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Auto accidents are the leading cause of whiplash. Up to 83% of people involved in an accident will suffer a whiplash injury. The extent of your injury can be predicted by several factors. Patients who are struck from behind in a rear-end collision generally suffer the most injury. Being struck by a larger or heavier vehicle also increases your risk. Your vehicle does not need to be visibly damaged in order for you to be injured. In fact, the amount of damage to your vehicle has little relationship to your injuries. Rear-end impacts of less than 5 MPH routinely give rise to significant symptoms.

Other factors that increase your chance of injury include: improperly positioned head restraints, wet or icy roads, having your head rotated or extended at the time of impact, and being unaware of the impending collision. As we age, our tissues become less elastic, and our risk of injury increases.

Symptoms may begin immediately or have a delayed onset. Initially, you may notice some soreness in the front of your neck that generally fades quickly. Ongoing complaints often include dull neck pain that becomes sharper when you move your head. The pain is generally centered in the back of your neck but can spread to your shoulders or between your shoulder blades. Symptoms may increase over time. Rest may relieve your symptoms but often leads to stiffness.

Sprain/strain injuries cause your normal healthy elastic tissue to be replaced with less elastic “scar tissue.” This process can lead to ongoing pain and even arthritis. Over half of those who are injured will have neck pain up to a year after their accident. Seeking early and appropriate treatment, like the type provided in our office, is critical. If you are riding with others, it is quite possible that they too were injured. It would be in every passenger’s best interest to be examined as soon as possible. http://ow.ly/i/uSfRZ

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The eight bones of your wrist form a U-shaped channel that houses several tendons and your Median nerve. This channel is called the Carpal tunnel. Your median nerve is responsible for sensation on the palm side of your first 3 ½ fingers. Compression or irritation of this nerve as it travels through the carpal tunnel causes the condition known as “Carpal tunnel syndrome”. Carpal tunnel syndrome is the most common nerve entrapment, affecting 3-5% of the general population. Females are affected two or three times more frequently than males. Carpal tunnel syndrome most often affects adults age 45-60.

Carpal tunnel syndrome can be brought on by prolonged wrist flexion and/or repetitive wrist movements like supermarket scanning, keyboard use, carpentry or assembly line work. Exposure to vibration or cold may also aggravate the condition. Carpal tunnel syndrome is more common in your dominant hand but frequently affects both hands. Some risk factors for developing carpal tunnel syndrome include diabetes, thyroid disease, rheumatoid arthritis, alcoholism, kidney disease and being short or overweight. Fluid retention during pregnancy is a common cause of carpal tunnel symptoms.

Symptoms of carpal tunnel syndrome include numbness, tingling or discomfort on the palm side of your thumb, index, middle finger and half of your ring finger. The discomfort can sometimes extend towards your elbow. The symptoms usually begin as nighttime discomfort or waking up with numb hands but can progress to a constant annoyance. Your symptoms are likely aggravated by gripping activities like reading the paper, driving or painting. Early on, your symptoms may be relieved by “shaking your hands out”. You may sometimes feel as though your hands are tight or swollen. In more severe cases, hand weakness can develop.
Compression of your median nerve in the carpal tunnel is often accompanied by compression at a second or third site as well. Researchers call this “double crush syndrome.” Common “double crush” partners for carpal tunnel syndrome involve the spine or muscles in your neck, shoulder and forearm.

To help resolve your condition, you should avoid activities that involve repetitive wrist flexion, i.e. pushups. Grasping the handlebars on your bicycle will likely cause irritation of your condition. Our office may prescribe a special splint that holds your wrist in a neutral or slightly extended position that will help with your nighttime symptoms.

If left untreated, carpal tunnel syndrome can result in permanent nerve damage. The American Academy of Neurology recommends conservative treatment, like the type provided in our office, before considering surgical alternatives. http://ow.ly/i/uGUHl

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