ClickCease
+1-915-850-0900 spinedoctors@gmail.com
Select Page

Personal Injury

Back Clinic Personal Injury Chiropractic Team. Injuries from an accident can not only cause physical harm to you or a loved one, being involved in a personal injury case can often be a complicated and stressful situation to handle. These types of circumstances are unfortunately fairly common and when the individual is faced with pain and discomfort as a result of trauma from an accident or an underlying condition that has been aggravated by the injury, finding the right treatment for their specific issue can be another challenge on its own.

Dr. Alex Jimenez’s compilation of personal injury articles highlights a variety of personal injury cases, including automobile accidents resulting in whiplash, while also summarizing various effective treatments, such as chiropractic care. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.


Internal Organ Damage Chiropractic Back Clinic

Internal Organ Damage Chiropractic Back Clinic

Internal injuries occur under the skin and muscle tissues. Internal organ damage occurs when an organ’s structure becomes altered or begins to malfunction and can be brought on by trauma or disease. Sympathetic nerves send and receive messages, including pain signals, from the brain through the spinal cord. Chiropractors understand the spine and internal organ connection. For example, the splanchnic nerves connect to the stomach, originating between thoracic vertebra six and ten.

Internal Organ Damage Chiropractic Rehabilitation

Internal Organ Damage

Blunt Trauma

  • Blunt trauma/Non-penetrating trauma happens when a forceful impact strikes the body.
  • A car accident, hard fall, or getting hit by a dull object qualifies as blunt trauma.
  • Blunt trauma can rupture the blood vessels and organs.
  • Organs most likely to experience damage include the spleen and liver.

Penetrating Trauma

  • Penetrating trauma happens when an object enters the body.
  • The object can bruise, slice, and pierce organs.
  • Internal bleeding can occur if blood vessels are torn or cut.

Organs fall into two categories:

Solid Organs

The solid organs contain organ tissue throughout and include the following:

  • Liver
  • Spleen
  • Kidneys
  • Pancreas
  • When solid organs go through trauma, they can rupture and/or develop hematomas.
  • A hematoma is when blood vessels rupture and blood collects inside the organ.

Hollow Organs

The hollow organs have an organ wall that surrounds an empty/hollow space that includes:

  • Stomach
  • Intestines
  • Colon
  • Bladder
  • Ureters
  • Hollow organs that experience trauma can tear the walls and allow material to leak out.
  • This leakage can cause peritonitis and sepsis.
  • Individuals can also develop hematomas with blood collecting in the organ wall.

Thoracic Spine

The thoracic spine is the most interconnected with the internal organs and includes:

  • T2 – the chest, heart, and blood vessels.
  • T4 – the gallbladder, tendons, and ligaments.
  • T6 – the stomach and pancreas.
  • T10 – the kidneys.

Lumbar Spine

The lumbar spine is connected to the lower organs.

  • L1 is connected to the large intestine.
  • Issues with L1 might be indicated by constipation or diarrhea.
  • L3 Is connected to the bladder, uterus in women, and prostate in men.
  • Painful menstruation or impotence could indicate problems.

Organ Damage Effects

 Internal bleeding is the most immediate issue arising from internal organ damage.

  • Bleeding can lead to shock as blood volume drops.
  • It can also form hematomas in the organs.
  • Internal bleeding can also occur after less severe trauma and/or be delayed for hours or days.
  • After the individual is stabilized, localized symptoms can appear.
  • Damaged organs can become inflamed and swell, causing abdominal compartment syndrome.
  • Compartment syndrome occurs when swelling restricts blood circulation to and from the organ to the circulatory and nervous systems, causing pain and further damage to the organ tissues.
  • If circulation is not restored, the organs may fail.
  • Severe swelling of the organs can cause heart and lung problems, as the swollen organs leave no room for the lungs to expand or for the heart to pump blood.

Emergency Treatment and Rehabilitation

Blunt force injuries that produce significant organ impact, bleeding, and penetrating injuries may require surgery to repair or remove damaged organs. Doctors may keep the injured individual under observation for minor internal bleeding to see if surgery is needed. Minor internal bleeding often heals on its own without surgery. Injury Medical Chiropractic and Functional Medicine Clinic offer rehabilitation after surgery as a thorough way to expedite healing and recovery.

  • Chiropractic manages pain without medications that can interfere with the ability to perform simple tasks.
  • The body’s functions and biochemical responses from the trauma and surgery are addressed.
  • Inflammation and swelling are alleviated, and prevention is done through adjustments, massage, diet, and health coaching.

Severe Back Pain Chiropractic


References

Iheozor-Ejiofor, Zipporah, et al. “Negative pressure wound therapy for open traumatic wounds.” The Cochrane database of systematic reviews vol. 7,7 CD012522. 3 Jul. 2018, doi:10.1002/14651858.CD012522.pub2

McCausland C, Sajjad H. Anatomy, Back, Splanchnic Nerve. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK549856/

Newman RK, Dayal N, Dominique E. Abdominal Compartment Syndrome. [Updated 2022 Apr 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK430932/

Risselada, Marije. “Perforating Cervical, Thoracic, and Abdominal Wounds.” The Veterinary clinics of North America. Small animal practice vol. 47,6 (2017): 1135-1148. doi:10.1016/j.cvsm.2017.06.002

Shaheen, Aisha W et al. “Abdominal compartment syndrome in trauma patients: New insights for predicting outcomes.” Journal of emergencies, trauma, and shock vol. 9,2 (2016): 53-7. doi:10.4103/0974-2700.179452

Sikka, Rishi. “Unsuspected internal organ traumatic injuries.” Emergency medicine clinics of North America vol. 22,4 (2004): 1067-80. doi:10.1016/j.emc.2004.05.006

T-Bone Side Impact Vehicle Collision Injuries Chiropractic

T-Bone Side Impact Vehicle Collision Injuries Chiropractic

T-bone accidents/collisions, also known as side-impact or broadside collisions where the front end of one car slams into the side of another, can result in severe injuries and tend to have a more devastating effect on the body. Side impact collisions account for 24% of driver or passenger deaths; even at 30 mph, side-impacts regularly cause injuries to the occupants of the struck car. Modern vehicles have many safety features, including safety belt features, airbags, and collision avoidance systems that protect drivers and passengers from front and rear collisions; however, when it comes to side-impact, occupants tend to remain unprotected.

T-Bone Side Impact Car Collision Injuries Chiropractor

T-Bone Side Collision Causes

T-bone accidents usually happen at intersections. Usual Causes of T-bone accidents involve someone failing to yield the right of way. The most common causes include:

  • A driver makes a risky left turn at an intersection, believing the other car/s will stop.
  • A driver decides to run a red light crashing into a vehicle making a left turn.
  • A driver runs through a stop sign, slams into a vehicle, or gets slammed.
  • Distracted driving.
  • Defective automotive equipment like faulty brakes.

Injuries

T-bone collision-related injuries include the head, neck, arms, shoulders, chest, ribs, abdominalspelvis, legs, and feet:

  • Abrasions
  • Bruising
  • Cuts
  • Gashes
  • Soft tissue strains
  • Whiplash
  • Nerve damage
  • Dislocations
  • Fractures
  • Internal damage to the organs
  • Concussions
  • Brain trauma
  • Partial or complete paralysis

Back injuries can damage the spinal cord causing herniated discs, sciatica, and chronic pain that can radiate to the rest of the body.

Treatment and Recovery

Individuals have different recovery times and depend on the severity of the injury and on any pre-existing conditions. Brain injuries and spinal issues can take months to recover fully. Fractures placed in a hard or soft cast to heal for weeks or months can lead to muscle atrophy. Chiropractic therapeutic massage and decompression strengthens muscle weakness, resets and realigns the spinal column,  improves range of motion/movement, strengthens grip, and relieves pain.


Neurosurgeon Explains DRX9000


References

Gierczycka, Donata, and Duane Cronin. “Importance of impact boundary conditions and pre-crash arm position for the prediction of thoracic response to pendulum, side sled, and near side vehicle impacts.” Computer methods in biomechanics and biomedical engineering vol. 24,14 (2021): 1531-1544. doi:10.1080/10255842.2021.1900132

Hu, JunMei, et al. “Chronic widespread pain after motor vehicle collision typically occurs through immediate development and nonrecovery: results of an emergency department-based cohort study.” Pain vol. 157,2 (2016): 438-444. doi:10.1097/j.pain.0000000000000388

Lidbe, Abhay, et al. “Do NHTSA vehicle safety ratings affect side impact crash outcomes?.” Journal of safety research vol. 73 (2020): 1-7. doi:10.1016/j.jsr.2020.02.001

Mikhail, J N. “Side impact motor vehicular crashes: patterns of injury.” International journal of trauma nursing vol. 1,3 (1995): 64-9. doi:10.1016/s1075-4210(05)80041-0

Shaw, Greg et al. “Side impact PMHS thoracic response with a large-volume airbag.” Traffic injury prevention vol. 15,1 (2014): 40-7. doi:10.1080/15389588.2013.792109

Connective Tissue Tightness, Pain Chiropractor

Connective Tissue Tightness, Pain Chiropractor

Muscle tension happens when the muscles stay contracted after working, sports, exercise, and stress, presenting with stiffness and achiness that progresses to chronic myofascial pain. Myofascial is used to describe the connective tissues throughout the body. Myo refers to the muscles, and fascia refers to the body tissues. Myofascial pain syndrome describes muscle pain in various forms. Most individuals have experienced chronic muscle tension in muscle pain or tension headaches. Myofascial pain can vary, ranging from mild to severe. Chiropractic can provide treatment and post-prevention plans to eliminate the pain and strengthen the body.

Body Connective Tissue/Fascia: Tightness, Pain, and Chiropractic

Connective Tissue

Myofascial pain syndrome is a complex condition that could be repetitive stress injuries on the muscles or nervous system malfunction and is often characterized by symptoms like:

  • Muscle tenderness, soreness, and aches.
  • Sensitive areas all over the body – trigger points.
  • Fatigue
  • Sleep problems

Each symptom is not a sign of the condition, but it could be myofascial pain syndrome when combined and does not resolve with some time. This chronic pain disorder is associated with referred pain that appears in one part of the body but the root cause in another region.

Chiropractic Care

Chiropractic medicine will get to the root of the problem with a thorough diagnosis. This will be done through physical examination, medical history, and symptom review. The chiropractor will perform a detailed exam of the affected muscles, including a range of motion test, strength test, and palpations of suspected trigger points to see how the muscles respond, twitch, and/or cause pain in a specific pattern or region. Sometimes blood tests are ordered to look for other causes, like vitamin D deficiency or hypothyroidism. Chiropractic can combine treatment therapies that include:

Massage therapy

  • Therapeutic massage will loosen the tight, knotted muscles and relieve cramping and/or spasms.

Physical Therapy

  • Includes stretching, postural, and strengthening exercises.

Medication

Injections

  • Pain medications are directly injected into the trigger points.

Chiropractic physicians work on the whole body and not just the hurting areas. Chiropractors are trained to incorporate treatment with primary care and specialists. Patients receive education in exercise programs, corrective exercises, nutritional recommendations, and health coaching.


Spine Decompression


References

American Chronic Pain Association. Resource Guide to Chronic Pain Management. (www.theacpa.org/wp-content/uploads/2018/05/ACPA_Resource_Guide_2018-Final_Feb.pdf) Accessed 4/17/2019.

Lavelle, Elizabeth Demers, et al. “Myofascial trigger points.” Anesthesiology clinics vol. 25,4 (2007): 841-51, vii-iii. doi:10.1016/j.anclin.2007.07.003

Stults-Kolehmainen, Matthew A et al. “Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period.” Journal of strength and conditioning research vol. 28,7 (2014): 2007-17. doi:10.1519/JSC.0000000000000335

Tantanatip A, Chang KV. Myofascial Pain Syndrome. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK499882/

Vernon, Howard, and Michael Schneider. “Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature.” Journal of manipulative and physiological therapeutics vol. 32,1 (2009): 14-24. doi:10.1016/j.jmpt.2008.06.012

Alleviating Back Pain From Auto Accident Injuries

Alleviating Back Pain From Auto Accident Injuries

Introduction

Everybody is always moving in their vehicles as they go from one place to another in less time. Sometimes accidents happen as vehicles collide with each other and cause excruciating pain to the body as it lunges forward, causing back and neck pain to the individual. These are physical effects on the body, but the emotional impact also takes a toll on the individual. It can cause a person to become miserable and affect their quality of life. Today’s article discusses the effects of an auto accident are cause the back and body, as well as how non-surgical decompression therapy can help alleviate the pain in the back from an auto accident. Patients are referred to qualified, skilled providers specializing in spinal decompression and non-surgical treatments. We go hand in hand with our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is valuable for asking critical questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

94 patient retro study

The Effects Of Auto Accidents On The Back

 

Have you suffered from back pain after a vehicle collision? What about experiencing whiplash or neck pain? Or has your lower back been feeling stiff and aches more? Many of these symptoms are signs that the spine, back, and neck all have suffered from the effects of an auto accident. Research has shown that the impact of a person in an auto accident causes the body to rapidly lunge forward and back after a complete stop, causing damage to the body, especially on the spine. After the auto accident has occurred, many individuals don’t feel the effects of the injuries that are caused by auto accidents sometimes until the day after the accident. This is due to the adrenaline in the body, which is both a neurotransmitter and a hormone and is fully turned on to the max. Additional information has stated that many individuals suffer from low back pain after a motor vehicle collision. Even if the accident was non-lethal, the impact can cause strain on the lower back muscles and compress the spinal nerves, making them irritated. 

 

How The Body Is Affected

Research studies have shown that the impact of an auto accident may cause the body to have non-fatal physical injuries but also cause psychological trauma that can affect a person’s psyche. Many people that have experienced an auto accident will have various emotions that leave them in shock. During that process, emotions like distress, helplessness, anger, shock, and frustration are presented as the individual who was in the accident experience these negative emotions. Additional research also found that many individuals can experience low back pain episodes reoccurring along with the emotional presence that they are feeling. Fortunately, there are ways to alleviate low back pain caused by auto accidents and can help restore the spine to its functionality.


Spinal Decompression Therapy Alleviates Auto Accident Injuries- Video

Have you experienced low back pain after a car accident? How about feeling the effects of muscle stiffness on the neck and low back the day after? Do emotions like stress, frustration, and shock affect your quality of life? These are signs and symptoms of what a person is going through after being involved in an auto accident and dealing with neck and back pain. There are ways to treat neck and back pain through decompression, and the video above explains the impressive effects of what decompression does to the individual. Decompression is a non-surgical treatment that allows gentle traction to alleviate the flattened spinal disc and take the pressure off the aggravated nerves surrounding the spine. The gentle traction also pumps the nutrients back to the dehydrated discs while increasing their heights. This link will explain what decompression offers and the impressive results for many individuals who suffer from back or neck pain due to an auto accident.


How Spinal Decompression Helps Relieve The Spine After Auto Accidents

 

After a person suffers from an auto accident, they experience pain in their spine and back the day before or after. Many individuals who suffer from low back pain, neck pain, and whiplash from auto accidents tend to find ways to alleviate the pain in their spine. One of these treatments is spinal decompression. Spinal decompression allows the individual to sit on a traction table in a supine position and be strapped in. Research studies have mentioned that spinal decompression is a non-surgical treatment for many individuals suffering from low back pain. In contrast, the traction machine slowly but gently pulls the spine to relieve the pain caused by a spinal injury due to an accident. This will provide effective recovery for many individuals suffering from low back pain. Additional information also mentioned that the effectiveness of decompression could reduce the inflammatory markers induced by the aggravated nerve roots through negative pressure, thus causing relief to the back.

 

Conclusion

Overall, suffering low back pain or neck pain after an auto accident is nerve-wracking for many individuals. The emotional and physical trauma caused by a motor vehicle collision can dampen a person’s mood, and the residual pain afterward can affect their quality of life. Utilizing decompression for non-surgical treatments can provide beneficial results in restoring functionality back in the spine and alleviating the pain the person is in. When people use decompression, they can get back to their activities and become pain-free from their lower back.

 

References

Daniel, Dwain M. “Non-Surgical Spinal Decompression Therapy: Does the Scientific Literature Support Efficacy Claims Made in the Advertising Media?” Chiropractic & Osteopathy, BioMed Central, 18 May 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/.

Kang, Jeong-Il, et al. “Effect of Spinal Decompression on the Lumbar Muscle Activity and Disk Height in Patients with Herniated Intervertebral Disk.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5140813/.

Nolet, Paul S, et al. “Exposure to a Motor Vehicle Collision and the Risk of Future Back Pain: A Systematic Review and Meta-Analysis.” Accident; Analysis and Prevention, U.S. National Library of Medicine, July 2020, pubmed.ncbi.nlm.nih.gov/32438092/.

Nolet, Paul S, et al. “The Association between a Lifetime History of Low Back Injury in a Motor Vehicle Collision and Future Low Back Pain: A Population-Based Cohort Study.” European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, U.S. National Library of Medicine, Jan. 2018, pubmed.ncbi.nlm.nih.gov/28391385/.

Salam, Mahmoud M. “Motor Vehicle Accidents: The Physical versus the Psychological Trauma.” Journal of Emergencies, Trauma, and Shock, Medknow Publications & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5357873/.

Toney-Butler, Tammy J, and Matthew Varacallo. “Motor Vehicle Collisions – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 5 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK441955/.

Disclaimer

Traumatic Brain Injury Affecting The Gut

Traumatic Brain Injury Affecting The Gut

Introduction

The gut microbiome is “the second brain” in the body as it helps regulate homeostasis and metabolize the immune system for functionality and to keep the body in motion. The brain is part of the nervous system, providing neuron signals constantly traveling all over the body. The brain and the gut have a communication partnership where they send information back and forth for the body to function normally. When the body gets injured, either the brain, the gut, or both can be affected, causing dysfunction and unwanted symptoms that can cause other issues to affect the other systems in the body. One of these injuries can affect the brain in a traumatic way, which can disturb the signaling to the gut microbiota and affect an individual’s quality of life. Today’s article looks at a traumatic brain injury known as a concussion, its symptoms, and how it affects the gut-brain axis in the body. Refer patients to certified, skilled providers specializing in gut treatments for individuals that suffered from concussions. We guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

 

14 - Lipski Dietary Modulation of the Microbiome

What Is A Concussion?

Have you been headaches that pop out of nowhere and affect you daily? Have you been experiencing leaky gut or other gut disorder issues causing problems? Do you have trouble concentrating on the simple tasks at hand? Many of these symptoms are signs that you might be suffering from a concussion. Research studies have defined a concussion as a transient disturbance that traumatically induces brain function in the body. Concussions can vary depending on the severity of the injury. When a person suffers from a concussion, the neurotransmitters get disrupted as the brain’s electrolytes go through neurological dysfunction, and blood glucose metabolism decreases cerebral blood flow. Other research studies have found that a concussion does an axial rotation to the brain, which results in the brain jiggling and causes whiplash to the neck. This disruption will cause a biochemical injury that either alters the blood glucose metabolism or can cause derangement of the adenine nucleotides of the nervous system.

 

Its Symptoms

Research studies have found that when a person suffers from a concussion, the symptoms in its acute phase can drastically change and evolve into a chronic situation over time. Concussions usually occur in individuals that play a contact sport, where they bump each other in the heads, auto accidents that causes severe injuries that affect the neck and brain, or even a simple blow to the head. Other research studies have stated that the symptoms of a concussion can include:

  • Blurry vision
  • Headaches
  • Dizzyness
  • Mood changes
  • Light sensitivity
  • Concentration and memory complications

Additional research studies have mentioned that neuronal dysfunction can occur when a person suffers from a concussion as there are ionic shifts, impaired connectivity to the brain, and changes in the neurotransmitters from completing their jobs to provide sensory-motor functions to the entire body. When this happens, not only does the nervous system gets affected, but the gut system gets affected as well.

 


An Overview Of Leaky Gut & Concussions-Video

Do gut disorder symptoms seem to be affecting your quality of life? Have you become sensitive to light? Have you felt muscle stiffness in your neck? Or have you been suffering from frequent headaches? If you are experiencing any of these symptoms, it might be due to a concussion affecting your gut microbiota. The video above explains how a concussion and a leaky gut are linked. In an average functioning body, the gut and the brain have a bi-directional connection as they help send the neuron signals to each of the body systems and muscle tissues that make the body move. When traumatic forces like a concussion affect the brain, it can disrupt and change the neurotransmitters signals that can cause gut disorders in the microbiota. When gut disorders affect the gut microbiota, it can cascade a series of inflammatory effects that can affect the body’s homeostasis and immune function. Experiencing these symptoms in the body can drastically affect a person’s mood and quality of life if it is not taken care of immediately.


How The Gut-Brain Axis Is Affected By A Concussion?

Since the gut-brain axis has a communication partnership, this axis helps the body’s immunity, homeostasis, and metabolism function. When a concussion starts to affect the gut-brain axis, research studies have shown that the communication pathways are affected in the gut-brain axis as tit incorporates the afferent and efferent signals. The signals involved in the gut-brain axis include the hormones, neurons, and immune pathways that can result in chronic gastrointestinal dysfunction and disability to the body. Since the gut helps keep the body functional through homeostasis, the brain helps the neuron signals provide sensory functions. With a concussion, these signals are disrupted, affecting the body’s functionality and causing a change in a person’s mood.

 

Conclusion

Overall the gut-brain axis provides functionality to the body by maintaining the homeostasis and metabolism of the immune system. A person’s involvement in a traumatic accident can lead to brain injuries like a concussion that can impair the gut and brain relationship. A concussion can become severe when it is not treated right away and can affect a person’s quality of life in their health and wellness journey.

 

References

Ferry, Benjamin, and Alexei DeCastro. “Concussion – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 19 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK537017/.

Giza, Christopher C., and David A. Hovda. “The Neurometabolic Cascade of Concussion.” Journal of Athletic Training, National Athletic Trainers’ Association, Inc., Sept. 2001, www.ncbi.nlm.nih.gov/pmc/articles/PMC155411/.

Mann, Aneetinder, et al. “Concussion Diagnosis and Management: Knowledge and Attitudes of Family Medicine Residents.” Canadian Family Physician Medecin De Famille Canadien, College of Family Physicians of Canada, June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5471087/.

Staff, Mayo Clinic. “Concussion.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 17 Feb. 2022, www.mayoclinic.org/diseases-conditions/concussion/symptoms-causes/syc-20355594.

Tator, Charles H. “Concussions and Their Consequences: Current Diagnosis, Management and Prevention.” CMAJ : Canadian Medical Association Journal = Journal De L’Association Medicale Canadienne, Canadian Medical Association, 6 Aug. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3735746/.

Zhu, Caroline S, et al. “A Review of Traumatic Brain Injury and the Gut Microbiome: Insights into Novel Mechanisms of Secondary Brain Injury and Promising Targets for Neuroprotection.” Brain Sciences, MDPI, 19 June 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6025245/.

Disclaimer

Auto Accident Herniation & Decompression Therapy

Auto Accident Herniation & Decompression Therapy

Introduction

The body is a well-tuned machine that is on the move constantly. The different systems like the musculoskeletal system, the immune system, and the joint system, to name a few, can help the body’s motor function to get the body from point A to point B. When injuries or auto accidents affect the body, it can cause various issues to affect the body over time. Many people who suffer from an auto accident injury will experience pain in the cervical and lumbar portions of their spine. It can be nerve-wracking as they are trying to comprehend what is happening. Today’s article will focus on herniation due to auto accidents, how it affects the spine, and how decompression treatments can help many suffering individuals with auto accident herniation. Referring patients to qualified and skilled providers who specialize in spinal decompression therapy. We guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is essential for asking insightful questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

G-5 - VAX-D Research

How Do Auto Accidents Cause Herniation?

 

Have you experienced pain in your neck or low back? Did you experience whiplash in your neck? Has the pain progressively gotten worse after the accident? Many of the symptoms are primarily the after-effects of an auto accident involving a person. After a person has been involved in an auto accident, the injuries and symptoms usually occur within a few minutes until the next day. Research studies have shown that auto accident injury symptoms like herniation occur when the cervical and lumbar portions are injured, causing symptoms like soft tissue strain and disc derangement to be accompanied by radicular pain symptoms. Auto accident herniation also starts to compress the surrounding nerves around the spine. It induces inflammatory markers in the affected areas situated in the neck and lower back. Additional studies have found that auto accident herniation also affects the thoracic portion of the back. Many individuals that suffer from herniation will experience posterior shoulder pain and upper/lower back pain from being involved in an auto accident.

 

How Does It Affect The Spine?

When a person has suffered from an auto accident, the after-effects do take a toll not only on the body but the spine as well. The painful, inflammatory symptoms cause the soft muscle tissues to become tender to the touch. Research studies have mentioned that the spine will experience possible fractures along the lumbar section of the spine due to the force impact causing axial compression and overstretching of the muscles and soft tissues, causing sharp shooting pain. This makes the back and neck succumb to more despair after the auto accident occurs, thus hindering a person’s quality of life. More research studies have shown that many suffering individuals experience lumbosacral radicular pain on top of herniation. When a person has been suffering from disc degeneration and has been involved in an auto accident, the cascading effects cause the intervertebral disc’s outer layer to rupture and allow disc material displacement to cause herniation on the spine. When the ruptured disc becomes herniated, it will constantly press on the nerve roots, and any normal reactions like coughing or sneezing will worsen the pain. Thankfully, there are therapeutic methods that help alleviate herniation and help restore function to the spine.


Mechanical Traction For Herniation-Video

Feeling uncomfortable pain in your neck or back? Have everyday actions like coughing or sneezing hurt your back when not supposed to? Does the pain progressively get worst throughout the entire day? All these symptoms are due to disc herniation caused by auto accidents and can affect a person’s quality of life. The good news is that traction therapy may be the answer for relieving some of the symptoms like herniation on the spine. The video above shows how mechanical traction is used for many individuals suffering pain in the cervical area of the body. Traction therapy is a form of decompression treatment that is either non-surgical or surgical, depending on how severe the pain affects the body. Traction helps the spine through gentle pulling, causing the herniated discs to withdraw from the compressed nerves and establish healing properties to remoisturize in the affected discs while increasing the disc space between the spinal vertebrae. Decompression/traction therapy for either the lumbar or cervical regions of the spine has many beneficial factors in preventing disc herniation. This link will explain how decompression or traction offers impressive relief for many people who suffer from neck and low back pain herniation caused by auto accident injuries.


How Decompression Treatments Help Auto Accident Herniation

 

After a person suffers from an auto accident injury, the body will sometimes experience the painful effects the next day since the body has an adrenaline rush that masks the pain. When this happens, therapeutic methods help alleviate the pain and try to repair the body to be functional again. Research studies have shown that decompression treatments have helped many individuals suffering from herniation due to auto accidents by using unloading force traction from the therapy to reduce herniation on the spine. This opposing force helps ease the painful symptoms caused by disc herniation while the compressed nerves are relieved. Other research studies have mentioned that traction therapy, when utilized for herniation, causes vertebral separation to increase the disc space and decrease the nerve root compression. This allows the spinal ligaments to tense up, which is beneficial for the herniated discs to return to the spine and cause relief to the suffering individuals.

 

Conclusion

Overall the after-effects of an auto accident injury that causes the spine to become herniated affect a person’s quality of life. The painful symptoms cause compression to the surrounding nerve roots, sending pain signals to disrupt the brain and overstretch the muscles when the spine is injured. After the auto accident has occurred, the residual pain will cause tenderness in the cervical and lumbar portions of the spine causing even more pain to the person. Treatments like traction therapy allow individuals to find the relief they desperately need as the herniated disc is relocated to its original position and laid off on the nerve roots. Traction therapy provided beneficial relief to the spine due to negative pressure and brought back the spine’s functionality to the body.

 

References

Cornips, Erwin M J. “Crippling Upper Back Pain after Whiplash and Other Motor Vehicle Collisions Caused by Thoracic Disc Herniations: Report of 10 Cases.” Spine, U.S. National Library of Medicine, 20 May 2014, pubmed.ncbi.nlm.nih.gov/24718062/.

Hashish, Rami, and Hasan Badday. “Frequency of Acute Cervical and Lumbar Pathology in Common Types of Motor Vehicle Collisions: A Retrospective Record Review.” BMC Musculoskeletal Disorders, BioMed Central, 9 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5680606/.

Kumari, Anita, et al. “Effects of One-Fifth, One-Third, and One-Half of the Bodyweight Lumbar Traction on the Straight Leg Raise Test and Pain in Prolapsed Intervertebral Disc Patients: A Randomized Controlled Trial.” BioMed Research International, Hindawi, 16 Sept. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8463178/.

Oakley, Paul A, and Deed E Harrison. “Lumbar Extension Traction Alleviates Symptoms and Facilitates Healing of Disc Herniation/Sequestration in 6-Weeks, Following Failed Treatment from Three Previous Chiropractors: A CBP® Case Report with an 8 Year Follow-Up.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702845/.

Pachocki, L, et al. “Biomechanics of Lumbar Spine Injury in Road Barrier Collision-Finite Element Study.” Frontiers in Bioengineering and Biotechnology, Frontiers Media S.A., 1 Nov. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8591065/.

Suri, Pradeep, et al. “Inciting Events Associated with Lumbar Disc Herniation.” The Spine Journal : Official Journal of the North American Spine Society, U.S. National Library of Medicine, May 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2919742/.

Disclaimer

Leg Injuries Car Accidents and Crashes

Leg Injuries Car Accidents and Crashes

Individuals drive to jobs, to school, run errands, take road trips, spending a lot of time on the road. Accidents and crashes happen more frequently with all kinds of injuries. The National Highway Traffic Safety Commission has found that 37% of car accidents and crashes involve leg injuries and damage. Chiropractic physical rehabilitation and functional medicine can help heal injuries getting the individual back to everyday life.

Leg Injuries Car Accidents and Crashes

Leg Injuries

Common leg injuries include:

Bruising and Cuts

Bruising and cuts are typical from the impact and the body getting slammed around. Lacerations can be noticed right away, but bruising comes from blood pooling underneath the skin and can take time to present, possibly 24 to 48 hours. Most bruises and cuts heal independently from home first aid care. A standard recovery used to take care of bruising is R.I.C.E or rest, ice, compression, and elevation. This helps the healing process; however, if the injury/s are more severe, chiropractic can help with therapeutic massage to relieve pain and strengthen the injured muscles, tendons, and ligaments.

ACL Injuries

The femur or thigh bone has several bands of tissue connecting it to the patella or kneecap and tibia or shin bone. One of the bands is the anterior cruciate ligament or ACL. Injuries to this band of tissue are common in sports. Car accidents and crashes are another common cause, specifically tearing the ligament. Individuals experiencing a tear may notice some or all of the following symptoms:

  • A cracking or popping sound when the accident or crash took place.
  • Swelling in and around the knee.
  • Severe pain in and around the knee.
  • Unstable and unsteady when walking or standing.
  • Reduced range of motion that makes walking or moving difficult.

A chiropractor can help treat the injury and help correct any muscular imbalances.

Meniscus Tears

Tears to the meniscus are also common in car accidents and crashes. The meniscus is a part of the knee. Two wedge-shaped pieces of cartilage provide a cushion where the femur and tibia meet to absorb shock. The wedges are called menisci.

  • When the meniscus tears, individuals might feel or hear a pop and could feel the leg suddenly give out.
  • Swelling in the knee.
  • Some pain but still be able to walk.
  • The knee will be stiff for the next few days.
  • More difficulty bearing weight or walking.

The RICE method is a recommended method of self-care. Many meniscus tears do not require surgery to improve knee function. Mild to moderate meniscus tears can be successfully treated with chiropractic techniques like soft tissue work, corrective stretches, and exercises. Surgery could eventually be necessary for severe cases to repair the meniscus to prevent long-term complications.

Broken Crushed Bones

From the hips to the toes, the bottom half of the body bones are vulnerable to fractures. Physical trauma from prolonged pressure on the body can cause bones to get shattered from a crush injury. Crush injuries affect the bones, soft tissues, and other leg areas. Different forms of fractures range in severity. There are partial fractures that do not cause the bone to separate and complete fractures that break apart and open fractures that pierce the skin. Some fractures are hard to detect for up to several days.

Chiropractic care can help the body heal and recover from a bone fracture. A patient’s bone density is evaluated and tested with an individualized treatment plan to help regain and maintain optimal bone strength. The treatments strengthen the muscles, reduce stiffness, improve nutrition, and relieve pain. Manipulation adjustments, rehabilitation, relaxation techniques, and dietary health coaching help individuals heal faster and strengthen their bones. The objective is to help regain increased mobility and range of motion.

Sciatica

Car accidents and crashes are one instance where the spine can be damaged enough to bring on sciatic pain where no back problems were present before. The impact from a car accident can cause the discs to be knocked out of place, damaged, and/or rupture around the surrounding tissue. Any of these results can pinch the sciatic nerve, leading to pain and other sciatica symptoms. Chiropractic can realign the spine and relieve pressure from the nerve/s.


DOC Spinal Decompression Table


References

Atkinson, T, and P Atkinson. “Knee injuries in motor vehicle collisions: a study of the National Accident Sampling System database for the years 1979-1995.” Accident; analysis and prevention vol. 32,6 (2000): 779-86. doi:10.1016/s0001-4575(99)00131-1

Foulk, David M, and Brian H Mullis. “Hip dislocation: evaluation and management.” The Journal of the American Academy of Orthopaedic Surgeons vol. 18,4 (2010): 199-209. doi:10.5435/00124635-201004000-00003

Reynolds, April. “The fractured femur.” Radiologic technology vol. 84,3 (2013): 273-91; quiz p.292-4.

Wilson, L S Jr et al. “Foot and ankle injuries in motor vehicle accidents.” Foot & ankle international vol. 22,8 (2001): 649-52. doi:10.1177/107110070102200806

Vehicle Collision Injuries – Decompression Benefits

Vehicle Collision Injuries – Decompression Benefits

Any vehicle crash, collision, or accident can cause various injuries, with back pain issues as a primary injury or a side effect from other injuries. Usually, injury symptoms begin right after the collision, but in other cases, individuals may not start experiencing symptoms until hours, days, or even weeks later. This is from the adrenaline that rushes throughout the body during the collision/fight or flight response delaying the injury symptoms. There are reports of individuals who walk away from an accident unscathed but require urgent medical treatment a short while later. Chiropractic care can provide manual and spinal motorized decompression benefits.

Decompression Benefits

Vehicle Collision Injuries - Decompression Benefits

Head Injuries

  • Head injuries occur when drivers and/or passengers hit their heads on the steering wheel, windows, dashboard, metal frame, and sometimes each other.
  • A head injury is considered a severe condition that can cause concussions, skull fractures, comas, hearing loss, cognitive and memory issues, and vision problems.
  • A significant head injury can cause extensive and costly medical treatment with the possibility of long-term medical care.

Neck Injuries

  • Neck injuries are common in vehicle collisions.
  • The most common is whiplash, with the head and neck-snapping from indirect blunt force, like being rear-ended.
  • Whiplash can cause significant damage to the ligaments and muscles, like swelling and neck pain, and temporary paralysis of the vocal cords.
  • Injury patterns of whiplash can differ depending on the speed, force, and overall health of the individual involved.

Back Injuries

  • Back injuries can range in severity from sprains to significant damage involving the nerves and/or the spinal cord.
  • If the damage is severe, it can lead to loss of sensation in the body, loss of limb control, or permanent paralysis.
  • Disc herniation/s can lead to disability, muscle weakness, tingling and numbness in the limbs, and radiating body pain.

Chest and Torso Injuries

  • Vehicle collision forces can result in severe chest injuries that include broken ribs.
  • Broken ribs might not sound dangerous by themselves; they can puncture the lungs leading to other injuries and internal bleeding.
  • Traumatic cardiac arrest can occur from the force of the impact.
  • Other injuries include:
  • Abdominal injuries to internal organs.
  • Damage to the pelvis.

Broken Bones

  • The legs, feet, arms, and hands are frequently injured, broken, and sometimes dislocated.
  • Motorcyclists are also at a higher risk for significant injury that includes:
  • Multiple fractures, internal injury, head injuries, and severe ligament damage.
  • Pedestrians struck by a vehicle have an increased risk for a combination of all injuries at once.

Non-Surgical Decompression Benefits

  • Chiropractors are trained to identify and treat injuries from vehicle collisions.
  • Non-surgical spinal decompression gently stretches the spine using a motorized traction device to help reposition the spine and remove the pressure.
  • As the pressure is taken off, the spinal discs regain their natural height, relieving the pressure on the nerves and other spinal structures.
  • Optimal healing is promoted by an improved circulation of nutrients, water, and oxygen to the injury site.
  • Decompression helps to strengthen the muscles in the affected area.
  • It provides positive spinal structural changes.
  • Improves nervous system function.

Non-surgical decompression is a tool for correcting injuries and relieving pain, allowing optimal health for the individual.


DOC Decompression Table


References

Apfel, Christian C et al. “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.” BMC musculoskeletal disorders vol. 11 155. 8 Jul. 2010, doi:10.1186/1471-2474-11-155

Koçak, Fatmanur Aybala et al. “Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized controlled trial.” Turkish Journal of physical medicine and rehabilitation vol. 64,1 17-27. 16 Feb. 2017, doi:10.5606/tftrd.2017.154

Macario, Alex, and Joseph V Pergolizzi. “Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain.” Pain practice: the Official Journal of World Institute of Pain vol. 6,3 (2006): 171-8. doi:10.1111/j.1533-2500.2006.00082.x

Restaurant Work Shoulder and Hand Injuries

Restaurant Work Shoulder and Hand Injuries

Restaurant work takes a toll on the body with the repetitive moving, bending, twisting, reaching, prepping, cutting, serving, and washing. This is especially true of the shoulders, arms, and hands. When individuals avoid treating their aches and pains, this can lead to chronic pain conditions that can cause severe and permanent damage to the musculoskeletal system. Chiropractic can alleviate the tingling and pain by removing the compression, re-stretching/lengthening, and strengthening the muscles and nerves to perform at optimal levels.

Restaurant Work Shoulder and Hand Injuries

Restaurant Work

The arms and hands are designed to accomplish various tasks. When functioning normally, tasks can be performed flawlessly. Repetitive/Overuse or trauma can cause nerve compression, stiffness, and pain, decreasing function and affecting daily routines.

Carpal Tunnel

  • Carpal tunnel syndrome is one of the most common disorders that affect the arm and hands.
  • The carpal tunnel is a space where a nerve and several tendons pass. If the nerve becomes compressed, it can cause numbness, tingling in the fingers, pain, and muscle weakness, making it difficult to grip objects.
  • Discomfort and pain start gradually in one or both hands.
  • It can cause tightness and pain in the shoulder, forearm, wrist, and hand.
  • It can also cause numbness in the palm and fingers.
  • It can cause swelling and burning sensations.
  • Individuals often shake out the numbness and tingling sensations throughout the day or night.

Tendonitis

  • Tendonitis can present with carpal tunnel symptoms except for the gradual starting pain.
  • Tendonitis comes from Overuse and repetitive motions.
  • The pain will be tender directly on the affected area.
  • To help prevent and avoid, ask about exercises that stretch the affected tendons.
  • Ask a doctor or chiropractor which exercises and stretches are the safest for the specific condition.
  • Depending on the severity of the condition, individuals may need corticosteroid injections, physical therapy, or surgery.

Injury Prevention Tips Restaurant Work

  • Learn to stop trying to carry everything in one trip.
  • Ask for help/support staff to servers who deliver large orders and for clearing.
  • Recommend changes if body posture increases injury risk.
  • Heavy trays and plates should be balanced on the palm for better weight distribution.
  • Healthy rotation ensures that one worker does not always have the chopping and cutting duties for hours.
  • Take frequent breaks from tasks that require repetitive motions.
  • Find various stretches and exercises to build strength and flexibility in the arms, wrists, and hands.
  • Avoid scheduling multiple consecutive long shifts for jobs that require repetitive hand motions.

Body Composition


Sticking To A Meal Plan

Identify personal motivation to stick to a meal plan other than improving body composition. To keep motivation high, individuals need to identify other reasons behind goals. This could be:

  • Saving money from the food budget.
  • Spending time with loved ones preparing a healthy recipe.
  • Setting an example to family and friends.
  • It can be whatever motivates you.
  • Reassess and tweak the meal plan as needed.
  • Nutritional needs or dietary preferences change.
  • Meal planning should be a dynamic process.
  • Don’t get disappointed if not going as planned.
  • Refocus by making changes as needed.
References

Gentzler, Marc D, and Janan A Smither. “Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 5529-31. doi:10.3233/WOR-2012-0872-5529

Laperrière, Ève et al. “Work activity in foodservice: The significance of customer relations, tipping practices and gender for preventing musculoskeletal disorders.” Applied ergonomics vol. 58 (2017): 89-101. doi:10.1016/j.apergo.2016.05.013

Masear, V R et al. “An industrial cause of carpal tunnel syndrome.” The Journal of hand surgery vol. 11,2 (1986): 222-7. doi:10.1016/s0363-5023(86)80055-7

www.osha.gov/etools/hospitals/food-services/work-related-musculoskeletal-disorders

Szabo, R M. “Carpal tunnel syndrome as a repetitive motion disorder.” Clinical Orthopedics and related research,351 (1998): 78-89.

Delayed Injury Symptoms

Delayed Injury Symptoms

Automobile accidents and crashes can cause all kinds of damage to the body even when the accident/crash is not severe. Physical symptoms might not present at all for several days, even weeks. This is known as having delayed injury symptoms. These can include:

  • Swelling.
  • Stiffness.
  • Aching.
  • Pain that radiates all over the body.
  • Sleep problems.
  • Headaches.
  • Brain fog.
  • Disorientation.
  • Memory problems.

Chiropractic and physical therapy rehabilitation can restore the body’s alignment, stop inflammation, loosen, stretch and strengthen the musculoskeletal system restoring optimal health.

Delayed Injury Symptoms

Adrenaline

When the body is involved in a dangerous physical situation, it protects itself by releasing a surge of adrenaline. This hormone protects the body, causing the fight or flight response when in danger. Adrenaline causes several preservation responses that include:

  • Intense increase in energy.
  • Little or no pain.
  • Enlarged blood vessels and airways increase oxygen flow.
  • Increased strength from increased blood flow to the muscles.
  • Changes in vision and hearing that focus on sights and sounds all around.
  • Endorphins are released that make the body feel calm and in control.
  • Endorphins affect the way the body responds to pain and stress.

Individuals don’t start feeling aches and pains until the adrenaline and endorphins wear off. However, because everybody is different and the emergency response has turned off, the body still might not feel the injury symptoms. These are delayed injury symptoms.

Rate of Speed

When riding in a vehicle, the body moves at the same speed as the vehicle. During an impact, the vehicle stops, but the body continues moving until it stops, typically with a lot of force from the seatbelt, airbag, or other barriers. The intense momentum change can cause soft tissue damage and ligament or muscle strains from the stretching, pulling, contracting, and tearing. Also, the intervertebral discs can tear, bulge, or herniate over time, creating pressure on nerves and the surrounding tissues.

Delayed Injury Symptoms

Headaches

  • Headaches that develop days after an accident/crash are common.
  • They can signal a possible injury to the neck or head, a blood clot on the brain, or a concussion.

Numbness

  • Loss of feeling in arms and hands could indicate a whiplash-associated disorder.
  • The loss of feeling/sensation results from damage to the neck or spinal column.
  • Around 20 percent of individuals impacted by a rear-end crash develop some whiplash symptoms.

Neck or Shoulder Pain and/or Stiffness

  • Whiplash is a classic delayed symptom injury associated with accidents.
  • Most delayed whiplash injuries are caused by rear-end vehicle collisions at speeds of less than 14 miles an hour.
  • Whiplash injuries usually require x-rays, CT scans, or MRIs for proper diagnosis.

Abdominal Pain or Swelling

  • This could indicate internal bleeding.
  • Internal bleeding can remain undiscovered for hours or days.
  • This can be a life-threatening condition that needs to be diagnosed and treated by emergency medical personnel.
  • Other symptoms include:
  • Large areas of deep bruising.
  • Dizziness.
  • Fainting.

Back Aches and Pains

  • Back pain can be caused by injury to the muscles, ligaments, nerves, or damage to the vertebrae.
  • Low back pain occurs in more than half of rear-impact collisions and almost three-quarters of side-impact crashes.

Chiropractic Rehabilitation

After an accident, soft tissues can sustain minimal damage; however, the minimal damage left untreated can start to worsen and turn into a painful condition. Emergency room visits are to rule out major injuries like brain/nerve injuries, bleeding, punctures, lacerated organs, fractures that require emergency stabilization. Chiropractors look for other symptoms and mechanisms that indicate damage to the body’s soft tissues and nerves to see if they have been stretched or torn and dysfunction in the nervous system.


Body Composition


Calorie Counting

Counting calories can be a stepping stone to change behavior towards food. Tracking what foods are being taken into the body promotes mindfulness of dietary habits. Studies on the subject reveal a significant association between self-monitoring and weight loss. Takeaways include:

References

Burke, Lora E et al. “Self-monitoring in weight loss: a systematic review of the literature.” Journal of the American Dietetic Association vol. 111,1 (2011): 92-102. doi:10.1016/j.jada.2010.10.008

D’Elia, Michael A et al. “Motor vehicle collision with seatbelt sign and traumatic abdominal wall hernia should raise suspicion for hollow viscus injury.” Trauma case reports vol. 22 100206. 25 May. 2019, doi:10.1016/j.tcr.2019.100206

Kacprzynski, Gregory, and Joshua Bucher. “Delayed vertebral artery dissection after mild trauma in a motor vehicle collision.” The American Journal of emergency medicine vol. 45 (2021): 678.e1-678.e2. doi:10.1016/j.ajem.2020.11.028

Olinger, Catherine, and Richard Bransford. “Upper Cervical Trauma.” The Orthopedic clinics of North America vol. 52,4 (2021): 451-479. doi:10.1016/j.ocl.2021.05.013

Sterling, Michele. “Whiplash-associated disorder: musculoskeletal pain and related clinical findings.” The Journal of manual & manipulative therapy vol. 19,4 (2011): 194-200. doi:10.1179/106698111X13129729551949

Sciatica Motor Vehicle Crash

Sciatica Motor Vehicle Crash

Sciatica motor vehicle crash. After an automobile crash/accident, symptoms of pain and discomfort can immediately follow the force of impact, indicating an injury. Many injuries and symptoms appear right away, like:

  • Pain from high-impact trauma and cuts.
  • Bone fractures.
  • Dislocations.
  • Neck whiplash.
  • Back pain.

The sciatic nerve is the largest in the body, and any damage can cause pain in one or both sides of the body. Pressure and compression on the nerves, ligaments, and muscles accompanied by weakness or numbness in the lower back, legs, or feet could cause delayed sciatica symptoms hours, days, even weeks later. It is critical to meet with a doctor and auto accident chiropractor after any type of accident, large or small, to develop a thorough personalized treatment plan.

Sciatica Motor Vehicle Crash

Sciatica Motor Vehicle Crash

Sciatica can be brought on by a pinched nerve, which is often the result of the spine shifting out of place, causing herniation and compression on the sciatic nerve. The trauma from a motor vehicle accident can cause the spinal discs to be knocked out of place, rupture, and leak out, irritating the surrounding tissue and nerve endings. Back injuries are among the most common forms of damage/injury resulting from a motor vehicle accident/crash that can lead to sciatica. Broken and/or fractured vertebral, hip, or pelvis bone fragments can compress the sciatic nerve. Even when the initial result of the impact does not result in sciatica, over time, an untreated back injury could lead to sciatica symptoms.

Symptoms

Motor vehicle crashes often activate or aggravate pre-existing conditions like asymptomatic degenerative disc disease, affecting the sciatic nerve causing discomfort and pain. Common symptoms include:

  • Mild discomfort or achiness.
  • Tingling sensations from the lower back and down the back of the leg.
  • Weakness, numbness, or difficulty moving the leg and foot.
  • Inability to bend the foot upward at the ankle- known as foot drop.
  • Constant pain in one side of the buttocks or leg.
  • Sharp pain that makes it difficult to stand up and walk
  • Difficulty sitting.
  • Burning or tingling in one leg can worsen when sitting.
  • Intense pain.
  • Sharp burning and/or what feels like shooting electricity pain.

Diagnosis

A spine doctor and chiropractor will use diagnostic imaging tools like X-rays, and CT scans to see the scope of the injured area.

  • An X-ray will show a detailed image of the spine and affected bones in the area.
  • A CT scan will include a 3D image that shows the surrounding musculature, tissues, and nerves that could be damaged/injured.

Treatment

The doctor and chiropractor will then develop an appropriate and personalized treatment plan that could utilize various methods and techniques.

  • Chiropractic is commonly the first treatment to realign the spine and relieve pressure on the nerve.
  • A pain management specialist or physical therapist will be brought in for rehabilitation/recovery as adjustments progress.
  • Orthopedists and neurologists may be brought in for less conservative treatment in more severe cases, including surgical options.
  • Other treatments can include steroid injections or anti-inflammatory medicines to relieve nerve pressure.

Body Composition


Injury Rehabilitation Phase

Current in-clinic methods of measuring the composition of an injured body are indirect, while medically advanced techniques limit the frequency of testing. InBody provides cost-effective, comprehensive, and timely measurements that identify areas of weakness from damage, injury, or recent surgery and develop a customized rehabilitation program to improve functional status.

During the rehabilitation phase, increased sedentary behavior and/or immobilization causes muscle loss in the injured or operated region. By independently evaluating lean mass in each segment of the arms, legs, and torso, a chiropractor or physical therapist gathers baseline information on the body segments with restricted mobility.

InBody can help provide further insight into an individual’s body composition to analyze long-term health risks and develop a personalized exercise intervention to improve overall health and reduce health risks. This provides beneficial information for identifying potential imbalances related to muscle loss post-injury/surgery that can be targeted and improved. Identifying these imbalances allows the therapists to increase functional fitness and mobility, helping the individual reduce the risk of re-injury or new injuries.

References

Defouilloux, B et al. “A propos de trois observations chez des polytraumatisées de la route présentag une fracture du bassin associée à des signes neurologiques” [Apropos of 3 cases of multiple traffic injuries presenting pelvic fractures associated with neurologic signs]. Journal de radiologie, d’electrologie, et de medecine nucleaire vol. 48,8 (1967): 505-6.

Noble, J et al. “Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries.” The Journal of trauma vol. 45,1 (1998): 116-22. doi:10.1097/00005373-199807000-00025

Walsh, K et al. “Risk of low back pain in people admitted to hospital for traffic accidents and falls.” Journal of epidemiology and community health vol. 46,3 (1992): 231-3. doi:10.1136/jech.46.3.231

Colder Weather Musculoskeletal Injuries

Colder Weather Musculoskeletal Injuries

As the weather gets colder, individuals may feel like their muscles and joints are frequently stiff and experience more aches and pains. This is even more evident for individuals that work outside in the winter or with specific ailments/conditions. Colder weather can increase the risk of suffering musculoskeletal injuries and intensify the condition.

Colder Weather Musculoskeletal Injuries

How Colder Weather Impacts The Muscles

Individuals with arthritic conditions might find that symptoms become exacerbated. This can keep individuals away from regular activities. Conditions like rheumatoid arthritis and osteoarthritis tend not to react well to weather sudden atmospheric changes, worsening symptoms. However, individuals are well aware of how their body feels and moves when colder weather is present with or without existing conditions. Movement slows down, and when trying to move, the muscles can contract involuntarily, causing tension and stiffness. This usually results in soreness and pain. Feeling warm, safe, and comfortable is essential for the body’s overall health. Overuse and overexertion can increase the risk of injury in colder temperatures.

Barometric Pressure

  • When the weather gets colder, barometric pressure drops. The Body’s tissues like the muscles, tendons, and ligaments expand. This places pressure on nerves near the joints, causing discomfort and pain.
  • In cold weather, the fluid density in the joints lessens, causing the bones to rub against each other harder because the fluid is not thick enough to allow for proper lubrication.
  • The cold makes the muscles shiver, contract, and tighten. This can compress the nerves in the joints and increase pain symptoms.

Prevent Stiffness and Musculoskeletal-Related Injuries

Maintain an active lifestyle

Dress warm

  • Wear proper clothing to keep the body warm and protected.
  • Wear proper boots that are waterproof and have good treads to prevent falls.
  • Wear a warm hat to maintain head warmth, reducing the body heat that escapes from the head.

Warm-up during breaks

  • Try not to stay out in the cold for too long. If working outside, move indoors during breaks if possible.

Eat a healthy diet

  • Good nutrition helps maintain the whole body.
  • Omega 3 fatty acids help reduce inflammation. Salmon and nuts are recommended.
  • Leafy greens like spinach and kale are rich in vitamin K, which helps soothe pain symptoms.
  • Vitamin C from citrus fruits like oranges, grapefruit, red bell peppers, and tomatoes also help stop cartilage loss reducing friction in the joints.

Proper sleep

Chiropractic


Body Composition


Exercising

Aerobic Exercise

Aerobic exercise can include:

  • Running
  • Cycling
  • Hiking
  • Dancing
  • Walking

Resistance Training

  • Research has shown that resistance training with bands or weights can supplement aerobic exercise to reduce blood pressure.
  • It is recommended to complete 2 to 4 sets of 8 to 12 repetitions for each major muscle group during workout sessions.
  • Resistance training sessions should be spaced out throughout the week to limit muscle soreness and injury.

Resistance training can include: 

  • Resistance bands with freehand movements, squats, push-ups, bicep curls
  • Free weights dumbbells, barbells
  • Gym weight machines like the chest press and shoulder press
References

www.cdc.gov/niosh/topics/coldstress/

Heil, Kieran et al. “Freezing and non-freezing cold-weather injuries: a systematic review.” British medical bulletin vol. 117,1 (2016): 79-93. doi:10.1093/bmb/ldw001

Kowtoniuk, Robert A et al. “Cutaneous Cold Weather Injuries in the US Military.” Cutis vol. 108,4 (2021): 181-184. doi:10.12788/cutis.0363

Long, William B 3rd et al. “Cold injuries.” Journal of long-term effects of medical implants vol. 15,1 (2005): 67-78. doi:10.1615/jlongtermeffmedimplants.v15.i1.80

Jackknife Tractor-Trailer Accidents and Crashes

Jackknife Tractor-Trailer Accidents and Crashes

Tractor-trailer semi-trucks are a vital part of our transportation/supply system. However, weather, drivers that are not careful and/or well-trained can cause dangerous and sometimes fatal accidents. One type of accident resulting from truck driver negligence is the jackknife accident. Jackknife accidents are extremely catastrophic because they can involve numerous vehicles. Almost all of them involve life-altering or fatal injuries. Here’s what to know about these violent truck crashes. ​

Jackknife Tractor-Trailer Accidents and Crashes

Jackknife Collision

A jackknife occurs when the trailer of semi-truck swings to one side at a 90-degree angle and uncontrollably overtakes other lanes of traffic. The term comes from the look of the tractor-trailer after the crash resembling a jackknife or the letter L. When a jackknife wreck happens, the trailer and cab can hit and crush other vehicles in its path. It can also block numerous lanes leading to additional collisions. Jackknife crashes can also be considered rollover crashes when the truck slides and rolls over onto its side, although not all rollovers end in a jackknife.

Causes

Jackknife collisions are often either the cause of driver negligence or inclement weather, other distracted drivers, truck maintenance, or a combination. These include the following:

Excessive Speed

  • If a truck driver is speeding, the trailer can slide sideways and jackknife when forced to stop too quickly.
  • The average tractor-trailer weighs about 80,000 pounds.
  • The average length of a trailer is between 70 – 80 feet.
  • Tractor-trailer trucks need 40% more time to brake.

Weather Conditions

  • If drivers do not take it slow enough, bad weather or road conditions can also cause a jackknife.
  • Ice, snow, rain, loose gravel, or loose asphalt can cause trailers to bounce and slide.
  • Hazardous road conditions, as accumulated oil can cause slipperiness.

Improper Following Distance

  • Truck drivers that do not provide an adequate following distance to allow for a safe stopping distance can cause the trailer to slide sideways and jackknife when having to slam on the brakes.
  • Drivers who do not exercise caution as they enter and properly maneuver down hills or curves can end up shifting out of position and possibly topple over.

Driver Operator Fatigue

  • Many tractor-trailer accidents/crashes happen when drivers have logged too many hours without proper rest.
  • When the body is tired, response time suffers.
  • If a driver is groggy, they lack the cognizance to maneuver out of a dangerous situation.

Inexperienced or Untrained Operators

  • Driving a truck is a demanding job that requires several skill sets and experience.
  • Truck companies try to lower costs by using inexperienced drivers that don’t have the training or experience for long hauls or driving on busy/dangerous highways and interstates.

Load Balance

  • Safe truck driving ensures the trailer’s cargo is loaded correctly and the weight is equally distributed.
  • When the load is unbalanced, it can shift, causing the trailer to tilt or tip.
  • Unbalanced loads are a common factor in rollover crashes.

Lack of Maintenance

  • Drivers or companies that ignore:
  • Routine maintenance
  • Alignment checks
  • Brake pad replacement
  • All can lead to accidents and crashes.

Research shows that jackknife crashes can cause widespread damage, as they usually spread across multiple lanes of traffic. Because of this, there is the danger of secondary crashes or vehicles not initially involved in the crash, running into the tractor, trailer, or scattered wreckage and debris.


18 Wheeler Accident Chiropractic Treatment


Analysis An Effective Tool In Physical Therapy Rehabilitation

Body composition is essential for understanding an individual’s physiological makeup and guiding a personalized treatment plan to target specific areas. InBody is non-invasive and convenient, making it ideal for rehabilitation practices. The InBody test provides comprehensive results that can educate and engage individuals in tracking their progress throughout their physical therapy. In less than 60 seconds, the InBody Test provides easy-to-understand, accurate, and objective measurements. Chiropractors and physical therapists use the InBody for:

  • Assessing muscle distribution.
  • Targeting areas weakened by injury or surgery.
  • Identifying fluid imbalances related to inflammation or postoperative edema.
  • Monitoring changes to determine the efficacy of exercise programs.
  • Guiding recommendations to ensure long-term success.
References

Girotto, Edmarlon et al. “Working conditions, and sleepiness while driving among truck drivers.” Traffic injury prevention vol. 20,5 (2019): 504-509. doi:10.1080/15389588.2019.1609670

Gray, Garry. “A bird’s eye view of driving safety culture: Truck drivers’ perceptions of unsafe driving behaviors near their trucks.” Work (Reading, Mass.) vol. 64,2 (2019): 187-194. doi:10.3233/WOR-192985

Smith, Joyce A et al. “Spine and spinal cord injury in motor vehicle crashes a function of change in velocity and energy dissipation on impact with respect to the direction of the crash.” The Journal of trauma vol. 59,1 (2005): 117-31. doi:10.1097/01.ta.0000171534.75347.52

Stavrinos, Despina et al. “Commercial Truck Driver Health and Safety: Exploring Distracted Driving Performance and Self-Reported Driving Skill.” Workplace health & safety vol. 64,8 (2016): 369-76. doi:10.1177/2165079915620202

Stein, H S, and I S Jones. “Crash involvement of large trucks by configuration: a case-control study.” American Journal of public health vol. 78,5 (1988): 491-8. doi:10.2105/ajph.78.5.491

Job Related Back Injury

Job Related Back Injury

Any job-related back injury can significantly complicate an individual’s life. Dealing with the pain, trying to figure out how to get things done while in recovery, and workers’ compensation to protect individuals who are injured on the job, getting them healthy without the stress of worrying about losing money from missing work.

Job Related Back Injury

Job-Related Injury

According to the Occupational Safety and Health Administration or O.S.H.A, a job-related injury is one that either contributed to or is caused by something in the work environment that injures an individual or exacerbates/worsens a previous injury. This is a general overview of the definition, and there are some exceptions. For example, being at the place of work as a general public citizen and not working when an injury happens will not be covered. If not sure whether a back injury is job-related, it’s better to be cautious and report the incident as soon as it happens.

Common Back Injuries

Back injuries are the most common job-related injuries. Back injuries are the number one reason individuals cannot work, whether they hurt their back at home or on the job. The Bureau of Labor Statistics found that nearly 40% of all musculoskeletal injuries that resulted in lost workdays were because of back injuries. The most common back injuries include:

  • Sprains
  • Strains
  • Herniated Discs
  • Whiplash
  • Spinal Cord Injuries
  • Vertebral Fractures

Compensation

Every state’s workers’ compensation program is different; however, the basic components are the same throughout. This means that if a workers’ compensation claim is approved and an individual cannot work because of their injury, they can expect to receive a regular base salary during treatment, rehabilitation, and recovery. Individuals also continue to receive medical coverage through the company, while the workers’ compensation fund should pay for treatment and diagnostics related to the injury.

When A Back Injury Occurs at Work

When a back happens at work, inform the employer as soon as possible. Do not be embarrassed or feel as it is not a big deal to seek workers’ compensation.  It is an insurance program for both the individual and the employer. An employer pays into the state’s workers’ compensation program for limited liability when employees get injured. Individuals don’t pay for the program, but it protects the individual in case something happens.

Letting an injury go untreated might not be anything at first, but months and years later, it can come back and be worse than when it first happened, causing greater damage, added medical costs, and procedures that the individual has to pay for out of their pocket. 

Once an individual knows they have a back injury, it is recommended to seek treatment as soon as possible to prevent worsening the injury or create new ones and develop a treatment, rehabilitation, and strengthening program. If an individual needs emergency care, tell the doctors about the work injury and precisely what happened. Emergency medical care should be sought out when:

  • There is a loss of function in any of the limbs.
  • There is a persistent numbness with the back pain.
  • There is nausea, dizziness, or vomiting after the injury.
  • There is a fever with back pain.
  • Loss of consciousness.
  • Loss of bowel or bladder control.

If the injury is not immediate and progresses gradually, but suspect that it is from work, it should be reported and examined by a medical professional.

Treatment

Proper treatment for a back injury depends on the severity of the injury. Those that prefer non-invasive, medication-free treatment are able to recover with chiropractic or physical therapy. Chiropractic doctors are experts in the spine and the musculoskeletal system. Chiropractic treatment is safe, proven, and can help relieve the pain, restore function, to get back to work safely.


Body Composition


Resistance Exercise

Resistance workouts are made to stress the muscles resulting in muscle gain. Resistance exercise makes the body adapt by growing the muscles to make them more capable of handling intense forces without strain. The stress of resistance exercise causes the muscle fibers to tear at the cellular level. Then, special muscle cells, known as satellite cells, jump into action to repair, rebuild, and grow the muscle. These types of exercises include high-intensity workouts or compound exercises that increase muscle growth. However, there needs to be a healthy balance between workouts and rest to support healthy hormone levels and maximize muscle gain.

Hormones

There are three primary hormones that stimulate muscle hypertrophy. They are:

  • Insulin-like growth factor 1 IGF-1
  • Growth hormone GH
  • Testosterone

Muscle protein synthesis is a critical process in muscle hypertrophy and happens after weight training. The hormones signal to the muscle to repair and rebuild after workout sessions. GH is released in high quantities during sleep, which is why proper sleep is needed to help reach body composition goals. When nutrition, workouts, and hormonal effects are combined, muscle-building happens. Figuring out the right balance is essential for reaching health goals.

References

Burton, A K, and E Erg. “Back injury and work loss. Biomechanical and psychosocial influences.” Spine vol. 22,21 (1997): 2575-80. doi:10.1097/00007632-199711010-00021

www.osha.gov/laws-regs/regulations/standardnumber/1904/1904.5

www.bls.gov/opub/ted/2018/back-injuries-prominent-in-work-related-musculoskeletal-disorder-cases-in-2016.htm

Marjorie L Baldwin, Pierre Côté, John W Frank, William G Johnson, Cost-effectiveness studies of medical and chiropractic care for occupational low back pain: a critical review of the literature, The Spine Journal, Volume 1, Issue 2, 2001, Pages 138-147, ISSN 1529-9430, doi.org/10.1016/S1529-9430(01)00016-X.(https://www.sciencedirect.com/science/article/pii/S152994300100016X)

Randall, Sara. “1. Avoiding back injury.” The practicing midwife vol. 17,11 (2014): 10, 12-4.

Types of Vehicle Accidents and Crashes

Types of Vehicle Accidents and Crashes

Common Types of vehicle/automobile crashes and accidents. Most accidents and crashes are caused by driving errors, recklessness, distraction, or disregard of traffic laws. Some accidents are caused by safety system failure or defective parts on the vehicle. Individuals can suffer severe and/or permanent injuries, even death.

Types of Vehicle Accidents and Crashes

Types of Accident/Crashes

Single Vehicle Accident

This type of road, highway traffic accident where only one vehicle is involved. Most of these types of crashes are:

  • Run-off-road collisions
  • Collisions with fallen debris
  • Rollovers
  • Collisions with animals

Side Impact/T-bone Collision

These accidents, also known as broadside or T-bone collisions, impact the side of one or more vehicles. According to the Insurance Institute for Highway Safety, these crashes and accidents often happen at:

  • Busy intersections
  • Parking lots
  • When a vehicle runs a red light, and a driver that has the green light gets slammed.
  • These types of collisions account for a quarter of passenger vehicle occupant deaths.
  • Injuries from a side-impact collision can be severe but vary depending on where the vehicle was struck.

Rear-End Collisions

Rear-end collisions account for around a fourth of all collisions. These accidents and crashes happen because of:

  • Driver inattention
  • Distraction – Driver distraction has become a common factor in many rear-end crashes.
  • Tailgating – When a driver tailgates, they reduce the reaction time to come to a safe stop.
  • Panic stops
  • Reduced wheel traction because of damaged roads/highways or dangerous road conditions caused by weather.

Head-on Collision

Head-on collisions are often fatal road and highway accidents and crashes. This can be caused by drivers not seeing or paying attention to:

  • Wrong-way signs
  • New construction
  • Construction detour directions
  • Street conditions
  • Staying in the proper lane
  • Impaired driving and going the wrong way have become common factors in head-on collisions.

Vehicle Rollover

These types of accidents and crashes can be complex and violent. Rollovers happen from:

  • Drivers speeding, making sharp turns, cutting across lanes to exit
  • Road conditions
  • Construction
  • Vehicle dysfunctions like an accelerator that gets stuck, loss of brakes,
  • Weather and environmental factors
  • Impaired driving
  • According to the National Highway Traffic Safety Administration or NHTSA, research shows that around 85% of rollover-related fatalities result from a single-vehicle accident or crash.

When involved in a car crash or accident, the force of the collision can shift the spine and body’s joints out of alignment causing all types of injuries. Adjustments and realignment can help alleviate the pain and help heal the injury/s. Chiropractic treatment following a crash or accident is an important step that can benefit the body’s health.


Body Composition


Benefits of Dairy Intake

Packed Nutrient Profile

Dairy foods have an impressive nutrition label, and dairy is considered a healthy source of many essential nutrients.

  • A cup of cow’s milk provides close to 8 grams of protein. This exceeds the protein content of most non-dairy milk alternatives.
  • There are also essential micronutrients.
  • Increasing dairy consumption can significantly improve under-consumed nutrients like:
  • Calcium
  • Magnesium
  • Vitamin A
  • Vitamin D

Bone Health

A glass of milk has seven of the eight nutrients considered essential for bone maintenance. This includes:

  • Protein
  • Calcium
  • Phosphorus
  • Magnesium
  • Zinc
  • Vitamin K
  • Studies have found that milk and dairy intake increases bone formation and bone mineral content during childhood and adolescence.
  • This means that the bones are stronger and are at less risk of fractures.
References

Christ, Daniel. “Simulating the relative influence of tire, vehicle and driver factors on forward collision accident rates.” Journal of safety research vol. 73 (2020): 253-262. doi:10.1016/j.jsr.2020.03.009

Texas DOT: 2017 Crash Statistics

Texas DOT: Total and DUI Fatal and Injury Crashes Comparison

Thorning, Tanja Kongerslev et al. “Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence.” Food & nutrition research vol. 60 32527. 22 Nov. 2016, doi:10.3402/fnr.v60.32527