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Auto Accident Injuries

Many automobile accidents occur throughout the world every year, affecting a wide number of individuals, both physically and mentally. From neck and back pain to bone fractures and whiplash, auto accident injuries and their associated symptoms can challenge the daily lives of those who experienced the unexpected circumstance. Dr. Alex Jimenez’s collection of articles discusses auto accident injuries caused by trauma, including which specific symptoms affect the body and the particular treatment options available for each injury or condition resulting from an auto accident. Being involved in a motor vehicle accident can not only lead to injuries but they can be full of confusion and frustrations. It is very important to have a qualified provider specializing in these matter completely assess the circumstances surrounding any injury. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.


*Car Accident Chiropractor* | El Paso, TX (2019)

*Car Accident Chiropractor* | El Paso, TX (2019)

Mr. Manuel Lozano was involved in a car accident which resulted in back pain. The painful symptoms began to manifest, and Mr. Lozano struggled to participate in his everyday physical activities. That’s when Manuel Lozano found chiropractic care with Dr. Alex Jimenez. Manuel Lozano received chiropractic care with Dr. Jimenez and found tremendous pain relief from his symptoms. Manuel Lozano discusses how Dr. Jimenez taught him how to improve his overall quality of life. Manuel Lozano highly recommends Dr. Jimenez, a chiropractor in El Paso, TX, as the non-surgical choice for automobile accident injuries.

El Paso Back Clinic

We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.
 

Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

 

As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

 

We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.

 

I assure you, I will only accept the best for you…

 

If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us.

 

Recommend: Dr. Alex Jimenez – RN, DC, MSACP, CCST

 

Health Grades: http://www.healthgrades.com/review/3SDJ4

 

Facebook Clinical Page: https://www.facebook.com/dralexjimene…

 

Facebook Sports Page: https://www.facebook.com/pushasrx/

 

Facebook Injuries Page: https://www.facebook.com/elpasochirop…

 

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop…

 

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2

 

Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

 

Clinical Testimonies: https://www.dralexjimenez.com/categor…

 

Information: Dr. Alex Jimenez – Chiropractor

 

Clinical Site: https://www.dralexjimenez.com

 

Injury Site: https://personalinjurydoctorgroup.com

 

Sports Injury Site: https://chiropracticscientist.com

 

Back Injury Site: https://www.elpasobackclinic.com

 

Pinterest: https://www.pinterest.com/dralexjimenez/

 

Twitter: https://twitter.com/dralexjimenez

 

Twitter: https://twitter.com/crossfitdoctor

 

Recommend: PUSH-as-Rx ®™

 

Rehabilitation Center: https://www.pushasrx.com

 

Facebook: https://www.facebook.com/PUSHftinessa…

 

PUSH-as-Rx: http://www.push4fitness.com/team/

Chiropractic Care on Personal Injury | El Paso, Tx

Chiropractic Care on Personal Injury | El Paso, Tx

Involvement in a car crash is an unfortunate situation, which can result in a variety of automobile accident injuries. People suffering from whiplash, neck pain and back pain due to an auto accident can struggle to go about their regular activities. Dr. Alexander Jimenez is a personal injury chiropractor who focuses on the treatment of automobile accident injuries, among other health issues.

Patients describe how their quality of life was affected after a car crash and discuss how chiropractic care with Dr. Jimenez helped them recover their overall health and wellness. The patients highly recommend Dr. Alex Jimenez as the non-surgical choice for personal injuries and auto accident injuries, among other health issues, such as whiplash, neck pain, and back pain.

El Paso Back Clinic

personal injury chiropractic care el paso tx.

We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.

I assure you, I will only accept the best for you…

If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us.

Recommend: Dr. Alex Jimenez – RN, DC, MSACP, CCST

Health Grades: http://www.healthgrades.com/review/3SDJ4

Facebook Clinical Page: https://www.facebook.com/dralexjimene…

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochirop…

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop…

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2

Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/categor…

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™

Rehabilitation Center: https://www.pushasrx.com

Facebook: https://www.facebook.com/PUSHftinessa…

PUSH-as-Rx: http://www.push4fitness.com/team/

Car Accident Injury Therapy | Video | El Paso, TX.

Car Accident Injury Therapy | Video | El Paso, TX.

Automobile injury accidents are common health problems which can affect an individual’s overall health and wellness. For several patients, automobile accident injuries can tremendously restrict their capacity to participate in their regular physical tasks. Dr. Alex Jimenez is a doctor of chiropractic in El Paso, TX who specializes in the identification, treatment, and prevention of a variety of health problems associated with the musculoskeletal and nervous system, such as auto accident injuries. Chiropractic care is another treatment option which uses spinal adjustments and manual manipulations to thoroughly fix any misalignment of the backbone, or subluxation, which might be causing debilitating symptoms. Dr. Alex Jimenez is the non-surgical choice for car accident injuries, among other health problems.

Chiropractic Rehabilitation

car accident injury rehabilitation el paso tx.

We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.

I assure you, I will only accept the best for you…

If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us.

Recommend: Dr. Alex Jimenez – Chiropractor

Health Grades: http://www.healthgrades.com/review/3SDJ4

Facebook Clinical Page: https://www.facebook.com/dralexjimene…

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochirop…

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop…

Yelp: http://goo.gl/pwY2n2

Clinical Testimonies: https://www.dralexjimenez.com/categor…

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

Linked In: https://www.linkedin.com/in/dralexjim…

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™

Rehabilitation Center: https://www.pushasrx.com

Facebook: https://www.facebook.com/PUSHftinessa…

PUSH-as-Rx: http://www.push4fitness.com/team/

Chiropractic Treatment For Car Accidents | Video

Chiropractic Treatment For Car Accidents | Video

Terry Peoples, relies on her ability to perform her day to day tasks on a regular basis as a beauty adviser in El Paso, TX. However, when she endured a car incident injury, she had no choice but to rely upon others to execute her daily pursuits. That is when Terry Peoples obtained a recommendation to seek chiropractic treatment with Dr. Alex Jimenez. Terry Peoples makes sure to visit Dr. Alex Jimenez’s office as necessary, feeling better and refreshed each time.

Car Accident Chiropractic Pain Treatment

 

In accordance with the National Highway Traffic Safety Administration (NHTSA), more than three million people are injured each year in car accidents across the country. The several injuries brought on by an auto accident can be as varied as the individual requirements of each episode, but some automobile accidents are more prevalent than the others. The indicators of some automobile collisions may resolve by themselves, but most accidents and/or conditions caused by the effect of a vehicle crash might call for immediate medical care, such as chiropractic treatment, to ultimately help improve the symptoms.

chiropractic treatment el paso tx.

We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us.

Recommend: Dr. Alex Jimenez – Chiropractor

Health Grades: http://www.healthgrades.com/review/3SDJ4

Facebook Clinical Page: https://www.facebook.com/dralexjimene…

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochirop…

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop…

Yelp: http://goo.gl/pwY2n2

Clinical Testimonies: https://www.dralexjimenez.com/categor…

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

Linked In: https://www.linkedin.com/in/dralexjim…

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™

Rehabilitation Center: https://www.pushasrx.com

Facebook: https://www.facebook.com/PUSHftinessa…

PUSH-as-Rx: http://www.push4fitness.com/team/

Understanding Automobile Accident Injuries

Understanding Automobile Accident Injuries

I got into a car accident, I was rear-ended on Valentine’s Day and things weren’t quite right in my body, the aches and pains started coming. So after I visited another chiropractor and talked to my client, they told me about this place and when I came I was like, okay, I’m not going back to the other place. And that’s how I head about him (Dr. Alex Jimenez) and I’m so grateful. – Terry Peoples

 

Based on information referenced by the National Highway Traffic Safety Administration, or NHTSA, approximately more than three million individuals are injured annually in automobile accidents throughout the United States alone. While the unique conditions of every car crash can ultimately result in a wide variety of injuries, some types of automobile accident injuries are more common than others.

 

Fortunately, a majority of automobile accident injuries may resolve on their own without the need for treatment, however, more significant health issues caused by the auto collision may require some amount of treatment and/or rehabilitation and others may unfortunately become permanent if left untreated. It’s fundamental for the victim of an automobile accident to seek immediate medical attention in order for them to receive a proper diagnosis for their motor vehicle injuries before proceeding with the most appropriate treatment option for them.

 

Prior to following any necessary medical procedure, understanding some of the most common automobile accident injuries can help you become aware of the steps you can take to ensure that you are getting the proper care for your health issues. Furthermore, the type and severity of motor vehicle accidents suffered by the victims involved in a car crash may largely depend on several variables, including:

 

  • Was the individual wearing a seat belt?
  • Did the person’s car get hit from the back, side or front?
  • Was the occupant facing straight ahead in the seat? Or was the person’s head or body turned in a particular direction?
  • Was the incident a low-speed collision or a high-speed crash?
  • Did the car have airbags?

 

There are two broad categories of automobile accident injuries: impact injuries and penetrating injuries. Impact injuries are generally characterized as those caused when a portion of the individual’s body hits some part of the interior of the car. Frequently, this can be a knee hitting a dashboard or the head hitting the seat rest or the side window during an auto collision. Penetrating injuries are generally characterized as open wounds, cuts and scrapes. Shattering glass or loose items flying inside the car on impact can often cause these types of automobile accident injuries. Below, we will discuss the most common automobile accident injuries and describe them in detail.

 

Soft Tissue Injuries

 

Soft tissue injuries are some of the most common types of automobile accident injuries. A soft tissue injury is typically characterized as trauma, damage or injury to the body’s connective tissue, including tendons, ligaments and muscles. Soft tissue injuries can vary depending on the type of connective tissue it affects as well as on the grade and severity of the harm. Because soft tissue injuries do not involve open wounds, it may be challenging to diagnose these type of automobile accident injuries.

 

A whiplash-associated disorder, most frequently referred to as a whiplash injury to the neck and upper back, is a type of soft tissue injury. In this form of harm, the muscles, tendons and ligaments are stretched beyond their natural range due to the abrupt movements imposed on the neck and head from the force of the impact at the point of collision. These same mechanisms may additionally cause soft tissue injuries in other regions of the body, such as the back. Automobile accidents can also often cause mid-back and low-back muscle sprains, and at times, these may cause severe back injuries and even aggravate underlying conditions due to the sheer force from the impact on the spine.

 

Cuts and Scrapes from Automobile Accident Injuries

 

During an auto collision, any loose objects inside the car can immediately become projectiles which can be thrown about the vehicle’s interior. This includes cell phones, coffee glasses, eyeglasses, purses, books, dash-mounted GPS systems, etc.. If one of these objects strikes your body at the time of the incident, they can easily cause cuts and scrapes as well as cause additional trauma, damage or injuries.

 

Occasionally, these cuts and scrapes are relatively minor and require no immediate medical attention. More severe cases of these type of automobile accident injuries, however, could create a relatively large open wound and may require stitches to prevent blood loss. Cuts or scrapes can also occur when your airbag deploys from the auto collision.

 

Head Injuries

 

Head injuries in the form of automobile accident injuries can take a number of forms, where some can be considered comparatively minor and others can virtually be quite severe. The sudden stop or shift in direction by a motor vehicle during an car crash can cause an individual’s head and neck to jolt or jerk abruptly and unnaturally in any direction, overstretching the complex structures of the cervical spine beyond their normal range, leading to muscle strains and whiplash-associated disorders.

 

The head itself can also be injured during an auto accident. Impact with a side window or with the steering wheel may cause cuts, scrapes and bruises to the head, as well as even deeper lacerations. More severe collision impacts can cause a closed head injury. In that circumstance, the fluid and tissue inside the skull are damaged due to the abrupt movement or impact of the head. Less acute closed head injuries often result in concussions, while the most severe head injuries can cause brain damage.

 

Chest Injuries

 

Chest injuries are also common auto accident injuries. These type of injuries are usually identified as contusions or bruises, however, these can also take the form of much more severe injuries, like fractured ribs or internal injuries. Drivers often experience chest injuries due to their position behind the steering wheel, which offers very little space to move before the torso collides with the steering wheel. If an individual’s body is thrown forward during a motor vehicle collision, even if their chest doesn’t impact the steering wheel or dashboard, the torso will experience tremendously high amounts of force, specifically against the shoulder harness or seat belt, which may cause severe bruising.

 

Arm and Leg Injuries

 

The very same sheer forces which unexpectedly throw a person’s head and neck back-and-forth during a car crash can behave similarly on arms and legs. If your vehicle experiences a side impact, your arms and legs may be tossed hard against the door. In addition, if you’re a passenger, your legs typically have very little room to move. As a result, automobile accidents often cause an occupant’s knees to strike the dashboard or even chairs in front of them.

 

Based on the circumstance of the auto collision, automobile accident injuries to your arms and legs may include bruises, scrapes and cuts, however, sprains and even fractures in both the upper and lower extremities can happen. Keep in mind that some injuries aren’t apparent following a car accident. It may take days, weeks, or even months for symptoms to manifest. Therefore, if you’ve been involved in an automobile accident, it is best to seek immediate medical attention.

 

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Dr. Alex Jimenez’s Insight

After being involved in an auto accident, it may sometimes take days, weeks, even months for symptoms to manifest completely. For your own health and wellness, it’s essential to seek immediate medical attention following the car crash. While many types of injuries can occur, there are several common automobile accident injuries which can develop due to the sheer force of the impact, such as whiplash-associated disorders. Whiplash is a prevalent auto accident injury which is characterized as a type of neck injury which happens when the complex structures surrounding the cervical spine are stretched far beyond their natural range of motion. Chiropractic care is a safe and effective treatment option which can treat a variety of auto accident injuries.

 

Chiropractic Care After an Automobile Accident

 

Many healthcare professionals are qualified and experienced in the treatment of a variety of automobile accident injuries, especially chiropractors. Chiropractic care is a well-known, alternative treatment option which focuses on the diagnosis, treatment and prevention of numerous injuries and/or conditions associated with the musculoskeletal and nervous system. If you’ve been involved in an auto collision, chiropractic care can offer substantial benefits towards your current well-being, supporting your recovery process.

 

After a car collision, you may experience pain and discomfort, decreased range of motion, stiffness or soreness. Remember that these symptoms may not always manifest immediately after a motor vehicle accident. Through the use of spinal adjustments and manual manipulations, chiropractic care will help you manage painful symptoms, as well as help enhance flexibility, increase strength and improve mobility, promoting a faster recovery. In addition, it can prevent long-term symptoms from developing, such as migraines and chronic pain. The sooner you get chiropractic care after a car wreck, the more likely you are to recover fully.

 

By carefully restoring the original alignment of the spine, chiropractic care helps reduce pain and other painful symptoms. Furthermore, a chiropractor can recommend a series of exercises and physical activities to help pump oxygen, blood and nutrients to the injury site and enhance recovery. A doctor of chiropractic will develop a personalized treatment program targeted to your specific automobile accident injuries. Chiropractic care also makes it possible to avoid the need for surgical interventions. It strengthens ligaments, tendons and muscles, which shield the body’s structures. It’s also a far more cost-effective solution.

 

Chiropractic care can also restore function in patients with older vehicle collision injuries. You are still able to benefit from chiropractic care even if you had an accident years back. Employing spinal adjustments and manual manipulations, as well as rehabilitation techniques, it helps relieve old pain and improve function. Additionally, it is a non-invasive treatment option, and you won’t end up needing to rely on pain drugs and/or medications for relief of your symptoms.

 

Chiropractors can even treat vertigo resulting from a car crash. In as little as one treatment, they could fix a dysfunction in the vestibular system. Other types of chiropractic care treatment techniques include massage, ultrasound, ice and cold treatment, specific exercises and physical activities, and even nutritional advice. Chiropractic care is a safe and effective treatment approach which can help treat automobile accident injuries without the need for drugs and/or medications as well as surgery.

 

If you suffered a car accident injury, don’t delay any longer. Contact a chiropractor and allow them to help you follow the best treatment path. Chiropractors can provide you a consultation to perform a comprehensive evaluation and make a treatment strategy targeted to your injuries. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Back Pain

 

Back pain is one of the most prevalent causes for disability and missed days at work worldwide. As a matter of fact, back pain has been attributed as the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience some type of back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractic Treatment for Car Accidents

 

 

Opioids! Chiropractic Is The Safer Alternative

Opioids! Chiropractic Is The Safer Alternative

Opioids and Prescription drug abuse and addiction is a significant problem in the United States. In fact, the U.S. Department of Health and Human Services (HHS) has declared it an epidemic.

Researchers estimate that as many as 36 million people worldwide abuse opioids. Estimates in the U.S. alone reached 2.1 million people in 2012. In 2014, six out of ten drug overdose deaths involved an opioid – including prescription opioids for pain relief.

Every day, 78 Americans die from an opioid overdose. As the Opioid drug problem continues to spiral further out of control, claiming more lives, people are looking for safer, drug free ways to relieve their pain. Chiropractic offers such an option.

What Are Opioids?

Opioids are prescription medications that are intended for pain relief. They work by diminishing the intensity level of pain signals as they reach the brain. They also affect the areas of the brain that control emotion thereby weakening the perception of the pain as well. There are several very popular medications that are classified as opioids:

  • Hydrocodone (Vicodin)
  • Oxycodone (Percocet, OxyContin)
  • Morphine (Avinza, Kadian)
  • Codeine

The most commonly prescribed opioids are hydrocodone products. They are used to treat pain from injuries, dental work, and typically moderate pain. Milder pain is often treated with codeine but it is also used to treat coughing as well as severe diarrhea. Overall, opioids are used to treat everything from cancer pain to post-op pain to osteoarthritis.

What Are The Dangers Of Opioids?

Opioids have a serious risk of abuse, addiction, and overdose. Even then they are taken as prescribed, opioids can have the following side effects:

  • Excessive sleepiness
  • Nausea
  • Dry mouth
  • Vomiting
  • Confusion
  • Dizziness
  • Depression
  • Constipation
  • Low energy
  • Sweating
  • Low testosterone levels that result in a diminished sex drive
  • Itching
  • Decreased strength
  • Increased pain sensitivity

Over time, the body can build up a tolerance to the drug which means that in order to achieve the same relief from pain they must take more of it. Physical dependence is also a concern, usually going hand in hand with tolerance. Once that point is reached the patient will experience symptoms of withdrawal if they stop taking the medication.

If Doctors Are Prescribing Opioids, How Are People becoming Addicted?

In 2013, doctors wrote almost a quarter of a billion prescriptions for opioids. To put that into perspective, that is enough for every adult in the U.S. to have their own bottle of the drug. Doctors prescribe opioids to their patients in an effort to treat pain, but most of the time it is just a band aid. Instead of seeking out the root of the problem and educating their patients on whole body wellness, they prescribe pills that numb the senses, cause unpleasant or even dangerous side effects, and create addictions.

As the patient develops a tolerance for the drug, the doctor increases the prescription. This cycle continues as the patient become more and more dependent upon the drug. They may even experience more pain as the drug increases their pain sensitivity. As patients become addicted, the number of prescription opioid overdose deaths is steadily increasing. The most common drugs involved in these overdose deaths include:

  • Hydrocodone (Vicodin)
  • Oxycodone (OxyContin)
  • Methadone

States are putting measures in place to monitor and regulate how doctors prescribe opiates, but when desperate, addicted patients will go to great lengths to obtain the drugs they are addicted to. They will go to different doctors to get additional prescriptions or even find ways to obtain the drug illegally. It is a heartbreaking problem that is completely preventable.

How Is Chiropractic A Safer Alternative To Opioids?

Chiropractic is a proven method for managing pain relief that is not only effective but safe and drug free. Numerous chiropractic studies confirm what chiropractic patients have been saying for decades: chiropractic care is an excellent pain management method. The spinal adjustments bring the body into balance but that is only the beginning of the benefits. Chiropractic focuses on whole body wellness so patients learn how to take proactive steps to treat their condition.

It also seeks to find the root of the problem and begin healing by treating the cause. Through exercise, diet, and lifestyle recommendations in addition to the chiropractic adjustments, patients can get relief from pain caused by injury, surgery, arthritis, and many other conditions. Chiropractic is so much more than a back pain treatment; it is a whole body, whole patient treatment.

Injury Medical Clinic: Chronic Pain & Treatments

Auto Accidents And Chiropractic Care | El Paso, TX. | Video

Auto Accidents And Chiropractic Care | El Paso, TX. | Video

Auto Accidents: Mr. and Mrs. Dominguez were involved in an automobile accident which left them with pain and discomfort. In their search to find relief from their symptoms, Manuel Dominguez and his wife found chiropractic care with Dr. Alex Jimenez. The couple expresses how much their lives have changed since receiving chiropractic care and rehabilitation at Push. Mr. and Mrs. Dominguez are happy and grateful for the help they’ve received for their automobile accident injuries and they highly recommend and invite others to seek chiropractic care.

Chiropractic Care For Auto Accidents

  Chiropractic care helps the body recover optimal spinal alignment, which is often lost during traumatic episodes like automobile accidents. Throughout treatment, chiropractors frequently use a method called spinal manipulation or adjustment. This system entails the use of controlled power to re-align vertebrae and stop them from putting painful pressure on spinal nerves. The exact routine of physical therapy will be different depending upon the individual and type of injury sustained. Treatment may include hands-on stretching or strengthening exercises, ice and/or heat, or other techniques. auto accidents el paso tx.We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ Information: LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor

Injury Medical Clinic: Accident Treatment & Recovery

Auto Accident Injuries Chiropractor | El Paso, TX. | Video

Auto Accident Injuries Chiropractor | El Paso, TX. | Video

Auto Accident Injuries: Alfonso J. Ramirez, retired, has been pursuing a life full of health and wellness. Before he began following this type of lifestyle, however, Mr. Ramirez was hit by a car and suffered many injuries. He was treated accordingly at the time but was then referred to Dr. Alex Jimenez for chiropractic care. Once he received his first spinal adjustment, Alfonso Ramirez experienced tremendous relief from his symptoms. Grateful for all the medical services he’s been provided with, Mr. Ramirez expresses how Dr. Jimenez has helped restore his quality of life. Alfonso J. Ramirez recommends Dr. Alex Jimenez as the non-surgical choice for a variety of injuries and conditions.

Auto Accident Injuries Chiropractor

Millions of people are injured in automobile accidents every year, and many of these incidents can unfortunately result in long-term injuries and disability. Even if you are not in immediate pain following a car crash, seeking prompt chiropractic care may help prevent years of chronic pain. Chiropractic care is among one of the most popular ways for treating auto accident injuries. Chiropractic adjustments correct misalignments in the spine and help restore normal function to the nervous system so that the body can heal naturally. A chiropractor can help cure auto accident injuries without drug use. Also, chiropractic care can help with recovery without surgery.

auto accident injuries el paso tx.We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal InjuryAuto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.

Dr. Alex Jimenez DC, C.C.S.T

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/

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Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:

LinkedIn: https://www.linkedin.com/in/dralexjimenez

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

Rehabilitation Center: https://www.pushasrx.com

Fitness & Nutrition: http://www.push4fitness.com/team/

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Injury Medical Clinic: Accident Treatment & Recovery

Shoulder Pain Treatment El Paso, TX | Video

Shoulder Pain Treatment El Paso, TX | Video

Shoulder Treatment: About two years ago, Denise was involved in an automobile accident which resulted in upper body issues, including shoulder pain. Due to her painful symptoms, Denise was unable to engage in her regular physical activities. While she continued to experience problems with her auto accident injuries, she decided to seek chiropractic shoulder treatment with Dr. Alex Jimenez. Since her first treatment session, Denise noticed tremendous changes to her symptoms and she was once again able to return to her original routines prior to the incident. Denise positively recommends Dr. Alex Jimenez as the non surgical choice for shoulder pain treatment since finding relief.

Upper body issues, such as shoulder pain, are some of the most common reasons for doctor visits. The shoulder is the most mobile joint in the human body, however, because of its increased range of motion, it is also the most unstable joint. This can increase the risk of joint injury, often leading to the degeneration of the soft tissues surrounding the shoulders. Shoulder pain can be categorized as localized or referred, with other health issues causing shoulder pain. The force from the impact of an accident, such as an automobile accident or a sports injury, is a well-known cause for shoulder issues.

shoulder treatment el paso, tx.Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You & God Bless.

Recommend: Dr. Alex Jimenez – Chiropractor

Health Grades:   http://www.healthgrades.com/review/3SDJ4

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Yelp:   http://goo.gl/pwY2n2

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

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Recommend: PUSH-as-Rx ®™

Rehabilitation Center: https://www.pushasrx.com

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Chiropractic Clinic Extra: Accident Treatment

 

Car Accident Injury Treatment El Paso, TX | Terry Peoples

Car Accident Injury Treatment El Paso, TX | Terry Peoples

Terry Peoples is a cosmetic beauty advisor in El Paso, TX, who relies on her independence to carry out her daily responsibilities.After suffering a car accident injury, she was left her having to rely on others to perform her everyday activities. That’s when Terry Peoples received a recommendation to seek chiropractic care with Dr. Alex Jimenez. Terry Peoples leaves the Dr. Alex Jimenez’s office everyday, feeling much better and refreshed.

According to the National Highway Traffic Safety Administration (NHTSA), over three million people are injured every year in automobile accidents throughout the nation. The various injuries caused by a car crash can be as diverse as the individual conditions of every incident, but some types of auto accidents are more prevalent than others. The symptoms of some auto collisions may resolve on their own, however, most injuries and/or conditions resulting from the impact of a car crash may require immediate medical attention, such as chiropractic care, to improve the symptoms.

car accident el paso tx

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.

Recommend: Dr. Alex Jimenez – Chiropractor

Health Grades:   http://www.healthgrades.com/review/3SDJ4

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Yelp:   http://goo.gl/pwY2n2

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

Linked In:   https://www.linkedin.com/in/dralexjimenez

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Recommend: PUSH-as-Rx ®™

Rehabilitation Center: https://www.pushasrx.com

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PUSH-as-Rx:   http://www.push4fitness.com/team/

Auto Accident Injury Treatment El Paso, TX | Leticia

Auto Accident Injury Treatment El Paso, TX | Leticia

Auto Accident Injury: As a wife, mother and grandmother, Leticia must rely on her well-being to care for her family. But, after being involved in a car accident several years back, everyday activities, such as walking and even picking up her granddaughter, became difficult. That’s when she received chiropractic treatment with Dr. Alex Jimenez, D.C., for her auto accident injuries. Leticia high recommends Dr. Alex Jimenez after chiropractic care restored her quality of life.

Approximately more than 3 million people are injured every year as a result of an automobile accident. The type and severity of the auto accident injuries can vary depending on the specific circumstances of the car crash. Soft tissue injuries affecting the neck and back, such as whiplash, are some of the most common types of injuries resulting from auto collisions. Head injuries can also occur as a result of the force of the impact. It’s essential for the victim involved in the automobile accident to seek immediate medical attention for their injuries.

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.

Recommend: Dr. Alex Jimenez – Chiropractor

Health Grades:   http://www.healthgrades.com/review/3SDJ4

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Yelp:   http://goo.gl/pwY2n2

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://www.elpasobackclinic.com

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Recommend: PUSH-as-Rx ®™

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Whiplash Injuries Explained

Whiplash Injuries Explained

Whiplash Injuries Explained: Whiplash Associated Disorders

  • Approximately 15 to 40% of those injured in automobile accidents will struggle with chronic pain for the rest of their life. Journal of the American Academy of Orthopedic Surgeons, 2007
  • Whiplash injuries not only increase your chances of chronic neck and shoulder pain, they also increase the probability of other seemingly unrelated health problems. Journal of Clinical Epidemiology, 2001
  • Chronic Pain does bad things to people. According to standardized assessment tests, 100% of those struggling with chronic pain caused by whiplash injuries have abnormal psychological profiles. The only way to resolve these abnormal psychological profiles is to relieve / remove the chronic back pain, neck pain and headaches. Counseling / Psychiatry has not been shown to improve the pain nor the psychological profiles of people suffering from the effects of their automobile accident. Pain, 1997
  • The longest-running study ever done on whiplash patients looked at the overall health of whiplash patients almost twenty years after their automobile accident. Nearly two decades after their accident, 55% of those patients still deal with chronic pain. Accident Analysis and Prevention, 2002
  • Unless you have a fracture or specific ligament tear, Cervical Collars are no longer recommended for treating patients with whiplash injuries. When cervical collars are used as a whiplash injury treatment, there is a 90% probability that you will still have chronic neck pain in six months. Spine, 2000
  • One in one hundred people around the world (1% of the population, or just over 70 million people) suffer from ongoing chronic neck pain due to an automobile-induced whiplash injury. Injury, 2005
  • One in fifty people injured in Whiplash-like accident deal with chronic pain severe enough to need diagnostic testing, medications, and doctor visits, on an ongoing basis —– nearly eight years after the accident occured. Pain, 1994

“Statistically, every American can expect to be in a motor vehicle collision once every ten years. Motor vehicle collisions have been the number one cause of death of our children for decades. Since 9/11 (September 11, 2001), about 3,000 Americans have died as a consequence of terrorism; about 360,000 Americans have died in motor vehicle crashes. Since the start of the American Revolution in 1775, about a million Americans have died in our wars. Since Henry Ford introduced the mass-produced motorcar in 1913, more than 2.5 million Americans have met their deaths on the road. And millions of Americans who did not die from motor vehicle collisions were injured.” Orthopedist and one of the world’s foremost experts on whiplash, Dr. Dan Murphy. There are 3,000,000 new cases of whiplash in the US every year.

Whiplash Injuries Explained

The word “whiplash” is a layperson’s term —- and although it is typically associated with Car Crashes, crashes are certainly not the only way to get a whiplash injury. Whiplash Associated Disorders (WAD) are typically referred to in the medico-legal literature as “Acceleration / Deceleration” injuries, or “Hyperflexion / Hyperextension” injuries. And, as many of you have come to understand the hard way, they can be incredibly violent — even in seemingly minor accidents that had surprisingly little vehicular damage. With over three million new cases of Acceleration / Deceleration injuries occurring each year, and over 50% of those progressing to at least some degree of unresolved or “chronic” symptoms, it is clear that Whiplash Associated Disorders are taking a massive toll on our country financially, physically, and emotionally.

When people think of “whiplash” they tend to think of motor vehicle accidents (MVA’s). Although MVA is probably the single most common cause of the symptoms most frequently associated with and experienced by those suffering with Whiplash Associated Disorders (neck pain, upper back pain, shoulder pain, fuzzy thinking, numbness, tingling and / or weakness of the hands, dizziness, etc), whiplash can occur in about a thousand and one different ways. And while there are certain symptoms that we see over and over and over in our clinic (neck pain and headaches, for instance), whiplash can seemingly cause about a thousand and one different symptoms as well. Some of the most common causes of WAD that I see in my office include sports injuries, work injuries (think logging here), spousal abuse, fights, horse accidents (falls), and almost anything else that has the capacity to “snap” your head suddenly and violently.

Although the most common problems associated with Whiplash Associated Disorders are related to the neck (neck pain, numb hands, headaches), scientific research shows that Acceleration / Deceleration injuries routinely cause all sorts of other injuries as well. For instance, I commonly see people whose low back pain started with an MVA. I even see people whose FIBROMYALGIA was brought on by the emotional and physical stress of an MVA! One of the most shocking conclusions concerning Whiplash Associated Disorders, was written by a pair of the most well known whiplash researchers on the planet — medical researchers, not chiropractic researchers. Drs. Gargan & Bannister stated in a study that was done in the 1990′s, that whiplash-like injuries frequently result in a whole host of, “bizarre and seemingly unrelated symptoms“. Although there are plenty of malingerers, fakers, scam artists, money-grubbers, and drug seekers out there; far too many people are lumped into these categories simply because their problems do not show up on traditional medical tests such as MRI / CT.

Even though there are literally scores of scientific studies concluding that Whiplash Associated Disorders are difficult (often to the point of being impossible) to image on x-rays, CT’s, or MRI’s, these are still the chief method the medical community is using to determine whether or not you were injured, and just how serious this injury might be. The problem is, if the vast majority of soft-tissue injuries (injuries to LIGAMENTS, TENDONS, MUSCLES, FASCIA, etc) do not image well with advanced imaging techniques, and imaging is the medical community’s chief method of diagnosis; unless you have a herniated disc, you will invariably be treated like nothing is really wrong with you — like you are a scam artist trying to extort a huge settlement from an insurance company. Stop and think for a moment about how problematic that fascia, arguably the single most pain-sensitive tissue in your entire body, will not show up on any tests —- including MRI.

When you are taken the the ER, you will have some tests run and the doctor will look at you and say, “Thank God Mrs. Smith. Nothing is broken! Now, go home and rest, and call your family doctor tomorrow. In the mean time, wear this collar, and take these Anti-Inflammatory Medications, pain pills, and muscle relaxers. Oh, and don’t forget to use a heat pack as well.“ Is this good advice? Sure it is — if you own a medical clinic! Follow this advice and you are certain to become a lifetime ARTHRITIC! The truth is, when it comes to the evaluation and treatment of injuries to fascia and other elastic, collagen-based connective tissues, all of our hi-tech equipment with its bells and whistles is simply not helping diagnose or help most injured people. You are reading a page on whiplash —- my guess is that you completely understand this concept because you have been there, and done that! The Old Model of tissue injury evaluation and treatment went out the door about 25 years ago. It just seems like no one has remembered to tell treating physicians about the NEW MODEL.

Brain Based Injury

Your short drive to work was no different than any other day —- until you began slowing down for the school bus stopping in front of you. Just as you’re coming to a complete stop, BAM; your world explodes as someone plows into your car from behind, knocking you into the bus. Turns out the kid driving the full-sized crew cab pickup truck that hit you was texting, and never even hit his brakes. You’re having a hard time remembering exactly what happened. You remember a flash of light and your head being slammed backwards over the top of your headrest. You vaguely recall that your head rocketed forward as you hit the bus — almost hitting the windshield. You step out of your 1997 Toyota Camry to take stock of the situation. There is no blood or guts. In fact, you don’t even have a bruise to show for your trouble. But by the time the State Troopers arrive to work the accident, you not only have a neck pain unlike anything you have ever felt before, you have a banging headache as well. You’re having trouble putting the pieces in order for them. They ask if you need an ambulance, but you do not want to go to the Emergency Room. But a few weeks later, you’re still having trouble with your memory. Work is not going well because on top of the pain and exhaustion (yeah, since the accident you can’t sleep either), everything seems fuzzy, foggy, and hazy. Who would have thought that whiplash could cause these sorts of symptoms —– particularly without any overt / obvious injuries?

Whiplash Injuries are particularly dangerous because they are a common cause of MTBI (Mild Traumatic Brain Injury). MTBI results from the brain bouncing off the inside of the skull during the hyperextension / hyperflexion of the neck. As you can imagine, this damages / destroys nerve cells. Depending on which part of the brain is injured, a person might have problems in some of the following areas…

  • Walking / Moving
  • Balance
  • Coordination
  • Strength / Endurance
  • Ability to Communicate
  • Ability to Understand
  • Ability to Think
  • Memory
  • Strange or Unexplainable Pain Patterns or Symptoms (these are some of the “bizarre and seemingly unrelated symptoms” talked about by whiplash researchers Gargan and Bannister.)
  • Altered Psychological Profiles

Because these symptoms are often subtle, not very specific, and do not show up on standard medical tests such as x-rays or MRI’s, it’s common for patients with MTBI not to complain about them — at least initially. For many people it can be embarrassing “complaining” to the chiropractor or doctor about these vague and difficult-to-describe symptoms that have no external findings to relate them to (bruising, abrasions, broken bones, etc). Believe it or not, many patients are relieved to find out that there is a physiological reason that they feel the way they do, and that it is not “all in their head”. The good news is that with the correct kind of care, most of the patients who are struggling with these injuries will recover within a year’s time. But unfortunately, not all do. It is for this group of people that the term MTBI or “Post Concussive Syndrome” is used.

Factors That Worsen Whiplash Injury

The “old” model of whiplash said that WAD was simply caused by stretched or torn tissue, which was solely the result of the head flying around upon impact. That model simply did not explain the injuries being reported in low-speed collisions (15 mph and under). The most current whiplash models shows that a wave is “shot” through the spine upon impact —- quite similar to the wave you create to move the garden hose a couple of feet to the left. This wave, which occurs in a fraction of a second, can tear both connective tissue and nerve tissue microscopically. It also momentarily induces a tremendous amount of pressure in the smallest blood vessels (capillaries) which is known as “blood hammer”. Blood Hammer, FASCIAL TEARING, and subsequent Neurological Damage, helps to explain some of these “bizarre and seemingly unrelated symptoms” that are almost epidemic in those who have suffered whiplash injuries due to MVA’s.

What Can Make Whiplash Injury Worse?

FACTORS THAT POTENTIALLY INCREASE WHIPLASH SEVERITY

  • Unaware of approaching impact
  • Being Female (less muscle mass)
  • Incorrectly positioned headrest (too low)
  • Wet, Icy, or Slick roads (or gravel)
  • Automatic Transmission
  • Your vehicle is small and light or struck by a larger vehicle
  • Elderly or arthritic spine (or history of previous whiplash injury)
  • Head turned at impact
  • Angled or side-impact accidents (rear-enders are particularly bad)

FACTORS THAT POTENTIALLY DECREASE WHIPLASH SEVERITY

  • Aware of approaching impact
  • Being Male (more muscle mass)
  • Headrest positioned at mid-ear
  • Dry Pavement
  • Manual Transmission
  • Your vehicle is large, heavy, or struck by a much smaller vehicle
  • Younger or more flexible and healthy spine (no previous injury)
  • Head facing forward at impact
  • Straight impacts

Relationship: Severity Of Injury & Amount Of Vehicle Damage

statistics

“Different parts of the human body have different inertial masses. The mechanism of injury from a rear-end motor vehicle collision, is, as a rule, an inertial injury. This means the injury does not occur as a consequence of direct contact of vehicle parts to the patient’s body; rather, injury occurs as a consequence of different inertial masses moving independently from one another.” Dr. Daniel Murphy, Board Certified Orthopedist and Leading Expert in Whiplash Diagnosis and Treatment

In 1687, famed astronomer / mathematician / physicist / philosopher / and theologian, Sir Issac Newton, wrote his still-renowned Philosophiae Naturalis Principia Mathmatica (now referred to as Principia or simply “Principles”), that is still considered to be the greatest scientific textbook in human history.

In Principia, Newton laid out his three Laws of Motion. These laws are able to explain whiplash and the subsequent injury that follows better than anything else I have seen thus far. For understanding whiplash injuries and their relationship to vehicle damage, Newton’s first law is the most important —- The Law of Inertia. Channel your 8th grade science class and stay with me here as we take a brief science / physics review. Newton’s First Law: Objects at rest remain at rest unless they are acted on by an outside force. Likewise, objects in motion stay in motion unless they are acted on by an outside force. And remember this; Like Dr. Murphy described above, whiplash injuries occur because different parts of your body can and will have different inertias — sometimes very different inertias.

Let’s say that you are sitting at a stoplight and minding your own business. You’re humming along to Manfred Mann’s Blinded by the Light, when all of a sudden —- BAM! You are slammed from behind and launched across the intersection like you were shot from a cannon! You are not sure what happened, but you feel like you just got knocked into next week. PHYSICS LESSON: When your vehicle was struck from behind, it shot forward. Much of this had to do with the fact that you were driving a 1992 Toyota Corolla, and the kid that hit you (he was texting of course) was headed to the sale barn for his dad, driving a F-350 Supercab, and pulling a stock trailer loaded with eight steers. When he hit you, there was a huge instantaneous change in momentum. In a fraction of a second, your Corolla was accelerated from zero to over 50 mph. Let’s look at this event in frame-by-frame fashion.

As the Corolla shot forward, so did your torso that was sitting in the seat. Follow me, because here is the precise point where whiplash occurs. As your body was accelerated forward, your head (at least in the initial milliseconds) did not move. The head is much smaller (and lighter) than your torso, and attached by a thin column of muscles, tissues, and tiny vertebrate we call the neck or Cervical Spine. Because of the weight difference between the head and the body, as well as the fact that the connector between them (the neck) is stretchy and relatively thin; the head has a completely different inertia than the body. This was magnified by the fact that the seat back kept your torso from moving very far backwards, but did nothing to stop your neck — and unfortunately, your head restraint was not adjusted to the proper height. In other words, your body was essentially driven out from under your head; then a fraction of a second later, your head not only caught up with your body, it actually accelerated to a greater velocity than your body, and overshot it as your head slammed forward.

Let’s review: As the vehicle, the seat, and your body rocketed forward with the explosive energy and momentum shift from the impact, your head remained stationary for a split second. Your body was essentially driven out from under your head, making it appear that your head slammed backwards. As your head’s momentum began catch up to that of your body, the tissues in your neck began to stretch and deform. Unfortunately, when the force of the accident is greater than the forces holding your tissues together, these tissues begin to tear —- at least on a microscopic basis (remember, most of the time this tearing and SCAR TISSUE will not show up on an MRI). The result was a whiplash injury —- an inertial injury to the SPINAL LIGAMENTS, SPINAL DISCS, FASCIA, TENDONS, and other soft tissues of the neck and upper back. In fact, there are studies showing that even though they are too small to be effectively imaged with current MRI technology, there are often (usually) microscopic fractures of the FACET JOINTS present with intense whiplash injuries. Frequently, there is also sub-clinical brain injury as well.

Interestingly enough, one of the things that make muscles contract with greater intensity is to maximally stretch them (think of the windup and cocked arm of a baseball pitcher here). When the neck is stretched to such a great degree, it’s muscles contract to an equally intense degree. When coupled with the acceleration and subsequent deceleration of the vehicle, this causes the neck to slam forward causing still more tissue tearing in the neck and upper back. And the most important thing to grasp is that your neck and head never hit anything throughout the entire process. The injury to the neck itself (which happened in a matter of milliseconds) occurred because of a huge momentary shift in momentum, energy, and inertia between your body and your head —- just like what you see in Shaken Baby Syndrome.

Although you are slightly dazed, you get out of your Corolla and begin to appraise the situation. You look at your limbs. They look intact. You can move. You are breathing. There’s no blood. Nothing looks bruised or feels broken. In fact, you do not have as much as a scratch on you. You do not want to go to the Emergency Room, but the State Trooper working the accident talks you in to it. You have several spinal x-rays and a CT of your neck. Everything is negative. The ER doctor comes in, pokes you, prods you a couple times, and has you move a bit. He then delivers a short monologue — one he has delivered hundreds of times previously, “Wow Mr. Jones. Sounds like you were born under a lucky star. Thank God nothing is broken. Neurologically you check out fine. You’ll be sore, but just go see your family doctor tomorrow. You’ll get some PAIN PILLS, NSAIDS, CORTICOSTEROIDS, and MUSCLE RELAXERS. Don’t worry. You’ll be just fine.”

But that’s just it. You saw your doctor, and as the weeks go by, you’re not fine. Far from it. You are in pain, and it’s getting worse. But you have nothing to show for it. Like I said, there were no broken bones and no bruises. Heck, there was not even a cut or scratch. There is nothing that would alert anyone (let alone a doctor who is not up on the most current research) that you are in pain —- and that it’s getting worse. And on top of that, the damage to the rear end of your Corolla looked surprisingly light compared to how hard you were hit and the way that you feel (for Pete’s sake, the car is actually drivable). The other fellow’s insurance company paid you $2,000 for your Toyota, which was over double the Kelly Blue Book value. They took care of the ambulance ride and Emergency Room visit, and even offered you $1,500 for pain and suffering. You hired an attorney, but he acts like he does not really believe how much you hurt either. What’s going on here?

Almost half a century ago (1964), the prestigious medical journal, American Journal of Orthopedics revealed a still well-concealed fact — that there is no relationship (none, nada, zilch, zero) between the damage done to the vehicle and the amount of injury to the vehicle’s occupants. Since that time, the medical and scientific communities have proved this fact over and over and over again via research. It is a fact that I have heard verified over and over and over again by the Law Enforcement Officers and Paramedics that I adjust on a regular basis. Although most of the time, Insurance Companies and the Attorneys that represent them would have you believe just the opposite (there was not enough vehicle damage to have an injury), it’s just not true. Decades worth of scientific studies tell us that the severity of the vehicle damage cannot predict….

  • If patients will suffer whiplash injuries.
  • How severe those injuries might be.
  • How long it will take to effectively treat / heal the injury — or whether they will ever really heal at all.
  • Whether or not the injured party will end up with Chronic Pain and / or Arthritis as a direct result of the accident.

Dozens upon dozens of studies on Motor Vehicle Accidents have shown that vehicles that do not crumple upon impact will be accelerated with a far greater force and momentum. The faster that your vehicle is accelerated upon impact, the greater the inertial stresses to the neck and upper back. This is why today’s vehicles are made with “crumple zones”. You are much better off if the force of impact is absorbed by vehicular deformation, than by deformation of your body, particularly the soft tissues and discs of your neck. The larger the inertial stresses to the neck and upper back, the greater the damage to the soft tissues of the cervical spine / neck.

So, it stands to reason that harder impacts and greater amounts of vehicle damage lead to greater amounts of bodily injury. Not only is this not true, but most of the medical research on whiplash injuries today is being done on the effects of low speed impacts (those under 15 mph). Here are a few of the Scientific / Medical / Legal profession’s journals saying that there is no relationship between the amount of vehicular damage and the amount of injury to the vehicle’s occupants.

  • The Spine, 1982
  • Orthopedic Clinics of North America, 1988
  • Society of Automotive Engineers, 1990
  • Injury, 1993
  • Trial Talk, 1993
  • Injury, 1994
  • American Journal of Pain Management, 1994
  • Society of Automotive Engineers, 1995
  • Society of Automotive Engineers, 1997
  • Archives of Physical Medicine and Rehabilitation, 1998
  • Journal Of Whiplash & Related Disorders, 2002
  • Spine, 2004
  • Journal of Neurology, Neurosurgery, and Psychiatry, 2005
  • Spine, 2005
  • Whiplash Injuries, 2006

One of the problems, however, with whiplash injuries is that they frequently end up causing DEGENERATIVE ARTHRITIS. This has to do with the fact that these inertial injuries damage tissues in ways that cannot be imaged using even the most advanced technologies. Because most doctors are not up on current whiplash research, and feel you are looking for a big settlement, they frequently treat you like a malingerer (faker). However, these injuries cause the microscopic fibrosis that causes abnormal joint motion over time. This leads to arthritis so frequently, that I can often predict with a great deal of accuracy when a person’s injury occurred — just by looking at a current x-ray of their neck.

Arthritis After An Automobile Accident

  • X-rays taken an average of seven years after a whiplash injury revealed that arthritis in the neck’s spinal discs in almost 40% of the patients. The study’s uninjured group showed only a 6% rate of arthritis. What did the authors conclude? “Thus, it appeared that the injury had started the slow process of disc degeneration.” The Cervical Spine Research Society, 1989
  • Whiplash patients who already had degenerative arthritis of their cervical spine (neck), showed evidence of degenerative arthritis at previously non-arthritic discs and vertebrates in 55% of cases. The Cervical Spine Research Society, 1989
  • Compared to the necks of uninjured patients, a single incidence of whiplash increases the occurance of neck arthritis by 10 years. The Journal of Orthopedic Medicine, 1997
  • Pre-exisiting arthritis of the neck / Cervical Spine, greatly worsens the effects of a whiplash injury. Numerous studies show how this slows recovery times and increases the probability of ending up with Chronic Pain and even more arthritis than you started with. British Journal of Bone and Joint Surgery, 1983; The American Academy of Orthopedic Surgeons, 1987; Orthopedic Clinics of North America, 1988; Spine, 1994; British Journal of Bone and Joint Surgery, 1996
  • A great example of Inertia Injuries involves the sport of soccer. Soccer players who regularly “head” soccer balls, speed up degenerative arthritis of the neck by as much as twenty years. European Spine Journal, 2004 This is not new information, however. I wrote a newspaper column on the subject clear back in 1993. We saw that professional soccer players had double the amount of neck arthritis as their non-soccer playing peer group.

Whiplash Disorders: Difficult To Diagnose Despite Advanced Imaging

WAD is difficult to properly diagnose or evaluate using standard medical tests. X-rays do not ever show soft connective tissues, and dozens of studies show that MRIs, contrary to popular belief, do a poor job of imaging injured soft tissues — ESPECIALLY FASCIA. This is why you might feel like you are “dying”, but all of the tests are negative. People go through this experience over and over. They are then sent home from the E.R. or doctor’s office with pain killers, muscle-relaxers, and anti-inflammation drugs which can actually cause injured tissue to heal approximately 1/3 weaker and less elastic than it otherwise would, and told that in time it will heal. Just like a broken arm that is cocked off at a funny angle but never set or put in a cast; it will heal….. It just won’t heal the right way or with the proper amount of joint function / motion.

So just how should a problem like this be addressed? The key to a functional recovery is controlled motion. CHIROPRACTIC ADJUSTMENTS, specific stretches, and strengthening exercises are the number one way to accomplish this! Because FASCIAL ADHESIONS are usually part of the whiplash equation, you will probably need to undergo some form of Tissue Remodeling as well. Restoring movement, function, and strength (both to individual joints or vertebrate, and to the spine or limb as a whole) is the only proven method that is effective in truly reducing the symptoms of whiplash. Contrary to popular belief, using drugs to simply cover symptoms, is never a good option.

If the only treatment you receive for your whiplash injury is palliative (meaning covering symptoms with drugs, without addressing the underlying cause of those symptoms), then any relief achieved is temporary, and the end product of this process will likely be dysfunction, degeneration, and chronic pain!

Doctor/s Cannot Find Anything Wrong: What To Do

whiplash injuries explained

I would seriously consider getting a new doctor. As you have already read, whiplash is frequently a “clinical” diagnosis. This simply means that it is not going to show up well on standard imaging tests such as x-rays, CT, and even MRI. If your doctor is not up on the most current whiplash research, you lose — in more ways than one. Let me show you the results of one study that wanted to determine if the effects of whiplash were real (“organic”) or in the patient’s head (“psychometric”). By the way, this study comes from a 1997 issue of one of the planet’s most prestigious medical journals, The Journal of Orthopedic Medicine. They compared a large control group to a large whiplash group, ten years after the accident. Not only does this give us a long-term look at the effects of whiplash, it also removes the potential effects of litigation on the research as any legal issues would have been long settled.

NON-WHIPLASH INJURED GROUP

  • Neck Pain
  • Headaches
  • Numbness, Tingling, Pain, Paresthesia in Arms / Hands
  • Combined Back and Neck Pain
  • Neck Degeneration as Seen on X-rays

WHIPLASH INJURED GROUP

  • Eight Times more Neck Pain
  • Eleven Times more Headaches
  • Sixteen Times more Numbness, Tingling, Pain, Paresthesia in Arms / Hands
  • Thirty Two Times more Combined Back and Neck Pain
  • Neck Degeneration was Ten Years Advanced when Compared to the Control Group

Hyperflexion/Hyperextension Of The Cervical Spine

whiplash injuries explained

Hyperflexion

whiplash injuries explained

Hyperextension

whiplash injuries explained

With Hyperflexion, the spine goes forward, which drives the Nucleus of the disc to the back. This is why Herniated Discs are a frequent result of Whiplash Injuries. In Hyperextension, the spine is slammed backward. Although this rarely if ever results in frontal Disc Herniations, it jams the facets (the two little joints to the rear and on either side of the disc). This can lead to a degenerative condition called Facet Syndrome.

Notice in this Flexion / Extension X-ray that there is Spinal Degeneration occurring at the level of the C5-C6 Spinal Disc. This means that either this X-ray is being taken years (maybe decades) after an injury, or that this person had pre-existing degeneration (bone spurs, thin discs, and calcium deposits) prior to this latest injury. Either way, the individual being X-rayed had a Flexion / Extension injury of some sort probably 20 years ago or so. How can we predict this. Although there is a certain degree of “guesswork” that goes into knowing this, we know that DEGENERATIVE ARTHRITIS occurs due to loss of joint motion over time, and that whiplash tends to strike worst at C5-C6.

Soft Tissue Injuries
: How Long Do They Take To Heal?

That the spine and its supporting Connective Tissues can take up to two years to heal is not really new information. It can be found at least as far back as a 1986 issue of the Canadian Family Physician. More recent studies showing these longer healing times include a 1994 issue of the journal Pain, a 1994 issue of the journal Spine, and a 2005 issue of the medical journal Injury. In fact, the 1994 issue of Spine said that appropriately treated whiplash patients took an average time of over seven months to heal. This means that for every person who took 4-6 weeks to heal from their injuries, someone else is taking well over a year.

For people injured in Automobile Accidents, falls, Horse Accidents, Motorcycle Crashes, or any number of other ways that people end up with “Whiplash Injuries”, this is a commonly-asked question.  But it’s also a commonly asked question for those whose soft tissue injury was not traumatic, but was due to chronic, repeated, sub-maximal loading.  It’s more than understandable.  No matter how the injury occurred or what it is, everyone wants to know how long it is going to take to get better.  Just bear in mind that healing takes time.  And although you will often hear “6-8 weeks” bantered around, this is only partially true.  If you will notice the chart below, you can see that after about 3-4 weeks, the only thing going on is “Maturation and Remodeling”.  Do not be fooled!  This phase is not only critical, but far too often ignored by those who have a financial interest in your injury.

Tissue Repair & Healing Phases

STAGE I (Inflammatory Phase): This phase lasts from 12-72 hours, and is characterized by a release of inflammatory chemicals by injured cells. When cells are injured and die, they rupture and release their contents into the extracellular fluid (WHAT IS INFLAMMATION). These “Inflammatory Chemicals” that are released from ruptured cells are a necessary and vital component of the healing process. However, in excessive amounts, they can cause a great deal of pain. They also promote excessive microscopic scarring. Be aware that if you visit your doctor for a soft tissue injury, you will be given anti-inflammatory medications. These have serious side-effects (heart, liver, kidneys, etc). However, the real kick in the teeth is the fact that this class of drug has been scientifically proven to cause injured connective tissues to heal significantly weaker and with less elasticity than they otherwise would. Nowhere is this more true tha with Corticosteroids. Do a quick search of the Medico-Scientific Literature on Corticosteroids and soft tissue injuries. You will see over and over again that they are detrimental to the healing process and should play no part in the treatment of these injuries (HERE is an example from the field of Sports Injuries).

STAGE II (Passive Congestion): In this phase that begins by the 2nd to 4th day, we begin to see swelling (sometimes we do not see it, because it is not on the body’s surface). Remember; “inflammation” is not synonymous with swelling. Inflammatory Chemicals released by dying cells attract the fluid that causes swelling. This is why using cold therapy (ice) to control both inflammation and swelling is such an important part of the healing process — particularly in its earliest stages. However, the best method for moving out this “Congestive Swelling” is via controlled motion if possible. Oh, and your doctor may tell you to use heat during these initial two phases of soft tissue healing; don’t do it. Use ICE to control the inflammation!

STAGE III (Regeneration & Repair Phase): The Repair Phase is where new collagen fibers are made by fibroblasts. The body then uses these collagen fibers as a sort of soft tissue “patch”. Just like with your old blue jeans, a patch is not ideal. But once those old Levis tear or rip, what else are you going to do? In the body, this collagen patch (scar tissue) tends to be different than the tissue around it in a number of ways. Scar Tissue is weaker, less elastic, MUCH MORE PAIN SENSITIVE, has SEVERELY DIMINISHED PROPRIOCEPTIVE ABILITIES, etc). Be aware that the Repair Phase of tissue healing only lasts about 6 weeks, with the majority being completed in half that time. WARNING: This 3rd stage of healing is where many of the so-called “experts” want you to believe the process of Tissue Healing & Repair ends because this phase ends within a month of injury. But that’s not where the story ends. Dr. Dan Murphy uses dozens of studies to, “document that the best management of soft tissue injuries during this phase of healing is early, persistent, controlled mobilization. In contrast, immobilization is harmful, leading to increased risk of slowed healing and chronicity”.

STAGE IV (Maturation / Remodeling Phase): Not only is it the longest, but the Remodeling Phase is by far the most critical of the four stages of Connective Tissue healing. Yet it is the phase that most often gets overlooked. It is also where people most often get duped (sometimes inadvertently, but more often than not, purposefully) by doctors, insurance companies, and attorneys. Many of you reading this know exactly what I am talking about. The most current research shows that in case of serious Connective Tissue Injury, the Remodeling Phase can last up to two years; making the old “6-8 weeks” sound ridiculous (gulp)! The Remodeling Phase is characterized by a “realignment” (REMODELING) of the individual fibers that make up the injured tissue (the collagen “patch” that we call Scar Tissue). What is interesting is that each study that comes out on this topic, seems to be saying that this phase of healing lasts longer than what the study that came out before it said. This is a good thing. However, bear in mind that if you have not improved within 90 days after injury, standard forms of treatment become much less likely to help you. Phase IV can also be risky because although a person’s pain may have dissipated, the injury itself has not completely healed and is vulnerable to re-injury.

As Controlled Loading / Tensile Loading is applied to the healing tissues via CHIROPRACTIC ADJUSTMENTS, Scar Tissue Remodeling, STRETCHING and strengthening exercises, Proprioceptive Re-education, Massage Therapy, TRIGGER POINT THERAPY, PNF, etc; the individual tissue fibers move from a more random, tangled, and twisted wad of unorganized collagen fibrils; to a tissue that is much more organized, parallel, and orderly as far as its microscopic configuration is concerned. Again, this takes time! Although our Scar Tissue Remodeling Therapy can frequently bring immediate relief (just look at our VIDEO TESTIMONIALS), it is obvious from the medical literature that there is a healing processes that cannot be bypassed. Because numerous Scientific Studies have proved Cold Laser Therapy to be effective in regenerating Collagen (SEE HERE), we highly recommend it for our more seriously injured patients as well.

Everyone has heard the old cliche that is still used by doctors, “You’d have been better off to break the bone than to tear the ligaments”. Knowing what we know about the healing of the Collagen-Based, Elastic Connective Tissues; this statement makes a lot of sense! Soft tissues heal much slower than other tissues (including bones). Do not let anyone try and convince you otherwise! This is why following the complete stretching and strengthening protocol that goes hand-in-hand with our “Tissue Remodeling” treatment, is the one and only way that it will work properly over the long haul. By the way, we have dealt extensively with the fact that whiplash injuries heal best with forms of therapy that employ controlled motion such as does chiropractic. Now I want to explore what the scientific literature says about using medications for whiplash injuries explained.

Whiplash Injuries Explained: Relationship Of Inflammation To Pain & Scar Tissue

In 2007, the renowned pain researcher Dr. Sota Omoigui, published an article in the medical journal Medical Hypothesis called, “The Biochemical Origin of Pain: The Origin of All Pain is Inflammation and the Inflammatory Response”. In it, he showed the relationship between pain, inflammation, and fibrosis (Scar Tissue). Most people tend to think of Inflammation as a “local” phenomenon. You know; sprain an ankle, and it swells — sometimes a whole bunch. But it is critical to remember that the terms “swelling” and “inflammation” are in no ways synonymous. When cells of soft tissues are seriously injured (like in Whiplash Injuries), they die. These dead then rupture their contents into the surrounding extra-cellular fluid. In response to this, the Immune System makes a group of chemicals that we collectively refer to as “Inflammation”, which in small amounts, are normal and good. Their local presence is indicated by five well known signs and symptoms. The classical names for the various signs of Local Inflammation come from Latin and include:

  • Dolar (Pain)
  • Calor (Heat)
  • Rubor (Redness)
  • Tumor (Swelling) Chemicals we collectively call “Inflammation” are not synonymous with swelling, but they attract swelling.
  • Functio Laesa (Loss of Function)

Although these chemicals can remain in a local area (I stub my toe, the toe gets red and inflamed), they can invade the blood stream and have a systemic (whole body) effect as well. But inflammation does not end there. These immune system chemicals that we refer to collectively as “inflammation” (prostaglandins, leukotrienes, thromboxanes, cytokines, chemokines, certain enzymes, kinnins, histamines, eicosanoids, substance P, and dozens of others) are being touted by the medical community as the primary cause of a whole host of physical ailments, when there are too many of them in the body. Some of the other problems that Inflammation is known to cause includes;

  • Disc Injuries, Slipped Disc, Disc Herniation, and Disc Rupture
  • Heart Disease and virtually all forms of Cardiovascular Problems
  • Skin conditions including Eczema and Psoriasis
  • Arthritis & Fibromyalgia
  • Asthma
  • ADD, ADHD, Depression, and various forms of Dementia
  • Neurological Conditions
  • Female Issues
  • Cancer
  • Inflammatory Bowel Disease / Leaky Gut Syndrome
  • Diabetes, Insulin Resistance, Hypoglycemia, and other Blood Sugar Regulation Problems
  • Obesity

Inflammation causes pain, ill health, and eventually, death. But this list is not the thrust of this section. To understand is the way that inflammation is related to Scar Tissue, Adhesion, and Fibrosis.

Born in 1904, Dr. James Cyriax, a Cambridge-educated M.D. widely known as the “The Einstein of Physical Medicine” wrote his Magnum Opus, Orthopaedic Medicine, Diagnosis of Soft Tissue Lesions, in 1982 shortly before he passed away. Cyriax is still considered one of the brilliant pioneers of soft tissue research. One of Dr. Cyriax’ groundbreaking discoveries is that Scar Tissue / Fibrosis can and will generate an Inflammatory Response long after the Fourth Stage of Healing (Maturation & Remodeling) is over. Pay attention to what Cyriax wrote over three decades ago.

“Fibrous tissue appears capable of maintaining an inflammation, originally traumatic, as the result of a habit continuing long after the cause has ceased to operate…… It seems that the inflammatory reaction at the injured fibers continues, not merely during the period of healing, but for an indefinite period of time afterwards, maintained by the normal stresses to which such tissues are subject.”

Why would what Cyriax refers to as “normal mechanical stresses” cause an “indefinite period” of inflammation? This one is easy. Scar Tissue and Fibrosis are so dramatically different from normal tissue. One of the most obvious ways that this can be seen is by looking at any good Pathology Textbook. Scar Tissue and Fibrosis is far weaker and much less elastic than normal Connective Tissue. What does this mean? Only that it is easily re-injured. This starts the whole vicious cycle over again. Injury —-> Inflammation —> Pain —> Fibrosis & Scar Tissue Formation —> Re-injury —> Repeat indefinitely. Just remember that the end result of this cycle is degeneration of the affected bones and spinal discs!

whiplash injuries explained

HEALTHY CONNECTIVE TISSUE

whiplash injuries explained

SCAR TISSUE & FIBROSIS

Notice how the Connective Tissue on the left is uniformly wavy. This is due to the collagen fibrils that provide stretchiness and elasticity. Now notice how the cells of the Scar Tissue and Fibrosis run and swirl in many different ways. This decreases both elasticity and strength of the Scar Tissue.

Scar Tissue & Fibrosis: Different From Normal Tissue, 3 Ways

SCAR TISSUE IS WEAKER

Repaired soft tissues are weaker than the body’s undamaged soft tissues. The diameter of the collagen fibers of scar tissue are smaller than those of normal tissue. Also, as you can see from the pictures above, the structure has been physically changed. This weakness leads to a viscous cycle of instability, re-injury, and degeneration.

SCAR TISSUE IS LESS ELASTIC

Repaired soft tissues are always less elastic and “stiffer” than the body’s undamaged soft tissues. This has to do with the fact that the individual collagen fibers will never identically align themselves quite like the original uninjured soft tissue. This is all easy to see because range of motion testing on injured individuals will always show areas of decreased ranges of motion.

SCAR TISSUE IS MORE PAIN-SENSITIVE

Repaired soft tissues have a strong tendency to be more pain-sensitive than their uninjured counterparts. In fact, for reasons that are not completely understood, Scar Tissue has the neurological capability of going into something called “super-sensitivity”, and can end up 1,000 times more sensitive to pain than normal tissue.

Relationship: Inflammation, Pain, & Fibrosis/Scar Tissue

Dr. Soto Omoigui had this to say about the relationship between pain, inflammation, and fibrosis, “The origin of all pain is inflammation and the inflammatory response…. Irrespective of the type of pain, whether it is acute or chronic pain, peripheral or central pain, nociceptive or neuropathic pain, sharp, dull, aching, burning, stabbing, numbing or tingling, the underlying origin is inflammation and the inflammatory response.” Fellow pain researcher Doctor Manjo stated in the “Chronic Inflammation” chapter of his 2004 pathology textbook that (slightly paraphrased for patients), “After a day or two of acute inflammation, the connective tissue—in which the inflammatory reaction is unfolding—begins to react, producing more fibroblasts, more capillaries, more cells—more tissue, but it cannot be mistaken for normal connective tissue. Fibrosis means an excess of fibrous connective tissue. It implies an excess of collagen fibers. When fibrosis develops in the course of inflammation it may contribute to the healing process. By contrast, an excessive or inappropriate stimulus can produce severe fibrosis and impair function. Why does fibrosis develop? In most cases the beginning clearly involves chronic inflammation. Fibrosis is largely secondary to inflammation.”

It is not difficult to connect the dots! Chronic Inflammation of a whiplash injury leads to Scar Tissue Formation, and Scar Tissue Formation leads to even more pain. And like I mentioned earlier, the whole mess leads to Spinal Degeneration. How can you break free? Dr. Cyriax goes on to say in his book that immobilization of injured soft tissues is a bad thing, and mobilization of injured soft tissues is not only good, but necessary for proper healing to take place. But under the umbrella of America’s PHARMACEUTICAL DRUG CULTURE, functional restoration frequently takes a back seat to different kinds of medicines. Don’t get me wrong; if you need something for the pain after a whiplash injury, there is no dishonor in doing something on a short-term basis. However, this is never the solution. It is masking symptoms to get you through a rough place. As long as you understand this, OK. However, there is one class of drugs that should play no part in the healing of your Whiplash Injury…

Inflammation Medications For Whiplash & Soft Tissue Injuries

  • The most prestigious medical school on the planet, John’s Hopkins proved that 1,000 200 mg capsules of Tylenol consumed over the course of a person’s lifetime doubles that person’s chances of dialysis. Furthermore, 5,000 pills increase kidney failure by nearly nine times. New England Journal of Medicine, 1994
  • Regular use of Tylenol and other similar medications is a top cause of liver disease / liver failure. New England Journal of Medicine, 1997
  • NSAID’s (Non-Steroidal Anti-Inflammatory Drugs) used by arthritis sufferers causes 16,500 Americans to die of bleeding ulcers each year. Fatal GI bleeds are the 15th most common cause of death in America. New England Journal of Medicine, 1999
  • Gastrointestinal (GI) toxicity caused by NSAID use is one of the most commonly seen and serious drug side effects in modern cultures. Spine, 2003 & Surgical Neurology, 2006
    Regular use of Tylenol doubles one’s chances of developing high blood pressure. Hypertension, 2005
    All NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) increase chances of Myocardial Infarction (heart attack) by about 40%. This risk starts the first day the drug is consumed. European Heart Journal, 2006
  • Celebrex increases your chances of intestinal bleeding by four times (nearly 400%). Vioxx increases your chances of bleeding ulcers and other GI Bleeds by over three times (nearly 330%). Medications taken for pain increase your chances of GI Bleeds by nearly 140%. Drug Safety, 2009
  • Vioxx was removed from the market in 2004 because it increased one’s chances of a heart attack by 230% (exponentially more if you already had a congestive heart). Celebrex increased the risk of heart attack by 44%. Pain Medications, on average, increase your chances of a heart attack by nearly half 50%. While Vioxx was pulled from the market, the others are considered to be “acceptably safe” and they were allowed to stay on the market. Drug Safety, 2009
  • Those who took the greatest amounts of NSAID pain medications increased their chances of all types of dementia —– Alzheimer’s included. The increase was a whopping 2/3 (66%). Neurology, 2009

So, what is a person supposed to do? Despite decades of research saying that NSAID’s are not “therapeutic” (actually helps you get better), but are instead, “palliative” (makes you feel better without any therapeutic benefits), the medical community continues to hand these and other dangerous drugs out almost like candy. Just remember that any pain relief achieved without addressing the underlying components of the Whiplash Injury, are temporary. And that’s not all. When joints and tissues heal in RESTRICTED FASHION, they always end up with copious amounts of decay, degeneration, and deterioration. And the final kick in the teeth for those of you who have been on this MEDICAL MERRY-GO-ROUND is that much of this research is at least two decades old. As I have said for a very long time, much of the medical community is caught in a time warp. They are treating whiplash injuries using outdated models, often times very outdated models.

Chiropractic Benefits: Whiplash, Neck/Back Pain

  • Over 70 years ago, the best available research said that soft tissue injuries require early and regular joint motion in order to heal properly. American Journal of Anatomy, 1940
  • Over 50 years ago, research pointed out that the most effective treatment for whiplash injury does not involve medication, but instead needs mobilization, manipulation and traction to heal. The best results for patients with whiplash injuries require early and regular joint mobilization. Furthermore, it must be done by someone expertly trained in rehabilitation of injured joints. Journal of the American Medical Association, 1958
  • For injured soft tissues to heal properly requires joint movement / motion. Joint immobilization should be avoided. Textbook of Orthopedic Medicine, 1982 & Continuous Passive Motion, 1993
  • Chiropractic spinal adjustments fix over 4/5 of disabled patients suffering from chronic low back and sciatica. This is true despite the failure of other approaches. Canadian Family Physician, 1985
  • Chiropractic spinal adjustments have been proven superior in the treatment of chronic and acute low back pain, when compared to hospital outpatient treatment. These benefits of chiropractic adjustments were still seen 3 years post-treatment. British Medical Journal, 1991
  • Chiropractic spinal adjustments have been shown to be more effective than physical therapy mobilizations and manipulations. Lancet, 1991
  • 93% of those struggling with chronic pain due to whiplash injury —- who have already failed medical care and physical therapy —- improve significantly under chiropractic care. Injury, 1996
  • When it comes to chronic neck pain, manual manipulation of the neck has been shown to be significantly better than pain meds and exercise. Annals of Internal Medicine, 2002
  • Chiropractic spinal adjustments have been clinically proven to be over five times more effective than NSAID’s (Non-steroidal Anti-Inflammatory Drugs) for chronic neck and low back pain. In this study, the chiropractic group suffered from no adverse reactions, but the the NSAID group had more patients reporting adverse drug reactions than were actually helped. Half the NSAIDS used in the study are now off the market. Spine, 2003
  • For chronic neck and back pain, chiropractic spinal adjustments proved significantly better than both acupuncture and pain medicines. Furthermore, chiropractic adjustments were the only treatment studied that showed therapeutic benefit one year post-treatment. Journal of Manipulative and Physiological Therapeutics, 2005
  • In patients with chronic pain from DEGENERATIVE ARTHRITIS, 59% can eliminate their pain meds by taking omega-3 fatty acids found in fish oil (EPA & DHA). Surgical Neurology, 2006
  • In the recent medical publication called, “A Review of the Evidence for the American Pain Society and the American College of Physicians Clinical Practice Guideline”, only spinal manipulation was touted as effective for the treatment of both acute and chronic low back pain. Annals of Internal Medicine, 2007
  • A joint research effort from the University of California, San Francisco, and Harvard Medical School, showed that “Chiropractic care is more effective than other modalities for treating low back and neck pain”. Do Chiropractic Services for the Treatment of Low Back and Neck Pain Improve the Value of Health Benefits Plans? An Evidence-Based Assessment of Incremental Impact on Population Health and Total Health Care Spending, 2009

Long Term Prognosis: Whiplash

Despite the fact that you can see from the current scientific literature how successful chiropractic care is at helping people with severe, debilitating, whiplash injuries; not everyone injured in an MVA will recover. Unfortunately, many will never recover —- even after several decades. It seems that whiplash caused by Motor Vehicle Accidents is the portal whereby numerous people enter into the realm of Chronic Pain and dysfunction. The truth is that there is a great deal of scientific research done of this particular topic. And furthermore, as you can see from the small comments in red made by the authors of each individual study, litigation seems to have little or no effect on clinical outcomes.

  • The Journal of Bone and Joint Surgery published research in 1964 showing that of 145 patients involved in a study of whiplash injuries; as many as 83% of the injured patients continued to suffer from pain two years after the accident. The study’s authors said this, “If the symptoms resulting from an extension-acceleration injury of the neck are purely the result of litigation neurosis, it is difficult to explain why [at least] 45%of the patients should still have symptoms two years or more after settlement of their court action.”
  • A 1989 issue of Neuro-Orthopedics published a study was carried out on patients suffering with whiplash for well over a decade. Despite the length of time involved, nearly two thirds still struggled with moderate to severe pain symptoms due to their accident. The study’s authors said this, “If symptoms were largely due to impending litigation it might be expected that symptoms would improve after settlement of the claim. Our results would seem to discount this theory, with the long-term outcome seeming to be determined before the settlement of compensation.”
  • A 7-year study on whiplash-injured patients published in a 2000 issue of the Journal of Clinical Epidemiology showed that 40% of those suffering an accident-induced whiplash injury continued to suffer from neck and shoulder pain seven years post-accident.
  • A 2005 research project published in the medical journal Injury, showed that over 20% of those injured in a whiplash injury struggled with Chronic Pain nearly 8 years post-injury. Furthermore, almost half of those in the study suffered from “Nuisance Pain” during the same time frame.
  • An 11 year study published in a 1990 issue of the British Journal of Bone and Joint Surgery showed 40% of the whiplash patients struggling with Chronic Pain over a decade after the fact. 40% of the remainder of the study’s people dealt with “Nuisance Pain” during the same period. The study’s authors said this, “The fact that symptoms do not resolve even after a mean 10 years supports the conclusion that litigation does not prolong symptoms.”
  • A fifteen and a half year study published in a 1996 issue of the British Journal of Bone and Joint Surgery reported that well over 40% of whiplash-injured patients struggled with Chronic Pain from the accident over a decade and a half after the fact. Almost 30% of the rest dealt with “Nuisance Pain” over the course of the study. The study’s authors said this, “Symptoms did not improve after settlement of litigation, which is consistent with previous published studies”.
  • The European Spine Journal published a nearly two decade long study on whiplash-injured patients in 2002. Well over half (55%) of those studied had pain seventeen years post-accident. One quarter of these dealt with daily neck pain, and almost one quarter had radiating arm pain on a daily basis. The study’s authors said this, “It is not likely that the patients exposed to motor vehicle accidents would over-report or simulate their neck complaint at follow-up 17 years after the accident, as all compensation claims will have been settled.”
  • In one of the longest studies done to date on whiplash injured patients, a 2006 issue of the British Journal of Bone and Joint Surgery looked at whiplash-injured patients three decades after their initial injury. 15% of these patients struggled with daily pain severe enough to require treatment. Four out of ten of the remainder dealt with “Nuisance Pain” over the same time frame.

Attorney’s, Insurance, Fees & Medical Pay

After 20 years of practice, I can almost say that I have seen it all. Almost. One thing that I have not seen is an improvement in the way that the financial responsibility for Motor Vehicle Accidents (MVA) is handled by insurance companies. This is a big part of the reason that I do not accept automobile insurance (yours or the other party’s) for the treatment of injuries sustained in MVA’s. Attorneys tend to get involved, and I have found that in most cases, attorneys don’t really work for you, they work for themselves.

WHERE DOES THIS ALL LEAD?

Although, I do not treat huge numbers of MVA cases acutely (they tend to go wherever their attorney sends them usually whoever can run up the highest bills), I treat scores of MVA victims once they have reached the chronic stage. After their attorney reaches a settlement for their injured client, any treatment they were receiving typically ends. As you can tell from both our Patient Testimonial Page, as well as our Blog Post called the WEEKLY TREATMENT DIARY, the treatment frequently ends without ever effectively dealing with the underlying scar tissue and Fibrotic Adhesions that leave so many people in Chronic Pain, long after they have settled their injury claim.

These folks enter the miserable world of CHRONIC NECK / BACK PAIN and HEADACHES, and then wonder what the heck they are going to do because their $3,000 settlement check is long gone. The patient is then left with a choice. They can climb back on the Medical Merry-Go-Round and continue to spin in circles. Tests, blood work, MRI’s, CT scans, drugs, drugs, and more drugs; and therapy — more of the same (expensive) stuff you went through before you settled your case, with more of the same crappy results. Or they can do something different.

Prevent Whiplash Injuries & Lessen The Effects

whiplash injuries explained

There are several ways to go about preventing or at the very least, lessening the potential effects of a whiplash-like accident / injury. one of the most effective would be driving a vehicle that is highly rated in crash tests. What is the safest vehicle on the road today? Without a doubt, the Volvo and Saab brands have out-performed every other auto maker in the market today as far as safety is concerned. However, there are a number of things you can do to protect yourself besides trading your Chevy in for a Volvo.

  • DRIVE A SAFE VEHICLE: Make sure that the vehicle you drive is highly rated by the organizations that rank automobile safety. This information can be found HERE.
  • DRIVE SAFELY AND DEFENSIVELY: This is common sense. Because I rode a motorcycle for many years, I learned how to drive defensively. I always thought that by paying attention and trying to think one step ahead of everything going on around me, crashes with other vehicles could be avoided. That was until I hit a drunk who ran a stop sign (I was in a full-sized Chevy Silverado). Things happen quickly, that you have no control over. However, driving your automobile in an unsafe manner definitely puts you at a higher risk for suffering a Whiplash Injury.
  • WEAR YOUR SEAT BELTS: The simple truth of the matter is that seat belts will probably not lessen the “Whiplash” component of an Automobile Accident. In fact, by holding your body in place while your head flies around, they can potentially worsen a neck injury to the soft tissues. However, seat belts will help to keep you alive.
  • MAKE SURE YOUR HEAD RESTRAINT IS ADJUSTED PROPERLY: This is by far the most important thing you can do diminish your chances of Whiplash Injury should you end up in an MVA. The truth is, most of us refer to these things that stick out of the top of our seats as “Head Rests” instead of “Head Restraints”, and actually have them adjusted improperly (all the way down). The purpose of these devices is not to “rest” your head because you are tired, it is to “restrain” your head from flying backwards during a rear-ender accident. The top of the Head Restraint should be level with the top of your head, and the gap between the two should not be more than about two inches. For the record; if you recline your seat more than 20 degrees, all bets are off. A serious rear-ender will cause you to ramp up in your seat rendering the Head Restraint useless.

2018 Destroy Chronic Pain / Doctor Russell Schierling

Effectiveness of Exercise: Neck, Hip & Knee Injuries from Auto Accidents

Effectiveness of Exercise: Neck, Hip & Knee Injuries from Auto Accidents

Based on statistical findings, approximately more than three million people in the United States are injured in an automobile accident every year. In fact, auto accidents are considered to be one of the most common causes for trauma or injury. Neck injuries, such as whiplash, frequently occur due to the sudden back-and-forth movement of the head and neck from the force of the impact. The same mechanism of injury can also cause soft tissue injuries in other parts of the body, including the lower back as well as the lower extremities. Neck, hip, thigh and knee injuries are common types of injuries resulting from auto accidents.

 

Abstract

 

  • Objective: The purpose of this systematic review was to determine the effectiveness of exercise for the management of soft tissue injuries of the hip, thigh, and knee.
  • Methods: We conducted a systematic review and searched MEDLINE, EMBASE, PsycINFO, the Cochrane Central Register of Controlled Trials, and CINAHL Plus with Full Text from January 1, 1990, to April 8, 2015, for randomized controlled trials (RCTs), cohort studies, and case-control studies evaluating the effect of exercise on pain intensity, self-rated recovery, functional recovery, health-related quality of life, psychological outcomes, and adverse events. Random pairs of independent reviewers screened titles and abstracts and assessed risk of bias using the Scottish Intercollegiate Guidelines Network criteria. Best evidence synthesis methodology was used.
  • Results: We screened 9494 citations. Eight RCTs were critically appraised, and 3 had low risk of bias and were included in our synthesis. One RCT found statistically significant improvements in pain and function favoring clinicbased progressive combined exercises over a “wait and see” approach for patellofemoral pain syndrome. A second RCT suggests that supervised closed kinetic chain exercises may lead to greater symptom improvement than open chain exercises for patellofemoral pain syndrome. One RCT suggests that clinic-based group exercises may be more effective than multimodal physiotherapy in male athletes with persistent groin pain.
  • Conclusion: We found limited high-quality evidence to support the use of exercise for the management of soft tissue injuries of the lower extremity. The evidence suggests that clinic-based exercise programs may benefit patients with patellofemoral pain syndrome and persistent groin pain. Further high-quality research is needed. (J Manipulative Physiol Ther 2016;39:110-120.e1)
  • Key Indexing Terms: Knee; Knee Injuries; Hip; Hip Injuries; Thigh; Thigh Pain; Exercise

 

Soft tissue injuries of the lower limb are common. In the United States, 36% of all injuries presenting to emergency departments are sprains and/or strains of the lower extremity. Among Ontario workers, approximately 19% of all approved lost time compensation claims are related to lower extremity injuries. Moreover, 27.5% of Saskatchewan adults injured in a traffic collision report pain in the lower extremity. Soft tissue injuries of the hip, thigh, and knee are costly and place a significant economic and disability burden on workplaces and compensation systems. According to the US Department of Labor Bureau of Statistics, the median time off work for lower extremity injuries was 12 days in 2013. Knee injuries were associated with the longest work absenteeism (median, 16 days).

 

Most soft tissue injuries of the lower limb are managed conservatively, and exercise is commonly used to treat these injuries. Exercise aims to promote good physical health and restore normal function of the joints and surrounding soft tissues through concepts which include range of motion, stretching, strengthening, endurance, agility, and proprioceptive exercises. However, the evidence about the effectiveness of exercise for managing soft tissue injuries of the lower limb is unclear.

 

Previous systematic reviews have investigated the effectiveness of exercise for the management of soft tissue injuries of the lower extremity. Reviews suggest that exercise is effective for the management of patellofemoral pain syndrome and groin injuries but not for patellar tendinopathy. To our knowledge, the only review reporting on the effectiveness of exercise for acute hamstring injuries found little evidence to support stretching, agility, and trunk stability exercises.

 

Image of trainer demonstrating rehabilitation exercises.

 

The purpose of our systematic review was to investigate the effectiveness of exercise compared to other interventions, placebo/sham interventions, or no intervention in improving self-rated recovery, functional recovery (eg, return to activities, work, or school), or clinical outcomes (eg, pain, health-related quality of life, depression) of patients with soft tissue injuries of the hip, thigh, and knee.

 

Methods

 

Registration

 

This systematic review protocol was registered with the International Prospective Register of Systematic Reviews on March 28, 2014 (CRD42014009140).

 

Eligibility Criteria

 

Population. Our review targeted studies of adults (≥18 years) and/or children with soft tissue injuries of the hip, thigh, or knee. Soft tissue injuries include but are not limited to grade I to II sprains/strains; tendonitis; tendinopathy; tendinosis; patellofemoral pain (syndrome); iliotibial band syndrome; nonspecific hip, thigh, or knee pain (excluding major pathology); and other soft tissue injuries as informed by available evidence. We defined the grades of sprains and strains according to the classification proposed by the American Academy of Orthopaedic Surgeons (Tables 1 and 2). Affected soft tissues in the hip include the supporting ligaments and muscles crossing the hip joint into the thigh (including the hamstrings, quadriceps, and adductor muscle groups). Soft tissues of the knee include the supporting intra-articular and extra-articular ligaments and muscles crossing the knee joint from the thigh including the patellar tendon. We excluded studies of grade III sprains or strains, acetabular labral tears, meniscal tears, osteoarthritis, fractures, dislocations, and systemic diseases (eg, infection, neoplasm, inflammatory disorders).

 

Table 1 Case Definition of Sprains

 

Table 2 Case Definition of Strains

 

Interventions. We restricted our review to studies that tested the isolated effect of exercise (ie, not part of a multimodal program of care). We defined exercise as any series of movements aimed at training or developing the body by routine practice or as physical training to promote good physical health.

 

Comparison Groups. We included studies that compared 1 or more exercise interventions to one another or one exercise intervention to other interventions, wait list, placebo/sham interventions, or no intervention.

 

Outcomes. To be eligible, studies had to include one of the following outcomes: (1) self-rated recovery; (2) functional recovery (eg, disability, return to activities, work, school, or sport); (3) pain intensity; (4) health-related quality of life; (5) psychological outcomes such as depression or fear; and (6) adverse events.

 

Study Characteristics. Eligible studies met the following criteria: (1) English language; (2) studies published between January 1, 1990, and April 8, 2015; (3) randomized controlled trials (RCTs), cohort studies, or case-control studies which are designed to assess the effectiveness and safety of interventions; and (4) included an inception cohort of a minimum of 30 participants per treatment arm with the specified condition for RCTs or 100 participants per group with the specified condition in cohort studies or case-control studies. Studies including other grades of sprains or strains in the hip, thigh, or knee had to provide separate results for participants with grades I or II sprains/strains to be included.

 

We excluded studies with the following characteristics: (1) letters, editorials, commentaries, unpublished manuscripts, dissertations, government reports, books and book chapters, conference proceedings, meeting abstracts, lectures and addresses, consensus development statements, or guideline statements; (2) study designs including pilot studies, cross-sectional studies, case reports, case series, qualitative studies, narrative reviews, systematic reviews (with or without meta-analyses), clinical practice guidelines, biomechanical studies, laboratory studies, and studies not reporting on methodology; (3) cadaveric or animal studies; and (4) studies on patients with severe injuries (eg, grade III sprains/strains, fractures, dislocations, full ruptures, infections, malignancy, osteoarthritis, and systemic disease).

 

Information Sources

 

We developed our search strategy with a health sciences librarian (Appendix 1). The Peer Review of Electronic Search Strategies (PRESS) Checklist was used by a second librarian to review the search strategy for completeness and accuracy. We searched MEDLINE and EMBASE, considered to be the major biomedical databases, and PsycINFO, for psychological literature through Ovid Technologies, Inc; CINAHL Plus with Full Text for nursing and allied health literature through EBSCOhost; and the Cochrane Central Register of Controlled Trials through Ovid Technologies, Inc, for any studies not captured by the other databases. The search strategy was first developed in MEDLINE and subsequently adapted to the other bibliographic databases. Our search strategies combined controlled vocabulary relevant to each database (eg, MeSH for MEDLINE) and text words relevant to exercise and soft tissue injuries of the hip, thigh, or knee including grade I to II sprain or strain injuries (Appendix 1). We also hand searched the reference lists of previous systematic reviews for any additional relevant studies.

 

Study Selection

 

A 2-phase screening process was used to select eligible studies. Random pairs of independent reviewers screened citation titles and abstracts to determine the eligibility of studies in phase 1. Screening resulted in studies being classified as relevant, possibly relevant, or irrelevant. In phase 2, the same pairs of reviewers independently screened the possibly relevant studies to determine eligibility. Reviewers met to reach consensus on the eligibility of studies and resolve disagreements. A third reviewer was used if consensus could not be reached.

 

Image of older patient engaging in upper rehabilitation exercises with a personal trainer.

 

Assessment of Risk of Bias

 

Independent reviewers were randomly paired to critically appraise the internal validity of eligible studies using the Scottish Intercollegiate Guidelines Network (SIGN) criteria. The impact of selection bias, information bias, and confounding on the results of a study was qualitatively evaluated using the SIGN criteria. These criteria were used to guide reviewers in making an informed overall judgment on the internal validity of studies. This methodology has been previously described. A quantitative score or a cutoff point to determine the internal validity of studies was not used for this review.

 

The SIGN criteria for RCTs were used to critically appraise the following methodological aspects: (1) clarity of the research question, (2) randomization method, (3) concealment of treatment allocation, (4) blinding of treatment and outcomes, (5) similarity of baseline characteristics between/among treatment arms, (6) cointervention contamination, (7) validity and reliability of outcome measures, (8) follow-up rates, (9) analysis according to intention-to-treat principles, and (10) comparability of results across study sites (where applicable). Consensus was reached through reviewer discussion. Disagreements were resolved by an independent third reviewer when consensus could not be reached. The risk of bias of each appraised study was also reviewed by a senior epidemiologist (PC). Authors were contacted when additional information was needed to complete the critical appraisal. Only studies with low risk of bias were included in our evidence synthesis.

 

Data Extraction and Synthesis of Results

 

Data were extracted from studies (DS) with low risk of bias to create evidence tables. A second reviewer independently checked the extracted data. We stratified results based on the duration of the condition (recent onset [0-3 months], persistent [N3 months], or variable duration [recent onset and persistent combined]).

 

We used standardized measures to determine the clinical importance of changes reported in each trial for common outcome measures. These include a between-group difference of 2/10 points on the Numeric Rating Scale (NRS), 2/10 cm difference on the Visual Analog Scale (VAS), and 10/100 point difference on the Kujala Patellofemoral scale, otherwise known as the Anterior Knee Pain Scale.

 

Statistical Analyses

 

Agreement between reviewers for the screening of articles was computed and reported using the κ statistic and 95% confidence interval (CI). Where available, we used data provided in the studies with a low risk of bias to measure the association between the tested interventions and the outcomes by computing the relative risk (RR) and its 95% CI. Similarly, we computed differences in mean changes between groups and 95% CI to quantify the effectiveness of interventions. The calculation of 95% CIs was based on the assumption that baseline and follow-up outcomes were highly correlated (r = 0.80).

 

Reporting

 

This systematic review was organized and reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.

 

Dr. Alex Jimenez’s Insight

As a doctor of chiropractic, automobile accident injuries are one of the most common reasons people seek chiropractic care. From neck injuries, such as whiplash, to headaches and back pain, chiropractic can be utilized to safely and effectively restore the integrity of the spine after a car crash. A chiropractor like myself will often use a combination of spinal adjustments and manual manipulations, as well as a variety of other non-invasive treatment methods, to gently correct any spinal misalignments resulting from an auto accident injury. Whiplash and other types of neck injuries occur when the complex structures along the cervical spine are stretched beyond their natural range of movement due to the sudden back-and-forth movement of the head and neck from the force of the impact. Back injury, particularly in the lower spine, are also common as a result of an automobile accident. When the complex structures along the lumbar spine are damaged or injured, symptoms of sciatica may radiate down the lower back, into the buttocks, hips, thighs, legs and down into the feet. Knee injuries may also occur upon impact during an auto accident. Exercise is frequently used with chiropractic care to help promote recovery as well as improve strength, flexibility and mobility. Rehabilitation exercises are offered to patients to further restore the integrity of their body. The following research studies demonstrate that exercise, compared to non-invasive treatment options, is a safe and effective treatment method for individuals suffering with neck and lower extremity injury from a car crash.

 

Results

 

Study Selection

 

We screened 9494 citations based on the title and abstract (Figure 1). Of these, 60 full-text publications were screened, and 9 articles were critically appraised. The primary reasons for ineligibility during full text screening were (1) ineligible study design, (2) small sample size (n b 30 per treatment arm), (3) multimodal interventions not allowing isolation of the effectiveness of exercise, (4) ineligible study population, and (5) interventions not meeting our definition of exercise (Figure 1). Of those critically appraised, 3 studies (reported in 4 articles) had low risk of bias and were included in our synthesis. The interrater agreement for the screening of the articles was κ = 0.82 (95% CI, 0.69-0.95). The percentage agreement for the critical appraisal of studies was 75% (6/8 studies). Disagreement was resolved through discussion for 2 studies. We contacted authors from 5 studies during critical appraisal to request additional information and 3 responded.

 

Figure 1 Flowchart Used for the Study

 

Study Characteristics

 

The studies with low risk of bias were RCTs. One study, conducted in the Netherlands, examined the effectiveness of a standardized exercise program compared to a “wait and see” approach in participants with patellofemoral pain syndrome of variable duration. A second study, with outcomes reported in 2 articles, compared the benefit of closed vs open kinetic chain exercises in individuals with variable duration patellofemoral pain syndrome in Belgium. The final study, conducted in Denmark, investigated active training compared to a multimodal physiotherapy intervention for the management of persistent adductor-related groin pain.

 

Two RCTs used exercise programs that combined strengthening exercises with balance or agility training for the lower extremity. Specifically, the strengthening exercises consisted of both isometric and concentric contractions of the quadriceps, hip adductor, and gluteal muscles for the management of patellofemoral pain46 and hip adductors and muscles of the trunk and pelvis for adductor-related groin pain. The exercise programs ranged from 646 to 1243 weeks in duration and were supervised and clinic based with additional daily home exercises. The exercise programs were compared to a “wait and see” approach or to multimodal physiotherapy. The third RCT compared 2 different 5-week protocols which combined either closed or open kinetic chain strengthening and stretching exercises for the lower extremity musculature.

 

Meta-analysis was not performed due to heterogeneity of accepted studies with respect to patient populations, interventions, comparators, and outcomes. Principles of best evidence synthesis were used to develop evidence statements and perform a qualitative synthesis of findings from studies with low risk of bias.

 

Risk of Bias Within Studies

 

The studies with low risk of bias had a clearly defined research question, used appropriate blinding methods where possible, reported adequate similarity of baseline characteristics between treatment arms, and performed an intention-to-treat analyses where applicable (Table 3). The RCTs had follow-up rates greater than 85%. However, these studies also had methodological limitations: insufficient detail describing methods for allocation concealment (1/3), insufficient detail describing methods of randomization (1/3), the use of outcome measures that have not been demonstrated to be valid or reliable (ie, muscle length and successful treatment) (2/3), and clinically important differences in baseline characteristics (1/3).

 

Table 3 Risk of Bias for Accepted Randomized Control Trials Based on SIGN Criteria

 

Of 9 relevant articles, 5 were deemed to have high risk of bias. These studies had the following limitations: (1) poor or unknown randomization methods (3/5); (2) poor or unknown allocation concealment methods (5/ 5); (3) outcome assessor not blinded (4/ 5); (4) clinically important differences in baseline characteristics (3/5); (5) dropouts not reported, insufficient information regarding dropouts per group or large differences in dropout rates between treatment arms (N15%) (3/5); and (6) a lack of information about or no intention-to-treat analysis (5/5).

 

Summary of Evidence

 

Patellofemoral Pain Syndrome of Variable Duration. Evidence from 1 RCT suggests that a clinic-based progressive exercise program may provide short- and long-term benefit over usual care for the management of patellofemoral pain syndrome of variable duration. van Linschoten et al randomized participants with a clinical diagnosis of patellofemoral pain syndrome of 2 months to 2 years duration to (1) a clinic-based exercise program (9 visits over 6 weeks) consisting of progressive, static, and dynamic strengthening exercises for the quadriceps, adductor, and gluteal muscles and balance and flexibility exercises, or (2) a usual care “wait and see” approach. Both groups received standardized information, advice, and home-based isometric exercises for the quadriceps based on recommendations from Dutch General Practitioner guidelines (Table 4). There were statistically significant differences favoring the exercise group for (1) pain (NRS) at rest at 3 months (mean change difference 1.1/10 [95% CI, 0.2-1.9]) and 6 months (mean change difference 1.3/10 [95% CI, 0.4-2.2]); (2) pain (NRS) with activity at 3 months (mean change difference 1.0/10 [95% CI, 0.1-1.9]) and 6 months (mean change difference 1.2/10 [95% CI, 0.2-2.2]); and (3) function (Kujala Patellofemoral Scale [KPS]) at 3 months (mean change difference 4.9/100 [95% CI, 0.1-9.7]). However, none of these differences were clinically important. Furthermore, there were no significant differences in the proportion of participants reporting recovery (fully recovered, strongly recovered), but the exercise group was more likely to report improvement at 3-month follow-up (odds ratio [OR], 4.1 [95% CI, 1.9-8.9]).

 

Image of patient engaging in rehabilitation exercises.

 

Evidence from a second RCT suggests that physiotherapist- supervised closed kinetic chain leg exercises (where the foot remains in constant contact with a surface) may provide short-term benefit compared to supervised open kinetic chain exercises (where the limb moves freely) for some patellofemoral pain syndrome symptoms (Table 4). All participants trained for 30 to 45 minutes, 3 times per week for 5 weeks. Both groups were instructed to perform static lower limb stretching after each training session. Those randomized to closed chain exercises performed supervised (1) leg presses, (2) knee bends, (3) stationary biking, (4) rowing, (5) step-up and step-down exercises, and (6) progressive jumping exercises. Open chain exercise participants performed (1) maximal quad muscle contraction, (2) straight-leg raises, (3) short arc movements from 10° to full knee extension, and (4) leg adduction. Effect sizes were not reported, but the authors reported statistically significant differences favoring closed kinetic chain exercise at 3 months for (1) frequency of locking (P = .03), (2) clicking sensation (P = .04), (3) pain with isokinetic testing (P = .03), and (4) pain during night (P = .02). The clinical significance of these results is unknown. There were no statistically significant differences between groups for any other pain or functional measures at any follow-up period.

 

Table 4 Evidence Table for Accepted Randomized Control Trials on the Effectiveness of Exercise for Soft Tissue Injuries of the Hip, Thigh, or Knee

 

Table 4 Evidence Table for Accepted Randomized Control Trials on the Effectiveness of Exercise for Soft Tissue Injuries of the Hip, Thigh, or Knee

 

Persistent Adductor-Related Groin Pain

 

Evidence from 1 RCT suggests that a clinic-based group exercise program is more effective than a multimodal program of care for persistent adductor-related groin pain. Hölmich et al studied a group of male athletes with a clinical diagnosis of adductor-related groin pain of greater than 2 months duration (median duration, 38-41 weeks; range, 14-572 weeks) with or without osteitis pubis. Participants were randomized to (1) a clinic-based group exercise program (3 sessions per week for 8-12 weeks) consisting of isometric and concentric resistance strengthening exercises for the adductors, trunk, and pelvis; balance and agility exercises for the lower extremity; and stretching for the abdominals, back, and lower extremity (with the exception of the adductor muscles) or (2) a multimodal physiotherapy program (2 visits per week for 8-12 weeks) consisting of laser; transverse friction massage; transcutaneous electrical nerve stimulation (TENS); and stretching for the adductors, hamstrings, and hip flexors (Table 4). Four months after the intervention, the exercise group was more likely to report that their condition was “much better” (RR, 1.7 [95% CI, 1.0-2.8]).

 

Adverse Events

 

None of the included studies commented on the frequency or nature of adverse events.

 

Discussion

 

Summary of Evidence

 

Our systematic review examined the effectiveness of exercise for the management of soft tissue injuries of the hip, thigh, or knee. Evidence from 1 RCT suggests that a clinic-based progressive combined exercise program may offer additional short- or long-term benefit compared to providing information and advice for the management of patellofemoral pain syndrome of variable duration. There is also evidence that supervised closed kinetic chain exercises may be beneficial for some patellofemoral pain syndrome symptoms compared to open kinetic chain exercises. For persistent adductor-related groin pain, evidence from 1 RCT suggests that a clinic-based group exercise program is more effective than a multimodal program of care. Despite the common and frequent use of exercise prescription, there is limited high-quality evidence to inform the use of exercise for the management of soft tissue injuries of the lower extremity. Specifically, we did not find high-quality studies on exercise for the management of some of the more commonly diagnosed conditions including patellar tendinopathy, hamstring sprain and strain injuries, hamstring tendinopathy, trochanteric bursitis, or capsular injuries of the hip.

 

Image of Dr. Jimenez demonstrating rehabilitation exercises to patient.

 

Previous Systematic Reviews

 

Our results are consistent with findings from previous systematic reviews, concluding that exercise is effective for the management of patellofemoral pain syndrome and groin pain. However, the results from previous systematic reviews examining the use of exercise for the management of patellar tendinopathy and acute hamstring injuries are inconclusive. One review noted strong evidence for use of eccentric training, whereas others reported uncertainty of whether isolated eccentric exercises were beneficial for tendinopathy compared to other forms of exercise. Furthermore, there is limited evidence of a positive effect from stretching, agility and trunk stability exercises, or slump stretching for the management of acute hamstring injuries. Differing conclusions between systematic reviews and the limited number of studies deemed admissible in our work may be attributed to differences in methodology. We screened reference lists of previous systematic reviews, and most studies included in the reviews did not meet our inclusion criteria. Many studies accepted in other reviews had small sample sizes (b30 per treatment arm). This increases the risk of residual confounding while also reducing the effect size precision. Furthermore, a number of systematic reviews included case series and case studies. These types of studies are not designed to assess the effectiveness of interventions. Finally, previous reviews included studies where exercise was part of a multimodal intervention, and as a consequence, the isolated effect of exercise could not be ascertained. Of the studies that satisfied our selection criteria, all were critically appraised in our review, and only 3 had low risk of bias and were included in our synthesis.

 

Strengths

 

Our review has many strengths. First, we developed a rigorous search strategy that was independently reviewed by a second librarian. Second, we defined clear inclusion and exclusion criteria for the selection of possibly relevant studies and only considered studies with adequate sample sizes. Third, pairs of trained reviewers screened and critically appraised eligible studies. Fourth, we used a valid set of criteria (SIGN) to critically appraise studies. Finally, we restricted our synthesis to studies with low risk of bias.

 

Limitations and Recommendations for Future Research

 

Our review also has limitations. First, our search was limited to studies published in the English language. However, previous reviews have found that the restriction of systematic reviews to English language studies has not led to a bias in reported results. Second, despite our broad definition of soft tissue injuries of the hip, thigh, or knee, our search strategy may not have captured all potentially relevant studies. Third, our review may have missed potentially relevant studies published before 1990. We aimed to minimize this by hand searching the reference lists of previous systematic reviews. Finally, critical appraisal requires scientific judgment that may differ between reviewers. We minimized this potential bias by training reviewers in the use of the SIGN tool and using a consensus process to determine study admissibility. Overall, our systematic review highlights a deficit of strong research in this area.

 

High-quality studies on the effectiveness of exercise for the management of soft tissue injuries of the lower extremity are needed. Most studies included in our review (63%) had a high risk of bias and could not be included in our synthesis. Our review identified important gaps in the literature. Specifically, studies are needed to inform the specific effects of exercises, their long-term effects, and the optimal doses of intervention. Furthermore, studies are needed to determine the relative effectiveness of different types of exercise programs and if the effectiveness varies for soft tissue injuries of the hip, thigh, and knee.

 

Conclusion

 

There is limited high-quality evidence to inform the use of exercise for the management of soft tissue injuries of the hip, thigh, and knee. The current evidence suggests that a clinic-based progressive combined exercise program may lead to improved recovery when added to information and advice on resting and avoiding pain provoking activities for the management of patellofemoral pain syndrome. For persistent adductor-related groin pain, a supervised clinic- based group exercise program is more effective than multimodal care in promoting recovery.

 

Funding Sources and Potential Conflicts of Interest

 

This study was funded by the Ontario Ministry of Finance and the Financial Services Commission of Ontario (RFP no. OSS_00267175). The funding agency was not involved in the collection of data, data analysis, interpretation of data, or drafting of the manuscript. The research was undertaken, in part, thanks to funding from the Canada Research Chairs program. Pierre Côté has previously received funding from a Grant from the Ontario Ministry of Finance; consulting for the Canadian Chiropractic Protective Association; speaking and/or teaching arrangements for the National Judicial Institute and Société des Médecins Experts du Quebec; trips/travel, European Spine Society; board of directors, European Spine Society; grants: Aviva Canada; fellowship support, Canada Research Chair Program–Canadian Institutes of Health Research. No other conflicts of interest were reported for this study.

 

Contributorship Information

 

  • Concept development (provided idea for the research): D.S., C.B., P.C., J.W., H.Y., S.V.
  • Design (planned the methods to generate the results): D.S., C.B., P.C., H.S., J.W., H.Y., S.V.
  • Supervision (provided oversight, responsible for organization and implementation, writing of the manuscript): D.S., P.C.
  • Data collection/processing (responsible for experiments, patient management, organization, or reporting data): D.S., C.B., H.S., J.W., D.e.S., R.G., H.Y., K.R., J.C., K.D., P.C., P.S., R.M., S.D., S.V.
  • Analysis/interpretation (responsible for statistical analysis, evaluation, and presentation of the results): D.S., C.B., P.C., H.S., M.S., K.R., L.C.
  • Literature search (performed the literature search): A.T.V.
  • Writing (responsible for writing a substantive part of the manuscript): D.S., C.B., P.C., H.S.
  • Critical review (revised manuscript for intellectual content, this does not relate to spelling and grammar checking): D.S., P.C., H.S., J.W., D.e.S., R.G., M.S., A.T.V., H.Y., K.R., J.C., K.D., L.C., P.S., S.D., R.M., S.V.

 

Practical Applications

 

  • There is evidence to suggest that clinic-based exercises may benefit patients with patellofemoral pain syndrome or adductor-related groin pain.
  • Supervised progressive exercises may be beneficial for patellofemoral pain syndrome of variable duration compared to information/advice.
  • Supervised closed kinetic chain exercises may provide more benefit compared to open kinetic chain exercises for some patellofemoral pain syndrome symptoms.
  • Self-rated improvement in persistent groin pain is higher after a clinic-based group exercise program compared to multimodal physiotherapy.

 

Are Non-Invasive Interventions Effective for the Management of Headaches Associated with Neck Pain?

 

Furthermore, other non-invasive interventions, as well as non-pharmacological interventions, are also commonly utilized to help treat symptoms of neck pain and headaches associated with neck injuries, such as whiplash, caused by automobile accidents. As mentioned before, whiplash is one of the most common types of neck injuries resulting from auto accidents. Chiropractic care, physical therapy and exercise, can be used to improve the symptoms of neck pain, according to the following research studies.

 

Abstract

 

Purpose

 

To update findings of the 2000–2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders and evaluate the effectiveness of non-invasive and non-pharmacological interventions for the management of patients with headaches associated with neck pain (i.e., tension-type, cervicogenic, or whiplash-related headaches).

 

Methods

 

We searched five databases from 1990 to 2015 for randomized controlled trials (RCTs), cohort studies, and case–control studies comparing non-invasive interventions with other interventions, placebo/sham, or no interventions. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria to determine scientific admissibility. Studies with a low risk of bias were synthesized following best evidence synthesis principles.

 

Results

 

We screened 17,236 citations, 15 studies were relevant, and 10 had a low risk of bias. The evidence suggests that episodic tension-type headaches should be managed with low load endurance craniocervical and cervicoscapular exercises. Patients with chronic tension-type headaches may also benefit from low load endurance craniocervical and cervicoscapular exercises; relaxation training with stress coping therapy; or multimodal care that includes spinal mobilization, craniocervical exercises, and postural correction. For cervicogenic headaches, low load endurance craniocervical and cervicoscapular exercises; or manual therapy (manipulation with or without mobilization) to the cervical and thoracic spine may also be helpful.

 

Image of elderly couple participating in low-impact rehabilitation exercises.

 

Conclusions

 

The management of headaches associated with neck pain should include exercise. Patients who suffer from chronic tension-type headaches may also benefit from relaxation training with stress coping therapy or multimodal care. Patients with cervicogenic headache may also benefit from a course of manual therapy.

 

Keywords

 

Non-invasive interventions, Tension-type headache, Cervicogenic headache, Headache attributed to whiplash injury, Systematic review

 

Notes

 

Acknowledgments

 

We would like to acknowledge and thank all of the individuals who have made important contributions to this review: Robert Brison, Poonam Cardoso, J. David Cassidy, Laura Chang, Douglas Gross, Murray Krahn, Michel Lacerte, Gail Lindsay, Patrick Loisel, Mike Paulden, Roger Salhany, John Stapleton, Angela Verven, and Leslie Verville. We would also like to thank Trish Johns-Wilson at the University of Ontario Institute of Technology for her review of the search strategy.

 

Compliance with Ethical Standards

 

Conflict of Interest

 

Dr. Pierre Côté has received a grant from the Ontario government, Ministry of Finance, funding from the Canada Research Chairs program, personal fees from National Judicial Institute for lecturing, and personal fees from European Spine Society for teaching. Drs. Silvano Mior and Margareta Nordin have received reimbursement for travel expenses to attend meetings for the study. The remaining authors report no declarations of interest.

 

Funding

 

This work was supported by the Ontario Ministry of Finance and the Financial Services Commission of Ontario [RFP# OSS_00267175]. The funding agency had no involvement in the study design, collection, analysis, interpretation of data, writing of the manuscript or decision to submit the manuscript for publication. The research was undertaken, in part, thanks to funding from the Canada Research Chairs program to Dr. Pierre Côté, Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology.

 

In conclusion, exercise included in chiropractic care and other non-invasive interventions should be utilized as an essential part of treatment to further help improve the symptoms of neck injury as well as that of hip, thigh and knee injury. According to the above research studies, exercise, or physical activity, is beneficial towards speeding up recovery time for patients with automobile accident injuries and for restoring strength, flexibility and mobility to the affected structures of the spine. Information referenced from the National Center for Biotechnology Information (NCBI). The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

 

Sciatica is referred to as a collection of symptoms rather than a single type of injury or condition. The symptoms are characterized as radiating pain, numbness and tingling sensations from the sciatic nerve in the lower back, down the buttocks and thighs and through one or both legs and into the feet. Sciatica is commonly the result of irritation, inflammation or compression of the largest nerve in the human body, generally due to a herniated disc or bone spur.

 

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IMPORTANT TOPIC: EXTRA EXTRA: Treating Sciatica Pain

 

 

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Car Crash Victims: 6 Chiropractic Tips

Car Crash Victims: 6 Chiropractic Tips

Crash: Few instances shatter our normal world into pieces more quickly than an automobile accident. Never expected, a wreck causes bodily injury, stress, and, in some cases, ongoing financial litigation issues.

Unfortunately, the vast number of vehicles on the road today, as well as drivers’ penchant for distracted driving, dramatically increases an individual’s chances of being involved in a crash. If you already suffer from an injury or medical condition, you must do your part to ensure it is not aggravated or exacerbated.

If a car crash happens to you, it’s essential to recognize and follow these six tips to keep you safe and your injuries to a minimum.

Car Crash: Immediately Take Stock Of The Situation

The way you react seconds after a crash impacts the situation tremendously. Determine what area you are injured, and if you are in imminent danger in the vehicle.

For example, if the automobile is on fire, or you are sinking into a lake, rescue yourself as quickly as possible. Otherwise, stay inside your vehicle.

Analyze Your Injured Areas

How injured do you appear to be? Keep in mind you are not a doctor. So, even if you feel fine, your neck or back could still have been impacted. Identify which areas of your body hurts, and the intensity of the pain.

Wait For The Authorities

Stay calm inside your vehicle and wait for the police and ambulance to arrive. This is imperative if your vehicle has flipped and you are hanging from your seatbelt.

Many head and neck injuries result from automobile occupants releasing their seat belts after a crash that has left them upside down.

crash

Inform The Emergency Technicians

Once help arrives, it’s vital to explain to them, if you can, the areas of injury. If you have previously suffered from injury or medical condition to your neck, back, or spine, let them know that, too.

This information helps them formulate the form of extraction and emergency treatment that minimizes the chance of creating further harm. Be calm and specific when you relay the information, using simple language and the 1-10 pain scale to describe your level of discomfort.

Visit Your Chiropractor

If your injuries are deemed minimal and you are released, be happy and grateful that you were not hurt worse! Then, make an appointment with your chiropractor, and explain the nature of the wreck.

Certain injuries take a few days to show up, and the crash could have impacted bones, joints, and ligaments that went undiscovered during the initial after-crash exam. Ask for a complete examination, and talk with your chiropractor about any treatment deemed necessary.

Minimize The Chances Of Another Automobile Accident

While you cannot control being in a wreck, you can take measures to guard against the occurrence, and give yourself a greater chance to avoid injury. Always wear your seatbelt, avoid distracted driving (this means your cell phone), maintain your vehicle’s brakes and tires, and understand the current traffic laws. Commit to driving at a safe speed depending on the weather conditions, and never, ever drive after imbibing alcohol.

Being in an automobile accident is scary business, and we hope it never happens to you. There is increased risk to individuals who already deal with medical conditions or bodily injuries from sports, work, or falls.

However, by maintaining a clear head and following these six tips, you can minimize the chance of being seriously injured in many car wreck situations and return to your normal life quickly, putting this awful incident behind you.

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Prescription Drugs & Medications for Whiplash and Neck Injuries

Prescription Drugs & Medications for Whiplash and Neck Injuries

According to the harshness of your whiplash symptoms, your doctor may prescribe drugs and/or spinal shots to manage the pain. To stress this point: they won’t help heal the injury, although the medications will help relieve your pain. Instead, medicines and/or spinal injections lessen your pain so which you can work on curing the soft tissue injuries (through physical therapy, for example).

Again depending on the seriousness of your pain, you could begin with over-the-counter medicines. If those don’t work to relieve your pain, the physician may prescribe stronger drugs. The doctor may imply shots if prescription drugs don’t work. The progression of treatment depends upon your individual symptoms and pain level.

Over-the-Counter Medications for Neck Injuries

Acetaminophen: Tylenol is a good example of an acetaminophen, a form of medicine that has turned out to be a great pain reliever. Most people refer as painkillers to acetaminophen medicines, although your doctor may call this an analgesic. They don’t help reduce inflammation, though. Acetaminophen works by essentially blocking your brain’s awareness of pain, and it is good for those pain flare-ups that will come with DDD.

Over the counter NSAIDs (non-steroidal anti-inflammatory drugs): These will reduce swelling (or inflammation) while relieving your pain. In whiplash, you could have inflammation from your soft tissue injury. If an over the counter NSAID is a choice that’s best for you personally, you have lots to select from. You can use ibuprofen (Advil), aspirin, or Aleve.

By taking an NSAID, you are really building up an anti inflammatory effect in the body, so that it’s essential to choose it for awhile. Which is, NSAIDs won’t be as effective if you take them only when you have pain. Before you notice an important impact on your pain, because they work to limit inflammation and build up in your body, you might have to take NSAIDs for several weeks.

Prescription Drugs for Neck Injuries

If over-the-counter drugs don’t deal with your pain enough, the doctor may prescribe something more powerful. The precise sort of drugs depends upon your symptoms, but the doctor may have you attempt:

Muscle Relaxants: You will need a muscle relaxant, which ought to help stop the spasms if you have muscle spasms brought on by the whiplash injury. Muscle relaxants may also enable you to sleep. Valium is an example of a muscle relaxant.

Opioids (Narcotics): In the most extraordinary cases, and just under careful supervision, you physician might prescribe an opioid, such as for instance codeine or morphine. Vicodin and Percocet are instances of narcotics.

Prescription NSAIDs: NSAIDs that are stronger can be taken by you than the over-the-counter variety, in case your physician believes this is best for your pain. For instance, she or he may recommend a COX-2 Inhibitor (Celebrex is an example). That is a kind of NSAID, but it will not cause gastrointestinal side effects as other prescription NSAIDs can.

Injections and Shots for Whiplash Associated Disorders

Shots for whiplash are most powerful when coupled with exercise plan or a physical therapy which assists you to work on strengthening the neck muscles. The shot should give pain relief to you so that you could turn your focus on curing the specific injury. Several kinds of injections useful for whiplash are:

Epidural Steroid Injection: This is only one of the very common injections. An epidural steroid injection (ESI) targets the epidural space, which will be the space enclosing the membrane that covers the spine and nerve roots. Nerves go through the epidural space and after that branch out to different parts of your own body, for example your arms. If your nerve root has become compressed (pinched) in the epidural space because of a whiplash injury, you could have pain that goes down your neck and perhaps into your arms (a symptom called radiculopathy).

An epidural steroid injection sends steroids—which are very powerful anti-inflammatories— to the nerve root that’s inflamed. This really is a pain management therapy, so that it is far better have a well-trained pain management specialist do the injection. You will likely need 2-3 shots; generally, you should not have more than that because of the potential side effects of the steroids.

Facet Joint Injection: Also called facet blocks, facet joint injections are useful in case pain is being caused by your facet joints. Facet joints in your spine assist you to supply and move stability. You’ll have pain, should they get inflamed, though, because of how your cervical spine affected human body. The joint will be numbed by a facet joint injection and can diminish your pain.

Trigger Point Injection: In extreme cases of whiplash, trigger point shots are a wise decision. (Trigger points are knots of muscle underneath the skin that form when muscles usually do not relax.) The shot has a local painkiller that occasionally features a corticosteroid to decrease the inflammation.

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 915-850-0900blog picture of a green button with a phone receiver icon and 24h underneath

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.

 

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TRENDING TOPIC: EXTRA EXTRA: New PUSH 24/7®️ Fitness Center