We are offering regenerative medicine at our Wickenburg office. We are the only ones in Wickenburg Arizona offering this treatment with “platelet rich plasma (PRP), and regenerative medicine” at this time.
PRP and Stem cell regenerative medicine
Health Care Power of Attorney
In healthcare, there are times when we need to make tough decisions for our loved ones. This is not intended to be used, just to give you an idea, a thought that might help you in your needs. Please consult an attorney for proper guidance and forms. This is not it.
Health Care Power of Attorney
I, AZFAMILYHEALTH.COM___________, as principal, designate ________________________________________________ as my agent for all matters relating to my health care, including, without limitation, full power to give or refuse consent to all medical, surgical, hospital and related health care. This power of attorney is effective on my inability to make or communicate health care decisions. All of my agent’s actions under this power during any period when I am unable to make or communicate health care decisions or when there is uncertainty whether I am dead or alive have the same effect on my heirs, devisees and personal representatives as if I were alive, competent and acting for myself.
If my agent is unwilling or unable to serve or continue to serve, I hereby appoint AZFAMILYHEALTH.COM________________ as my agent.
I have _____ I have not _____ completed and attached a living will for purposes of providing specific direction to my agent in situations that may occur during any period when I am unable to make or communicate health care decisions or after my death. My agent is directed to implement those choices I have initialed in the living will.
I have _____ I have not _____ completed a pre-hospital medical care directive pursuant to Section 36-3251, Arizona Revised Statutes.
This health care directive is made under section 36-3221, Arizona Revised Statutes, and continues in effect for all who may rely on it except those to whom I have given notice of its revocation.
_____________________________ __________
Signature of Principal Date
Principal’s Address: ____________________________________________________
We at AZ Family Health hope this at least helps in some way.
Getting Rid of the Pain with Fibro
The word “fibromyalgia” might not mean that much to you, but don’t tell that to someone troubled with this condition. Fibro sufferers report chronic, achy muscular pain in numerous specific yet widely dispersed sites, predominantly the lower back, neck, shoulders, where the arm bends, upper chest and/or knees. While the precise cause of fibromyalgia remains unsure, data suggests that the immune system is involved.
So far there is no cure for fibromyalgia that is known. A study in the Journal of Manipulative and Physiological Therapeutics (JMPT) has shown that chiropractic care has provided some relief. Study participants underwent 30 chiropractic treatments combining a number of different techniques that including spinal manipulation. The outcome illustrates considerable reductions in pain intensity and enhancement in the quality of sleep and overall fatigue in nine of the 15 patients. These improvements were maintained a month after treatment. Six patients who did not respond to chiropractic care tended to be older and have more severe fibromyalgia than the other patients.
Reference: Hains G, Hains F. Combined ischemic compression and spinal manipulation in the treatment of fibromyalgia: a preliminary estimate of dose and efficacy. Journal of Manipulative and Physiological Therapeutics, May 2000: Vol. 23, No. 4, pp225-30.
I came across this information, and thought I would share it. I have worked with numerous fibromyalgia patients in Mesa and now started taking patients in Wickenburg, Arizona. I want to add, that working with fibro patients is different… what I mean, what works one day may not work the next. The doc has to be on top of his game and pay attention to his/her patient. There has to be great communication between the patient and the doctor. For example, you think your treatment is making a difference, you see a light at the end of the tunnel, and out of nowhere your body takes a left turn away from the light. Unlike most chiropractic patients, these special cases require special handling. Take ice for example, I love using ice in my practice, but fibro patients, well let’s just say they are not fond of it. They might be willing to get their teeth drilled to forgo it… (Then again, I’ve also had to treat several of my fibro patients for TMJ problems). So, back on track… Ice, if you have fibro and can put ice on, even for a short time, it seems to help with the treatment. If you can’t, then don’t do it, there are other therapies that I also use, such as ultra sound. In addition to chiropractic adjustments and ice, fibromyalgia can be improved with diet and exercise, but that is a subject for another article. If you are suffering from fibro or TMJ don’t hesitate to make an appointment. Relief could be just around the corner.
One way to test if your pains are fibromyalgia is to press these common pain points. If more than just a couple hurt, chances are you have fibro.
TMJ Pain … Be Gone…
I had a patient that was going to cancel her appointment with me because she had a terrible pains in her jaw. Having her mouth open for an extended period of time in the dentist’s chair can cause that. She was afraid that being face down on an exam table would not be the best idea at this time. You see, she was diagnosed with temporomandibular joint (TMJ) by her dentist and her endodontist.
What is TMJ?
The TMJ is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull. The joints are flexible, allowing the jaw to move smoothly up down and side to side. If you put your fingers lightly just in front of your ears and slowly open your mouth… well that’s your TMJ moving. So every time you to talk, chew, drink or bite your little sister, that’s your TMJ at work. The attached and surrounding muscles of the TMJ control its position and movement. We all use our TMJ hundreds of times a day. About every three minutes the average person is using their TMJ.
Symptoms:
The Mayo clinic and webMD have similar information on their site as to the symptoms.
• Painand or tenderness around your jaw or ear.
• Difficult or painful to chew.
• Clicking, popping sounds when you open or close your mouth.
• Uneven bite.
• Grinding your teeth (there maybe many different reasons for that).
• Aching pain of the face and around the ears.
• Headache or migraines are common.
• Your ability to open or close your mouth has been reduced.
Simple indication test that you can do at home that you may have a TMJ problem, that you can do at home.
- Face a mirror with good lighting.
- Open your mouth slowly.
- Look for deviation- going or angling from the midline.
Conservative treatments may include:
• Magnets
• Supplements (Jeffery B. Wheaton, DDS, MD )
• Bite plates (splints, appliances).
• Chiropractics for TMJ
• Medication
• Stretching or massaging the muscles around the jaw (your doctor of choice can show you).
• Moist heat or cold packs on the face ( I prefer the cold, sometimes I have them put crushed ice in the area).
• Acupuncture
As Medline Plus stated “non-reversible treatment method, such as orthodontics or surgery, that permanently changes your bite.”
How chiropractor’s can help:
Evidence may suggest that chiropractic treatment provide the greatest satisfaction for the hands-on alternative therapies. One study revealed that chiropractic treatment using a specific adjusting instrument eased patients’ discomfort after only three visits a week for two weeks. Before treatment, patients reported TMJ-related symptoms lasting an average of eight years, but following chiropractic care, they experienced reduced pain and improvements in other symptoms, with no noted side-effects. I on the other hand (no pun intended) do not have a study to back me up, but have used an activator or my hand to adjust patients with TMJ disorders with success.
Reference: DeVocht JW, Long CR, Zeitler DL, et al. Chiropractic treatment of temporomandibular disorders using the Activator adjusting instrument: a prospective case series.
Journal of Manipulative and Physiological Therapeutics 2003 Sep;26(7):421-5.
Journal of Orofacial Pain. 2003 Summer;17(3):224-36.
The Dental-chiropractic Cotreatment of Structural Disorders of the Jaw and Temporomandibular Joint Dysfunction
J Manipulative Physiol Ther 1995 (Sep); 18 (7): 476–481
Chiropractic Manipulation of Anteriorly Displaced Temporomandibular Disc With Adhesion
J Manipulative Physiol Ther 1995 (Feb); 18 (2): 98–104
I wrote this and posted it on the Examiner (http://www.examiner.com/article/tmj-pain-be-gone (July 8th, 2010), but seeing so many advertizements I found it hard to read.
Hip, ribs, jaw and more
When you feel aches and pains and suspect that your body is just not right, give Dr. Altman a call. He has been successful in alleviating pain caused by various kinds of skeletal issues. A chronic headache could be a sign that your neck that is out of place. The temporomandibular joint (TMJ) can be be mis-aligned and cause a great deal of pain around the jaw. Difficulty breathing and pain around the ribcage can be a sign the the ribs are out of place. These are just a few of the problems that the Doc has helped people with in his practice. Lydia’s case is a clear example of how accidents can cause multiple injuries all at once:
Lydia Gallapoo says:
Several years ago I injured myself while snowboarding. I really messed up my back, neck and ribs. Since then, it is necessary to readjust from time to time. Andrew is the only one I trust to keep me mobile and pain free. In August, I woke up with terrible pain and called Andrew. Even though it was Sunday, he took me right away. He determined that I had a kidney stone and recommended a hospital, since I didn’t know which one was best. I have been to many chiropractors over the years, and can say without hesitation that Andrew Altman is the best.
Dr. Altman understands that sometimes, the pain is so great that you can’t wait for regular business hours to get help. Under special circumstances, the Doc will see patients after hours and even on weekends. Such was the case with Matt:
Matt says:
Back in January, in the course of my job, I ended up rotating my hip so badly that my leg popped out of place. I work weird hours and was doing a random search at 1 AM that morning to try to find a chiropractor who could help. I came across Dr. Altman in the search engine and saw his number listed so I decided to give it a call and try to leave a message to get an appointment set up. To my surprise, Dr. Altman answered the phone rather than some machine and even said that if it was feeling that bad that early in the morning that I should just come on by and he would see what he could do. I didn’t want to impose that late at night so I just set an appointment up for the more normal morning hours, but the fact that he was more concerned about a patient that office hours impressed me. Within a couple of visits, despite how bad my hips were out of place, I felt as good as new, and I’ve been coming in for visits ever since. He’s very personable and is the kind of guy that exudes professionalism and a friendly smile in the same expression. I’d recommend him personally to anyone needing a chiropractor and stock up on his business cards in case I see someone who needed as much help as I did.
Are you suffering, but unsure if a chiropractor can help you? Have you gone to your medical doctor only to find that he or she cannot provide you with the relief you need? Contact Dr. Altman to discuss your case. If he can help you, he’d be happy to fit you into his schedule. If not, he might be able to guide you in the right direction. Either way you have nothing to loose and might just gain your pain-free life back!
