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WHIPLASH CHIROPRACTIC

CERVICAL-ACCELERATION-DECELERATION injury (CAD)

(keywords: Whiplash chiropractic, chiropractic whiplash, symptoms of whiplash, tingling in arms and hands )

Whiplash chiropractic is well placed to treat the victims of motor vehicle accidents. There are 3 million whiplashes in the USA each year from MVAs alone. Of course, whiplash can occur in many other ways too.

Numerous studies, done from 6 months to 15 years after a motor vehicle collision injury, reveal that between 40-50% of victims have permanent pain. Whiplash is a very significant phenomenon, not only in financial terms but obviously in human suffering.

Update: Three weeks ago a young woman and her two small children had dinner with us. Today she is dead - head on collision, one of the children seriously injured. Sbu's roads in South Africa have the awesome trophy of the most dangerous roads in the whole world.

* Sbu Ndebele is the Minister of Transport in South Africa.




ROAD DEATHS

CountryPopulation Deaths per annDeaths/100000*Ratio
Netherlands 16 million 7304.644
United Kingdom 60 3 200 5.453
Germany 80 5 800673
Australia 20 1 60080
China 1 300 107 00082
India 1 100 100 00091
USA 293 42 000143
Nigeria 158 47,800 302
South Africa 50 19 00038380

* WHO global road safety report 2007
. The report estimates that 1.3 million people die per year in road accidents.

These statistics are quite difficult to interpret, as there are many other factors to be considered. For example, number of registered vehicles, miles travelled, public transport etc.

For example, the Netherlands has an advanced system of rail and bus travel. It also has the highest petrol price in the world.

If we assume that 90% of whiplash cases survive the accident (conservative), that would mean that the USA has about 420 000 people per year added annually to those suffering the effects of whiplash. (South Africa 110 000).

Which ever way one wishes to interpret these figures it is clear that, if 40% of those people who survive whiplash MVA's have lasting symptoms, there remains huge scope for chiropractic management of the symptoms of whiplash ...




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What is whiplash?

In a rear end collision, one part of the spine, say the torso, is forced forwards by the seat, while another, usually the neck lags behind. Thus different parts of the spine are moving in different directions at the same moment.

These sheer forces on the spine result in injuries to the ligaments and joints, the nerves and a pressure build up in the cerebral spinal fluid.

Interestingly, MRI scans done on victims who died in MVAs were often negative, but autopsies revealed that many of them had bleeding and microfractures in the tissues, that could not be seen on scans. The MRI is a wonderful tool, but it too has limitations. There is no substitute for a thorough physical examination of the whiplash patient.

Likewise, conventional X-rays are often 'insensitive' to whiplash injuries, showing little or no change. They are not a useful tool in ruling out whether a whiplash has occurred or not. Neither are they useful in predicting the future onset of osteo-arthritis that frequently follows whiplash.

The literature shows that the most common injury sites are the neck, back, the shoulders and the knees.

In an important study, reported in the New England Journal of Medicine, researchers showed that treatment of the facet joints not only relieved severe neck pain, but also resolved the psychological disturbances associated with car accidents...



Whiplash doesn't only happen in car accidents, of course. It may be found in many shapes and sizes. Falls from horses is one of the more serious, skating too ...






Whiplash research

In medical circles it is often assumed that the effect of whiplash is grossly exaggerated and controversial. Whiplash research however indicates that the controversy about whiplash is largely manufactured. It is propagated both by those who benefit from whiplash and by insurance companies who minimise its importance. Those who are simply uninformed and misinformed about whiplash research simply add to the confusion.

For more information about whiplash research click here.

The role of the chiropractor

Chiropractors are trained to treat joint, muscle and ligament injuries, and thus are well placed to treat the victims of MVAs. Their primary role is to keep the facet joints mobilized, enhance optimal healing by treating muscles and ligaments, and reducing the likelihood of permanent pain. Good nutrition is also a part of Whiplash Chiropractic.

The tiny so-called Joints of Luschka are particularly vulnerable. Any injury to them causes sharp spurs to invade the foramen where the nerve is emerging on it's way to the arm (and the diaphragm, amongst other things).

  • Read more a newsletter CHIROPRACTIC HELP Whiplash and the Joints of Luschka ...
  • Read more about GELATINE powder for arthritic spurs.





    Thereafter, chiropractors encourage patients to start exercises and stretches, as this fits well with their philosophy of health care, to reduce the likelihood of permanent pain following crashes. Chiropractic is ideally suited for managing these whiplash chiropractic cases as the DC is trained in these approaches, and getting the patient back to normal activities of daily living as soon as possible.

    Thoracic Outlet Syndrome is one of the known consequences because of the intimate relationship between the artery and nerve supplying the arm, on the one hand, and the first rib, the collarbone and two important neck muscles often involved in whiplash chiropractic. For more, click here. Thoracic Outlet Syndrome ...

    Headaches are another common result of whiplash. The whip not only strains strategic muscles in the neck, but frequently also sprains ligaments that stabilise the spine, allowing subluxation and consequent nerve injury. The intimate relationship between the dura covering the spinal cord and brain and these soft tissues often leads to chronic headaches. For more info on the whiplash chiropractic management of headaches and head neck pain, click here. Head Neck Pain ...

    Tingling in arms and hands either within a few days of the accident, or several years later, is the experience of many of the victims of whiplash. Irritation of the nerve roots or brachial plexus is the underlying cause of many conditions such as carpal tunnel syndrome ...

    NUTRITION

    Whiplash injuries to the joints obviously injures the joint cartilage. Hence the joints become arthritis. Once part of the chiropractic management of whiplash is nutrition, and that should include support for the cartilage.

    One good option is the gelatine found in chicken bones ...

  • Do Glucosamine Chondroitin help?

    POLITICS of WHIPLASH CHIROPRACTIC

    What is certain is that the citizens of countries like the USA and South Africa suffer terrible consequences of weak-kneed politicians who do not have the will to make sure that the road laws are rigidly enforced.



    LETTER FROM THE USA

    Five and a half years ago, I was in a severe car accident that shattered my L1 vertebrae. I had surgery, where the pieces were removed and built with a titanium cage.

    I also have a steel rod down my spine with four finger-size screws holding it in place. I've had severe pain since the accident, but recently, it seems to be worse.

    On top of the injury, I've been having shoulder problems, which I think could be from a pinched nerve. SO my question is, with all of the metal in my back and the cage around my L1, is it safe for me to see a Chiropractor???

    Hello J,

    Yes, it certainly is safe to see a chiropractor, but I would take care to find someone who is experienced, methodical and thorough, and who will give your case the time it deserves. Talk to friends and neighbours and perhaps your doctor.

    L1 is the area where the Femoral nerve originates, passing down through the groin to the side and front of your leg. If you start to get groin back, think L1 first. Type "Femoral nerve" into the Search this Site at C-h, you'll find quite a lot of material.

    It's also the area that can set up a "Maignes syndrome", a facet syndrome from T12/L1.

    Chiropractors have a number of gentle techniques that can be used in the treatment of old fractures. Heavy manipulation of L1 would obviouly be inadvisable, but it may well be that your pain is coming from elsewhere, say L4, in which very specific manipulation would not be unsafe.

    Many shoulder problems we see in the practice come from an old injury of the neck. In a bad MVA it is not unlikely that your neck was affected.

    You might start with "Maignes syndrome exercises" and "Frozen shoulder exercises" (again use the Search facillity at C-H), though the usual advice is examination first, diagnosis, and only then treatment. But they are quite gentle, done sensibly are unlikely to aggravate your problem.

    Good luck, let me know in a few months how you get on.

    Dr B



    WHIPLASH Cervical Artery Dissection

    Suffering from change in taste, ringing in the ears, dizziness, a drooping eyelid since a whiplash? Be sure to tell your chiropractor these potentially serious symptoms of whiplash ... WHIPLASH Cervical Artery Dissection ...


    LINKS @ WHIPLASH CHIROPRACTIC

  • Go from WHIPLASH CHIROPRACTIC to Chiropractic management of Neck Pain ...
  • What is Chiropractic ?
  • Symptoms of whiplash ...


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