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Your Chiropractic Evaluation
Answer true or false to
each of the following statements:
·
“Whiplash” is a term that covers a multitude of neck and
back problems which come from sudden movement of the neck.
·
You can suffer “whiplash” is other activities besides being
a passenger in an automobile.
·
Experienced drivers are just as prone to whiplash injury as
poor drivers.
·
People who wear seatbelts have a greater margin of
protection against whiplash.
·
Neck problems can be the source of pain or disorder in
other parts of the body.
·
Whiplash may be treated effectively by chiropractic
procedure.
If you
answered “true” on all the questions, you are correct. If you missed more than
one answer, you need to become more aware of structural health, as it is likely
that sometime in your life you or someone in your family will be faced with a
problem involving the neck, back and spine. Prevention is your best protection.
Read on to find out more about Whiplash!
When someone mentions “whiplash” you automatically think of a
neck injury. But what is it, exactly, that happens? What damage is done? Is it
permanent? What are the symptoms? How should they be treated?
To better understand what takes place when someone suffers a
whiplash injury, let’s study the anatomy of the neck.
The neck is referred to as the cervical spine. There are
seven bones in the neck called cervical vertebrae. Each of these except the first
two are separated by spinal discs. Each disc acts as a cushion between the
vertebrae and allows motion between each done. A pair of spinal nerves exit
between each two cervical vertebrae, one on each side of the spine. These
nerves supply the tissue of the neck, shoulders and arms. Ligaments and muscles
drape the neck to provide stability and a means of motion.
Exactly what takes place, and what is damaged, in a whiplash
injury? Normally, we associate whiplash with automobile accidents. However,
many other kinds of accidents can be responsible, such as a sudden fall or
sports injury.
Whatever the cause, the basic injury is one of rapid
overstretching of the muscles, ligaments, nerve root and blood vessels of the
neck area. Most often rapid overstretching in one direction causes a recoil
effect and overstretching in the opposite direction. Strain and sprain of the
soft tissues of the neck result in inflammation and irritation of the muscle,
muscle, ligament and nerve. Depending up on the intensity of the force
involved, the injury can range from mild to severe.
Your neck does much more than simply connect your head to the
rest of your body. Without you neck, you couldn’t hold up your head, or turn it
easily from one side to the other. Many complex parts of your neck work
together to perform a delicate balancing act. But your neck is fragile part of
your body, as well. When the force of whiplash strikes, your head is tossed
around like the head of a flimsy rag doll.
Your neck may be seriously injured. Then it is unable to move and
support your head the way it normally does. If not corrected early, whiplash
can lead to other problems, such as arthritic degeneration.
Healthy Neck Anatomy
The Stages of Whiplash
1. Before
Whiplash: Your Neck’s Delicate Balance – Imagine balancing a 10 lb ball on the
end of a stick. That’s the delicate balancing act your neck performs throughout
the day. Soft tissue is really the only thing keeping your head poised on the
top of your spine. If your cervical spine is aligned and neck anatomy healthy,
your head’s weight is evenly balanced.
2. During
the Force of Whiplash – Whiplash turns your head’s weight into a powerful
force, hurling your neck past it’s normal range of motion. In the typical
whiplash injury, your head is whipped backward, injuring muscles, ligaments,
discs and other structures. As your head whips forward, its speed doubles,
increasing the force on your neck. If you head is turned to the side, injury is
often more severe.
3. After
Whiplash: Your Neck Out of Balance – After a whiplash injury, your neck’s
balance is upset. Your neck’s natural curve may be reversed, which unevenly
distributes your head’s weight and further misaligns your vertebrae. Your
fragile, damaged neck must now strain to hold up your head. If not corrected,
scarring – and even arthritic degeneration – may develop. You may also have
recurring pain.
In general, there are a group of symptoms
that are common to most whiplash injuries. These are: neck pain and stiffness,
headache, pain radiating to the shoulder area, loss of ability to turn the neck
fully, a feeling of heaviness of the head or some dizziness.
Whiplash symptoms usually occur immediately after the
injury. Most patients will become aware of the symptoms within several hours after
the trauma. This, however, is not always the case. It is not unusual for the
symptoms to occur days or even weeks after the injury.
X-rays give a detailed view of the bones in your neck
and back. They help spot where the vertebrae have moved into an unbalanced
position or misalignment. X-rays also rule out other problems, like
fractures or tumors. Your chiropractor uses special techniques to identify
spine-related problems. Using firm finger pressure, he or she checks for
pain, stiffness, range of motion or swelling in neck or shoulder muscles.
Finger pressure combined with bending your neck in different directions may
help your chiropractor locate restricted bones or joints. You may also have
other routine tests.
X-rays
An evaluation helps your chiropractor diagnose a whiplash
injury, discover the extent of damage, and determine the most suitable
treatment for you. A health history begins to uncover your symptoms and the
cause of your injury. It may also reveal other, preexisting problems with your
spine. A physical exam helps identify the nature of your injury. You may also
have x-rays, which help diagnose a whiplash injury or rule out other problems.
Physical Exam
The
whiplash injury is a very real problem and should receive special attention.
The chiropractic physician is a specialist in neck disorders. The strain and
sprain of muscles and ligaments can cause the normal position and flexibility
of the neck to be altered. The chiropractic physician is trained to detect and
correct these problems and restore the neck to normal function. Gentle
manipulative therapy or “adjustment” is administered to restore normal function
to the area. Depending upon the severity of the injury, additional treatment
consisting of braces, physical therapy and exercise may be warranted. These
treatments may include:
·
Trigger Point Therapy – Your chiropractor applies pressure to
small precise areas of pain (trigger points). This relieves “knots” in your
muscles, helping to reduce pain.
·
Ice – Your chiropractor may apply ice to your neck after an
injury to help reduce swelling.
·
Electrical Stimulation – Electrical impulses cause muscles
to contract gently and automatically. This may relax muscles, reduce swelling
and improve circulation.
Chiropractic
treatment is most effective when combined with self-care. Good posture helps keep
your spine aligned, allowing your neck to heal in its proper position. Proper
posture also reduces pressure on neck structures, helping to prevent future
injuries. Neck exercises improve your flexibility and strength another
lifetime preventive measure against future injuries.