If you or someone you know has been involved in accident, call our office today. Check out THIS VIDEO to learn more about resolving neck pain from auto accidents.
Whiplash is an injury to the soft-tissues of the neck often referred to as a sprain or strain. Because there are a unique set of symptoms associated with whiplash, doctors and researchers commonly use the term “whiplash associated disorders” or WAD to describe the condition.
WAD commonly occurs as a result of a car crash, but it can also result from a slip and fall, sports injury, a personal injury (such as an assault), and other traumatic causes. The tissues commonly involved include muscle tendons (“strain”), ligaments and joint capsules (“sprains”), disk injuries (tears, herniation), as well as brain injury or concussion—even without hitting the head!
Symptoms vary widely but often include neck pain, stiffness, tender muscles and connective tissue (myofascial pain), headache, dizziness, sensations such as burning, prickly, tingling, numbness, muscle weakness, and referred pain to the shoulder blade, mid-back, arm, head, or face. If concussion occurs, additional symptoms include cognitive problems, concentration loss, poor memory, anxiety/depression, nervousness/irritability, sleep disturbance, fatigue, and more!
Whiplash associated disorders can be broken down into three categories: WAD I includes symptoms without any significant examination findings; WAD II includes loss of cervical range of motion and evidence of soft-tissue damage; and WAD III includes WAD II elements with neurological loss—altered motor and/or sensory functions. There is a WAD IV which includes fracture, but this is less common and often excluded.
Treatment for WAD includes everything from doing nothing to intensive management from multiple disciplines—chiropractic, primary care, physical therapy, clinical psychology, pain management, and specialty services such as neurology, orthopedics, and more. The goal of treatment is to restore normal function and activity participation, as well as symptom management.
The prognosis of WAD is generally good as many will recover without residual problems within days to weeks, with most people recovering around three months after the injury. Unfortunately, some are not so lucky and have continued neck pain, stiffness, headache, and some develop post-concussive syndrome. The latter can affect cognition, memory, vision, and other brain functions. Generally speaking, the higher the WAD category, the worse the prognosis, although each case MUST be managed by its own unique characteristics. If the injury includes neurological loss (muscle strength and/or sensory dysfunction like numbness, tingling, burning, pressure), the prognosis is often worse.
Chiropractic care for the WAD patient can include manipulation, mobilization, and home-based exercises, as well as the use of anti-inflammatory herbs (ginger, turmeric, proteolysis enzymes (bromelain, papain), devil’s claw, boswellia extract, rutin, bioflavonoid, vitamin D, coenzyme Q10, etc.) and dietary modifications aimed at reducing inflammation and promoting healing.
* 83% of those patients involved in an MVA will suffer whiplash injury and 50% will be symptomatic at 1 year.
* 90% of patients with neurologic signs at onset may be symptomatic at 1 year.
* 25- 80% of patients who suffer a whiplash injury will experience late-onset dizziness
* Clinicians should be observant for radiographic signs of instability, including interspinous widening, vertebral subluxation, vertebral compression fracture, and loss of cervical lordosis.
* Horizontal displacement of greater than 3.5 mm or angular displacement of more than 11 degrees on flexion/extension views suggests instability
Posture assessment is a key component of the chiropractic examination, and the posture of the head and neck is especially important for a patient recovering from a whiplash injury. Forward head carriage describes a state in which the head sits more forward on the shoulders than it should. In order for the muscles in the neck and shoulders to keep the head upright, they must work harder. This added strain can increase one’s risk for neck pain and headaches, which is why retraining posture is a key component to the management of neck pain and headaches in patients with or without a history of whiplash.
Forward head carriage also increases the distance between the back of the head and the headrest in the seated position, especially when the seat is reclined. In a rear-end collision, a gap greater than a half an inch between the head rest and the back of the head increases the probability of injury due to the greater distance the head can hyperextend as it rebounds backwards into the headrest. This makes posture correction of forward head carriage an important aspect of treatment from both a preventative and curative perspective.
So this begs the question, can forward head carriage be corrected? The simple answer is “yes!” One study evaluated the effects of a 16-week resistance and stretching program designed to address forward head posture and protracted shoulder positioning.
Researchers conducted the study in two separate secondary schools with 130 adolescents aged 15–17 years with forward head and protracted shoulder posture. The control group participated in a regular physical education (PE) program while the experimental group attended the same PE classes with the addition of specific exercises for posture correction. The research ream measured the teens’ shoulder head posture from the side using two different validated methods and tracked symptoms using a questionnaire. The results revealed a significant improvement in the shoulder and cervical angle in the experimental group that did not occur in the control group.
The conclusion of the study strongly supports that a 16-week resistance and stretching program is effective in decreasing forward head and protracted shoulder posture in adolescents. This would suggest that a program such as this should be strongly considered in the regular curriculum of PE courses since this is such a common problem.
Doctors of chiropractic are trained to evaluate and manage forward head posture with shoulder protraction. This can prove beneficial in both the prevention as well as management of signs and symptoms associated with a whiplash injury.
Most likely, everyone reading this article has had a headache at one time or another. The American Headache Society reports that nearly 40% of the population suffers from episodic headaches each year while 3% have chronic tension-type headaches. The United States Department of Health and Human Services estimates that 29.5 million Americans experience migraines, but tension headaches are more common than migraines at a frequency of 5 to 1. Knowing the difference between the two is important, as the proper diagnosis can guide treatment in the right direction.
TENSION HEADACHES: These typically result in a steady ache and tightness located in the neck, particularly at the base of the skull, which can irritate the upper cervical nerve roots resulting in radiating pain and/or numbness into the head. At times, the pain can reach the eyes but often stops at the top of the head. Common triggers include stress, muscle strain, or anxiety.
MIGRAINE HEADACHES: Migraines are often much more intense, severe, and sometimes incapacitating. They usually remain on one side of the head and are associated with nausea and/or vomiting. An “aura”, or a pre-headache warning, often comes with symptoms such as a bright flashing light, ringing or noise in the ears, a visual floater, and more. For migraine headaches, there is often a strong family history, which indicates genetics may play a role in their origin.
There are many causes for headaches. Commonly, they include lack of sleep and/or stress and they can also result from a recent injury—such as a car accident, and/or a sports injury—especially when accompanied by a concussion.
Certain things can “trigger” a migraine including caffeine, chocolate, citrus fruits, cured meats, dehydration, depression, diet (skipping meals), dried fish, dried fruit, exercise (excessive), eyestrain, fatigue (extreme), food additives (nitrites, nitrates, MSG), lights (bright, flickering, glare), menstruation, some medications, noise, nuts, odors, onions, altered sleep, stress, watching TV, red wine/alcohol, weather, etc.
Posture is also a very important consideration. A forward head carriage is not only related to headaches, but also neck and back pain. We’ve previously pointed out that every inch (2.54 cm) the average 12 pound head (5.44 kg) shifts forwards adds an EXTRA ten pounds (4.5 kg) of load on the neck and upper back muscles to keep the head upright.
So, what can be done for people who suffer from headaches? First, research shows chiropractic care is highly effective for patients with both types of headaches. Spinal manipulation, deep tissue release techniques, and nutritional counseling are common approaches utilized by chiropractors. Patients are also advised to use some of these self-management strategies at home as part of their treatment plan: the use of ice, self-trigger point therapy, exercise (especially strengthening the deep neck flexors), and nutritional supplements.
Dizziness, neck pain, and headaches are very common symptoms that may or may not occur at the same time. Though this interrelationship exists, this month’s article will focus primarily on dizziness, particularly related to dizziness that occurs after standing.
First, it is important to point out that it is VERY common to be light headed or dizzy when standing up too fast, which is typically referred to as orthostatic hypotension (OH). OH is frequently referred to as a benign symptom, but new information may challenge this thought.
Let’s review what happens. When we are lying down, our heart does not have to work as hard as when we are upright; therefore, our blood pressure (BP) is usually lower while we lay in bed. When standing up, blood initially pools in the legs until an increase in blood pressure brings oxygen to the brain. This either resolves or prevents dizziness.
Orthostatic hypotension is defined as a blood pressure drop of >20 mm Hg systolic (the upper number—heart at FULL contraction), 10 mm Hg diastolic (lower number—heart at FULL rest), or both. This typically occurs within seconds to a few minutes after rising to a standing position.
There are two types of OH—delayed OH (DOH) where the onset of symptoms are not immediate but occur within three minutes of standing and “full” OH, which is more serious and occurs immediately upon rising. According to a 2016 study published in the prestigious journal Neurology, researchers reviewed the medical records of 165 people who had undergone autonomic nervous system testing for dizziness. The subjects averaged 59 years of age, and 48 were diagnosed with DOH, 42 with full OH, and 75 subjects didn’t have either condition.
During a ten-year follow-up, 54% of the DOH group progressed to OH, of which 31% developed a degenerative brain condition such as Parkinson’s disease or dementia. Those with initial DOH who also had diabetes were more likely to develop full OH vs. those without diabetes.
The early death rate in this 165 patient group was 29% for those with DOH, 64% with full OH, vs. 9% for those with neither diagnosed condition. The authors point out that those initially diagnosed with DOH who did NOT progress into full OH were given treatment that may have improved their blood pressure.
The authors state that a premature death might be avoided by having DOH and OH diagnosed and properly managed as early as possible. They point out that a prospective study is needed since this study only looked back at medical records of subjects who had nervous system testing performed at a specialized center, and therefore, these findings may not apply to the general population.
The value of this study is that this is the FIRST time a study described OH (or DOH) as a potentially serious condition with recommendations NOT to take OH/DOH lightly or view it as a benign condition. Since doctors see this a lot, a closer evaluation of the patient is in order.
Whiplash is an injury to the soft-tissues of the neck often referred to as a sprain or strain. Because there are a unique set of symptoms associated with whiplash, doctors and researchers commonly use the term “whiplash associated disorders” or WAD to describe the condition.
WAD commonly occurs as a result of a car crash, but it can also result from a slip and fall, sports injury, a personal injury (such as an assault), and other traumatic causes. The tissues commonly involved include muscle tendons (“strain”), ligaments and joint capsules (“sprains”), disk injuries (tears, herniation), as well as brain injury or concussion—even without hitting the head!
Symptoms vary widely but often include neck pain, stiffness, tender muscles and connective tissue (myofascial pain), headache, dizziness, sensations such as burning, prickly, tingling, numbness, muscle weakness, and referred pain to the shoulder blade, mid-back, arm, head, or face. If concussion occurs, additional symptoms include cognitive problems, concentration loss, poor memory, anxiety/depression, nervousness/irritability, sleep disturbance, fatigue, and more!
Whiplash associated disorders can be broken down into three categories: WAD I includes symptoms without any significant examination findings; WAD II includes loss of cervical range of motion and evidence of soft-tissue damage; and WAD III includes WAD II elements with neurological loss—altered motor and/or sensory functions. There is a WAD IV which includes fracture, but this is less common and often excluded.
Treatment for WAD includes everything from doing nothing to intensive management from multiple disciplines—chiropractic, primary care, physical therapy, clinical psychology, pain management, and specialty services such as neurology, orthopedics, and more. The goal of treatment is to restore normal function and activity participation, as well as symptom management.
The prognosis of WAD is generally good as many will recover without residual problems within days to weeks, with most people recovering around three months after the injury. Unfortunately, some are not so lucky and have continued neck pain, stiffness, headache, and some develop post-concussive syndrome. The latter can affect cognition, memory, vision, and other brain functions. Generally speaking, the higher the WAD category, the worse the prognosis, although each case MUST be managed by its own unique characteristics. If the injury includes neurological loss (muscle strength and/or sensory dysfunction like numbness, tingling, burning, pressure), the prognosis is often worse.
Chiropractic care for the WAD patient can include manipulation, mobilization, and home-based exercises, as well as the use of anti-inflammatory herbs (ginger, turmeric, proteolysis enzymes (bromelain, papain), devil’s claw, boswellia extract, rutin, bioflavonoid, vitamin D, coenzyme Q10, etc.) and dietary modifications aimed at reducing inflammation and promoting healing.
* 83% of those patients involved in an MVA will suffer whiplash injury and 50% will be symptomatic at 1 year.
* 90% of patients with neurologic signs at onset may be symptomatic at 1 year.
* 25- 80% of patients who suffer a whiplash injury will experience late-onset dizziness
* Clinicians should be observant for radiographic signs of instability, including interspinous widening, vertebral subluxation, vertebral compression fracture, and loss of cervical lordosis.
* Horizontal displacement of greater than 3.5 mm or angular displacement of more than 11 degrees on flexion/extension views suggests instability.
What is a Trigger Point?
Trigger Points (TP’s) are defined as a “hyper-irritable spot within a taut band of skeletal muscle. The spot is painful on compression and can evoke characteristic referred pain and autonomic phenomena.”1
Put into plain language, a TP is a painful knot in muscle tissue that can refer pain to other areas of the body. You have probably felt the characteristic achy pain and stiffness that TP’s produce, at some time in your life.
TP’s were first brought to the attention of the medical world by Dr. Janet G. Travell. Dr. Travell, physician to President John F. Kennedy, is the acknowledged Mother of Myofascial Trigger Points. In fact, “Trigger Point massage, the most effective modality used by massage therapists for the relief of pain, is based almost entirely on Dr. Travell’s insights.”2 Dr. Travell’s partner in her research was Dr. David G. Simons, a research scientist and aerospace physician.
Trigger Points are very common. In fact, Travell and Simons state that TP’s are responsible for, or associated with, 75% of pain complaints or conditions.1 With this kind of prevalence, it’s no wonder that TP’s are often referred to as the “scourge of mankind”.
Trigger Points can produce a wide variety of pain complaints. Some of the most common are migraine headaches, back pain, and pain and tingling into the extremities. They are usually responsible for most cases of achy deep pain that is hard to localize.
A TP will refer pain in a predictable pattern, based on its location in a given muscle. Also, since these spots are bundles of contracted muscle fibres, they can cause stiffness and a decreased range of motion. Chronic conditions with many TP’s can also cause general fatigue and malaise, as well as muscle weakness.
Trigger Points are remarkably easy to get, but the most common causes are
TP’s (black X) can refer pain to other areas (red)
Sudden overload of a muscle
Once in place, a TP can remain there for the remainder of your life unless an intervention takes place.
Trigger Points Not Well Known
With thousands of people dealing with chronic pain, and with TP’s being responsible for — or associated with — a high percentage of chronic pain, it is very disappointing to find that a large portion of doctors and other health care practitioners don’t know about TP’s and their symptoms.
Scientific research on TP’s dates back to the 1700’s. There are numerous medical texts and papers written on the subject.
But, it still has been largely overlooked by the health care field. This has led to needless frustration and suffering, as well as thousands of lost work hours and a poorer quality of life.
How Are Trigger Points Treated?
As nasty and troublesome as TP’s are, the treatment for them is surely straight-forward. A skilled practitioner will assess the individual’s pain complaint to determine the most likely location of the TP’s and then apply one of several therapeutic modalities, the most effective of which is a massage technique called “ischemic compression”.
Basically, the therapist will apply a firm, steady pressure to the TP, strong enough to reproduce the symptoms. The pressure will remain until the tissue softens and then the pressure will increase appropriately until the next barrier is felt. This pressure is continued until the referral pain has subsided and the TP is released. (Note: a full release of TP’s could take several sessions.)
Other effective modalities include dry needling (needle placed into the belly of the TP) or wet needling (injection into the TP). The use of moist heat and stretching prove effective, as well. The best practitioners for TP release are Massage Therapists, Physiotherapists, and Athletic Therapists. An educated individual can also apply ischemic compression to themselves, but should start out seeing one of the above therapists to become familiar with the modality and how to apply pressure safely.
1 Simons, D.G., Travell, D.G., & Simons, L.S. Travell and Simons’Myofascial Pain and Dysfunction: the Trigger Point Manual.
Vol. 1. 2nd ed. Lippincott, Williams, and Wilkins, 1999.
Pain is a universal experience that can significantly impact our quality of life, mobility, and overall well-being. While pain management often involves medication or surgery, many people are turning to chiropractic care as a natural and holistic approach to pain relief. In this article, we’ll delve into the connection between chiropractic care and pain relief and explore how chiropractic treatments can help alleviate various types of pain.
Understanding Chiropractic Care
Chiropractic care is a branch of alternative medicine that focuses on the diagnosis, treatment, and prevention of musculoskeletal disorders, particularly those affecting the spine. Chiropractors use hands-on techniques, such as spinal adjustments, manipulations, and soft tissue therapies, to realign the spine, improve joint mobility, and restore proper function to the nervous system.
The Role of Chiropractic Care in Pain Relief
Chiropractic care is widely recognized for its effectiveness in relieving pain, particularly in the back, neck, and joints. Here’s how chiropractic treatments can help alleviate pain:
Conditions Treated by Chiropractic Care
Chiropractic care can effectively treat a wide range of acute and chronic pain conditions, including:
Conclusion
Chiropractic care offers a safe, natural, and drug-free approach to pain relief that focuses on addressing the underlying causes of pain and dysfunction. By restoring proper alignment to the spine, optimizing nervous system function, and promoting overall musculoskeletal health, chiropractic treatments can help alleviate pain, improve mobility, and enhance quality of life. If you’re experiencing pain or discomfort, consider consulting with a qualified chiropractor to explore how chiropractic care can help you find relief and restore your health and vitality.
In today’s digital age, many of us spend a significant portion of our day sitting at a desk, working on a computer. While this lifestyle is common, it can lead to various health issues if proper posture is not maintained. Poor desk posture can cause back pain, neck strain, headaches, and even long-term musculoskeletal problems. This blog post will outline the importance of proper desk posture and provide practical tips to help you maintain a healthy, productive work environment.
1. Reduces Back and Neck Pain: Improper posture, such as slouching or leaning forward, places undue stress on the spine and neck muscles. Over time, this can lead to chronic pain and discomfort. Maintaining proper posture helps to distribute weight evenly and reduce strain on these areas.
2. Improves Breathing and Circulation: Slouching compresses your chest and lungs, making it harder to breathe deeply. Proper posture opens up your chest, allowing for better oxygen flow and improving circulation throughout your body.
3. Enhances Concentration and Productivity: When your body is aligned correctly, you are less likely to experience discomfort and fatigue. This can enhance your concentration, allowing you to stay focused and productive throughout the day.
4. Prevents Long-term Health Issues: Consistently poor posture can lead to serious long-term health issues, such as herniated discs, muscle imbalances, and even nerve compression. Proper posture helps to prevent these conditions, promoting overall health and well-being.
1. Choose the Right Chair: Your chair plays a crucial role in maintaining proper posture. Choose a chair that supports the natural curve of your spine, has adjustable height, and provides adequate lumbar support. Your feet should rest flat on the floor or on a footrest, with your knees at a 90-degree angle.
2. Position Your Monitor at Eye Level: Place your computer monitor directly in front of you at eye level. This prevents you from tilting your head up or down, which can strain your neck. The top of the screen should be at or slightly below eye level, and about an arm’s length away from you.
3. Keep Your Back Straight: Sit back in your chair with your back straight and shoulders relaxed but not slouched. Use a lumbar cushion if necessary to support the natural curve of your lower back.
4. Adjust Your Desk and Keyboard: Your desk should be at a height where your forearms are parallel to the floor when typing. Keep your keyboard and mouse close enough that you don’t have to stretch to reach them, and ensure your wrists are in a neutral position.
5. Take Regular Breaks: Sitting in the same position for extended periods can lead to stiffness and discomfort. Take short breaks every 30 minutes to stand up, stretch, and move around. This helps to alleviate tension and improve circulation.
6. Maintain a Neutral Head Position: Keep your head aligned with your spine, avoiding the tendency to jut your chin forward. Imagine a string pulling your head upwards to maintain a neutral and relaxed position.
7. Use Proper Lighting: Ensure your workspace is well-lit to prevent eye strain. Position your monitor to avoid glare from windows or overhead lights. Consider using a desk lamp with adjustable brightness to reduce eye fatigue.
Ergonomics is the science of designing a workspace that fits your body’s needs and promotes comfort and efficiency. Here are a few ergonomic tips to enhance your desk posture:
1. Ergonomic Accessories: Invest in ergonomic accessories such as a keyboard tray, an adjustable monitor stand, and a footrest. These tools can help you customize your workspace to suit your body’s requirements.
2. Desk Arrangement: Keep frequently used items within easy reach to avoid excessive stretching or twisting. Arrange your desk so that your phone, documents, and other essential items are conveniently accessible.
3. Proper Chair Adjustment: Adjust your chair’s height so that your feet are flat on the floor, and your thighs are parallel to the ground. Ensure the armrests are set at a height where your shoulders are relaxed, and your elbows are at a 90-degree angle.
Maintaining proper desk posture is essential for your health, productivity, and overall well-being. By making simple adjustments to your workspace and being mindful of your posture, you can prevent the discomfort and long-term health issues associated with prolonged sitting. Remember, your body is designed for movement, so incorporate regular breaks and stretches into your routine to stay active and healthy. Prioritize your posture today to enjoy a more comfortable and productive work environment tomorrow.
Neck pain is a common ailment that can range from mild discomfort to debilitating agony, affecting nearly everyone at some point in their lives. Whether it’s caused by poor posture, injury, stress, or underlying medical conditions, finding relief from neck pain is a top priority for many individuals. While there are various treatment options available, chiropractic care stands out as a non-drug, non-surgical approach that has helped countless neck pain sufferers find relief and improve their quality of life.
At River East Chiropractic, a state-of-the-art facility offering a comprehensive range of services including chiropractic, acupuncture, massage, occupational therapy, and a full gym, we understand the impact that neck pain can have on your daily life. That’s why we’re dedicated to providing effective, personalized care to help you overcome neck pain and regain mobility and comfort.
Chiropractic care focuses on the relationship between the spine and the nervous system, recognizing that misalignments or dysfunction in the spine can lead to various health issues, including neck pain. By using hands-on spinal adjustments and other manual techniques, chiropractors work to restore proper alignment and function to the spine, alleviating pressure on nerves and promoting healing.
For individuals suffering from neck pain, chiropractic adjustments can target specific areas of tension or misalignment in the neck and upper spine, providing relief from pain and stiffness. These adjustments are gentle, yet effective, and can be tailored to each patient’s unique needs and preferences.
In addition to chiropractic adjustments, our facility offers complementary therapies such as acupuncture and massage, which can further enhance the benefits of chiropractic care for neck pain relief. Acupuncture involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing, while massage therapy helps to relax tight muscles, reduce inflammation, and improve circulation, all of which can contribute to neck pain relief and overall well-being.
Furthermore, our full gym and occupational therapy services provide additional avenues for addressing neck pain and improving physical function. Through targeted exercises, stretching techniques, and ergonomic modifications, our experienced therapists can help you strengthen muscles, improve posture, and prevent future episodes of neck pain.
One of the key benefits of chiropractic care for neck pain is its focus on addressing the underlying cause of the pain rather than just masking symptoms with medication. By identifying and correcting spinal misalignments or dysfunction, chiropractors can help restore balance to the musculoskeletal system, reduce inflammation, and promote natural healing processes.
If you’re experiencing neck pain, don’t let it hold you back from enjoying life to the fullest. Contact River East Chiropractic today to schedule a consultation and learn how chiropractic care can help alleviate your neck pain and improve your overall health and well-being. Our team of skilled professionals is here to provide compassionate, personalized care to help you live pain-free and thrive.
Aberdeen Chiropractic 