Back Clinic Whiplash Chiropractic and Physical Therapy Team. Whiplash is a collective term used to describe injuries to the cervical spine (neck). This condition often results from an automobile crash, which suddenly forces the neck and head to whip back and forth (hyperflexion/hyperextension). Almost 3 million Americans are hurt and suffer from whiplash annually. Most of those injuries come from auto accidents, but there are other ways to endure a whiplash injury.
The symptoms of whiplash may include neck pain, tenderness and stiffness, headache, dizziness, nausea, shoulder or arm pain, paresthesias (numbness/tingling), blurred vision, and in rare instances difficulty swallowing. Soon after it happens at the acute phase the chiropractor will focus on reducing neck inflammation utilizing various therapy modalities (eg, ultrasound).
They might also use gentle stretching and manual therapy techniques (eg, muscle energy therapy, a type of stretching). A chiropractor may also recommend you apply an ice pack to your neck and/or light neck support to use for a short time period. As your neck gets less inflamed and the pain diminishes, your chiropractor will execute spinal manipulation or other techniques to restore normal movement to your neck’s spinal joints.
Conservative treatment for whiplash includes immobilizing the patient’s neck in a well-fitting soft cervical collar; use of pain, anti inflammatory, and muscle relaxant drugs; and physical therapy.
Physical therapy (PT) helps to reduce muscle spasms, increase circulation, and encourage healing. PT can range from the following modalities: damp heat, ice, ultrasound, electric stimulation, and exercise to revive range of movement and build strength. Cervical traction might be included to the treatment strategy if symptoms persist. A cervical traction apparatus that was portable can be used at office or home. Trigger point injections including a local anesthetic may help relieve pain and tenderness.
If symptoms continue for more than 6 weeks, or new symptoms appear the patient’s condition is re evaluated. Extension injuries that are severe can damage the intervertebral discs included. Surgical intervention may in rare cases be required, when an intervertebral disc is influenced.
Surgical Interventions for Whiplash
Rarely does operation is required by the treatment of whiplash. Surgical intervention is considered in acute cases such as scapular, those presenting consistent neck or shoulder pain. The pain may indicate a rip within an intervertebral disc. Certainly one of these procedures could be performed, when intervertebral disc removal is required:
Discectomy is the surgical removal of the entire piquing intervertebral disc or part.
Microdiscectomy incorporates the usage of a microscope to magnify the surgical field during disc removal.
Percutaneous surgical procedures enable disc removal via a small incision in the trunk. All these are generally not used in the cervical spine (neck) but have been used in the low back. Automated Percutaneous Discectomy is done under radiologic control while a cannula (hollow tube) having a rotating blade breaks up the disk. The disk fragments are subsequently removed by aspiration.
Spinal Instrumentation and Fusion provides long-term stability once the target disk is removed. These processes solidify and join the degree where an intervertebral disc has been damaged or removed. Instrumentation, the employment of medically constructed hardware including rods and screws, can be combined with Spinal fusion (arthrodesis) to permanently join two or more vertebrae.
Whiplash Recovery
Throughout the recovery phase, the aim is really to help the patient resume normal activities at their pre-injury level.
The guidelines set forth by the spinal doctor and/or physical therapist should be followed. A house exercise plan is a key to rebuilding strength and increasing range of movement. It might be essential to continue physical therapy and modalities (e.g. damp heat) for a period of time.
Post operative pain or discomfort should be anticipated. Patient Controlled Analgesia (PCA) enables the patient to control their pain without hospital staff assist. PCA is eventually replaced by oral drug.
The individual could be encouraged to get up and walk the following day. Activity improves healing and circulation.
Physical therapy is added post-operatively empowering the individual to develop flexibility, strength, and increase range of motion. Physical therapy is generally continued on an outpatient basis for an amount of time. Furthermore, the therapist provides the patient with a customized home exercise program.
Prior to release in the hospital, the patient is given written directions and prescriptions for essential drugs. The individual ‘s care remains during follow-up visits with their spinal surgeon.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
While automobile accidents are the most common cause of whiplash, it must be noted, that these aren�t the only possible incidents behind the well-known injury. Any type of accelerated motion which thrusts the head forward and then backwards with extreme force from the entire body can lead to whiplash. Accidents from sports can also cause whiplash-associated injuries but auto accidents are the most prevalent.
The unexpected jolt of the head can damage the complex structures of the cervical spine, leaving the tendons and ligaments within the neck intensely irritated and inflamed. Furthermore, the tendons and ligaments as well as other tissues of the neck may become overly stretched and torn.
A whiplash type injury may be suspected if the individual involved in an automobile accident experiences the following symptoms: neck pain and stiffness; worsening pain with movement; loss of range of motion in the neck; headaches, most often starting at the base of the skull; tenderness or pain in the shoulder, upper back or arms; tingling or numbness in the arms, fatigue and dizziness. Other individual�s may experience: blurred vision; ringing in the ears; sleep disturbances; irritability; difficulty concentrating; memory problems; and even depression. While these are some of the most common symptoms of whiplash, they may also suggest the presence of another type of injury or condition resulting from the automobile accident.
Thus, it�s essential to visit a qualified healthcare professional who can properly identify a whiplash injury and offer the required treatment to eliminate the resulting pain and symptoms.
Apart from assessing the doctor�s experience and qualifications, the victim of an automobile accident must primarily consider their geographical location and the type of insurance they are covered by when deciding on the type of doctor to visit following a whiplash type injury. Other factors that should influence the affected individual�s decision include whether they are represented by an attorney and whether they are living in a state where PIP, or personal injury protection, is mandatory.
Whiplash Specialists
A large number of people who�ve suffered injuries from auto accidents fail to receive the kind of medical care they require, occurring more frequently in the case of whiplash victims. It has been previously determined that the outcome of the patient�s rehabilitation depends on the type of doctor they receive care from.
Many individuals who�ve been involved in an automobile accident, regardless of the severity of the collision, will generally visit the emergency room, or ER, to have their injuries evaluated. The majority of ERs are designed to take patients out of life threatening situations. First, they immediately assess any visible injuries, such as open wounds and broken bones, treating them effectively on the spot. They may even prescribe medications to temporarily relieve the painful symptoms following a traffic collision. However, many victims are not treated for their whiplash injuries. The trained specialists from the ER, provide first-aid, X-rays and medications to remove individuals from life-threatening situations but they don�t readily treat soft-tissue injuries like whiplash. From there, patients are sent to see their primary care physician, or PCP, to assess the rest of their injuries, yet, they may still face hardships to finally receive the proper care they deserve for their injuries.
Primary Care Physicians and Whiplash
Unfortunately, many primary care physicians are not specifically qualified to treat automobile accident injuries and many of these may even deny patients treatment. For many years, whiplash-associated disorders have been misunderstood in the medical field. Many doctors believe whiplash is not a legitimate injury, however, those whom are suffering from whiplash can account for how painful it could really be.
Other doctors refuse treatment to whiplash patients because they may not accept any kind of 3rd party billing, a paying method where the doctor seeing the car accident victim has to bill the party at fault�s insurance company or utilize PIP or med pay to receive compensation.�This is a commonly well-known reason for denial of treatment as a large number of primary care physicians, or PCPs, still don�t have the required authorizations to accept 3rd party billing.
Besides primary care physicians, medical doctors, orthopedics, chiropractors and physical therapists are several types of qualified healthcare professionals that specialize on treating automobile accident injuries such as whiplash. Among these, chiropractic treatment is the most popular, alternative treatment option for treating various soft tissue injuries or conditions.
Chiropractic Care for Whiplash
A wide number of people belonging to the legal and medical industry will disregard the idea of visiting a chiropractor to treat auto injuries. However, the fact is that a chiropractors are some of the only doctors who offer therapeutic treatments to accident victims. Treatment offered by medical doctors might include the use of drugs, although in many cases, they may also recommend physical therapy. This automatically highlights the importance of chiropractic care for whiplash victims because chiropractic care and physical therapy are very similar forms of treatment.
Whenever an individual who�s been involved in an automobile accident visits a chiropractor and complains of pain in the neck, the medical specialist will carry out a series of tests to determine whether the patient has suffered whiplash. Instead of focusing solely on the specific injury, chiropractors are trained to inspect the affected individual�s entire spine. Aside from soft tissue injuries like whiplash, chiropractic doctors may also check for: disc trauma or injury, tightness or tenderness, restricted mobility, muscle spasms, joint injuries, ligament injuries, posture and spinal alignment. They may also analyze the patient�s gait.
Besides checking for the above, chiropractors might also request X-rays and MRI of the patient�s spine in order to find out whether the spine features any degenerative changes which might have developed before the accident. To offer the best possible treatment, it is extremely important to determine which problems existed prior to the accident and which ones resulted from the accident. In most cases, insurance companies may argue that every single injury in the victim�s body is preexisting. This makes the role of the chiropractor considerably important as they will make sure to document all the previous and new injuries separately to ensure the insurance company pays for the patient�s treatment. In addition, the evaluation performed by the chiropractor also allows them to create the most effective treatment plan for each individual whiplash victim.
Stages of Treatment
The primary concern for chiropractors treating individuals who�ve experienced whiplash-associated disorders involves alleviating the inflammation in the neck, one of the main sources of pain for victims. Chiropractors often recommend ice therapy, or the application of ice pack against the affected area, multiple times a day. This remedy is capable of reducing both pain and inflammation. Once the inflammation subsides, they often carry out a variety of manual therapeutic techniques to restore and increase the individual�s strength, flexibility and mobility.
The kind of chiropractic treatment the individual will require depends largely on the severity of the whiplash encountered. However, it has been previously determined that the majority of individual�s with whiplash find spinal manipulations useful. The most common chiropractic treatment techniques involve, spinal adjustments and manual manipulations, to carefully re-align the structures of the spine and help reduce symptoms. The following spinal techniques are also used to treat whiplash injuries:
Instrument-assisted, this treatment involves the use of handheld instruments to provide a gentle massage by applying force onto the spine without utilizing any kind of thrust. Instrument-assisted chiropractic therapy is used mostly to treat older patients with degenerative joints; flexion-distraction, this technique involves the use of a non-thrusting motions, best described as a slow pumping action; specific spinal manipulation, this therapy involves the use of a mild thrusting technique and is mostly used for restoring motion to the affected joints. Specific spinal manipulation helps stretch the soft tissues, which makes the job of restoring motion to the affected areas of the spine easier; instrument-assisted chiropractic therapy, also known as the Graston Technique, is used during this form of chiropractic therapy to perform repetitive strokes on the injured body part; therapeutic massage, performed to ease muscle tension and stress in the injured region; interferential electrical stimulation, where a patient undergoing this type of therapy will see the chiropractor passing electrical current at a very low frequency through their body. This low frequency current helps stimulate the muscles and reduces inflammation; trigger point therapies, as the name suggests, involves the application of direct pressure onto specific points to alleviating muscle tension; and finally ultrasound therapy, capable of decreasing stiffness, pain, and muscle spasms in the affected areas. When ultrasound is passed through the patient�s muscle tissues, it warms up the treated region and increases blood circulation.
Neck Pain and Auto Injury
Chiropractic Recovery
Ultimately, chiropractors can help victims of whiplash in many ways. These health care providers can ensure that an individual� whiplash and its associated symptoms may subside completely. They always make sure to create a patient-specific treatment plan to make the process of recovery simpler for every individual.
Other than recommending immediate treatment for reducing the acute pain and inflammation, the chiropractor might additionally recommend a series of stretches and exercises, to help speed up the rehabilitation process as well as help increase the individual�s strength, flexibility and mobility.
Whiplash injuries, when left untreated, can cause severe complications. If you or a loved one have been involved in an automobile accident, visit a chiropractor immediately. By being prompt, you can even reduce your recovery time significantly. That�s not all; the chiropractor will also provide the required assistance to your lawyer, proving that the injury resulting from the accident wasn�t a preexisting injury or condition.
When you are injured in a car accident, you must get acquainted with your rights as soon as possible to receive the proper compensation and treatment for your specific situation. There is no such thing as a simple car crash.
Certain injuries or conditions which may have developed following an automobile accident may become chronic or permanent if left untreated. If an individual is experiencing neck stiffness or headaches after a traffic collision, it�s absolutely wrong to assume that this will subside in a few days. A minor discomfort could turn out to be a more serious complication. Often, people injured in auto accidents develop scar tissue that remains with them throughout the rest of their lives and without the necessary treatments or exercises, these can become stiff and greatly limit an individual�s ability to move properly. The above issues generating from a car accident show how important it is for people to seek immediate legal and medical help. Chiropractors are known for their expertise in managing soft tissue injuries and the resulting chronic and traumatic pain; as a result, they are often considered to be the best healthcare professionals to consult after a car accident.
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