleep, being hungry, and your posture. Because tension headaches are common and minor headaches, they should be treated non-medically if possible. Try adjusting your sleep habits, eating healthy meals, and taking time to relax throughout the day. If you’re still experiencing headaches, it may be a result of a misalignment of your spine and you should reach out to a chiropractor.

Cluster Headaches

Cluster headaches are short in duration and typically occur on one side of your head and face. They are extremely painful (they can be compared with the severity of migraines only shorter in duration) and can happen every day for up to months at a time. Cluster headaches are seasonal, but are not connected with allergies.

The cause of cluster headaches is still unclear, chiropractors do know that the headaches involve the trigeminal nerve in your face. Because these headaches concern nerve pain, you should reach out to a chiropractor for treatment. Nerve pain is sometimes caused by a misalignment with your spine. A chiropractor can properly align the region in your spine that is pressing on that nerve and can prevent future cluster headaches.

Migraines

Migraines are the most severe forms of headaches. They can last for hours and are debilitating, interrupting your daily activities. Symptoms include vomiting, temporary vision loss, and sensitivity to light and sound. The pain is so severe that many migraine sufferers have to shut themselves in a dark room until the headache has subsided.

Tension headaches and migraines have similar causes: stress, lack of sleep, muscle tension in the neck, diet, and dehydration. If you are suffering from migraines, make adjustments in these areas of your life before turning to any over-the-counter medication. Drink lots of water throughout the day, stretch, be aware of your posture, and get enough sleep.

If your migraines persist, reach out to a chiropractor. Chiropractors can make adjustments to your spine to help relieve any muscle tension in your neck that may be causing your migraines. After a few weeks of treatment, you should be able to feel a radical difference in the duration and occurrence of your migraines.

Seeing a headache doctor Rockville, MD relies on regularly can not only help treat any current headache troubles you currently have, but can also help prevent future headaches. Chiropractors can also recommend exercises you can do at home when you start feeling a headache coming on. Reach out to a chiropractor today to schedule a consultation.

Thank you to our friends and contributors at Pain Arthritis Relief Center for their insight into chiropractic care for headaches.

Is It Safer to Drive Impaired By Marijuana Or Alcohol?

As my avid blog readers are already aware, I am a Baltimore Chiropractor that spends the majority of my clinic time treating patients who have been injured in Baltimore auto accidents. Typically these patients present with a constellation of symptoms inclusive of headaches, neck pain, back pain, radiating arm pain, and radiating leg pain. Recently I have seen an increase in the number of Baltimore auto accident injury patients presenting after having been involved in a motor vehicle collision with a drunk driver. I almost never see injury patients that have been injured as a result of a collision with a patient that is high on marijuana. So it made me wonder whether driving under the influence of one substance was “safer” than the other. As it turns out, research seems to indicate that it is less risky to drive while under the influence of marijuana as compared to alcohol. Now let me make one thing perfectly clear: the safest way to drive is clearly in a non-impaired state and not under the influence of any foreign substance. And I am in no way advocating that drivers choose to drive high or drunk. I am just taking a look at what statistics have shown about this subject because I found myself curious.

A 2011 collaborative study out of the University of Montana and the University of Colorado demonstrated that in states with legal medical marijuana, the number of traffic deaths have been reduced by almost 9 percent as compared to states where marijuana is not legal. This is about the same decrease in injury and death rate that was seen when the legal drinking age was raised from 18 to 21 several years ago.

Interestingly, there is no clear reason why there has been a decrease in the number of fatal auto accidents as a result of driving under the influence of marijuana. One supposition is that younger people, especially men, tend to choose consumption of marijuana over beer and alcohol in states where it is legal. The second consideration is that people who get high may stay at home and consume the foreign substance, as opposed to those who drink and need to drive to or from bars in order to do so. To be clear, no one knows exactly why this research seemed to indicate that it was “safer” to drive under the influence of marijuana as compared to alcohol, and it will be hard to figure out exactly why that it is the case.

Interestingly, statistics, when adjusted for factors such as age, race, and gender suggest that there’s little to no difference between driving stoned or sober when it comes to the risk of having a wreck according to the National Highway Traffic Safety Administration (NHTSA). Those who drive high tend to drive slower and focus on obeying traffic laws, whereas those who drive drunk tend to make worse decisions behind the wheel which leads to increased injury and crash risk.

Once again I feel the need to state that I am in no way advocating that anyone intentionally drives under the influence of any foreign substance such as alcohol or marijuana. My fiance and I drive these same roads with our friends and neighbors and we all need to do our part to drive safely to cut down on the risk of fatalities and injuries. It is always safer to call an uber, lyft, or taxi to help you get to where you are going than it is to drive under the influence of marijuana or alcohol.

If you, or someone you know, has been injured as a result of a Baltimore auto accident caused by a driver intoxicated by alcohol or marijuana please contact Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We would be happy to help you begin the process of physical recovery.

Dr. Gulitz

Our New Clinic Is Open!

As my avid blog followers are aware, I am a Baltimore Chiropractor that spends the majority of my clinic time treating patients with headaches, neck pain and back pain in Baltimore. Typically these patients present for care after having been involved in a Baltimore auto accident, but that is certainly not always the case. For this blog post I decided that I want to share a bit of my professional history with everyone.

I began my career as a Chiropractor working for the Neck & Back Clinics in Las Vegas, NV. I worked as an associate chiropractor in that clinic for about three years and I have to say, I really enjoyed my experience there. I got to learn to see thousands of patients and I got to hone my clinical skills at a rate that far exceeded what I would have been able to do on my own in my own clinic. I also got to see “behind the curtain” as to how the clinic was owned and operated and I was intoxicated with it. However, in the three years that I worked there, I found myself not really enjoying the environment of Las Vegas. The weather was too warm, there was no baseball or football team to root for, and all of my family and friends were back on the east coast. I pledged to myself that I would move back to the east coast and find a city with a young and active population, great football, great baseball, and great healthcare for when I get older. I also wanted a community of an under-served hispanic population as I learned to speak Spanish. All across the board it became clear to me quickly that Baltimore would be my new home.

I moved to Baltimore in December of 2011 and quickly began scouting locations for my new clinic. I drove all around the city looking for good locations with great visibility and parking. I stumbled upon our current location at 2001 Eastern Avenue in Fells Point and I knew it was perfect the moment I saw it. I still remember the sign in the window “Will build to suit, call Vic” So I called Vic. I said “Vic, my name is Marc Gulitz. I am trying to open a Chiropractic clinic and I really like your space.” We met shortly thereafter and a deal was struck in less than thirty days. I still remember Vic asking me about my experience. He asked if I had ever owned my own business, or managed people, and I said no. But he believed in me because I believed in myself. Several months later the clinic was constructed and opened and we began serving the Baltimore community in Southeast Baltimore. The beginning was very slow as expected. I had no friends, no referral sources, and no history in the community. At the time there were two employees in the organization, me and a medical biller who has since been discharged. I remember my first patient who walked in the first day and I remember it like it was yesterday.

In the nearly four and a half years that followed my professional life has become a rocket ship. Each month the number of new patients we were able to help grew in the clinic. We just finished our best month ever in terms of new patients and total patient visits and we are pushing the edges on the number of patients that we can comfortably serve in Fells Point…So what better time to open a new clinic?

One of my many dreams has always been to own a series of clinics, not just one. The boss that I used to work for did that and I loved the pride that he had in building his infrastructure. When I asked him why he wanted to open so many clinics his response really resonated with me. He said that as much as he loves being a chiropractor and serving the population, he can help more people by opening more clinics than he can by his hands alone. And that response really stuck with me to the point where I agreed with him. If I can’t get another segment of the population to come to my clinic due to traffic pattern issues in Baltimore, then I owe it to the population of Baltimore to bring my brand of fast, casual, chiropractic care to them.

It is with great pride that I announce the grand opening of my second clinic, Mid-Atlantic Spinal Rehab & Chiropractic in Northwest Baltimore starting tomorrow, Monday February 20, 2017. We are located on the corner of Park Heights Avenue and Fallstaff Road at 6810 Park Heights Avenue, Suite C4, Baltimore, MD 21215. We are going to provide the same great service at a new more accessible secondary location. We will still offer walk-in appointments, evening appointments, and digital x-rays on site. The phone number is the same that you’ve come to know over the years, 443-842-5500. Now we have a hosted phone system that can direct your telephone call to the office of your choice.

So if you are in Northwest Baltimore and are in need of chiropractic care for headaches, neck pain, or back pain, whether or not you have been involved in a Baltimore auto accident, please contact Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We would be happy to help you, as always!

Finally, I would like to say thank you to my fiance Kristin, my staff members, referral partners, doctors, lawyers, friends and family that have helped my dream continue to become a reality. There is no way we could have gotten here without everyone’s help and support.

Dr. Gulitz

Study Finds Millennials Atop List of Worst Drivers On The Road

As a Baltimore Chiropractor I spend the majority of my clinic time treating patients with headaches, neck pain, and back pain. My clinic has seen a sharp increase in the number of auto accident-related injuries as of late. Typically patients that have suffered Baltimore auto accident injuries present with acute post-traumatic headaches, neck pain with radiating arm pain, and occasionally, lower back pain with radiating leg pain. It is not unusual for someone to be sitting at a red light to get rear-ended at a high rate of speed. Some people are lucky enough to walk away from these auto accidents without injuries. Others are not as lucky and suffer a lot of pain and inconvenience in their lives as they attempt to rehab their injuries and return to their normal activities.

I find myself curious about cultural behaviors and how they impact the injuries and patients we see in my clinic. I came across an article from AAA Foundation for Traffic Safety. They conducted a survey to look at why the number of driving related fatalities reached over 35,000 in 2015, which reflected a 7 perfect increase year over year, the highest single year increase in nearly five decades. Many professionals suspect that distracted driving is largely to blame for this problem. Our Fells Point clinic is at the epicenter of young professional/millenial living. It comes as no surprise then, as a result, that we have been seeing a large uptick in the number of Baltimore auto accident related

The study found that drivers between the ages of 19-24 were most likely to behave in risky behaviors behind the wheel. They defined risky behaviors as speeding (greater than 10 mph over posted speed limits), running red lights, and texting/emailing while driving. The percentage of drivers per age group that participated in risky behavior are as follows

1. Drivers aged 19-24 (88.4 percent) [Millenials]
2. Drivers ages 25-39 (79.2 percent)
3. Drivers aged 40-59 (75.2 percent)
4. Drivers aged 16-18 (69.3 percent)
5. Drivers aged 75+ (69.1 percent)
6. Drivers aged 60-74 (67.3 percent)

Its interesting to note that even the “Safest” drivers participated in risky behaviors at a nearly 2/3 rate! That means for every car you drive past on the road 2 out of 3 of them are either likely to be speeding, running red lights, or texting while driving. Its no wonder why we are seeing such an alarming increase in the number of Baltimore auto accident injuries – no one is watching where they are driving!

The biggest take away from this study is that “some drivers ages 19-24 believe that their dangerous driving behavior is acceptable.” To me, its the same reason why people smoke cigarettes despite the fact that there are surgeon general warnings on the side of the package. Everyone understands that there is a risk but no one seems to think that the risk applies to them. We all think we are unique and special and that bad things only happen to other people. Unfortunately, this is not true and we all have to do our part to make the roads safer since we all share them.

What do you think of the results? Do you think they are accurate? Or what else do you think is causing the increase in number of auto accident injuries across the U.S. Feel free to comment below if you have some input.

If you, or someone you know, has been injured as a result of a Baltimore auto accident injury, please contact Mid-Atlantic Spinal Rehab & Chiropractic. We now have two convenient locations in Baltimore City to help you recover from your injuries.

Dr. Gulitz

American College of Physicians Issues Guideline for Treating Nonradicular Low Back Pain

As my avid blog followers are already aware I am a Baltimore Chiropractor that spends the majority of my clinic time treating Baltimore area residents with chiropractic care for headaches, neck pain, and back pain. If you read my last blog entry you’ll remember that we recently just opened our second clinic in Northwest Baltimore, on Park Heights Avenue. We are now offering the same great service that you’ve come to know and trust to the communities in northwest Baltimore, including Baltimore City, Pikesville, Mount Washington and Owings Mills.

Even though my time is spread thin with more attention being placed on the new northwest Baltimore clinic, I still take time to read about chiropractic and back pain in the news in order to share any pertinent information with my fans.

I recently came across a recommendation from the American College of Physician’s with regards to treatment of nonradicular low back pain. You can see their position on the matter by clicking this link here. Anecdotally, I suspect that about 50 percent of the patients that present to my two Baltimore chiropractic clinics are patients who present with nonradicular low back pain. To be nonradicular means that the back pain is local and does not involve nerve root irritation. To say it another way, this means that patients feel their lower back pain ONLY in their lower back and they do not have any associated numbness, tingling, or weakness down into their grown, thighs, buttocks, lower legs, or feet. Given how often my Chiropractic associates and I come across this physical presentation I wanted to know what the American College of Physician’s thought would be “best practice” to help reduce or eliminate back pain.

Their official policy was that patients with acute (less than 4 weeks duration) or subacute low back pain (4 to 12 weeks duration) should treat their conditions with “superficial heat, massage, acupuncture, or spinal manipulation.” While they do not come right out and recommend chiropractic care, they do state “physicians should remind their patients that any of the recommended physical therapies should be administered by providers with appropriate training.” Chiropractors are exactly the types of professionals that are trained in administering these remedies appropriately for low back pain patients.

For patients that have chronic lower back pain (greater than 12 weeks duration) or who have had inadequate response to non-drug therapy, patients should first consider NSAIDs as a first line of medicine to combat the pain, followed by tramadol. They then go on to state that “physicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients.”

For our patients and our providers this is wonderful news that the American College of Physicians guideline for treating low back pain is in line with what the majority of chiropractors across the country already knew and already perform. I suspect that this news will help to open the eyes of more physicians across Baltimore and the rest of the country to the benefits of chiropractic care for acute back pain episodes.

If you, or someone you know, has acute or subacute low back pain and you’ve been curious about trying chiropractic care for low back pain, please contact Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We would be happy to help!

Dr. Gulitz

Daylight Savings – Time to Review Your Auto Insurance PIP Coverage

As a Baltimore Chiropractor I spend the majority of my clinic time treating injured patients in Baltimore with headaches, neck pain, and back pain. In about half of the instances these patients were injured in Baltimore auto accident car crashes. In the other half these are regular people such as you and me who woke up with a stiff neck or back and wanted some relief of their symptoms. I came across a scenario last week in my clinic that I thought warranted a further discussion so I figured I would make a blog entry about it here today. The issue involved a component of auto accident insurance in Maryland, called PIP.

As you may know, PIP stands for Personal Injury Protection. It is a form of no-fault insurance in Baltimore and the entire state of Maryland that pays for your medical care and lost wages following an auto accident, regardless of fault. So to be clear, if you hit a patch of ice and hit a wall or tree, your PIP coverage would pay for medical care and lost wages related to this injury. Likewise, if you were at a red light and got rear-ended and developed whiplash, headaches, and neck pain, the PIP coverage would pay for your care as well.

PIP is written in amounts of either $2,500, $5,000 or $10,000. All of this sounds great but there’s a catch. Under current Maryland law anyone who elects to purchase insurance must be offered PIP coverage, but can waive it entirely, and not pay for it. Typically those who waive PIP don’t even realize it until after they’ve had an accident and need the coverage. So what I am recommending is that my blog readers take 15 minutes and review their coverage now, before they are injured and before they ever need it.

When I was growing up, we used daylight savings time as “built in reminders” to change the batteries in our smoke alarms. As I got older I further used it as a reminder to ask my credit card companies for credit line increases every six months. Now that I am a professional chiropractor with two clinics in Baltimore (both southeast Baltimore in Fells Point and northwest Baltimore in Upper Park Heights) I see daylight savings as a “wake up call” to review auto insurance coverage. Rates change and benefits change all the time and there are tons of property and casualty insurance professionals who would be happy to review your auto policy and let you know what your levels of coverage are.

The thing I like best about PIP is how cheap it is to buy.  I carry the maximum amount of PIP at $10,000. I pay a total of 78 dollars a year(!) ($6.50 per month) for this invaluable coverage. I know I am paying hundreds of dollars of premium a month for health insurance that I barely use but given the population of Baltimore and the number of bad drivers out there I think spending $6.50 a month on 10,000 worth of coverage is well worth every penny. Heck, most people spend about $8 a month insuring a $300-400 dollar iPhone with Apple!

In spite of this, most people sadly still don’t know what PIP is, or if they carry it. The number one complaint I get from patients who have been involved in Baltimore auto accidents is they wish they had purchased more PIP before they had their accident.

My friend and auto accident personal injury attorney Ross Albers wrote a blog post about PIP and how it is important not to waive it for many of the same reasons I touch on. You can check out his blog post here.

So do yourselves a favor. Don’t be another patient that wishes they had taken 15 minutes to review their policies now. You’d be surprised how inexpensive it would be to purchase PIP or add on to a higher level of coverage. Those that have been involved in Baltimore auto accidents and know the financial ramifications of these crashes will attest that it is something they wished they would have done sooner.

If you, or someone you know, has been injured in a Baltimore auto accident with or without PIP coverage, please contact Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We now have two locations to better serve your needs.

Dr. Gulitz

Ice Missiles Causing Baltimore Auto Accidents

As my avid blog followers are already aware I am a Baltimore chiropractor with two clinics in Baltimore City that spends the majority of my time treating Baltimore auto accident injury patients. Typically the injuries we see present as headaches, neck pain, and back pain. In some instances we see upper and lower extremity pain as well as vehicle occupants suffer contusions and extremity sprains and strains due to striking their body within the vehicle during the impact.

Just today we had several new auto accident patients who all had one thing in common – their injuries were due to ice missiles! Prior to today I had never heard of the term ice missile so I wanted to learn a bit more about it and share it on my blog.

I have been a chiropractor for almost nine years and I had not heard of ice missiles until today. An ice missile is when a sheet of ice or snow flies off another vehicle or truck and then causes either bodily injury and/or property damage to another car. Although we had a relatively mild winter with only one really substantial snow storm, there are still many people driving around on the roads who have not taken the time to brush their vehicle’s roof of from snow and ice. So what happens when they drive is that sheet of snow or ice takes off and becomes an “ice missile” that can go anywhere and cause havoc on the roads to other motorists.

Interestingly, Maryland does not have any laws on the books that require the removal of snow and ice from a vehicle before operating it. According to AAA, Maryland State Troopers are legally allowed to give tickets to motorists for driving with accumulated snow and ice on the surface of their vehicles, but the state of Maryland does not have law that specifically require that motorists do so before driving their vehicles. The same holds true for Washington D.C. and Virginia. Commercial trucks and vehicles are required to remove snow and ice debris, but sedans and SUVs do not have the same law on the books. That sounds a little confusing to me. Surrounding states such as Pennsylvania do require motor vehicles to remove their snow and ice, however. So even though the law does not require it, it is considered a common courtesy and good general practice to clear the debris from your car prior to operating it.

Here are some tips to help you clear the snow and ice off of your vehicle. And yes, you guessed it, they are pretty common sense.

1. Use de-icer spray on the windshield of your vehicle prior to a substantial snow fall if you can.
2. Pull your windshield wiper blades off of the your windshield prior to the snow storm. It will make your windshield easier to clean and will prevent your blades from sticking.
3. Use a telescoping snow brush to reach the hard to reach areas such as the roof of your car to knock snow or ice off.
4. Work from the top down – Always start with the top of your vehicle and pull the snow towards you. That will prevent you from having to do double duty and re-clearing the hood of your car a second time.
5. For tall vehicles such as trucks and SUVs, get a step stool or step ladder to reach the top
6. Park your car facing the morning sun (east) – Even a few degrees of warmth may be enough to help loosen the snow and ice from your vehicle. You can aid in the melting of the ice and snow by turning on your vehicles front and rear defrosters by taking advantage of morning sunlight.
7. Always make sure your tailpipe is clear of snow to avoid the accumulation of toxic carbon monoxide

Even though we all want to stay in bed as long as possible and avoid having to go to work the morning following a snow storm, its important to spend the extra time to carefully remove snow and ice from your vehicle. Although it technically is not a law in Maryland, it is common courtesy. We all share the roads and we owe it to each other to make the commute as safe as possible.

If you, or someone you know, has been injured as a result of an ice missile, please contact Mid-Atlantic Spinal Rehab & Chiropractic. We now have two locations in Baltimore (Southeast- Fells Point, and Northwest, Upper Park Heights) to better serve your injury treatment needs.

Dr. Gulitz

Autonomous Uber Car Involved In Roll Over Crash

As a Baltimore Chiropractor, I spend the majority of my day while in my two Baltimore chiropractic clinics treating patients that have headaches, neck pain, and back pain. About half of our patients have been involved in Baltimore auto accidents and have suffered from whiplash. The other half of our patients are athletes, couch potatoes, and weekend warriors who sprain and strain their spine and are just looking for short term relief care so they can resume their lives quickly and pain free. We are happy to provide whatever level of care that our patients need.

One of the subjects that I like to follow in current events is the technology surrounding autonomous vehicles. I do forsee a day and probably within my working lifetime that there will be fewer (if any) human drivers on the road and that all non-commercial motor vehicles will be controlled by on board computers. Right now most of the major technology companies such as google, tesla, uber, and apple are all trying to stake their claim to the autonomous driving world so I see it as a foregone conclusion. Technological advancement, however, is not without its draw backs and “growing pains.” Just this past week in Tempe, Arizona an autonomous driving uber was involved in an auto accident with a human driver and it rolled over following the impact.

It’s a pretty sensational headline because naturally you might think that the autonomous uber vehicle caused the crash, but that wasn’t the case. The uber vehicle reportedly had an operator behind the wheel but was in autonomous driving mode at the time of the crash. There were no passengers in the uber and there were no reported injuries at the scene. According to police the uber was a Volvo XC90 that was hit and rolled over when another vehicle failed to properly yield at an intersection.

As a result of the crash uber has temporarily suspended the operation of all autonomous vehicles in Arizona as they gather data. Uber also temporarily suspended self driving vehicles in Pittsburgh and San Francisco for the day and are considering doing so longer.

While I do only see this as a short blip on the radar for uber and other companies with autonomous driving vehicles, it does bring to light the complexity of driving, especially when there will undoubtedly be a mix of autonomous and human driving vehicles sharing the road. Humans sharing the road with other human drivers leads to hundreds of thousands of injuries a year in the United States and humans sharing the road with autonomous drivers is already leading to motor vehicle collisions. Until we can get to the time and place where ONLY autonomous drivers are operating cars on the road, I foresee there being many more collisions (but certainly at a rate that is less than when only humans operate vehicles.) I am not sure how engineers can account for all of the complexities of operating cars in real time to prevent all collisions and injuries.

I do not think that uber has a plan to release autonomous driving vehicles in Baltimore any time soon. But when they do my staff and I are happy to take care of any uber-induced Baltimore auto accident injuries.

If you, or someone you know, has been injured in a motor vehicle collision in Baltimore, please contact Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We now have two convenient and accessible locations to better serve your injury treatment needs.

Dr. Gulitz

What is Maximum Medical Improvement?

As my avid blog readers (and I know you are out there) are already aware, I am a Baltimore Chiropractor. I own two clinics in Baltimore, located in Southeast Baltimore (Fells Point) and Northwest Baltimore (Upper Park Heights). We focus on taking care of anyone with spinal pain. That includes athletes, students, couch potatoes and really anyone else. As the clinics grow we continue to see more Baltimore auto accident patients. I like to focus each of my blog posts about an issue dealing with Baltimore auto accidents since it is a subject that I find particularly interesting and it impacts me and my providers every day.

When someone gets injured in a Baltimore auto accident, they typically present with a series of symptoms that include but are not limited to, headaches, neck pain, back pain, numbness and tingling down an arm, numbness and tingling down a leg, shoulder pain, and concussions. Just about any body part, under the right circumstances, could become injured following a Baltimore auto accident injury. Our job as treating providers at Mid-Atlantic Spinal Rehab & Chiropractic is to figure out exactly what pain and injuries were caused by the crash and then to rehab the patient until those symptoms and pain resolve.

That brings me to the subject of the blog post, Maximum Medical Improvement, or MMI. The definition of MMI is having a patient’s subjective and objective complaints return to the level of pain that they were experiencing prior to their injury. It also means that if you can not do that, that you have exhausted all methods within the scope of your practice to do so. In the cases where there are permanent injuries, patients must be discharged/released from care once it is clear that their treating providers can not continue to heal or improve the patient.

I am going to offer up a few examples below to demonstrate what MMI is.

A) A patient was a normal healthy 21 year old college student. He got rear-ended and developed neck and back pain. He did a “routine” course of chiropractic care with physical therapy and modalities and after about eight weeks all of his symptoms resolved. He resumed all of his normal activities and he was discharged as being pain free with no residual symptoms. In this case, the patient reached MMI in 8 weeks. He had no pain or issues prior to the crash and was discharged once he again reached that level of discomfort (which was becoming pain-free again).

B) A patient has chronic back pain from a football injury in college. They usually get a low level of pain in their lower back (4/10) and they experience this pain about the half the week (3-4 days are good and then 3-4 days are bad). They already have medical providers such as pain doctors or orthopedists that they follow up with to manage their chronic pain.

This patient who is different from the example above gets involved in a Baltimore auto accident as in the example above. Now the definition for MMI is different for this patient. Our goal is to get this patient back to their PRE-EXISTING condition. For him, that is mild-to-moderate lower back pain about half the week. It is NOT getting them to zero pain, given that they presented with back pain. In this instance the Baltimore auto accident aggravated or “flared up” their condition and our obligation is to get their condition back to where it was before the crash. Once the patient’s condition is back to where it was, we release them at MMI.

C) In the example above let’s look at that patient again. What if we were never able to get that patient back to where they were prior to the crash? What if they were ejected from the vehicle and now have a surgical back condition that chiropractic care and physical therapy will not help? What if despite our help they now have daily constant back pain at a 9/10 and none of our treatment can help reduce the pain any further after a reasonable course of care? That has happened before. We would still release that patient at MMI in this example because they will have a condition that therapy in this office can not realistically get back to “pre-injury” status.

So the big question is why does any of this matter?

The answer is simple. When a patient is injured their insurance companies (either their first party PIP carriers or the adverse insurance driver who struck them and is responsible for paying for the injuries) have agreed to contractually ONLY pay for injuries that are related to an accident. That means that they will pay for the treatment of these patients only until they have reached MMI. They will discontinue payment for treatment once MMI has been reached. That is why providers such as medical doctors, orthopedists, chiropractors, and physical therapists need to concern ourselves with what MMI is when a patient has reached MMI with our care.

If you, or someone you know, has been injured in a Baltimore auto accident, please contact Mid-Atlantic Spinal Rehab & Chiropractic. We now have 2 convenient locations to better serve your injury needs.

Dr. Gulitz

Will My Auto Insurance Rates Go Up If I Use My PIP Benefits Following a Baltimore Auto Accident Injury?

As a Baltimore Chiropractor that owns two clinics in Baltimore City, I spend the majority of my time in the clinic managing headaches, neck pain, and back pain. Clearly these conditions can arise for a number of reasons. We see people injured from playing sports, working out in the gym, or just waking up with stiff necks and backs. However, one of the most common sources of injuries that we treat in this clinic are auto accident whiplash injuries that result in neck pain and back pain in Baltimore.

One of the questions that my staff and I get asked most commonly is whether or not an injured patient’s auto insurance rates will go up if they elect to use their PIP (Personal Injury Protection) benefits. If you recall PIP is Maryland’s no-fault benefit that is used when an injury occurs as a result of a motor vehicle collision. PIP is typically written in amounts of $2,500, $5,000, or $10,000 but can be waived at the time of underwriting. PIP can be used to pay for lost wages and post-injury rehabilitation (including x-rays, chiropractic care, and physical therapy) following a Baltimore auto accident injury regardless of who caused the crash.

Its a reasonable question to ask as to whether or not auto insurance rates will go up if you elect to use your PIP benefits. Let’s look at two scenarios. One in which the injured patient is at fault for the crash, and one in which they are not. And please keep in mind – obviously I am not a licensed attorney in the state of Maryland nor am I licensed to sell insurance in Maryland. If you have a specific question about your specific set of circumstances you would be best served calling your insurance agent or personal injury attorney to discuss your particular situation

Example 1: Patient A was driving home from an Orioles game and fell asleep behind the wheel. They crashed their car into another car by rear-ending them at a red light. They injured their neck and want to use their PIP benefits to get x-rays and chiropractic care to help heal their neck. In this instance, it is likely that their auto insurance rates WILL go up following their auto accident injury. That is because they caused a crash and their auto insurer will now see them as a larger risk and as such will assess higher premiums for their policy. However, the important thing to note is that their auto insurance rates are ALREADY going up from having caused a crash. In such an instance it still makes sense for the injured patient to file for PIP benefits because they have already been paying a premium for access to this insurance and their rates are going up whether or not they choose to open a PIP claim.

Example 2: Patient B was idling at a red light when they were rear-ended by patient A in the example above. They developed whiplash symptoms including post traumatic headaches, neck pain, and back pain. They present to my clinic worried about whether they should open a PIP claim since the crash was not their fault. In this instance, I would encourage them to open a PIP claim or have one opened on their behalf by their personal injury attorney if they have one, since they were non-faulted victims in a crash. Even though PIP is a first party benefit (paid out by Patient B’s insurance not the adverse insurance that indemnifies the driver that caused the accident) Maryland law forbids insurers to raise auto insurance premiums in cases where there is no fault on behalf of the victim. The particular law in question is found under Maryland General Assembly 19-507(c). The law protects the rights of injured patients/claimants by enforcing the rule that a policy premium can not be increased should a PIP claim be opened.

You can read the particulars of the law here.

The choice as to whether or not you should open a PIP claim following a Baltimore auto accident is completely in the hands of the injured patient. The vase majority of patients do choose to open a claim, as they have paid for benefits that they are entitled to. Those that choose against opening a claim are typically worried about financial ramifications (i.e. raising auto insurance premiums) as the reason why they do not open PIP claims. I hope that this information helps people in Baltimore injured in Baltimore auto accident injuries make the best decision they can as to whether or not to open a PIP claim.

If you, or someone you know, has been injured in a Baltimore auto accident injury, please call Mid-Atlantic Spinal Rehab & Chiropractic at (443) 842-5500. We now have two convenient locations in Baltimore City to help with your auto accident rehabilitation needs!

Dr. Gulitz