Conservative treatment for whiplash includes immobilizing the patient’s neck in a well-fitting soft cervical collar; use of pain, anti inflammatory, and muscle relaxant drugs; and physical therapy.
Physical therapy (PT) helps to reduce muscle spasms, increase circulation, and encourage healing. PT can range from the following modalities: damp heat, ice, ultrasound, electric stimulation, and exercise to revive range of movement and build strength. Cervical traction might be included to the treatment strategy if symptoms persist. A cervical traction apparatus that was portable can be used at office or home. Trigger point injections including a local anesthetic may help relieve pain and tenderness.
If symptoms continue for more than 6 weeks, or new symptoms appear the patient’s condition is re evaluated. Extension injuries that are severe can damage the intervertebral discs included. Surgical intervention may in rare cases be required, when an intervertebral disc is influenced.
Surgical Interventions for Whiplash
Rarely does operation is required by the treatment of whiplash. Surgical intervention is considered in acute cases such as scapular, those presenting consistent neck or shoulder pain. The pain may indicate a rip within an intervertebral disc. Certainly one of these procedures could be performed, when intervertebral disc removal is required:
Discectomy is the surgical removal of the entire piquing intervertebral disc or part.
Microdiscectomy incorporates the usage of a microscope to magnify the surgical field during disc removal.
Percutaneous surgical procedures enable disc removal via a small incision in the trunk. All these are generally not used in the cervical spine (neck) but have been used in the low back. Automated Percutaneous Discectomy is done under radiologic control while a cannula (hollow tube) having a rotating blade breaks up the disk. The disk fragments are subsequently removed by aspiration.
Spinal Instrumentation and Fusion provides long-term stability once the target disk is removed. These processes solidify and join the degree where an intervertebral disc has been damaged or removed. Instrumentation, the employment of medically constructed hardware including rods and screws, can be combined with Spinal fusion (arthrodesis) to permanently join two or more vertebrae.
Whiplash Recovery
Throughout the recovery phase, the aim is really to help the patient resume normal activities at their pre-injury level.
The guidelines set forth by the spinal doctor and/or physical therapist should be followed. A house exercise plan is a key to rebuilding strength and increasing range of movement. It might be essential to continue physical therapy and modalities (e.g. damp heat) for a period of time.
Post operative pain or discomfort should be anticipated. Patient Controlled Analgesia (PCA) enables the patient to control their pain without hospital staff assist. PCA is eventually replaced by oral drug.
The individual could be encouraged to get up and walk the following day. Activity improves healing and circulation.
Physical therapy is added post-operatively empowering the individual to develop flexibility, strength, and increase range of motion. Physical therapy is generally continued on an outpatient basis for an amount of time. Furthermore, the therapist provides the patient with a customized home exercise program.
Prior to release in the hospital, the patient is given written directions and prescriptions for essential drugs. The individual ‘s care remains during follow-up visits with their spinal surgeon.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
In addition to ramping up my mileage during my training for the Tokyo Marathon, I also focused on eating well. And experts say that’s a smart strategy. “Fueling your body for maximum performance starts long before your actual marathon,” says Annamarie Poluha, a nutritionist and the Wellness Coordination Manager at ASICS America. “The most critical component outside of training and nutrition is to ensure that your body is optimized.” In other words, you want your body chemistry to work for you, rather than sabotage you. So what is the right nutritional balance?
In a perfect world, Poluha recommends that marathoners-in-training work with a functional medicine doctor, who will run blood and other tests then prescribe micronutrients to enhance digestion and levels of absorption, as well as reduce inflammation. Going it alone? Just remember that “sustained energy is always achieved through a blood sugar-balanced and anti-inflammatory diet and consistent sleep,” she says.
Keep these 6 nutrition strategies in mind to avoid hitting the infamous wall and power through to the finish line:
Eat the BEST carbs
Carb-loading in the form of bagels and pasta is a thing of the past. The new thinking: Focus on the quality of carbohydrate. The ultimate carbohydrates to eat in the months, weeks, and days leading up the race are sweet potatoes, brown rice, and quinoa. These power picks are also easy to digest. During your race, your body burns between 150 to 300 carbohydrate calories an hour. One gram of carbohydrates yields four calories, so when you’re carbing up the night before the race, the ideal range is 38 to 75 grams, Poluha says.
Using high-quality fats such as olive oil, coconut oil, and avocado will ensure proper digestion, allowing your body to perform at its best. Avoiding fats altogether, on the other hand, will simply cause you to be hungry too soon. Too much fat will slow your digestion, which in turn will lower your energy and output.
Don’t forget protein
Egg whites and fish are easiest to digest, however chicken breast will ‘hold’ you a bit longer while red meat may slow down digestion.
Get the mix right
While training, aim for power meals and snacks with a ratio of 55-60% carbohydrates, 25-30% protein, and 10-20% fat.
They play a critical role in regulating your body’s water balance while exercising: Proper levels of these electrolytes allow your muscle cells to retain the appropriate amount of water. But you lose electrolytes when you sweat, which will impair your performance. Solution: Sip a sport drinks with sodium in it (an example is “Endurolytes Fizz” by Hammer Nutrition).
Fuel up throughout your run
Shoot for 6-10 ounces of fluid every 2 to 3 miles. If it’s a hot day, you’ll need to take in a bit more. You should start drinking early and not wait until you are thirsty or feel dehydrated (at that time it may already be too late). Recommended sources of fuel: Sport drinks, energy gels, and chews. One final tip from Paluha: “If you need or want to dilute your energy gels and chews, use water and not a sports drink—combined it will yield too much sugar for your digestive system to handle.” And who wants to run to the bathroom?
High quality chondroitin sulfate is just as effective as a widely prescribed non-steroidal anti-inflammatory drug (celecoxib) for the treatment of painful knee osteoarthritis, and possibly safer.
That’s the key finding of a new study, published in the Annals of Rheumatic Diseases, comparing the popular supplement and the prescription medicine.
The researchers have called for chondroitin sulfate’s use in long-term treatment, especially for older people (among who osteoarthritis is common), due to its effectiveness and safety.
Usually treated with non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol, osteoarthritis is a degenerative joint condition that causes pain, loss of function, and often some degree of disability. It is the most common form of joint disease, and it affects between 20 million and 27 million Americans alone.
Unfortunately, the long-term use of NSAIDs can be risk, with studies showing they can cause increased risk for heart attack and other serious side effects. Because of this, researchers have been looking to find effective and safe alternatives to the NSAIDs that are commonly prescribed for osteoarthritis pain.
For the new study, 604 European osteoarthritis sufferers were randomly assigned to receive one of the two treatments and monitored for six months. One third were given one 800 mg tablet of chondroitin sulfate, another third received 200 mgs of celecoxib (Celebrex, and additional 205 were given two placebo dummy pills.
While pain was reduced and joint function improved in all three treatment methods throughout the six months, the results significantly greater after six and three months in patients treated with chondroitin sulfate or celecoxib. What’s more, there were no significant overall differences in effectiveness of either active treatment, both of which were highly rated by patients.
“This compelling benefit-risk profile, in light of the known clinical risks associated with chronic usage of NSAIDs and paracetamol underscores the potential importance of pharmaceutical grade [chondroitin sulfate] in the management of knee [osteoarthritis],” the researchers said, “especially in the older population requiring long-term treatment.”
The researchers noted that the chondroitin sulfate should be considered as the first option for treatment of this condition.
A diet rich in fiber can help reduce knee pain, and the risk of developing painful osteoarthritis, according to a first-of-its-kind study published in the Annals of the Rheumatic Diseases.
The findings, which draw from two different long-term studies, add to the list of health benefits of a fiber-rich diet, including reductions in blood pressure, weight, inflammation, and blood glucose.
The first study, known as the Osteoarthritis Initiative (OAI), tracked the health of nearly 5,000 older Americans with or at risk of developing the immune disorder, also known as degenerative joint disease or “wear and tear” arthritis, beginning in 2004. The intent of this study was to use the data collected to determine potential risk factors for this condition.
The second, known as the Framingham Offspring cohort study, tracked more than 1,200 adult children of the original Framingham Heart Study, which began in 1971.
Both studies used a questionnaire to determine the dietary fiber intake of each participant, finding that the average person’s intake was between 15 and 19 grams of fiber daily.
Analysis of the results of both studies found that eating more fiber is associated with a lower risk of painful knee osteoarthritis.
Those in the OAI study who ate the most fiber had 30 percent lower risk, while high-fiber diets were linked with a 61 percent reduced risk in the Framingham research group. Additionally, eating more fiber was linked with a significantly lower risk of worsening knee pain.
“These data demonstrate a consistent protective association between total fiber intake and symptom-related knee [osteoarthritis] in two study populations with careful adjustment for potential confounders,” the researchers concluded.
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Andres Martinez came to Push-as-Rx � after experiencing debilitating back and knee complications as a result of a previous weightlifting injury. Determined to improve his condition, Andres pursued to regain his health at Push as Rx. With the help of the whole Push as Rx family, Andres Martinez pushed himself through and above his limits in order to improve his physical strength and become a better, healthier person.
PUSH-as-Rx � is leading the field with laser focus supporting our youth sport programs.� The�PUSH-as-Rx � System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. �Immediately,�we adjust our methods for our athletes in order to optimize performance.� This highly adaptive system with continual�dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics.��PUSH-as-Rx � offers specialized extreme performance enhancements to our athletes no matter the age.
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Whiplash, although not technically a medical term, can manifest painful symptoms, usually as a result of neck damage or injury. We call it whiplash because, in an injury, your neck actually can whip back and forth�first backward (hyperextension) and then forward (hyperflexion). Doctors call whiplash a neck sprain or strain. Whiplash is an injury to the soft tissues of upper back and your neck occurring when ligaments and your muscles get overstretched from the force of a collision.
What are the Causes of Whiplash?
The most common reason for whiplash is car accidents. Nevertheless, you can even get whiplash from a fall or a sports injury. It is also possible to get whiplash when you’re punched or shaken.
Non-Surgical Treatment for Whiplash
Time is among the greatest non surgical treatment choices for whiplash. Most cases of whiplash heal by themselves to a couple months in several weeks. Your physician may also suggest: wearing a cervical collar, cervical traction, chiropractic adjustment, physical therapy, and pain medicine, as you heal.
Is Surgery Necessary for Whiplash
Patients with whiplash very, very rarely need surgery. If, nevertheless, you’ve been through wide-ranging non-surgical treatments and also you still have pain, you might consider operation. There are several types of operation used for whiplash
Corpectomy: Sometimes whiplash induces the spinal canal to narrow because of how a soft tissues (muscles, ligaments, and tendons) and bones moved during the initial injury. By removing part of the vertebra and the intervertebral disc using a corpectomy, the surgeon is striving to make more room.
Discectomy: The surgeon will remove section of the intervertebral disc, which may be pressing on your own spinal cord or alternative nerves and causing pain. Sometimes, the surgeon will have to execute a spinal fusion at exactly the same time as the discectomy. The fusion plans to permanently stabilize that region of your back, but not everyone who has a discectomy will desire a fusion.
Foraminotomy: As with a corpectomy, a surgeon uses a foraminotomy to make more room for your own nerves that’ll have gotten compressed and pinched throughout the harm. In this process, the foramina (the area where the nerve roots leave the spinal canal) is removed to boost the size of the nerve pathway.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
