Whiplash

~ bryancobb ~ Leave a comment

The levator scapulae muscle is located in the neck. It attaches from the cervical vertebrae to the top of the shoulder blade. It is responsible for elevation of the shoulder and lateral flexion of the neck. This muscle is often overloaded from poor shoulder posture such as holding your shoulders up to your ears when stressed. When this happens trigger points will develop causing pain to be felt along the shoulder blade and into the neck. Trigger points in this muscle are the most common cause of a stiff sore neck.

Trigger points in the sternocleidomastoid muscles

~ bryancobb ~ Leave a comment

The sternocleidomastoid muscles are two strap like muscles located in the front of the neck. They are responsible for producing head movements like flexion, as well as rotating the head to the opposite side. These muscles often become chronically shortened due to poor posture such as sitting in front of a computer screen for to long. When this happens trigger points can form. These points will refer pain into the head, face, and skull producing headaches. Trigger points won’t resolve by themselves, a manual intervention like trigger point massage is required to cause a release.

Trigger points in the suboccitpitals

~ bryancobb ~ Leave a comment

the suboccipital muscles are a group of small muscles located at the base of the skull. These muscles are responsible for small movements of the head and the first two vertebrae. They also play a roll in postural stability of the skull. Trigger points are common in people with poor neck posture. these points will refer pain deep into the skull and behind the eye. They are a common source of headache pain.

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knee-apollo-image-716

 

 

Trigger points up close.

~ bryancobb ~ Leave a comment

trigger points are one of the most common sources of pain in the body. Once a trigger point has formed it won’t release on its own. Trigger point massage is one of the most effective way to release a point. It involves using a deep focused pressure applied directly to the knot. This frees the contracted tissue and stimulates healing.

Trigger point referral patterns.

~ bryancobb ~ Leave a comment

Myofascial trigger points form in a muscle due to overload stress. A portion of muscle fibers lock up into a knot. Once formed these points will irritate sensory nerves that are in proximity to the knot. When this happens,

trigger points have the capacity to refer pain along specific distributions or patterns that are well mapped out. sometimes pain may be felt at a great distance away from the actual point itself.

Trigger points.

~ bryancobb ~ Leave a comment

Trigger points are knots of contracted muscle or connective tissue that form as a result of overload stress. Once formed these points will produce pain, refered pain, weakness, and stiffness. Trigger points can also mimic other conditions such as Carple tunnel syndrome and sciatica. Trigger points will on go away on their own, they must be manually released.

Trigger points in the trapezius muscle.

~ bryancobb ~ Leave a comment

The trapezius muscle is a large diamond shaped muscle located in your back. This muscle is often overloaded due to poor sitting posture or excessive exercise. When this occurs trigger points will form. These points can cause back, neck, and shoulder pain. Trigger points in the upper traps are a leading cause of headache.

How can I make my WRD less severe?

~ Dr. Robert Speirs DC ~ Leave a comment

WRD 2

Whiplash is really a slang term for the rapid back and forth whipping of the head on the neck, usually associated with motor vehicle accidents. The title “Whiplash Associated Disorders”, or WAD, describes it best because it includes ALL of the MANY signs and symptoms of the disorder.

WAD basically comes in three sizes based on the degree of injury. A WAD I is present when there is pain but no physical examination findings; WAD II occurs when there are exam findings but no neurological loss (numbness or weakness); and WAD III includes loss of neurological function.  There is also a separate WAD level that includes fractures and dislocations (WAD IV).

There are many things that can be done by the patient to assist in the healing process for WAD. The first well-studied recommendation is to “continue with your usual activities.” Try to keep active and not change your routine. The good news is that WAD (especially types I and II) usually resolves without complication, and recovery is even more likely to occur if you don’t deviate much from your routine.

For those whose symptoms are more severe and/or not resolving, mobilization and manipulation of the neck and back are very effective treatment options. In addition to treatments you’d receive in a chiropractic office, there are MANY things you can do at home as “self-help strategies.” Some of these include (“PRICE”):

1)  PROTECT: Though it’s important to continue with your usual daily activities, this is dependent on both the degree of tissue injury and your pain tolerance. So do as many of your usual daily activities as possible, but AVOID those that result in a sharp, lancinating type of pain or those where recovery from the pain is delayed.  Therefore, this category may require modifying your ADLs (activities of daily living). A cervical collar (hard or

soft) should NOT to be used UNLESS you have an unstable injury (fracture or a grade III sprain).

2)  REST: Doing too much is like picking at a cut (which can delay healing) and doing too little can lead to a delayed healing response as well. Staying within reasonable pain boundaries is a good guide.

3) ICE > HEAT: Ice reduces swelling, and your doctor will typically recommend it over applying heat, especially on a recent injury. Heat draws fluids in, and while it may feel good, it can make your symptoms worse.

4)  COMPRESS: We can basically ignore this when referencing neck pain. This pertains better to wrapping an ankle, knee, wrist, or elbow with an elastic compression orthotic or brace.

5)  ELEVATE: This too is meant for the acute stages of an extremity injury like a foot or ankle.

Exercises unique for neck pain in the acute, subacute, and chronic stages of healing are perhaps the most important of the self-help approaches. In the ACUTE phase, try these…

1)  Range of Motion: Once again, stay within “reasonable pain boundaries” as you move your head forwards, backwards, side to side, and rotate left and right. These can be done either with or without LIGHT resistance applied using one or two fingers placed against your head. Limit the repetitions to three slow reps in each direction and emphasize the release of the movement.

2)  Chin/head Glides: Tuck in the chin (think of creating a double or triple chin) followed by poking the chin/head out.

In the SUBACUTE and CHRONIC phases of healing, the importance of strengthening the deep neck flexors cannot be over emphasized. Please refer to last month’s article for a description of this (see #3 of the 6 recommendations listed).