Back Clinic Chiropractic Neck Pain Treatment Team. Dr. Alex Jimenez’s collection of neck pain articles cover an assortment of medical conditions and/or injuries pertaining to pain and other symptoms surrounding the cervical spine. The neck consists of various complex structures; bones, muscles, tendons, ligaments, nerves, and other tissues. When these structures are damaged or injured as a result of improper posture, osteoarthritis, or even whiplash, among other complications, the pain and discomfort individual experiences can be debilitating.
Depending on the underlying cause, neck pain symptoms can take on many different forms. They include:
Pain when holding your head in one place for long periods of time
Inability to move your head freely
Muscle tightness
Muscle spasms
Headache
Frequent cracking and crunching
Numbness and nerve pain radiating from the neck down to the upper arm and hand
Through chiropractic care, Dr. Jimenez explains how the use of manual adjustments to the cervical spine can greatly help relieve the painful symptoms associated with neck issues. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Get informed about the effects of auto accidents, such as whiplash and Achilles tendinosis, and their implications for recovery.
Introduction
Imagine you’re driving along, singing to your favorite tune, when—bam!—another car rear-ends you. Your head snaps back and forth like a bobblehead on a bumpy road. That’s whiplash, folks, and it’s no laughing matter, despite the cartoonish image. Whiplash is a neck injury caused by sudden, forceful head movement, most often from motor vehicle accidents (MVAs). It affects the muscles, ligaments, and tendons in the neck, leading to pain that can range from a mild nuisance to a life-altering ordeal.
In this in-depth guide, we’ll explore whiplash from every angle: what it is, how it occurs, its symptoms, and the most effective ways to treat it. We’ll delve into why ligament injuries are a significant concern and how they contribute to chronic pain. Plus, we’ll spotlight Dr. Alexander Jimenez, a top chiropractor in El Paso, Texas, whose expertise helps accident victims recover and navigate personal injury claims. With a touch of humor to keep things light, we’ll also delve into the serious legal aspects, illustrating how the medical and legal worlds intersect to support victims. Buckle up—it’s going to be an informative ride!
Whiplash is like your neck’s version of a bad rollercoaster ride. It occurs when your head is jerked backward and then forward (or vice versa) with enough force to strain or tear the neck’s soft tissues. This rapid motion, often referred to as a cervical acceleration-deceleration injury, is most commonly triggered by rear-end car collisions. Picture this: your car gets hit from behind, your body lurches forward, but your head lags for a split second before snapping back. Ouch!
Mechanism of Injury
The physics of whiplash is brutal. In a rear-end crash, the sudden force pushes your torso forward, while your head remains momentarily still, causing hyperextension (overstretching backward). Then, as your body stops, your head whips forward into hyperflexion. This S-shaped motion of the cervical spine exceeds its normal limits, causing damage to tissues (Whiplash Associated Disorders). Other causes include sports injuries, falls, or even a particularly wild amusement park ride.
Anatomy of the Neck
Your neck, or cervical spine, is a marvel of engineering. It’s made of seven vertebrae (C1-C7) that support your head’s weight and allow you to nod, shake, and tilt like a pro. Between these vertebrae are intervertebral discs, acting like tiny shock absorbers. Ligaments, such as the anterior longitudinal ligament (ALL) and the posterior longitudinal ligament (PLL), maintain stability. Muscles and tendons provide movement and support. Whiplash disrupts this delicate balance, often targeting ligaments and muscles.
Types of Injuries
Whiplash can cause a variety of injuries, including:
Muscle Strains: Overstretched or torn muscle fibers, leading to soreness.
Ligament Sprains: Stretched or torn ligaments, especially the ALL, causing instability.
Tendon Injuries: Damage to tendons connecting muscles to bones.
Disc Herniation: Protruding discs that press on nerves.
Nerve Damage: Irritation or compression causing numbness or weakness.
Fractures: Rare, but possible in severe cases.
These injuries explain why whiplash can be so painful and persistent if not treated properly (Whiplash Injury).
Whiplash symptoms are like uninvited guests—they might not show up right away, but can linger for an extended period. Some people feel fine after a crash, only to wake up the next day with a neck that feels like it’s been through a wrestling match.
Common Symptoms
Here’s what you might experience:
Neck Pain and Stiffness: The hallmark of whiplash, often worse with movement.
Headaches: Starting at the skull’s base, sometimes spreading forward.
Shoulder and Upper Back Pain: From muscle tension or referred pain.
Dizziness: Feeling woozy or like the room is spinning.
Fatigue: A general sense of being wiped out.
Cognitive Issues: Trouble focusing, memory lapses, or irritability.
Sensory Disturbances: Numbness or tingling in arms or hands.
Visual Problems: Blurred vision or light sensitivity.
Sleep Issues: Pain is making it hard to get a good night’s sleep.
Symptoms can vary in intensity and may take hours or days to appear (Whiplash Symptoms).
Diagnosis
Diagnosing whiplash is like solving a puzzle. Doctors start with:
Patient History: They’ll ask about the accident, when symptoms began, and any past neck issues.
Physical Exam: Checking neck movement, tenderness, and neurological signs like reflexes and strength.
Imaging Tests:
X-rays: To spot fractures or dislocations.
MRI: For soft tissue damage like ligament tears.
CT Scans: Detailed bone images.
Soft tissue injuries often don’t show on X-rays, so normal results don’t rule out whiplash. Early diagnosis is key to preventing chronic pain (Whiplash Diagnosis).
Importance of Early Diagnosis
Think of whiplash like a leaky faucet—ignore it, and you’ll have a bigger mess later. Prompt diagnosis enables timely treatment, thereby reducing the risk of long-term complications.
Treating whiplash is similar to fixing a car after a fender bender—you need the right tools and a skilled mechanic. The goal is to reduce pain, restore function, and prevent chronic issues. Research suggests active treatments work best, and Dr. Alexander Jimenez in El Paso is a master at this.
Standard Treatment Approaches
Pain Management:
Medications: Over-the-counter options like ibuprofen or acetaminophen. Severe cases may require muscle relaxants or stronger pain medications.
Ice and Heat: Apply ice for the first 48 hours to reduce swelling, then use heat to relax muscles (Whiplash Treatments).
Physical Therapy:
Exercises: To boost the range of motion and strengthen neck muscles.
Manual Therapy: Massage or mobilization to ease pain.
Rest and Activity Modification:
Short-Term Rest: Avoid activities that may aggravate the condition initially.
Gradual Activity: Returning to normal tasks to prevent stiffness.
Education: Understanding the injury and recovery process empowers patients.
The Root Causes of Pain- Video
Dr. Jimenez’s Approach
Dr. Jimenez is like the Tony Stark of chiropractic care, utilizing cutting-edge techniques to help patients recover quickly. His clinic offers:
Chiropractic Adjustments: Realigning the spine to reduce pain.
Soft Tissue Therapies: Myofascial release or trigger point therapy for muscle tension.
Massage Therapy: To improve circulation and relaxation.
Exercise Rehabilitation: Tailored programs to strengthen and stabilize the neck (Chiropractic Care).
He’s also vocal about ditching cervical collars, which can weaken muscles and slow recovery. A study he cites found better outcomes with active treatments over collars (Cervical Collars).
Evidence-Based Insights
The Croft Whiplash Treatment Guidelines outline treatment duration based on injury severity:
Interestingly, whiplash shares similarities with Achilles tendonosis, such as abnormal blood vessel growth, suggesting that some treatments may overlap (Tendonosis Similarities).
Ligaments are the unsung heroes of your neck, keeping your spine stable like the ropes on a suspension bridge. When whiplash strikes, these ligaments, especially the anterior longitudinal ligament (ALL), can sustain significant damage, leading to serious consequences.
Why Ligament Injuries Are Critical
The ALL runs along the front of your spine, preventing excessive backward bending. Whiplash’s hyperextension phase can cause stretching or tearing, leading to instability. This can lead to:
Chronic Pain: From abnormal spine movement.
Increased Injury Risk: A wobbly spine is prone to further damage.
Degeneration: Over time, instability may cause arthritis or disc issues (Ligament Injuries).
Ligament injuries can be challenging because they often don’t show up on X-rays, requiring MRI or specialized imaging techniques like digital motion X-ray (DMX) (DMX Study).
Research Insights
Studies confirm ligament damage is common in whiplash. One found that ALL can stretch to 56% of its failure point at just eight mph collisions (ALL Study). The Croft Guidelines note that Grade III and IV whiplash involve ligamentous injury, requiring longer treatment (Croft Guidelines).
Dr. Jimenez’s Expertise
Dr. Jimenez utilizes advanced imaging techniques to detect ligament damage, ensuring an accurate diagnosis. His treatments focus on stabilizing the spine through chiropractic care and exercises, addressing the root cause of pain (El Paso Back Clinic).
Getting whiplash from a car accident is bad enough, but then comes the paperwork jungle of personal injury claims. In El Paso, where MVAs are all too common, experts like Dr. Jimenez bridge the gap between medical care and legal justice.
Understanding Personal Injury Law
Personal injury law helps victims harmed by someone else’s negligence—like a distracted driver—get compensation for medical bills, lost wages, and pain. Whiplash cases often involve claims against the at-fault driver’s insurance or lawsuits if settlements fail (Medical Experts).
The Role of Medical Documentation
Medical records are the backbone of a personal injury case. They prove:
The injury’s nature and extent.
The link to the accident.
The treatment and costs involved.
Without solid documentation, claims can falter (Doctors’ Role).
Dr. Jimenez’s Contribution
Dr. Jimenez is like a superhero with a stethoscope and a law library. He:
Provides Detailed Reports: Using MRI and diagnostic tools to document injuries.
Offers Expert Testimony: Explaining medical details to judges and juries.
Acts as a Liaison: Ensuring medical records reach lawyers and insurers accurately (El Paso Back Clinic).
His work strengthens cases by providing clear evidence of the impact of whiplash.
Importance in El Paso
El Paso’s busy roads see frequent accidents, making skilled practitioners like Dr. Jimenez vital. His reputation as a top chiropractor, recognized by awards from 2015 to 2024, makes him a trusted ally for victims (LinkedIn Profile).
While patient privacy prevents sharing specific cases, Dr. Jimenez has helped countless whiplash victims recover. Imagine a teacher rear-ended at a stoplight, suffering Grade II whiplash. After weeks of chiropractic adjustments, massage, and exercises at his clinic, she’s back in the classroom, pain-free. Such outcomes highlight the power of active treatment and expert care.
Conclusion
Whiplash is more than a sore neck—it’s a complex injury that can disrupt lives if ignored. Ligament injuries, such as those to the anterior longitudinal ligament, are a key reason why prompt, active treatment is crucial. Dr. Alexander Jimenez’s expertise in El Paso, combining advanced diagnostics with chiropractic care, offers hope for recovery and legal support for personal injury claims.
If you’ve been in an MVA, don’t wait for symptoms to worsen. Seek medical care immediately to protect your health and strengthen any potential legal case. The road to recovery starts with the right help.
Disclaimer: This guide is for informational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.
Chronic neck pain may stem from ligamentous injuries. Uncover insights and solutions to relieve your pain and improve mobility.
Introduction: The Persistent Shadow of Chronic Neck Pain
Chronic neck pain is like a grim companion that lingers far too long, much like a gloomy Wednesday Addams brooding over a particularly dreary day. It’s not just a minor annoyance; it’s a widespread condition affecting 30–50% of the general population, with women over 50 bearing the brunt (The Open Orthopaedics Journal, 2014). About one-third of these individuals endure pain lasting longer than six months, and for 5%, it becomes a debilitating force, slashing their quality of life. Imagine trying to enjoy a sunny day when your neck feels like it’s plotting a mutiny.
What’s behind this misery? Often, it’s not just a stiff muscle or a pinched nerve but something deeper: ligamentous injuries. These tough bands of tissue, which hold your spine together like the strings of a grim puppet, can be damaged in motor vehicle accidents (MVAs), falls, or even by the slow torture of poor posture. When ligaments falter, the cervical spine loses stability, setting off a cascade of overlapping pain symptoms that can make life feel like a gothic novel.
In this guide, we’ll unravel the connection between ligamentous injuries and chronic neck pain, focusing on their relevance to personal injury practices, particularly in motor vehicle accident (MVA) cases. We’ll explore prolotherapy, a treatment that might banish the pain like a well-timed quip from Wednesday herself. And we’ll spotlight Dr. Alexander Jimenez, a dual-licensed chiropractor and nurse practitioner in El Paso, whose expertise in treating MVA victims is as sharp as a guillotine’s edge. So, let’s dive into this tale of pain, recovery, and the hope of a pain-free existence.
The Role of Ligamentous Injuries in Chronic Neck Pain
Ligaments are the unsung heroes of your body, silently keeping your bones in line like loyal but underappreciated butlers. In the neck, the cervical spine depends on these structures, especially the capsular ligaments, to stabilize the facet joints—the small hinges between vertebrae that allow you to turn your head without it rolling off like a scene from a Tim Burton film. When these ligaments are injured, they can stretch or tear, leading to cervical instability —a condition in which the vertebrae move more than they should, causing discomfort and chronic pain.
The symptoms depend on where the injury strikes. In the upper cervical spine (C0-C2), you might face nerve irritation, leading to migraines, dizziness, vertigo, tinnitus, facial pain, or arm pain—basically, a full cast of unpleasant characteristics. In the lower cervical spine (C3-C7), expect muscle spasms, a grinding or popping sensation (crepitation), tingling (paresthesia), and that relentless neck pain that feels like it’s auditioning for a horror movie role.
Whiplash, often from MVAs, is a prime suspect in these injuries. Research indicates that whiplash can stretch ligaments up to 275% of their normal length, leaving them lax and unable to return to their original position (The Open Orthopaedics Journal, 2014). Even low-speed collisions (7–8 mph) can generate forces strong enough to cause this damage, with the head whipping through 18 inches at 7G in less than a quarter of a second. It’s like your neck is starring in its high-speed chase scene but without the Hollywood glamour.
Other culprits include falls, sports injuries, or the slow, gradual strain of carrying heavy loads improperly. Without proper care, these injuries can turn chronic neck pain into a lifelong nemesis, lurking in the shadows of every movement.
Motor Vehicle Accidents: The Catalyst for Neck Injuries
Motor vehicle accidents are the modern equivalent of a medieval joust—sudden, violent, and likely to leave you worse for wear. Rear-end collisions are notorious for causing whiplash-associated disorders (WAD), a collection of symptoms ranging from neck pain and stiffness to headaches and cognitive fog. It’s as if your body decides to throw a tantrum after being rudely jostled.
The sneaky thing about WAD is its delayed debut. You might walk away from a crash feeling like you’ve dodged a bullet, only to find symptoms creeping in days or weeks later, like an unwelcome plot twist. This delay happens because initial inflammation and improper ligament healing can take time to manifest as chronic pain. A 2019 study explained that early spinal manipulation therapy (SMT) can reduce the risk of long-term issues, emphasizing the need for prompt care (El Paso Back Clinic).
At El Paso Back Clinic, Dr. Alexander Jimenez specializes in treating musculoskeletal injuries related to motor vehicle accidents (MVAs). His team understands that ligaments, muscles, and tendons bear the brunt of these collisions, leading to conditions like sprains, strains, and even disc herniations. Early intervention, through chiropractic adjustments and other therapies, can prevent these injuries from becoming a lifelong saga of pain.
Prolotherapy: A Ray of Hope for Ligament Repair
Prolotherapy is like a dark ritual for healing, but instead of candles and chants, it uses injections to summon your body’s repair crew. This regenerative therapy involves injecting a solution—typically a mixture of dextrose, saline, and a local anesthetic—into damaged ligaments or tendons. The irritation sparks a healing response, encouraging the growth of new tissue to strengthen the area. It’s as if your body is tricked into rebuilding its crumbling architecture.
For chronic neck pain, prolotherapy targets the lax ligaments that cause cervical instability. Unlike conventional treatments like NSAIDs, narcotics, or physical therapy, which often mask the pain, prolotherapy aims to fix the root cause. The 2014 report highlights that over 85% of patients with cervical ligament injuries, including those with WAD or headaches, reported minimal to no residual pain after prolotherapy. Another study showed a significant improvement in the Neck Disability Index (NDI) scores 12 months post-treatment, with a change of 13.77 (p < 0.001) (The Open Orthopaedics Journal, 2014).
Dr. Jimenez offers prolotherapy at El Paso Back Clinic, integrating it into his holistic approach. This minimally invasive procedure, performed outpatient, is gaining traction as an alternative to surgery or long-term medication, offering hope to those tired of living under pain’s grim shadow.
Dr. Alexander Jimenez: El Paso’s Trusted Expert
In El Paso, Dr. Alexander Jimenez is the equivalent of a lighthouse in a storm for MVA victims. With over 30 years of experience, his dual licensure as a chiropractor and nurse practitioner allows him to blend holistic and traditional medical care, creating a comprehensive treatment plan that’s as precise as Wednesday Addams’ aim with a crossbow. At El Paso Back Clinic, he’s known for clinically correlating injuries, ensuring that personal injury attorneys and medical providers understand the full scope of a patient’s condition.
Dr. Jimenez’s approach goes beyond symptom relief. He delves into the root causes, employing techniques such as chiropractic adjustments, manual manipulations, and prolotherapy to restore function. His collaboration with personal injury attorneys ensures proper documentation, which is crucial for legal cases. Patients praise his compassionate care, with many regaining their quality of life after chronic pain (El Paso Back Clinic).
Injury Medical Clinic offers a range of services, from wellness and nutrition to specialized care for auto accident injuries, making it a one-stop shop for recovery. Whether it’s a sprained ligament or a complex herniated disc, Dr. Jimenez’s expertise shines through.
The Science Behind Ligamentous Injuries
To understand why ligamentous injuries are such a pain—literally—let’s dive into the science. The cervical spine’s capsular ligaments are designed to keep vertebrae in check, but they’re not invincible. A force as low as 5 N can cause failure, although most studies report a force of around 100 N (The Open Orthopaedics Journal, 2014). In MVAs, even low-speed impacts can generate sufficient force to stretch or tear these ligaments, resulting in instability.
This instability triggers a domino effect. The vertebrae move excessively, irritating nerves and causing inflammation. Within the upper cervical spine, this can lead to vertebrobasilar insufficiency, resulting in symptoms like vertigo or tinnitus. In the lower spine, it’s primarily characterized by muscle spasms and chronic pain. Up to 25% of severe neck trauma lesions, especially with rotation, involve the C0-C2 ligaments alone, making them a critical focus for treatment.
Why Conventional Treatments Fall Short
Conventional treatments like NSAIDs, narcotics, cervical collars, and physical therapy are like putting a Band-Aid on a broken bone—they might help temporarily. Still, they don’t fix the underlying issue. The 2014 report notes that these methods have limited long-term success, particularly for WAD, which is notoriously resistant to standard care (The Open Orthopaedics Journal, 2014). Patients often find themselves in a cycle of temporary relief followed by recurring pain, like a grim rerun of a bad sitcom.
This is where prolotherapy stands out. By stimulating ligament repair, it addresses the instability at the heart of chronic neck pain, offering a potential cure rather than a temporary fix. Dr. Jimenez’s use of prolotherapy, combined with chiropractic care, aligns with this evidence-based approach, providing a path to lasting relief.
The Importance of Early Intervention
Time is not your friend when it comes to MVA injuries. The longer you wait, the more likely it is that ligament damage will lead to chronic pain. Early chiropractic care, as Dr. Jimenez provides, can realign the spine and reduce inflammation, preventing the progression to chronic syndromes. The 2019 European Spine Journal study underscores this, showing that early SMT can significantly lower the risk of long-term issues (El Paso Back Clinic).
Dr. Jimenez’s clinic emphasizes immediate care, utilizing diagnostic tools to assess ligament damage and tailor treatments accordingly. This proactive approach is crucial for personal injury cases, where timely intervention can significantly impact a patient’s recovery and legal outcome.
Chiropractic Care for Healing After Trauma- Video
Case Studies: Real-Life Recovery Stories
While specific patient stories from Dr. Jimenez’s clinic aren’t detailed here, his website highlights testimonials from patients who have regained their lives after overcoming chronic pain (El Paso Back Clinic). Imagine a patient, let’s call her Morticia, who suffered whiplash in a rear-end collision. Initially, she dismissed the stiffness, but weeks later, headaches and neck pain began to take over. After conventional treatments failed, she turned to Dr. Jimenez. Through a combination of chiropractic adjustments and prolotherapy, her ligaments healed, and her pain faded, allowing her to return to her gothic gardening with a smirk.
Another hypothetical case: Gomez, a construction worker, experienced neck pain after a minor MVA. Dr. Jimenez’s thorough assessment revealed ligament laxity and prolotherapy sessions restored stability. Gomez was back to lifting heavy loads, his only complaint being the lack of a good cigar to celebrate.
These stories, while fictionalized for humor, reflect the real impact of Dr. Jimenez’s care, as evidenced by patient reviews averaging 5.0 stars (Healthline FindCare).
The Legal Angle: Documenting Injuries for Personal Injury Cases
In personal injury cases, documentation is king. Dr. Jimenez’s expertise in clinically correlating injuries ensures that attorneys have the evidence needed to build strong cases. Ligamentous injuries, though not always visible on standard imaging, can be assessed through clinical evaluations and specialized tests. Dr. Jimenez’s reports detail the extent of the damage, linking it to the MVA and justifying treatments such as prolotherapy. This collaboration is vital for securing fair compensation for victims (El Paso Back Clinic).
Holistic and Traditional Care: Dr. Jimenez’s Dual Approach
Dr. Jimenez’s dual licensure sets him apart. As a chiropractor, he employs techniques such as spinal manipulation, cranial therapy, and prolotherapy to address physical injuries. As a nurse practitioner, he can incorporate medical diagnostics and treatments to ensure a comprehensive approach to patient care. This blend is like mixing Wednesday’s dark wit with Gomez’s fiery passion—effective and unique. His clinic’s focus on wellness, nutrition, and functional medicine further enhances recovery, addressing not just the injury but the whole patient (El Paso Back Clinic).
The Broader Impact of Chronic Neck Pain
Chronic neck pain doesn’t just affect the neck; it ripples through life, impacting work, relationships, and mental health. 5% of sufferers with significant disability face reduced productivity and quality of life, making effective treatment critical. Conditions like disc herniation, cervical spondylosis, and post-concussion syndrome often coexist with ligament injuries, complicating recovery. Dr. Jimenez’s holistic approach tackles these complexities, offering hope where conventional methods fall short.
Prevention: Avoiding the Pain Before It Starts
While not always possible, preventing chronic neck pain involves maintaining good posture, practicing safe driving habits, and seeking prompt care after injuries. Strengthening neck muscles through exercises and avoiding repetitive strain can help alleviate symptoms. Dr. Jimenez’s clinic offers wellness programs to build resilience, reducing the risk of future injuries (El Paso Back Clinic).
The Dark Humor of Pain: A Wednesday Addams Perspective
Living with chronic neck pain is like being stuck in a never-ending Addams Family reunion—grim, uncomfortable, and full of unexpected twists. Your neck might creak like the mansion’s floorboards, and every turn of the head feels like a plot twist in a gothic novel. But fear not; there’s a way out of this dreary tale. With treatments like prolotherapy and experts like Dr. Jimenez, you can send that pain packing, leaving you free to brood over more interesting things, like the perfect shade of black.
Conclusion: A Serious Call to Action
Chronic neck pain, especially from ligamentous injuries, is no laughing matter despite our grim humor. It’s a condition that demands attention, particularly after MVAs, where timely care can prevent a lifetime of suffering. Dr. Alexander Jimenez at El Paso Back Clinic offers a beacon of hope, combining chiropractic expertise, prolotherapy, and a deep understanding of personal injury cases. If you’re grappling with neck pain, don’t let it define you. Seek expert care, explore options like prolotherapy, and take the first step toward recovery. Your neck—and your sanity—will thank you.
Find out what you need to know about thoracic outlet syndrome associated with a car accident and the potential long-term consequences.
Introduction
Your life may be completely upended by a car accident more quickly than you can say “fender bender.” They may leave you with injuries that linger like an unwanted visitor, in addition to crumpled bumpers and insurance-related hassles. The cervical spine, the unsung hero that keeps your head up as you binge-watch your favorite program, is one such damage. A disease known as Thoracic Outlet Syndrome (TOS), which may cause your arms to feel like they’re trying out for a zombie movie with all that numbness and tingling, can result from ligament damage caused by an accident that jolts your neck. We’ll explore the clinical viewpoint of these injuries in this essay, emphasizing how El Paso physician Dr. Alexander Jimenez aids in victims’ recovery and the need to record these injuries for your health and any future legal claims.
What Happens to the Cervical Spine After a Car Accident?
Picture your neck as a tower of Jenga blocks carefully stacked to keep everything in place. Now, imagine a car rear-ending you, sending those blocks wobbling like a bad game night. Whiplash is a rapid back-and-forth motion of the neck that occurs in approximately 1 million car accidents annually in the U.S., costing society up to $29 billion and affecting individuals’ socio-economic lifestyles. Whiplash doesn’t just give you a sore neck; it can seriously mess with the ligaments that hold your cervical spine together.
The Anatomy of Your Neck
The seven vertebrae in the cervical spine are cushioned by discs and held together by ligaments, which are the anterior longitudinal ligament, posterior longitudinal ligament, capsular ligaments, interspinous ligaments, supraspinous ligaments, and ligamentum flavum. These ligaments are like the seatbelts of your spine, keeping everything secure. However, in a crash, the sudden force, ranging from 3.5 to 8 g’s in a rear-end collision, can stretch or tear these ligaments, thereby reducing their strength. A study found that whiplash decreases the force required for ligament failure by approximately 20% (149.4 N vs. 186.0 N) and energy absorption by roughly 22% (308.6 J vs. 397.0 J). (Tominaga et al., 2006). This damage can lead to cervical instability, where your neck becomes as wobbly as a bobblehead on a dashboard.
The Whiplash Effect
Whiplash is like your neck trying to do an impromptu dance move it wasn’t prepared for. The rapid motion overstretches ligaments beyond their normal range, sometimes causing micro tears or complete ruptures. This instability can lead to chronic pain, stiffness, and even more complex issues down the road, like Thoracic Outlet Syndrome. It’s as if your neck says, “I’m done holding it together!” and passes the problem to other parts of your body. It’s like a disaster with the neck and ligaments, which is no laughing matter, as it can significantly impact your daily life, from simply turning your head to lifting your arms.
Can Ligament Damage Cause Thoracic Outlet Syndrome?
Now, let’s discuss Thoracic Outlet Syndrome, or TOS, which may sound like something you’d find in a haunted mansion, but it is, in fact, a medical condition. TOS happens when the nerves or blood vessels in the thoracic outlet—the narrow space between your collarbone and first rib get compressed, causing pain, numbness, or tingling in your arms and hands, making you feel like your limbs are staging a protest. But how does a neck injury from a car crash lead to this?
The Connection Between Whiplash and TOS
When your cervical spine ligaments are damaged, they can’t hold the vertebrae as tightly, leading to instability or misalignment. This can affect nearby structures, like the scalene muscles in your neck, which are part of the thoracic outlet. Inflammation or scar tissue from the injury can further narrow this space, squeezing the brachial plexus nerves or subclavian vessels. A study found that 30 out of 35 whiplash patients had thoracic outlet syndrome (TOS), confirmed by slowed ulnar nerve conduction velocity, suggesting a direct link. (Sanders et al., 2007) It’s like your neck’s injury sends a ripple effect, turning the thoracic outlet into a crowded subway station where nerves and vessels get squished.
Types of TOS
TOS comes in three flavors:
Neurogenic TOS: The most common (95% of cases), where nerves like the brachial plexus are compressed, causing arm pain and numbness.
Venous Thoracic Outlet Syndrome (TOS): Affects veins, leading to swelling or thrombosis in approximately 5% of cases.
Arterial TOS: The rarest (1%) form involves compression of the artery, which can cause issues with blood flow.
Whiplash typically leads to neurogenic thoracic outlet syndrome (TOS) due to nerve compression from damaged muscles or ligaments. It’s like imagining the nerves are trapped in a dark, cramped corridor, crying out for freedom!
Why It Happens
In a car accident, trauma can damage or injure the scalene muscles, causing inflammation and narrowing of the thoracic outlet. Cervical instability may also alter your posture, causing your shoulders to shift forward and compress the outlet further. It’s like your body’s architecture gets a bad renovation, and the nerves pay the price.
What Is Thoracic Outlet Syndrome?- Video
Understanding TOS Symptoms After Whiplash Injuries
So, what does TOS feel like? If you’ve been in a car crash and now your arms feel like they’re buzzing with static or aching like you’ve been arm-wrestling Uncle Fester from the Addams Family, TOS might be to blame. Let’s break down the symptoms and why they happen.
Symptoms of TOS
Pain in the neck, shoulder, or arm.
Numbing/Tingling sensation in the arms or hands, especially the ring and pinky fingers.
Muscle Weakness in the upper extremities
Swelling or Discoloration: In venous TOS, your arm might swell or turn blue.
These symptoms arise because the brachial plexus nerves, which carry signals from your spine to your arms, are compressed. (Cavanna et al., 2022) This is akin to a traffic jam on the nerve highway, where signals become stuck, causing pain or sensory changes.
Acute vs. Chronic Symptoms
In the acute phase (within 3.5 months post-accident), neck pain might dominate, with TOS symptoms being mild. But in chronic cases (over 2 years), TOS symptoms like arm pain and numbness can become the main issue. This is why early treatment is crucial, and when individuals ignore the pain associated with TOS, it is like neglecting a creaky floorboard in the Addams Family mansion; it only worsens over time.
Pathophysiology of Nerve Pain
When the brachial plexus is compressed, it disrupts nerve signals, leading to pain, tingling, or weakness. The capsular ligaments, which contain sensory nerves, can also be injured, contributing to chronic pain. Studies show that nerve blocks or radiofrequency ablation can relieve this pain, confirming the link between nerve compression. (Li et al., 2021) It’s as if your nerves are sending SOS signals, but the message gets garbled.
How Dr. Alexander Jimenez Helps MVA Victims in El Paso
In El Paso, Dr. Alexander Jimenez is like the Lurch of injury recovery—big on expertise and always there to help. As a chiropractor and family nurse practitioner, he brings a unique blend of holistic and evidence-based care to MVA victims. His clinic specializes in treating whiplash, back pain, and conditions such as thoracic outlet syndrome (TOS), utilizing functional medicine and advanced therapies to restore mobility and alleviate pain.
Integrative Care Approach
Dr. Jimenez’s dual licensure allows him to combine chiropractic adjustments with medical interventions, addressing both the structural and physiological aspects of injuries. His team, including chiropractors, nurse practitioners, and nutritionists, creates personalized treatment plans. For example, they might use chiropractic adjustments to correct spinal misalignment, physical therapy to strengthen muscles, and nutritional guidance to reduce inflammation. This integrative approach is like a well-orchestrated dance, as everyone works together for a flawless performance.
Supporting Legal and Medical Needs
Dr. Jimenez excels at correlating soft tissue and spinal injuries for personal injury attorneys and healthcare teams. By thoroughly documenting injuries through clinical evaluations and imaging, he ensures that the link between the MVA and symptoms, such as TOS, is clear. This is vital for legal claims, as it proves the accident caused the injury. His clinic’s focus on spine health and pain management makes him a trusted provider in El Paso.
Treatment Options
Some treatments offered include:
Chiropractic Adjustments: To realign the spine through mechanical and manual manipulation and reduce nerve compression.
Physical Therapy: Various exercises can help strengthen neck and shoulder muscles, improving stability. (Service, 2025)
Functional Medicine: Addressing inflammation and overall health to support recovery.
Pain Management: Techniques like nerve blocks or manual therapy to alleviate symptoms.
Dr. Jimenez’s approach helps to tinker with the body with a creative, precise, and effective method to promote health and wellness to the individual.
Documenting Ligamentous Injuries for Personal Injury Claims
Documenting injuries after an MVA is like keeping a detailed diary in the household. You need to record every creak and groan to understand the full story, as accurate documentation is essential for treatment and legal purposes.
Why Documentation Matters
Medical Treatment: Identifying ligament tears or instability through MRI or dynamic X-rays guides treatment, ensuring you receive the appropriate care, such as physical therapy or surgery, as needed.
Legal Claims: Proving that the accident caused your injuries is crucial for insurance claims or lawsuits. Detailed records link symptoms like TOS to the MVA.
Preventing Misdiagnosis: TOS is often misdiagnosed due to its vague symptoms. Proper documentation helps differentiate it from conditions like cervical radiculopathy.
How to Document
Clinical Evaluation: A thorough examination conducted by a healthcare provider, such as Dr. Jimenez, can identify signs of ligament damage or thoracic outlet syndrome (TOS).
Nerve Studies: Tests such as ulnar nerve conduction velocity can confirm thoracic outlet syndrome (TOS). (Hanif et al., 2007)
Medical Records: Detailed notes on symptoms, timeline, and treatments strengthen your case.
Without this, it’s like trying to convince people there’s no ghost in the attic. (Archie & Rigberg, 2017)
Challenges in Documentation
TOS is tricky to diagnose because its symptoms overlap with other conditions, like cervical disc disease. Studies note that TOS lacks standardized tests, making clinical expertise crucial. (Wang et al., 2019) Providers like Dr. Jimenez bridge this gap by combining clinical insight with diagnostic tools.
A Serious Note on Recovery
Auto accidents can have a negative impact on your quality of life, in addition to causing damage to your vehicle. After an MVA, don’t dismiss any neck discomfort, arm numbness, or weakness as a bad day; get care right away. Serious disorders, such as cervical instability or TOS, which may develop if left untreated, may be indicated by these symptoms. Seek treatment from a reputable physician, such as Dr. Alexander Jimenez, who can compassionately and expertly assist you in your recuperation. Thoroughly documenting your injuries can aid in your treatment and ensure that you have the necessary evidence to support any future legal claims. You should be able to return to your life without suffering and with confidence.
Injury Medical Chiropractic & Personal Injury Clinic
We associate certified medical providers who understand the importance of assessing individuals experiencing TOS (thoracic outlet syndrome) associated with an auto accident. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for reducing the overlapping risk profiles of TOS correlated with being involved in an auto accident to promote speedy recovery. Dr. Alex Jimenez, D.C., utilizes this information as a professional academic service. Disclaimer
Cavanna, A. C., Giovanis, A., Daley, A., Feminella, R., Chipman, R., & Onyeukwu, V. (2022). Thoracic outlet syndrome: a review for the primary care provider. Journal of Osteopathic Medicine, 122(11), 587-599. https://doi.org/10.1515/jom-2021-0276
Hanif, S., Tassadaq, N., Rathore, M. F., Rashid, P., Ahmed, N., & Niazi, F. (2007). Role of therapeutic exercises in neurogenic thoracic outlet syndrome. J Ayub Med Coll Abbottabad, 19(4), 85-88. https://www.ncbi.nlm.nih.gov/pubmed/18693607
Li, N., Dierks, G., Vervaeke, H. E., Jumonville, A., Kaye, A. D., Myrcik, D., Paladini, A., Varrassi, G., Viswanath, O., & Urits, I. (2021). Thoracic Outlet Syndrome: A Narrative Review. Journal of Clinical Medicine, 10(5), 962. https://doi.org/10.3390/jcm10050962
Sanders, R. J., Hammond, S. L., & Rao, N. M. (2007). Diagnosis of thoracic outlet syndrome. Journal of Vascular Surgery, 46(3), 601-604. https://doi.org/10.1016/j.jvs.2007.04.050
Tominaga, Y., Ndu, A. B., Coe, M. P., Valenson, A. J., Ivancic, P. C., Ito, S., Rubin, W., & Panjabi, M. M. (2006). Neck ligament strength is decreased following whiplash trauma. BMC Musculoskelet Disord, 7, 103. https://doi.org/10.1186/1471-2474-7-103
Wang, X. T., Yao, M., Zhong, M., Wang, Y. J., Shi, Q., & Cui, X. J. (2019). Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report. Medicine (Baltimore), 98(11), e14806. https://doi.org/10.1097/MD.0000000000014806
Find essential information on whiplash, including signs, prevention tips, and recovery strategies for optimal health.
Introduction
An abrupt impact, whether from a vehicle accident, sports injury, or fall, may cause symptoms that start off as a small shock and progress to crippling pain and functional impairment. Whiplash is one such ailment that often lacks recognition due to its intricacy. Although it is often linked to rear-end crashes, whiplash is a complex injury that, if ignored, may have long-term consequences for the musculoskeletal system and cervical spine. Have you had shoulder and neck stiffness before? Do you have persistent, chronic headaches? Or does it seem like your neck’s range of motion is limited? We’ll talk about whiplash’s frequent origins, symptoms, effects on the cervical spine and musculoskeletal system, and evidence-based therapy options to lessen the pain-like symptoms in today’s post.
What Is Whiplash?
Whiplash is a type of neck injury associated with a rapid back-and-forth head-and-neck motion, mimicking the crack of a whip, hence the name. This causes persistent physical complaints and disability, and complaints when left untreated. (Mayou & Radanov, 1996) Medically, it is categorized under cervical acceleration-deceleration (CAD) injuries. This abrupt motion can damage muscles, ligaments, intervertebral discs, and even the neural structures of the cervical spine.
Common Causes Of Whiplash
While motor vehicle accidents are the most recognized cause, many mechanisms can precipitate a whiplash injury:
Even minor collisions at speeds as low as 5–10 mph can produce enough force to cause whiplash symptoms in vulnerable individuals.
Symptoms of Whiplash
When individuals are experiencing whiplash, the symptoms can appear immediately or may be delayed for 24–72 hours post-injury. Additionally, whiplash injuries are considered soft tissue injuries to the neck with various clinical symptoms that vary in severity and may include: (Chen et al., 2009)
Neck pain and stiffness
Reduced range of motion
Shoulder and upper back pain
Headaches, especially originating at the base of the skull
Jaw pain or temporomandibular joint (TMJ) dysfunction
Dizziness or visual disturbances
Tingling or numbness sensations in the arms (cervical radiculopathy)
Fatigue and cognitive issues (“whiplash-associated disorders” or WAD)
How Whiplash Affects the Cervical Spine and Musculoskeletal System
Whiplash is more than just a soft tissue injury, as it impacts several interconnected systems:
1. Cervical Spine
The rapid motion during a whiplash injury can lead to:
Cervical facet joint irritation
Intervertebral disc compression or herniation
Muscle strain or ligamentous sprain
Altered cervical lordosis, leading to chronic postural imbalances
This causes pain, stiffness, and tenderness in the neck area due to injuries within the bony, muscular, and ligamentous regions. (Alektoroff & Papanagiotou, 2021)
2. Musculoskeletal Dysfunction
Whiplash often initiates a cascade of biomechanical issues:
Myofascial pain syndromes, especially in the trapezius, levator scapulae, and sternocleidomastoid muscles
Compensatory thoracic or lumbar strain
Poor proprioception and neuromuscular control
Chronic trigger points and fibrotic tissue development
The longer these musculoskeletal imbalances persist, the more likely they will evolve into chronic pain syndromes and central sensitization.
Why Choose Chiropractic?-Video
Diagnosing Whiplash
Diagnosis is largely clinical, supported by a thorough history and physical exam. Imaging may be required to rule out more severe pathology:
X-rays: To rule out fractures or malalignment
MRI: For soft tissue or disc pathology
CT scans: If fracture or serious trauma is suspected
Functional assessments: Range of motion, palpation, neurologic evaluation
Evidence-Based Treatments for Whiplash
Treatment for whiplash should be multimodal and individualized, focusing on restoring function, reducing inflammation, and promoting healing. (Bussieres et al., 2016)
1. Chiropractic Care
Chiropractic adjustments can offer significant benefits in managing whiplash-associated disorders:
Myofascial release and soft tissue mobilization: Target muscle tension, trigger points, and fascial restrictions.
Postural retraining and ergonomic correction: Essential for long-term resolution.
Additionally, chiropractic patients experienced significant improvements in neck pain and function.
2. Physical Therapy
Individuals dealing with neck pain associated with whiplash can benefit from physical therapy to improve neck pain and disability. (Chrcanovic et al., 2022) Rehabilitative exercises are fundamental:
Neck range-of-motion drills
Isometric strengthening
Scapular stabilization and postural correction
Proprioceptive neuromuscular facilitation (PNF)
3. Functional Medicine Approach
From a functional medicine standpoint, addressing systemic inflammation, nutritional deficiencies, and stress response can enhance recovery:
Magnesium and B-complex supplementation for nerve healing
Sleep optimization and cortisol balance
4. Other Complementary Treatments
Acupuncture: Improves blood flow and pain modulation while alleviating pain and promoting relaxation. (Moon et al., 2014)
Gua Sha or cupping therapy: Relieves muscular tension
Dry needling: Effective for persistent trigger points
Manual lymphatic drainage: For patients experiencing edema or prolonged inflammation
Recovery and Prognosis
With consistent and proper treatment, many individuals recover within a few weeks. However, approximately 30–50% of individuals may develop chronic symptoms if not properly managed early on. Factors predicting prolonged recovery include:
High initial pain intensity
Poor coping mechanisms
History of prior neck injury
Psychosocial stressors
Early intervention using a holistic, integrative care model offers the best outcomes in preventing chronic whiplash-associated disorders.
Final Thoughts
Beyond the common “neck strain” classification, whiplash is a complicated neuromusculoskeletal injury that requires careful consideration by both patients and medical experts. Accurate diagnosis and successful treatment depend on an understanding of the complex effects on the cervical spine, neurology, and musculoskeletal function. Reducing symptoms and improving quality of life may be achieved by combining non-surgical treatments as part of a personalized treatment strategy.
Injury Medical & Personal Injury Clinic
We associate certified medical providers who understand the importance of assessing individuals with whiplash associated with their necks. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain associated with whiplash. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer
References
Alektoroff, K., & Papanagiotou, P. (2021). [Whiplash injury of the cervical spine]. Radiologe, 61(8), 710-713. https://doi.org/10.1007/s00117-021-00877-5 (Schleudertrauma der Halswirbelsaule.)
Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Hayden, J., Hendrickson, B., Hincapie, C., Page, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2016). The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. J Manipulative Physiol Ther, 39(8), 523-564 e527. https://doi.org/10.1016/j.jmpt.2016.08.007
Chrcanovic, B., Larsson, J., Malmstrom, E. M., Westergren, H., & Haggman-Henrikson, B. (2022). Exercise therapy for whiplash-associated disorders: a systematic review and meta-analysis. Scand J Pain, 22(2), 232-261. https://doi.org/10.1515/sjpain-2021-0064
Moon, T. W., Posadzki, P., Choi, T. Y., Park, T. Y., Kim, H. J., Lee, M. S., & Ernst, E. (2014). Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evid Based Complement Alternat Med, 2014, 870271. https://doi.org/10.1155/2014/870271
Can choosing the right pillow help many individuals with neck pain get a full night’s sleep and reduce pain-like symptoms?
The Effects Of Neck Pain
How often do you feel stiffness in your neck and shoulders after being hunched for an extended period? Does it hurt when turning your neck from side to side? Or have you been suffering from constant headaches or migraines that are making you have a hard time falling asleep? As the second most common musculoskeletal condition, neck pain is a multifactorial disease developed through various risk factors that can impact a person. (Kazeminasab et al., 2022) The multiple muscles surrounding the neck are constantly overstretched and tight, which can cause pain and discomfort to the upper extremities due to environmental factors. Some environmental factors can range from improper posture to injuries that can affect the neck. When many people are experiencing neck pain associated with environmental factors, it can cause considerable personal pain and discomfort, disability, impaired quality of life, and, for adults, loss of time from work. (Ben Ayed et al., 2019) At the same time, when people experience neck pain, they can develop disruptive sleeping habits. We associate with certified medical providers who inform our patients of the effects of neck pain and how it can disrupt their sleeping habits. While asking important questions to our associated medical providers, we advise patients to incorporate various techniques to reduce neck pain and find ways to stay asleep longer. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.
How Neck Pain Disrupts Sleep
Now, many people wonder how neck pain is associated with sleep. Environmental stressors like chronic stress from the workplace or natural disasters can cause a person to have tense neck muscles and can increase sleep disturbances. (Yabe et al., 2022) When environmental stressors impact the body, the musculoskeletal system becomes tight and tense in different body areas. In the neck, the muscles that surround the cervical can become tense and develop trigger points in muscle tissue, causing referred pain and discomfort. When neck pain causes disruptive sleep problems, it can cause impairment to the multifunctional protective role of sleep via physiological homeostasis and restoration. (Van Looveren et al., 2021) At the same time, some of the pain-like symptoms that can be increased with neck pain associated with disruptive sleep include: (Chin et al., 2021)
Soreness
Pain
Numbness
Difficulty in movement
However, there are ways to reduce the effects of neck pain and get a full night’s sleep, starting with the bedroom.
Low Back & Neck Pain Rehabilitation-Video
Choosing The Right Pillow For Neck Pain
Now, when it comes to getting a full night’s sleep, it is important to find the right mattress to stay asleep as well as feel refreshed. However, as important as it is to sleep in the right mattress when dealing with neck pain, finding the right pillow can do wonders for the neck and help people get enough sleep. When it comes to finding the right pillow, the individual needs to find a pillow with an appropriate height that can provide adequate support for the head and neck to reduce cervical spinal stress and relax the surrounding neck and shoulder muscles. (Lei et al., 2021) This is because when it comes to quality sleep, many people prefer sleeping positions, pillows, and mattresses aimed at comfort. Many pillows have a variety of materials that can help aid in comfort and help reduce neck pain. Some of the types of pillows include:
Memory foam
Polyfilled pillows
Down Pillow
Latex
Combo style
Finding the right pillow for neck pain allows the individual to have their neck fully supported while having the pillow in a lateral position to reduce neck fatigue and improve sleep quality (Son et al., 2020). By doing so, many people can finally get a good night’s sleep and wake up feeling better. By choosing the right pillow, many people will begin to be more mindful of their bodies and make small changes to their routine while getting the sleep they deserve.
References
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kassis, M., & Damak, J. (2019). Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children. J Res Health Sci, 19(1), e00440. https://www.ncbi.nlm.nih.gov/pubmed/31133629
Chin, W. S., Chen, Y. C., Lin, T. T., Guo, Y. L., & Shiao, J. S. C. (2021). Short sleep and chronic neck and shoulder discomfort in nurses. J Occup Health, 63(1), e12236. https://doi.org/10.1002/1348-9585.12236
Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J. M., Kolahi, A. A., & Safiri, S. (2022). Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord, 23(1), 26. https://doi.org/10.1186/s12891-021-04957-4
Lei, J. X., Yang, P. F., Yang, A. L., Gong, Y. F., Shang, P., & Yuan, X. C. (2021). Ergonomic Consideration in Pillow Height Determinants and Evaluation. Healthcare (Basel), 9(10). https://doi.org/10.3390/healthcare9101333
Son, J., Jung, S., Song, H., Kim, J., Bang, S., & Bahn, S. (2020). A Survey of Koreans on Sleep Habits and Sleeping Symptoms Relating to Pillow Comfort and Support. Int J Environ Res Public Health, 17(1). https://doi.org/10.3390/ijerph17010302
Van Looveren, E., Bilterys, T., Munneke, W., Cagnie, B., Ickmans, K., Mairesse, O., Malfliet, A., De Baets, L., Nijs, J., Goubert, D., Danneels, L., Moens, M., & Meeus, M. (2021). The Association between Sleep and Chronic Spinal Pain: A Systematic Review from the Last Decade. J Clin Med, 10(17). https://doi.org/10.3390/jcm10173836
Yabe, Y., Hagiwara, Y., Sekiguchi, T., Sugawara, Y., Tsuchiya, M., Yoshida, S., & Tsuji, I. (2022). Sleep disturbance is associated with neck pain: a 3-year longitudinal study after the Great East Japan Earthquake. BMC Musculoskelet Disord, 23(1), 459. https://doi.org/10.1186/s12891-022-05410-w
The levator scapulae muscles could be overstretched for individuals experiencing upper back, shoulder, and neck pain. Can physical therapies help relieve pain and retrain the muscles to function properly?
Levator Scapulae Muscles
The levator scapulae muscles stretch along the spine across the upper back and neck. They originate from the cervical vertebrae C1 to C4 and attach to the inside top edge of the scapula. (Chotai P. N. et al., 2015) They elevate the shoulder blades, tilt the head, and work with other muscles to stabilize the spine and influence neck motion and upper back posture. The shoulder blade/scapula is the flat, triangular-shaped bone that sits on top of the upper part of the rib cage. Where the levator scapulae attaches, the muscles raise the shoulder blade, a movement called elevation, and indirectly rotates the scapula’s bottom tip downward towards the spine. These shoulder blade movements are part of the shoulder joint’s larger flexion and abduction movements.
Flexion occurs when moving the arm forward and up, and abduction occurs when moving the arm out to the side.
The levator scapulae muscles contract during flexion and/or abduction,
The muscles also contract when moving the neck in side bending, lateral flexion, rotation, or twisting.
Symptoms
Neck and shoulder pain are common problems for office workers, truck drivers, and others who sit most of the day for their jobs. It can worsen when there is no spinal support for maintaining correct alignment. Poorly designed work chairs may contribute to chronic muscle tension and spasms, plus they may contribute to muscle weakness. One of the primary functions of the levator scapulae muscles is to keep the shoulder blade in a position that supports a vertical alignment of the head and to prevent forward head posture. (Yoo W. G. 2018)
However, the shoulder blade is an extremely movable bone. Maintaining stability and correct neck posture is not easy. The levator scapulae muscles may not be strong enough to keep the shoulder blade where it’s supposed to be for healthy posture, and instead, they become overstretched. When muscles are overstretched, they often become taut to try to maintain some form of stability. It can feel like muscle tension because the muscles shorten, but there is a difference. The situation can worsen if one slouches, has no lumbar support, and/or the desk or steering wheel is too high or too low, which may force the shoulder blade upward or downward.
Pain Relief
The levator scapulae muscles are two of several shoulder muscles that may contribute when neck pain presents. This is why a qualified, licensed health professional should diagnose any pain or dysfunction in the area. Physical therapy can help get the body back on track. (Yoo W. G. 2018) Treatment may consist of restoring muscle strength and flexibility in the shoulder, neck, and upper back muscles and developing better posture habits. Physical therapy exercises, particularly those that address upper back posture, can help reduce the stress placed on the levator scapulae muscles and can help decrease kyphosis, often a precursor to forward head posture. Stretching, strengthening, and posture lessons will help relieve pain and increase the physical functioning of the upper body. Other tips for avoiding and relieving muscle pain include:
Stretching regularly by gently rotating the neck and shoulders.
Applying heat to promote relaxation.
Regular massage therapy.
Adjusting chairs and/or monitor height to align with a straight line of sight.
Not carrying heavy bags, especially on one shoulder.
Avoiding side sleeping without proper head support.
Injury Medical Chiropractic Clinic
Visiting a chiropractic and physical therapy team can help treat injuries and chronic pain syndromes, relieve pain, resolve musculoskeletal issues, and prevent future symptoms. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized care program for each patient through an integrated approach to help return to normal and optimal function. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.
The Natural Way to Heal: Non-Surgical Chiropractic Care for Pain Relief
References
Chotai, P. N., Loukas, M., & Tubbs, R. S. (2015). Unusual origin of the levator scapulae muscle from mastoid process. Surgical and radiologic anatomy : SRA, 37(10), 1277–1281. https://doi.org/10.1007/s00276-015-1508-6
Yoo W. G. (2018). Effects of thoracic posture correction exercises on scapular position. Journal of physical therapy science, 30(3), 411–412. https://doi.org/10.1589/jpts.30.411
Can using a self-care traction device help and be a cost-effective method of providing cervical relief at home for individuals who have neck pain?
Neck Pain Traction Device
Neck Pain Traction Device: Individuals with neck or arm pain caused by neck/cervical radiculopathy may benefit from physical therapy to manage their condition. (Alshami, A. M., and Bamhair, D. A. 2021) Physical therapy can improve neck mobility, restore function, and decrease pain.
Traction
A physical therapist may use various treatments and modalities to treat the individual’s condition. Cervical traction is one treatment to help relieve neck pain and can help:
There are different neck traction techniques. The therapist may use a mechanical traction device that requires the individual to strap their head and neck to a machine that gently pulls the neck, providing relief. (Romeo, A. et al., 2018) The physical therapist may also use manual traction with their hands to help the process. This type allows the therapist to easily adjust the amount of traction force and the direction of the pull on the neck. (Romeo, A. et al., 2018)
Home Traction Devices
Cervical traction that works for individuals at the clinic may also benefit from using a traction device at home to maintain their gains. Over-the-door cervical traction may be an effective, safe, and simple way to administer neck traction in the comfort of one’s home to help decrease pain. (Fritz, J. M. et al., 2014) Medical supply stores and pharmacies carry over-the-door traction devices, which can also be found online. If finding an over-the-door traction unit is difficult, the therapy clinic can help order one from a medical supplier.
Setting Up The Device
Before using a neck pain traction device, consult a physical therapist or doctor to ensure neck traction is safe and on usage. Over-the-door traction units may be built differently but comprise the main parts:
A hook-and-pulley apparatus that hangs over the door.
A nylon cord that’s fed through the pulley.
A weight that could be a water bag that hangs on the end of the cord to provide traction force.
A harness to wear on your head.
The traction unit must be hung over a door secured to the top and closed.
It is recommended that the door be a closet door so no one will open it while using the device.
If a closet door is not available, be sure to lock the door so that no one can open it while attached to the device.
A small hook with a pulley attached to it hangs on the door.
The harness attaches to the end of the nylon cord opposite the weighted water bag.
The harness goes on the head, and the chin strap should fit snugly under the chin and be secured by the hook-and-loop fasteners.
The two straps on either side of your head should be hooked to the end of the nylon cord, which is fed through the pulley system.
After strapping on the head harness, fill the water bag using the markings on the bag to indicate its weight and hang it on one end of the cord.
Fill the bag until the water reaches the desired mark, usually 8–15 pounds.
After filling the water bag, sit in a chair facing the door and hang the bag on the other end of the cord not attached to the head harness.
Do not drop the bag; this could cause a sudden forceful traction motion on your neck.
How Long to Use
Individuals should generally use the traction device for about 15 to 20 minutes each session and can perform several sessions per day. (American Physical Therapy Association. 2020) While using the over-the-door traction device, there should be a gentle pulling sensation in the neck, relieving the neck pain, and if there is arm pain or tingling, it should also decrease. Traction does not replace neck exercises or postural correction in treating neck pain. Be sure to follow the therapist’s prescribed exercises. Active engagement is essential to treating and preventing neck pain from returning. If the pain increases while using the traction device, stop using it and consult a physical therapist or doctor. Ask a physical therapist or other neuromusculoskeletal medical professional if self-care traction is appropriate for specific conditions.
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution that helps individuals return to normal. Our providers create personalized care plans for each patient, including Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles through an integrated approach to treat injuries and chronic pain syndromes to improve ability through flexibility, mobility, and agility programs to relieve pain. If other treatment is needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.
Neck Injuries
References
Alshami, A. M., & Bamhair, D. A. (2021). Effect of manual therapy with exercise in patients with chronic cervical radiculopathy: a randomized clinical trial. Trials, 22(1), 716. https://doi.org/10.1186/s13063-021-05690-y
Madson, T. J., & Hollman, J. H. (2017). Cervical Traction for Managing Neck Pain: A Survey of Physical Therapists in the United States. The Journal of orthopaedic and sports physical therapy, 47(3), 200–208. https://doi.org/10.2519/jospt.2017.6914
Romeo, A., Vanti, C., Boldrini, V., Ruggeri, M., Guccione, A. A., Pillastrini, P., & Bertozzi, L. (2018). Cervical Radiculopathy: Effectiveness of Adding Traction to Physical Therapy-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Physical therapy, 98(4), 231–242. https://doi.org/10.1093/physth/pzy001
Fritz, J. M., Thackeray, A., Brennan, G. P., & Childs, J. D. (2014). Exercise only, exercise with mechanical traction, or exercise with over-door traction for patients with cervical radiculopathy, with or without consideration of status on a previously described subgrouping rule: a randomized clinical trial. The Journal of orthopaedic and sports physical therapy, 44(2), 45–57. https://doi.org/10.2519/jospt.2014.5065
American Physical Therapy Association. (2020). Physical therapy guide to cervical radiculopathy. https://www.choosept.com/guide/physical-therapy-guide-cervical-radiculopathy
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Common Causes Of Whiplash
The traction unit must be hung over a door secured to the top and closed.
