Car Accident? Now what…

By Nathan Browne,

Not a day goes by that I don’t get asked a question that spikes my interest. This is a good thing as I love to educate and clear up common misconceptions by bringing clarity to a topic. Recently, I had a patient ask me how soon someone should see a chiropractor after being involved in a car accident. She was inquiring for a friend who lived out of state and was leery of seeking treatment from a chiropractor as she had never seen one before. Before I jump into my answer let me preface it by saying that no single accident or trauma is the same and often times a chiropractor should not be considered the first or even second option as the symptoms may be outside of the scope of practice. In this case it was a fender bender in which the victim was rear ended causing her neck to snap back, causing whiplash. She did not require medical attention at the scene nor did she suffer any open wounds or broken bones. In fact, like many accident victims, she didn’t experience any immediate symptoms as she drove home, all be it in a state of shock. She rested that evening without incident but woke up the next morning with a very stiff neck.

Symptoms like this often time take 24-48 hours to really set in and in many instances longer. Now the question arises, what should I do? Ice? Heat? Rest? Call my PCP? Get a massage? Call a chiropractor? The answer to the question is not a right or wrong answer, but a good, better and best. Ice, heat, rest, massage are all good options for temporary management of the pain. If you are experiencing symptoms including but not limited to, dizziness, severe headache, nausea, or shortness of breath, your PCP or the ER would be the best options. Most commonly, stiffness, soreness and cramping will take up to 48 hours if not more to kick in, the treatment of these symptoms are usually the ones people seek out chiropractic care for. Now, the question to be answered is, how soon after the accident should someone seek chiropractic care? Like all the scenarios mentioned above, it depends on the chiropractor- not all chiros practice the same way.

At Reuter Chiropractic we treat every case individually. Often times a chiropractic adjustment is not beneficial on the first, second or even third visit after a trauma as there may be excessive swelling in the muscles and surrounding tissues. We offer a wide range of therapies that complement the chiropractic adjustment and support the healing process. An adjustment is only as good as it holds, if the muscles and surrounding tissues are compromised the adjustment is less likely to restore structural balance as it is intended to. One thing that is very important to remember is that sometimes less is more in terms of treatment as the body needs time to metabolize the changes, doing too much, too soon can have a negative effect on the healing process. If you decide to seek chiropractic care after a car accident it is fair to ask what the expectations are in terms of treatment milestones. What I mean by this is being told you need to be seen 2-3 times a week for 4-6 weeks is to vague. Ask what treatment milestones or quantified improvements are we looking to accomplish as having tangible goals to work toward is very important. How long it’s going to take is often difficult to predict as everyone heals at a different rate. All that being said, consistency is crucial to achieving the desired results. If you fail to make your appointments your doctor can not evaluate your progress appropriately and thus, prolong the healing process.

It is also important to know that chiropractors treat more than just the spine. Shoulders, elbows, wrists, fingers, hips, knees, ankles and toes are also fair game. One final thought, when deciding on which route to go with in seeking care, use the internet to your advantage. Take the time and read patient testimonials, social media outlets such as Facebook and Yelp as they are often a great tool to use when seeking a quality physician. Lastly, if you’ve sought out legal counsel for your accident understand that you are in no way forced to see a doctor that your attorney works closely with, it is your choice. I hope you never have to use the information provided here but if you get in an accident you’ll have it in your back pocket.

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First Quarter Newsletter


February 24, 2016

Dear valued friend and patient,

We hope your new year is off to a great start! There are lots of wonderful things in store for 2016 at Reuter Chiropractic. First, it’s our 35th anniversary and in the spirit of longevity we will be doing several things during the course of the year to show our appreciation for those who have helped us achieve such an amazing feat. We would like to thank you for being a part of something very special as 35 years in the same location is a testament to our loyal patient base and the surrounding community.

Furthermore, we are very excited to announce our partnership with the Intrepid Fallen Heroes Fund. Helping others is the core foundation of what we do on a daily basis, but giving back to those who have served our country and their families is something we feel very strongly about. Our service men and women are often at an extreme disadvantage when returning from combat which not only effects them, but their loved ones. Starting February 1st for every patient that “checks in” to the practice via Facebook we will donate $1 to the IFHF. Our goal is to have as many of our loyal patients as possible check in and by doing so, showing their support for this great cause. Please understand you are in no way obligated to participate and are under no pressure to partake, we’ll love you just the same.

Lastly, registration is now open for the annual Low Back Open golf tournament, which will be held on Thursday, May 5th at Bent Tree Golf Course in Jasper, GA. This year will be very special as it’s the 30th anniversary of the tournament. As always we will have amazing food and prizes in addition to the best scramble golf tournament of the year. Give us a call or stop on by to register, space is limited.

Thank you so much for being a part of our continued successes as we are looking forward to making 2016 our best year yet. Hope to see you soon!


Dr. Larry J. Reuter & Dr. Nathan Browne
4675 N. Shallowford Rd.
Suite 100
Dunwoody, GA 30338
(770) 455-4547

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The Great Debate: Heat vs Ice?


The Great Debate: Heat or Ice?
by Nathan Browne, DC
Published in Driver Health Magazine

It’s been a long day at work and all you’re looking for is some relief from the aches and pains of your daily routine. So what are your best options of relief…rest, stretching, ice, heat, all of the above?? Well if you said all of the above you’re close. All of the aforementioned therapies should carry some amount of relief if applied properly in the correct situation. Now the million-dollar question, what situation dictates the need for ice versus heat? The answer is less complicated than you’d think.

Traditionally ice is used for any injury that is recent or acute (within 24-48 hours). Ice works by narrowing the blood vessels in which it comes in contact with and thus limits the internal bleeding or swelling at the site of injury. When swelling is minimized the surrounding musculature and tissues can endure more movement and less functional loss. We all know that when we sprain an ankle it swells up to sometimes 2-3 times its normal size. Ice should immediately be applied in 10-15 minute increments to help reduce swelling, limit motion loss and minimize the initial pain. Ice is also good to help reduce minimal swelling as a result of exercise or physical exertion. For those of us who struggle with chronic conditions like osteoarthritis of the knee, icing the knees after a long walk, bike ride or swim can limit the amount of swelling caused by the micro-traumas endured with activity. Even the smallest bit of swelling can have an impact on your joints so be proactive and ice down after a workout, 10-15 minutes can make a big difference in recovery.

Heat, on the other hand, is used for more chronic or lingering injuries that are present for longer than a couple of days and not always associated directly with swelling. The opposite of ice, heat works by widening the blood vessels in an effort to promote more blood flow to the area, which will help relax the muscles or muscle spasms. It is recommended that heat be applied for only 15-20 minutes at a time and never while sleeping. For those of us who experience a lot of muscular stiffness in the morning when getting out of bed, heat can be a great natural solution. At night before bed apply heat to the area that tightens up the most while you are sleeping. A good 20 minutes of heat before bed can make a big difference the next morning and make A.M. stretching much more beneficial and enjoyable.

As you can see the decision between ice and heat isn’t strictly black and white as both can be used to provide relief for similar conditions. Knowing what circumstance to use them is the key. Swelling and stiffness often go together and it is always best to address the swelling first with ice. Once the redness and swelling has been reduced significantly heat can then be applied to aid in relief of the muscular stiffness that may follow. When in doubt, if you need pain relief from an acute condition roll with ice, if you need relief from prolonged muscular spasm and stiffness, heat is the answer. Hopefully this sheds some light on a topic that comes up a lot in practice, please remember ice and heat are just tools to use to assist in the healing process and should not be viewed as anything more.

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Hi Everyone,

The 30th Annual Low Back Open will be held Thursday, May 5th, at BENT TREE Country Club.

COST: $115 – This includes Golf, Cart, Beer, Mulligans, Ladies Tees and Throws, with Dinner afterwards!

FORMAT & TIME: Four-Man Best Ball, Lauderdale, Scramble. You may bring your own team or request
playing with certain players, but final team rosters will be under the supervision of the tournament
director. As always, all teams will be handicapped by the Tournament Director to ensure fairness… you
lying, cheating hackers! Shot Gun start at 1:00pm. Get there early (11:30am) to hit practice balls, putt,
and register.

REGISTRATION: To reserve your spot & get directions, please call Larry personally at his office at
770.455.4547 three days before the Tournament. The entire $115 is due the morning of the Event.

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