SPINAL SOLUTIONS.CA

DR. G. BLAIR LAMB

OCTOBER 16, 2003

UnderstandinUnderstanding Paing Pain

Is Chronic Pain Is Chronic Pain New?New?

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

SPINAL SOLUTIONS.CA

Chronic Chronic PainPain

TRAUMA REPETITIVE WORK STRESS ABNORMAL SLEEP AGING POPULATION

www.drlamb.comwww.drlamb.com

10% MIGRAINE HEADACHES

SPINAL SOLUTIONS.CA

45% PAIN MEDICATIONS

SPINAL SOLUTIONS.CA

70% MEDICAL VISITS

SPINAL SOLUTIONS.CA

80% LOW BACK PAIN

SPINAL SOLUTIONS.CA

$50 BILLION TREATMENT FOR LOW BACK PAININ THE USA

SPINAL SOLUTIONS.CA

REPETITIVE REPETITIVE STRAIN INJURY STRAIN INJURY (RSI)(RSI)

CARPAL TUNNELTENNIS/GOLFERS ELBOWULNAR NEURITIS

SPINAL SOLUTIONS.CA

COST OF COST OF PAINPAIN

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

WHY DO WE WHY DO WE DEVELOP DEVELOP CHRONIC PAIN?CHRONIC PAIN?

SPINAL SOLUTIONS.CA

MYOFASCIAL MYOFASCIAL PAIN AND PAIN AND NEUROPATHYNEUROPATHY

MUSCLE DYSFUNCTION TENDON DYSFUNCTION NERVE DYSFUNCTION

PRINCIPLES PRINCIPLES MUSCLE / MUSCLE / NERVENERVE

MATURATION-GROWTH HORMONE/DNA CHANGES

MUSCLES SHORTEN AND SCAR TRAUMA, EXERCISE, STRESS, SLEEP SHORTENING OCCURS AT REST/SLEEP ALL MUSCLES-SPINE AND LIMBS

SPINAL SPINAL MUSCLESMUSCLES

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

NERVE PROBLEMS NERVE PROBLEMS CAUSECAUSE

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

REVIEREVIEWW

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

EARLY EARLY CLUESCLUES

NUMBNESS AND TINGLING ARMS/LEGS/HEAD

HEADACHES/ALLERGIES/JAW PAIN JOINT STIFFNESS/ PAIN AT REST DECREASED JOINT RANGE ITCHINESS RESTLESS SLEEP

CLASSICAL CLASSICAL THERAPYTHERAPY

PHYSIOTHERAPY CHIROPRACTIC MEDICATIONS MASSAGE THERAPY CORTISONE SURGERY

NEW NEW TECHNOLOGYTECHNOLOGY

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

RECOMMENDATIORECOMMENDATIONSNS

DAILY STRETCHING-SPINE ADVIL 2/WEEK EARLY DIAGNOSIS AND TREATMENT EDUCATION PROGRAMS CAUTION-REPETITIVE, TRAUMA, SLEEP

DISORDERS MET, SOUND WAVE, IMS, BOTOX 2ND OPINION

PHYSICIAPHYSICIAN N RESOURCRESOURCESES

VIPDOCS.COM

DR G. BLAIR LAMB

SPINAL SOLUTIONS.CA

PUBLIC PUBLIC AWARENESSAWARENESS

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

THE DOCTOR THE DOCTOR CRISISCRISIS

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

““DOCTOR DOCTOR MINUTES”MINUTES”coined by VIP Docs Inc.coined by VIP Docs Inc.

FIXED AMOUNT TO SPEND

SPINAL SOLUTIONS.CA

WHY SUDDEN WHY SUDDEN CHANGE?CHANGE?

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

ONTARIO ONTARIO MEDICINEMEDICINE

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 MRI’S BUT NO RADIOLOGISTS

QUEBEC QUEBEC PANICKEDPANICKED

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

CANADA CANADA HEALTHCAREHEALTHCARE

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

WORLDWIDE WORLDWIDE MEDICINEMEDICINE

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

PHYSICIAN PHYSICIAN RESOURCESRESOURCES

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

FOR FOR INFORMATIONINFORMATION

PAIN-------------PAIN-------------SPINALSOLUTIONS.CA

SCANS------------SCANS------------VIPDOCS.COM

EDUCATION----EDUCATION----BROADCASTDOCS.COM

SEMINARS-------SEMINARS-------VIPDOCS.COM

CONSULTING---CONSULTING---US-CANADA-HEALTH.COM