Pain Relief Centre
165 Southpark Blvd
St Augustine Florida 32086
Painreliefcentre.net
Dr. Scott Fechter
Type of Physician: Chiropractor
Special Focus: Chiropractic Rehabilitative Sports Medicine
Education: Sherman College, Spartanburg, SC. Flagler
College, St Augustine FL
Year Established : 2002
Chiropractic Education
• Florida licensed chiropractors are required
to have pre-medical education culminating
in a Bachelors degree.
• The doctor of chiropractic medicine degree
requires:
• 8 years that include pre-chiropractic
medicine, basic and clinical sciences
Dr. Scott Fechter
Professional Memberships: North
American Spine Society (NASS), Florida
Chiropractic Association (FCA), American
Chiropractic Association (ACA), National
Federation of Personal Trainers (NFPT),
National Board of Chiropractic Examiners
(NBCE) Parts I, II, III, IV, Spine Research
Institute of San Diego
Dr. Scott Fechter
Additional Information: A comprehensive
approach to musculoskeletal injuries using:
Chiropractic Care, Massage Therapy and
Rehabilitative/Sports Medicine. Spine
Research Institute of San Diego, Whiplash
and Brain Injury Traumatology Graduate:
2010.
Arthritis
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Is a chronic disease and can affect people at any stage of life
ARTHRITIS (From Greek) means “joint inflammation”
A joint is the area where two bones meet
Arthritis is inflammation of one or more joints
When a joint is inflamed it may be swollen, tender, warm to the touch or
red
Arthritis (continued)
• Arthritis involves the breakdown of cartilage.
Cartilage normally protects a joint, allowing it to
move smoothly. Cartilage also absorbs shock when
pressure is placed on the joint, such as when you
walk. Without the normal amount of cartilage, the
bones rub together, causing pain, swelling
(inflammation), and stiffness.
• Symptoms differ depending on the arthritis. Some
type of arthritis can affect major organs like the heart
and lung
Type of Arthritis
• There are over 100 different forms of arthritis. Some of the
most common forms are:
• 1. Osteoarthritis (degenerative joint disease) is a result of
trauma to the joint, infection of the joint, or age.
• Osteoarthritis (OA) is the most common joint disorder, which is
due to aging and wear and tear on a joint
• Often, the cause of OA is unknown. It is mainly related to aging.
• The symptoms of OA usually appear in middle age. Almost
everyone has some symptoms by age 70. However, these
symptoms may be minor.
• Before age 55, OA occurs equally in men and women. After
age 55, it is more common in women.
• OA tends to run in families.
• Being overweight increases the risk of OA
• Fractures or other joint injuries can lead to OA later in life
• Playing sports has a direct impact on OA
Osteoarthritis
• Pain and stiffness in the joints are the most common
symptoms. The pain is often worse after exercise and when you
put weight or pressure on the joint.
• If you have osteoarthritis, your joints probably become stiffer
and harder to move over time. You may notice a rubbing,
grating, or crackling sound when you move the joint.
Osteoarthritis
• The phrase "morning stiffness" refers to the pain and stiffness
you may feel when you first wake up in the morning. Stiffness
usually lasts for 30 minutes or less. It is improved by mild
activity that "warms up" the joint.
• During the day, the pain may get worse when you're active and
feel better when you are resting. After a while, the pain may be
present when you are resting. It may even wake you up at
night.
Type of Arthritis
• 2. Rheumatoid Arthritis:
• It occurs as a result of the immune system causing
inflammation. (autoimmune disease)
• It affects both wrists and both hands, symptoms
include: commonly morning stiffness, poor grip
strength
• RA can occur at any age, but is more common in
middle age. Women get RA more often than men.
• Infection, genes, and hormone changes may be
linked to the disease
. Rheumatoid Arthritis
• The areas of the hand commonly
affected by rheumatoid arthritis
. Rheumatoid Arthritis (continued)
• Rheumatoid arthritis is usually
symmetrical
Types of Arthritis (continued)
• 3. Juvenile rheumatoid arthritis:
• Juvenile rheumatoid arthritis (JRA) is a term used to
describe a common type of arthritis in children. It is a longterm (chronic) disease resulting in joint pain and swelling.
• 4. Gout:
• Deposits of needle-like crystals of uric acid in the joints
• It affects toe, foot, ankle, knee etc
• 5. Infectious arthritis:
• Cause by infectious agents such as bacteria or viruses
• 6. Psoriatic arthritis:
• Often affects the joints at the ends of fingers and toes
Types of Arthritis (continued)
• Hip arthritis:
• A degenerative disease Caused due to the
wear and tear of the cartilage which
damages the joint.
• Causes of Arthritis:
• Age
• Weight
• Previous injury
• Systemic disease
• Infection
Osteoarthritis of the Knee
Normal Knee
Osteoarthritis
Osteoarthritis of Lumbar Spine
Normal Spine
Osteoarthritis
Osteoarthritis of the Hip
Normal Hip
Osteoarthritis
Blood Tests:
• They can help diagnose arthritis and track
disease activity
• Complete blood count(CBC)
• Automated machines rapidly count the cell types.
• WBC
• RBC
• Hemoglobin
• Platelets
• Differential WBC count
• Specialized tests:
• ESR(Erythrocyte sedimentation rate)
• RF (Rheumatoid Factor)
Diagnostics and Medications
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X rays and other Imaging procedures:
X-rays provide an image of the bones
MRI
CT
Medication: Basically 5 categories
NSAIDs
Analgesics(painkiller)
Disease-modifying antirheumatic drugs
(DMARDs)Corticosteroids
• Joint Surgery Options
Chiropractic Treatment
Chiropractic medicine focuses on the
relationship of the structural and
neurological aspects of the body in
health and disease. Its therapeutics
utilize adjustive and manipulative
procedures and physiological
therapeutics, kinesiology and
rehabilitative procedures to aid in
restoration of anatomical relationships
and physiologic capabilities.
Chiropractic Treatment
Chiropractic treatment at the PRC focuses
on maintaining and improving movement and
mobility. At the PRC we can give you
exercises that will help you to stay flexible
and build up your muscle strength. We can
also help you to improve your general level
of fitness.
Common problems treated by
chiropractic physicians
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Arthritis
Neck and Low Back Pain
Shoulder Pain
Carpal Tunnel Syndrome
Sports Injuries
Automobile Accident Injuries
Joint Pain
Muscle Pain
Our Facility
VOTED BEST of Saint Augustine
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We Offer:
Quality Chiropractic Care
Physiotherapy
Massage Therapy
Affordable payment plans
Insurance Assignment
Preferred Provider Blue Cross of FL
Preferred providers for Saint Johns
County School Board