Spinal cord injuries or SCI’s don’t just happen from intense force/high-energy trauma like hard falls or auto accidents. Non-traumatic spinal cord injuries are more common. However, traumatic spinal cord injuries tend to get the most attention. This can cause problems as it can delay treatment for individuals with a non-traumatic injury. Awareness is vital because spinal cord disorders tend to not get recognized for their impact on overall health.
Non-traumatic Spinal Cord Injury
Non-traumatic spinal cord injuries is an umbrella term that includes several disorders, like:
Understanding these disorders helps determine a correct diagnosis. Degenerative cervical myelopathy or DCM is the most common form of a non-traumatic spinal cord injury. It is a slow progressive injury that causes continued compression usually brought on by spondylosis or osteoarthritis of the spine’s joints. DCM can have a devastating effect on the quality of life if not diagnosed and treated as it can have a ripple effect by raising the risk of falls, leading to a traumatic spinal cord injury. Being aware can help in preventing the damage.
Other Causes and Complications
Other causes for non-traumatic spinal cord injury include:
One of the most significant risk factors is age. This is due to an increased risk of conditions like osteoarthritis and hypertension as individuals get older, which is why individuals with a non-traumatic spinal cord injury are, on average, older than individuals that suffer a traumatic spinal cord injury. Weakness, instability, and loss of muscle control are common complications that can develop as the non-traumatic spinal cord injury progresses. Other complications that can present include:
Chronic pain
Sleep disturbance
Constipation
Urinary incontinence
Urinary tract infections
Impotence
Pressure ulcers/bed sores if immobilized
Possible blood clots that can lead to deep vein thrombosis
Depression and anxiety
Treatment
With a traumatic spinal cord injury, treatment depends on the severity of the injury. With non-traumatic spinal cord injuries, treatment depends on what type of condition is involved. The primary treatment for non-traumatic spinal cord injuries typically involves various forms of rehabilitation to minimize further damage to the spinal cord. Surgery may be necessary if the spine needs to be decompressed.
Body Composition
Extracellular Water and Intracellular Water
Extracellular Water – ECW
Extracellular is the water located outside the body’s cells.
Allows molecules to be transported to the different organelles inside the cell.
Picks up where the extracellular water leaves off by continuing the pathway for fuel/energy to be transported to the cells.
References
Badhiwala, Jetan H et al. “Degenerative cervical myelopathy – update and future directions.” Nature reviews. Neurology vol. 16,2 (2020): 108-124. doi:10.1038/s41582-019-0303-0
Handbook of Clinical Neurology (2012) “Spinal Cord Injury.” https://www.sciencedirect.com/topics/medicine-and-dentistry/non-traumatic-spinal-cord-injury
Milligan, James et al. “Degenerative cervical myelopathy: Diagnosis and management in primary care.” Canadian family physician Medecin de famille canadien vol. 65,9 (2019): 619-624.
Physical Management in Neurological Rehabilitation (2004) “Spinal cord injury.” https://www.sciencedirect.com/topics/medicine-and-dentistry/non-traumatic-spinal-cord-injury
Compartment syndrome is a condition that causes pressure within a group of muscles to build up to dangerous levels. This pressure build-up begins to decrease blood flow, not allowing proper circulation, nutrients, and oxygen from getting to the nerves and muscle cells. The syndrome can be acute or chronic, and surgery can be required. Acute compartment syndrome is considered a medical emergency, usually caused by a severe injury and requires immediate treatment; otherwise, it can lead to permanent muscle damage. Chronic compartment syndrome or exertional compartment syndrome is usually not a medical emergency and is often caused by physical exertion.
The fascia does not stretch or expand because its job is to keep the tissues in place. If compartmental pressure builds up, swelling and bleeding may occur. When the tissues don’t have enough blood to provide the proper amount of oxygen and nutrients, the tissues begin to die, leading to permanent damage. Because the fascia does not stretch if there is swelling or bleeding within a compartment, this increases pressure on the:
Capillaries
Nerves
Muscles in that compartment.
Blood circulation does not reach the compartment to supply oxygen and nutrients.
Nerve and muscle cells get damaged.
Compartment syndrome most often takes place in the lower leg’s anterior/front calf compartment.
However, it can also develop in other areas like the:
Legs
Arms
Hands
Feet
Buttocks
Acute
The typical symptom is pain, specifically when the muscle in the compartment is stretched.
The pain is more intense than the injury itself.
Flexing, contracting, or stretching the muscles increases the pain.
Tingling or burning sensations may present.
Muscle tightness or fullness sensation like bloating.
Numbness or paralysis are late symptoms that usually indicate severe to permanent tissue injury.
The acute syndrome develops after a severe injury, like an automobile accident or from a broken bone. Injuries and conditions that can cause acute compartment syndrome include:
Fractures
Muscle contusion/bruise that goes beyond just a bump. Two examples include a motorcycle falling on the rider’s leg or a football player getting hit in the leg intensely.
Constricting bandages – Casts and bandages that are too tight can cause the blockage of blood. If symptoms develop, remove or loosen any constricting bandages. If it is from a cast, contact the doctor immediately.
Anabolic steroids – Taking steroids is a possible factor in compartment syndrome.
Blood circulation restoration after a blockage.
When sleeping, a blood vessel can get blocked. Lying for a long time in a position that causes a limb to go to sleep, then shifting, moving, or getting up can contribute to the condition. This type of development can happen in individuals with neurological damage or who do not realize what is occurring. This can happen after intense intoxication with alcohol and/or drugs.
Surgical repair of a damaged blood vessel that was blocked can result in compartment swelling.
Permanent disability and tissue death can result unless the pressure is relieved.
Chronic Physical Exertion
The pain and swelling from the chronic condition are caused by vigorous physical activity/exercise. It most often occurs in the leg. Individuals that participate in activities with repetitive motions have an increased risk. Physical activities/sports include:
Running
Biking
Swimming
This is usually not dangerous and is often relieved by discontinuing the specific exercise/s or physical activity for a while. Symptoms include:
Pain during exercise.
Cramping during exercise.
Numbness
Moving the foot is difficult.
Muscle bulge can be seen.
Chiropractic Treatment
Leg pain should not be ignored for long as the problems could escalate into severe/dangerous territory. Chiropractic treatment is highly effective in the detection and treatment of leg pain. Chiropractors are experts in the neuromusculoskeletal system. Their expertise in promoting physical function applies to the whole body’s systems, including the:
Muscles
Bones
Ligaments
Nerves
Tendons
They are trained to diagnose and treat developing and chronic musculoskeletal problems and know when to seek specialized medical care when necessary.
Body Composition
Can’t Individuals Just Exercise More and Eat Whatever They Want?
No individuals cannot just exercise/move more and eat whatever they want if they are serious about losing excess weight. A healthy diet and exercise are essential parts of the formula for effective weight loss. One study shows that being aware of diet in quality and quantity overtakes just exercising when achieving and maintaining healthy body composition changes as a vital part of maintaining a healthy lifestyle. Evaluating the effects of diet, exercise, or a combination of both revealed that long-term success was most significant in the mix of diet and exercise. Individuals can exercise vigorously, but losing weight can be very difficult if they have unhealthy eating habits or cannot stick to a healthy diet. The individual can develop other health problems from an unhealthy diet.
References
Braver, Richard T. “Chronic Exertional Compartment Syndrome.” Clinics in podiatric medicine and surgery vol. 33,2 (2016): 219-33. doi:10.1016/j.cpm.2015.12.002
Joubert, Sonia V, and Manuel A Duarte. “Chronic Exertional Compartment Syndrome in a Healthy Young Man.” Journal of chiropractic medicine vol. 15,2 (2016): 139-44. doi:10.1016/j.jcm.2016.04.007
Schmidt, Andrew H. “Acute compartment syndrome.” Injury vol. 48 Suppl 1 (2017): S22-S25. doi:10.1016/j.injury.2017.04.024
Vajapey, Sravya, and Timothy L Miller. “Evaluation, diagnosis, and treatment of chronic exertional compartment syndrome: a review of current literature.” The Physician and sportsmedicine vol. 45,4 (2017): 391-398. doi:10.1080/00913847.2017.1384289
After an auto accident that might not have caused serious damage, individuals often believe that they’re fine only to find out later that there is a serious injury. How do these hidden injuries happen? It is because of the body’s fight or flight response that it activates into high gear. It does whatever is necessary to get out of harm’s way. The result is that individuals might not realize/discover that they have been injured until after the dangerous circumstances have passed. Auto accident doctors and chiropractors are very familiar with these types of hidden injuries.
The injuries sustained from non-damage-causing auto accidents are often not visible. This can be internal injuries and joint and muscle misalignments that can often only be seen through extensive x-rays, MRIs, or detailed physical examination. However, a professional chiropractor can determine the root causes of an injury from a single consultation.
Hidden Injuries
Whiplash
Some injuries, like delayed whiplash, do not present immediately because it can take days for symptoms to develop. This is the most common injury caused by an auto accident. This is when the head snaps back and then forward rapidly/violently during a collision. The jolting back-and-forth motion causes muscle strain, sprain, which can stretch and/or tear the tendons and muscles in the neck. The injury can be worsened as the individual does not realize that they have this injury, and they turn, rotate, and crane their necks like normal. Symptoms include:
A stiff/tight neck
Dull neck pain
Upper back pain
Shoulder stiffness, aches, and pain
It is recommended to see a doctor or chiropractor as soon as possible for diagnosis and treatment.
Muscle, Tendon, and Ligament Injuries
Muscle, tendon, and/or ligament injuries can happen due to whiplash, but they can also happen in other parts of the body like the hands, elbows, knees, and ankles.
Contact Injuries Bruises and Swelling
Drivers and passengers can bruise and swell from contact with hard surfaces like the steering wheel, dashboard, and doors. Seat belts can also cause injury from quick/rapid braking or a crash.
Concussion
This is when the brain forcefully makes contact with the skull resulting in bruising/injury to the brain. It is recommended to see a doctor immediately if any of the following are experienced after an auto accident:
Dizziness
Loss of balance/equilibrium when standing and walking
Difficulty concentrating
Difficulty remembering things
Spinal Trauma
The spine can sustain separate injury/s or trauma as a result of an auto accident. This includes:
Dislocation/s
Fractures
Compressed vertebrae
Crushed vertebrae
More symptoms can present after the shock wears off.
This often reveals severe, debilitating injury/s that affect the nerves and muscle control of different organs and body parts.
Bio-Chiropractic Treatment and Rehabilitation
One of the most effective and recommended ways to relieve pain and properly heal hidden injuries is chiropractic treatment and rehabilitation. A professional chiropractor can prevent further injuries from developing while easing and alleviating current pain.
No Medication Necessary
More people are becoming addicted to prescription medications following accidents and other trauma. Chiropractic care treats the cause of pain without medications. This allows the body to heal naturally and for movement to come back naturally.
Reduces Long Term Pain
Many continue to deal with back, neck, and other chronic pain conditions after an accident. Chiropractic gets to the root of the problem. The therapy sessions manipulate the body and help naturally restore the body’s total range of movement. A chiropractor will recommend exercises and stretches to keep the body strong and flexible to help prevent pain.
Reduces Scar Tissue
After the body goes through a trauma like an auto accident, muscles and ligaments can be stretched and torn. This can cause areas of internal scar tissue can develop. This can limit movement. Chiropractic helps reduce scar tissue by keeping the tissues loose and relaxed. This allows a normal range of movement.
Inflammation Alleviation
Auto injury/s can lead to long-term inflammation that can make life miserable. Chiropractors are trained to spot hidden micro-tears that x-rays are not able to scan. However, it is microscopic tears inside the muscles that are often the leading cause of inflammation. With physical manipulation, the body will be able to rerelease IL-6 substances naturally. This is a vital anti-inflammatory.
Healthy Body Composition
Personalized Functional Medicine
Personalized functional medicine is a new model of medicine that considers an individualized approach when making health recommendations. The body works as an integrated system, not as individual parts. This form of medicine combines new technology approaches, including recent gene expression and life and behavioral sciences discoveries. Personalized functional medicine looks at the subject of nutrigenomics. Nutrigenomics is defined as the relationship between nutrients and gene expression. Like identifying individual body composition, nutrigenomics testing can help individuals understand how dietary components influence their genes. This can help prevent the development of chronic diseases.
References
Calil, Ana Maria et al. “Mapping injuries in traffic accident victims: a literature review.” Revista latino-americana de enfermagem vol. 17,1 (2009): 120-5. doi:10.1590/s0104-11692009000100019
Dindi, Kuru et al. “Road traffic injuries: Epidemiology, challenges, and initiatives in India.” The National medical journal of India vol. 32,2 (2019): 113-117. doi:10.4103/0970-258X.275355
Minich, Deanna M, and Jeffrey S Bland. “Personalized lifestyle medicine: relevance for nutrition and lifestyle recommendations.” TheScientificWorldJournal vol. 2013 129841. 26 Jun. 2013, doi:10.1155/2013/129841
Palmnäs, Marie et al. “Perspective: Metabotyping-A Potential Personalized Nutrition Strategy for Precision Prevention of Cardiometabolic Diseases.” Advances in nutrition (Bethesda, Md.) vol. 11,3 (2020): 524-532. doi:10.1093/advances/nmz121
Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9
Spinal vertebral compression fractures are a common injury in older individuals brought on from a lowered bone density. Hip and wrist fractures get most of the attention when it comes to osteoporosis. However, spinal fractures happen almost twice as often and affect around 700,000 individuals yearly. This is according to the American Academy of Orthopaedic Surgeons or the AAOS. These types of fractures are also known as:
Fragility fractures
Vertebral compression fractures
Osteoporotic compression fractures. These usually happen as a result of thinning and weakening bones caused by osteoporosis.
The Academy of Orthopedic Surgeons notes that changes in the body’s musculoskeletal bone structure can go unnoticed for years. This leads to the vertebrae narrowing and flattening, rounding the spine as a result, creating compression. Because of the weakened bone, the pressure, even from everyday low-impact movements like reaching, bending or twisting. There are strategies that can help prevent osteoporosis and osteoporotic compression fractures.
More Movement and Physical Activity
One prevention strategy that is highly recommended is more movement and physical activity. This does not include occasional gentle movements like taking a break from sitting. Improving the spine’s health means using the full range of motion and loading the bones so they can get build strength. This could be walking more, which creates spinal resistance. Also using light weights with high repetitions with five to ten pounds of a load is enough to challenge the spine without generating muscle stress.
Individuals think they need to rest more as they get older, but to build and maintain bone density to prevent osteoporotic compression fractures more physical activity is needed. Moving around for 10 to 15 minutes every hour is a good way to start. Incorporating more activity, and focusing on healthy diet changes will help shed excess weight. This will decrease pressure on the spine, reducing the risk of fractures. For individuals with osteoporosis of the spine, it is important to review any exercise plans with a physician or doctor of chiropractic to ensure that they are safe. The wrong types of movement or too much stress on a fragile spine can definitely cause a fracture.
Medications and Other Conditions
There are medications that can help build bone density, but there are also medications for conditions that can actually cause faster bone density loss. Individuals could be taking a medication that’s good for one issue/condition, but not realize it may be associated with a reduction in bone density. This is why it is important to review prescriptions with a doctor with bone density loss side effects in mind. Medications that can cause bone loss include:
Anti-seizure drugs like carbamazepine and phenytoin
Diuretics like furosemide
Also, review any underlying conditions that could affect osteoporosis. As an example, the National Institutes of Health or NIH note that individuals with diabetes, specifically type 1, can have poor bone quality increasing their risk of fractures.
Adding Calcium To The Diet
An adequate intake of calcium is essential for osteoporosis prevention and helps lower the risk of fragility fractures. A low calcium intake contributes significantly to lower bone density and faster bone loss with age. Vitamin D also helps in bone injury prevention.
Treatment
Compression fracture/s diagnosis are confirmed through imaging tests like:
X-rays
Magnetic resonance imaging MRI scan
Bone scan
Computed tomography CT scan
Bone density testing with dual-energy x-ray absorptiometry DEXA will determine bone mineral density. If a scan reveals there is a vertebral compression fracture, the most common approach is no treatment. According to the Academy of Orthopedic Surgeons, most individuals with this type of injury improve within three months with a combined rest period and limited pain medication use.
Some individuals are recommended to wear braces to restrict movement so the fracture can heal without any added compression or stress. For those that do not respond to non-surgical treatment, minimally invasive surgery could become an option. In both cases, a doctor will suggest similar aforementioned strategies to help strengthen the bones and prevent worsening or creating new issues.
More flab on the middle that gets harder to burn off
Performance at work, the gym, or on the road slows down or begins to reverse
Workouts, sporting events, physical activity that the body was able to bounce back from quite easily now take twice as long to recover from
Things start to change when the body enters its 30’s. Whether light exercise, playing weekend games, local sports, etc, the key is to just stay active. By paying close attention to nutrition and making minor adjustments, individuals can maintain and improve body composition, stay strong and healthy in their 30s and be ready for the future.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Motorcycle accidents are a lot different from automobile accidents. Specifically is how much the riders are exposed and unprotected during the collision impact compared to individuals in a motor vehicle. A recommendation that comes from attorneys, doctors, and chiropractors is for all motorcyclists to learn about common causes of accidents to help prevent and reduce the level of risk.When on a motorcycle, there is nothing between the individual and the impact to protect the body from injury. If something hits the motorcycle, the individual is going to get hit or hit something. The strength and stamina that it takes to ride a motorcycle, takes a definite toll on the body. It’s very common for the spine to get out of alignment and sustain soft tissue damage from regular riding. Injury Medical Chiropractic and Functional Medicine Clinic can help bring pain relief and rehabilitate the body’s musculoskeletal system from regular riding or after a motorcycle accident.
Head-On Collisions
Accidents and crashes that involve motorcycles and other vehicles account for over half of motorcycle accident deaths. In a majority of these accidents, the vehicle hits the motorcycle from the front more than 70% of the time. Automobiles hit motorcycles from behind only 5% of the time.
Vehicles Making Left-Hand Turns
When an automobile is making a left-hand turn is one of the most dangerous situations for motorcyclists. These collisions account for almost half of all accidents involving a motorcycle and car. The turning car usually hits the motorcycle when the motorcycle:
Goes straight through an intersection
Is passing the automobile
Trying to overtake the automobile
These types of accidents are common with cars and trucks as well. However, the motorcycle’s smaller size makes it even less visible to turning vehicles.
Lane Splitting
Motorcycles that pass cars within the same lane are at an increased risk of getting hit. Car and truck drivers don’t expect the motorcyclist to pass and are often taken by surprise. Lane splitting is when a motorcycle drives between two lanes of stopped or slowly moving cars, typically during high traffic time. It is a common cause of motorcycle accidents because:
The close proximity of the automobiles to the motorcycle
Reduced space that the motorcyclist has to maneuver around the other vehicles
Most drivers don’t see or anticipate a motorcycle passing them in slowed or stopped traffic
Road Hazards
Motorcyclists are at an increased risk from road hazards. Because of the smaller size and unstable nature of the motorcycle:
Potholes
Roadkill
Slick road conditions
Uneven height between lanes
Other unexpected objects in the road pose a serious threat.
Common Injuries
Hip/Pelvic Misalignment
The pelvis has three major joints:
The pubic joint on the front of the body
Two sacroiliac joints on each side of the back, that connect the pelvis to the spine.
It also connects to different muscles, including the hip and pelvic floor. When the body falls on the hip or sustains various forms of crash-related impact, the hip or pelvis can get shifted out of place. This type of misalignment is a leading cause of back pain and can be agonizing. It can keep an individual off the road, and unable to work. A chiropractor can adjust any pelvic misalignment using manipulative therapy. Physical therapy rehabilitation and home exercises/stretches will also be recommended.
Whiplash
This is a type of neck injury that happens from a forceful, back-and-forth motion, during the impact of a crash, or with a sudden stop. It is a soft tissue injury where the tendons and muscles of the neck are stretched and/or torn. Common symptoms include:
Pain
Tingling
Stiffness
Limited range of motion
A chiropractor can help with gentle adjustments to realign the neck, and muscle stretching to loosen the tense muscles.
Other Neck Injuries
Other injuries can include misalignment or fractures of the vertebrae in the neck from a different impact like a side hit. Chiropractic can help an individual recover from these types of injuries and restoring the range of motion. Gentle chiropractic manipulative, mobilization treatment, and intersegmental traction can help realign the neck.
Back Injury
The spine and its muscles are highly prone to injury. Common injuries include:
Fractures
Herniated/slipped discs
Spinal misalignment
Soft tissue injuries
A chiropractor can rehabilitate musculoskeletal and soft tissue injuries through therapeutic massage.
Leg/Foot Injury
Injuries to the legs and feet are common in motorcycle accidents. Common injuries include:
Sprains
Strains
Road rash
Fractures
Biker’s Arm
Biker’s arm also known as rider’s arm, is specific to motorcyclists and sometimes bicyclists. It happens when a motorcyclist instinctively pulls in their arm/hand in front of them to try and lessen the impact when falling. This can lead to shoulder, arm, wrist, and hand injuries. The bones, tendons, ligaments, muscles, and nerves can suffer damage and can be severe.
Treatment
Treatment of these injuries can range from a soft collar, chiropractic, anti-inflammatory medications, corticosteroid injections, nerve blocks, and physical therapy. Surgery could be necessary and combined with the aforementioned treatments. Motorcycle riders can increase their safety by being aware of the common causes of accidents, staying alert, and taking steps to reduce and avoid the risk.
Body Composition Overall Health
Phase Angle Inflammation Injury Tracking
Phase angle determines the status of an individual’s overall health. If an individual gets hurt and has a low phase angle then their ability to heal can be delayed. The extracellular water and water mass of the body are measured to assess how swollen an individual is after an accident. The individual is reassessed every two weeks to show water loss or inflammation loss. Body composition is important for understanding an individual’s fluid status and physiological makeup. This is used for guiding and developing treatments aimed at improving status, and decreasing the length of staying at a hospital. InBody is non-invasive and convenient, making it the ideal tool for patient assessments. In less than 60 seconds, the InBody test provides easy-to-understand, accurate, and objective measurements to evaluate a patient’s health and monitor progress throughout their treatment. Doctors use InBody to:
Identify fluid imbalances related to medical conditions, trauma, and/or organ failure
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900Licensed in Texas & New Mexico
References
Cherta Ballester, Oscar et al. “Analysis of trunk impact conditions in motorcycle road accidents based on epidemiological, accidentological data and multibody simulations.” Accident; analysis and prevention vol. 127 (2019): 223-230. doi:10.1016/j.aap.2019.03.006
Halbersberg, Dan, and Boaz Lerner. “Young driver fatal motorcycle accident analysis by jointly maximizing accuracy and information.” Accident; analysis and prevention vol. 129 (2019): 350-361. doi:10.1016/j.aap.2019.04.016
Spinal cord injury: Causes. Mayo Clinic Web site. http://www.mayoclinic.org/diseases-conditions/spinal-cord-injury/basics/causes/con-20023837. Published October 8, 2014. Accessed August 30, 2017.
While bruising, soreness, and scrapes are common, whiplash and chronic whiplash injuries may not show for several days or weeks. While today’s vehicles are safer than ever, they can still only do so much when it comes to the body and musculoskeletal health. Being involved in an automobile accident, even a light tap can give a sudden jolt to the spine that although the individual might not have felt anything like discomfort or pain, it was enough to shift the disc/s out of place or set them up to shift out of place. No one wants to be involved in a car or motorcycle accident, but regardless of good driving habits, or how advanced the safety features on the vehicle might be, the average driver will be involved in three to four automobile accidents in their life.
Whiplash
Whiplash and chronic whiplash injuries are common in motor vehicle accidents. More than 3 million Americans will see a doctor and a chiropractor for automobile accidents and whiplash effects. It only takes a 2.5 mph hit to cause an injury. And whiplash doesn’t only happen when hit from behind, there are several ways an individual can be subjected to whiplash, including being T-boned, amusement park rides, and falling off a bicycle or a horse.
Symptoms
Most whiplash symptoms develop in the first twenty-four hours, but this is not always the case. Common symptoms include:
Most individuals realize they have whiplash a day or two after, but for others, it can take a few weeks or even months to present. Whiplash is classified by degree or grade:
Grade 0
The individual has no complaints and there are no symptoms/signs of physical injury.
Grade 1
There is neck pain but there are no physical signs of injury.
Grade 2
There are signs/symptoms of musculoskeletal damage and neck pain is presenting.
Grade 3
There are signs/symptoms of neurological damage and neck pain is presenting.
The average amount of time most individuals stay home from work is around 40 days. However, when whiplash pain lasts longer than a few weeks, it is deemed to be chronic whiplash.
Chronic Whiplash
Some individuals with whiplash experience painful symptoms for years. This is true of those that avoid or refuse medical attention and learn to live with it.
Treatment Options
There are very effective methods for treating whiplash and chronic whiplash injuries. Depending on the extent of the injury/s, developing the right treatment/rehabilitation plan requires individual consultation with a chiropractor to discuss options that can include:
Pain Relief
The pain can be excruciating. Over-the-counter pain relievers like ibuprofen for temporary relief. However, the individual will need extended treatment to ensure it does not become chronic pain.
Neck Brace
Neck braces help limit the pain, but should not be worn for more than three or four days. If worn for too long the neck muscles are prevented from gaining the strength needed to support the head.
Don’t Sit For Too Long
Avoid keeping the head in any one position for too long. This includes sitting in bed, watching TV, or working at a desk. This places a large amount of pressure and stress on the neck, making the pain even more severe and longer-lasting.
Sleeping Properly and Comfortably
For many, it can be difficult to get into a comfortable position when sleeping. Sleeping on the back with the head turned to one side can worsen the pain. Try a high-quality ergonomic pillow that allows the individual to sleep on their side and takes the pressure off of the neck.
Spinal Alignment
Whiplash can cause the spine to shift out of alignment. This can lead to additional problems in the back or shoulders. It�s always a good idea to see a chiropractor that specializes in motor vehicle accident injuries to realign the spine and neck, as well as for rehabilitation to strengthen the muscles and prevent further injuries. See a chiropractor for an evaluation of the injuries and develop a customized treatment plan that works for the individual’s condition.
Everyone is different
Some individuals can be stiff and sore for a few days and then are okay with not much pain. Some individuals experience severe pain immediately after the wreck, while others have no pain for days or even weeks. Both scenarios are pretty common. Soft tissue injuries can be very deceiving. Some don�t experience any pain for months after the accident. Many don�t think they need to see a doctor or chiropractor because there is no pain or symptoms. However, underneath serious problems could be getting ready to present including:
Constant headaches
Numbness or pins and needles in the hands or arms
Pain between the shoulder blades
Poor posture
Chronic muscle tension
Painful spasms
Degeneration of the discs
Painful inflamed arthritis
The quick development of arthritis
Sore, tight, or inflexible muscles
Sleep disturbances
Fatigue
Dizziness
Body Composition
A decrease in physical activity
Physical inactivity is a primary factor in the progression of sarcopenia. Resistance exercise can help maintain muscle mass and help build muscular strength. Individuals that are more sedentary can exacerbate the effects of sarcopenia.
A decrease in motor neurons
Aging is accompanied by motor neuron loss resulting from cell death. This leads to a decrease in muscle fiber. This decrease in muscle fibers leads to:
Impaired performance
A reduction in functional capacity
A decreased ability to perform everyday tasks
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Anybody can have chronic pain. Adults typically complain of joint pain, low back pain, and neurogenic pain. While children and teenagers are more likely to have more headaches, abdominal pain, leg, and hand pain. Regardless there are individuals that have a higher risk because of their age, gender, and job. It isn’t always clear what causes chronic pain. There are several possibilities: �
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Injury – Even after the injury has healed, the nerves keep sending pain signals to and from the brain. Doctors are still not sure why this occurs.
Disease – Conditions can cause chronic pain like fibromyalgia and osteoarthritis.
Nerve problems – Part of the nervous system can be injured, the nerves themselves. This is called neuropathic pain.
Unknown Cause/s – Pain that presents with no obvious injury, disease, or nerve problem.
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Military Veterans
Chronic pain is quite common in veterans according to a National Veterans Affairs Study. Around one in five veterans receiving primary care have chronic pain. While one in ten has chronic pain syndrome. Veterans recently served in a war, tend to report a variety of causes for their pain. This includes:
Multiple injuries
Brain trauma
Muscle injuries
Bone/s injuries
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Athletes
Most sports require a certain level of fitness. Athletes train with all types of activities to help maintain their body’s. Unfortunately, they are still not immune to chronic pain. Chronic pain is common with:
Spinal stenosis is a narrowed spinal canal, which creates added pressure on the nerves that travel through the low spine into the legs
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Seniors
Age is a high-risk factor for chronic pain. Around 30-40% of individuals older than sixty-five have or are beginning to deal with chronic pain. The severity in anybody forty-five to sixty-five is the greatest. Common conditions that cause chronic pain in older adults are:
Cancer
Arthritis and gout
Heart disease
Kidney disease
Damaged nerves
Stroke
Shingles
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Women
Men and women experience pain differently. Several factors contribute to this. These include:
Hormones
Menstruation
Puberty
Reproductive health
Women have a higher risk of developing disorders that cause chronic pain. Examples include:
Arthritis
Brittle bones
Migraines
Irritable bowel syndrome
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Anybody dealing with chronic pain, finding relief can be difficult and time-consuming. Individuals are often sent back and forth between primary care, specialists, and therapists for a solution.
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Improved Nervous System
When there is a communication breakdown between the brain and the body�s tissues, organs, and cells it can lead to a variety of health problems. There are manychronic and even degenerative health conditions that are impacted by the nervous system. Studies have shown that chiropractic is a highly effective treatment for numerous neurological conditions which include:
Ataxia
Autism
Cerebral palsy
Epilepsy
Multiple sclerosis
Parkinson�s
Tourette�s Syndrome
Vertigo
Anybody can seek treatment and they will experience the benefits. Chiropractic provides a safe, effective treatment for an improved nervous system function. The type, frequency, and intensity of treatment depend on the patient and condition. Chiropractic positively affects the nervous system and as a result, positively affects the whole body.
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Chronic Body Pain Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
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