Accidents and Injuries

Motor vehicle crashes and accidents cause significant trauma in a few seconds changing an individual's life completely. Severe injuries include traumatic brain injury, spinal cord damage, fractures, and amputations. Many individuals experience post-traumatic stress disorder - PTSD after a vehicle collision; even a minor accident can cause emotional trauma symptoms. PTSD commonly presents with other symptoms that range from depression to heart disease, and the most frequent symptom is physical pain. Chiropractic decompression, physical therapy, and therapeutic massage can help alleviate physical pain.

PTSD Physical Pain

Physical trauma can cause immediate physical effects and injury, as well as physical symptoms that present later on.

Symptoms

• Flashbacks or reliving the collision incident.
• Sleep disturbances.
• Nightmares about the wreck.
• Fatigue.
• Memory and concentration problems.
• Hyperarousal.
• Fear.
• Anxiety.
• Irritability or anger.
• Avoiding driving or riding in a vehicle.
• Trying not to talk or think about the crash or accident with friends, family, places, or anything associated with the trauma.
• Avoiding activities.
• Emotional numbness.
• Detachment.

All can generate physical muscle tension and chronic stress, leading to headaches, migraines, back pain, stomach pain, and body aches. Long-term physical pain symptoms can turn chronic pain and medication dependency into a vicious cycle.

Chiropractic Therapy

Chiropractic care diagnoses and treats disorders of the musculoskeletal system. Chiropractic treatment is recommended to help alleviate the physical symptoms of PTSD. Trauma causes individuals to store intense emotions in their bodies. Chiropractic manipulation and decompression release the tension in the muscles caused by the trauma and the emotional stress. Adjustments restore the body's alignment and open the nervous system circulation, allowing signals to flow freely, leading to a healthier mind-body connection.

Non-Surgical Spinal Decompression Therapy

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Beck, J Gayle, and Scott F Coffey. "Assessment and treatment of PTSD after a motor vehicle collision: Empirical findings and clinical observations." Professional psychology, research, and practice vol. 38,6 (2007): 629-639. doi:10.1037/0735-7028.38.6.629

Elder, Charles et al. "Comparative Effectiveness of Usual Care With or Without Chiropractic Care in Patients with Recurrent Musculoskeletal Back and Neck Pain." Journal of general internal medicine vol. 33,9 (2018): 1469-1477. doi:10.1007/s11606-018-4539-y

https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd

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

While bruising, soreness, and scrapes are common, whiplash and chronic whiplash injuries may not show for several days or weeks. While today's vehicles are safer than ever, they can still only do so much when it comes to the body and musculoskeletal health. Being involved in an automobile accident, even a light tap can give a sudden jolt to the spine that although the individual might not have felt anything like discomfort or pain, it was enough to shift the disc/s out of place or set them up to shift out of place. No one wants to be involved in a car or motorcycle accident, but regardless of good driving habits, or how advanced the safety features on the vehicle might be, the average driver will be involved in three to four automobile accidents in their life.

Whiplash

Whiplash and chronic whiplash injuries are common in motor vehicle accidents. More than 3 million Americans will see a doctor and a chiropractor for automobile accidents and whiplash effects. It only takes a 2.5 mph hit to cause an injury. And whiplash doesn't only happen when hit from behind, there are several ways an individual can be subjected to whiplash, including being T-boned, amusement park rides, and falling off a bicycle or a horse.

Symptoms

Most whiplash symptoms develop in the first twenty-four hours, but this is not always the case. Common symptoms include:

• Neck pain
• A stiff neck
• Intense neck pain when moving, rotating
• Headaches that start at the base of the head
• Loss of range of motion
• Dizziness
• Fatigue
• Shoulder pain
• Arm pain
• Upper back pain
• Low back pain
• Blurred vision
• Anxiety
• Nausea
• Depression
• Difficulty with concentration
• Memory difficulties
• Sleep disorders

Facts and Stats

Most individuals realize they have whiplash a day or two after, but for others, it can take a few weeks or even months to present. Whiplash is classified by degree or grade:

Grade 0

The individual has no complaints and there are no symptoms/signs of physical injury.

Grade 1

There is neck pain but there are no physical signs of injury.

Grade 2

There are signs/symptoms of musculoskeletal damage and neck pain is presenting.

Grade 3

There are signs/symptoms of neurological damage and neck pain is presenting.

The average amount of time most individuals stay home from work is around 40 days. However, when whiplash pain lasts longer than a few weeks, it is deemed to be chronic whiplash.

Chronic Whiplash

Some individuals with whiplash experience painful symptoms for years. This is true of those that avoid or refuse medical attention and learn to live with it.

Treatment Options

There are very effective methods for treating whiplash and chronic whiplash injuries. Depending on the extent of the injury/s, developing the right treatment/rehabilitation plan requires individual consultation with a chiropractor to discuss options that can include:

Pain Relief

The pain can be excruciating. Over-the-counter pain relievers like ibuprofen for temporary relief. However, the individual will need extended treatment to ensure it does not become chronic pain.

Neck Brace

Neck braces help limit the pain, but should not be worn for more than three or four days. If worn for too long the neck muscles are prevented from gaining the strength needed to support the head.

Don't Sit For Too Long

Avoid keeping the head in any one position for too long. This includes sitting in bed, watching TV, or working at a desk. This places a large amount of pressure and stress on the neck, making the pain even more severe and longer-lasting.

Sleeping Properly and Comfortably

For many, it can be difficult to get into a comfortable position when sleeping. Sleeping on the back with the head turned to one side can worsen the pain. Try a high-quality ergonomic pillow that allows the individual to sleep on their side and takes the pressure off of the neck.

Spinal Alignment

Whiplash can cause the spine to shift out of alignment. This can lead to additional problems in the back or shoulders. It’s always a good idea to see a chiropractor that specializes in motor vehicle accident injuries to realign the spine and neck, as well as for rehabilitation to strengthen the muscles and prevent further injuries. See a chiropractor for an evaluation of the injuries and develop a customized treatment plan that works for the individual's condition.

Everyone is different

Some individuals can be stiff and sore for a few days and then are okay with not much pain. Some individuals experience severe pain immediately after the wreck, while others have no pain for days or even weeks. Both scenarios are pretty common. Soft tissue injuries can be very deceiving. Some don’t experience any pain for months after the accident. Many don’t think they need to see a doctor or chiropractor because there is no pain or symptoms. However, underneath serious problems could be getting ready to present including:

• Constant headaches
• Numbness or pins and needles in the hands or arms
• Pain between the shoulder blades
• Poor posture
• Chronic muscle tension
• Painful spasms
• Degeneration of the discs
• Painful inflamed arthritis
• The quick development of arthritis
• Sore, tight, or inflexible muscles
• Sleep disturbances
• Fatigue
• Dizziness

Body Composition

A decrease in physical activity

Physical inactivity is a primary factor in the progression of sarcopenia. Resistance exercise can help maintain muscle mass and help build muscular strength. Individuals that are more sedentary can exacerbate the effects of sarcopenia.

A decrease in motor neurons

Aging is accompanied by motor neuron loss resulting from cell death. This leads to a decrease in muscle fiber. This decrease in muscle fibers leads to:

• Impaired performance
• A reduction in functional capacity
• A decreased ability to perform everyday tasks

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

How the Neck Works: UpToDate. (2020) “Patient education: Neck pain (Beyond the Basics). https://www.uptodate.com/contents/neck-pain-beyond-the-basics

Symptoms: PLOS ONE. (2018) “Thoracic dysfunction in whiplash-associated disorders: A systematic review.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865734/

Causes: Mayo Clinic. (N.d.) “Whiplash.” https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921