Whiplash2017-08-02T04:51:01+00:00

Whiplash doesn’t have to be a car accident. It could be. . .

Causes, Symptoms, Diagnosis and Treatment

WhiplashWhiplash accidents are not limited to car accidents alone. Roller coasters and any other high speed force into the neck can cause whiplash accidents too.
The term “whiplash” was first used in 1928 to define an injury mechanism of sudden hyperextension followed by an immediate hyperflexion of the neck that results in damage to the muscles, ligaments and tendons – especially those that support the head. Today, we know that whiplash injuries frequently do not result from hyperextension or hyperflexion (extension and flexion beyond normal physiological limits), but rather an extremely rapid extension and flexion that causes injuries.

In order to help you understand the nature of whiplash injuries and how they should be treated, it is necessary to spend a bit of time discussing the mechanics of how whiplash injuries occur. Along with the text presented here, I recommend viewing “The Whiplash Report” which shows statistics and evidenced based research on the topic.

Injuries Resulting from Whiplash Trauma
Whiplash

As we discussed briefly in the introduction, whiplash injuries can manifest in a wide variety of ways, including neck pain, headaches, fatigue, upper back and shoulder pain, cognitive changes and low back pain. Due to the fact that numerous factors play into the overall whiplash trauma, such as direction of impact, speed of the vehicles involved, as well as sex, age and physical condition, it is impossible to predict the pattern of symptoms that each individual will suffer. Additionally, whiplash symptoms commonly have a delayed onset, often taking weeks or months to present. There are, however, a number of conditions that are very common among those who have suffered from whiplash trauma.

Neck pain
It is the single most common complaint in whiplash trauma, being reported by over 90{9af40bf80e52f11aa5d7472b6ee2426c1e641e46093dbc3d29b8bc21a0ebb17e} of patients. Often this pain radiates across the shoulders, up into the head, and down between the shoulder blades. Whiplash injuries tend to affect all of the tissues in the neck, including the facet joints and discs between the vertebrae, as well as all of the muscles, ligaments and nerves.

Facet joint pain is the most common cause of neck pain following a car accident. Facet joint pain is usually felt on the back of the neck, just to the right or left of center, and is usually tender to the touch. Facet joint pain cannot be visualized on x-rays or MRIs. It can only be diagnosed by physical palpation of the area.

Disc injury is also a common cause of neck pain; especially chronic pain. The outer wall of the disc (called the anulus) is made up of bundles of fibers that can be torn during a whiplash trauma. These tears, then, can lead to disc degeneration or herniation, resulting in irritation or compression of the nerves running through the area. This compression or irritation commonly leads to radiating pain into the arms, shoulders and upper back, and may result in muscle weakness.

Damage to the muscles and ligaments in the neck and upper back are the major cause of the pain experienced in the first few weeks following a whiplash injury, and is the main reason why you experience stiffness and restricted range of motion. But as the muscles have a chance to heal, they typically don’t cause as much actual pain as they contribute to abnormal movement. Damage to the ligaments often results in abnormal movement and instability.

Headaches
After neck pain, headaches are the most prevalent complaint among those suffering from whiplash injury, affecting more than 80{9af40bf80e52f11aa5d7472b6ee2426c1e641e46093dbc3d29b8bc21a0ebb17e} of all people. While some headaches are actually the result of direct brain injury, most are related to injury of the muscles, ligaments and facet joints of the cervical spine, which refer pain to the head. Because of this, it is important to treat the supporting structures of your neck in order to help alleviate your headaches.

TMJ problems
A less common, but very debilitating disorder that results from whiplash is temporomandibular joint dysfunction (TMJ). TMJ usually begins as pain, clicking and popping noises in the jaw during movement. If not properly evaluated and treated, TMJ problems can continue to worsen and lead to headaches, facial pain, ear pain and difficulty eating. Many chiropractors are specially trained to treat TMJ problems, or can refer you to a TMJ specialist.

Brain injury
Believe it or not, mild to moderate brain injury is common following a whiplash injury, due to the forces on the brain during the four phases mentioned earlier. The human brain is a very soft structure, suspended in a watery fluid called cerebrospinal fluid. When the brain is forced forward and backward in the skull, the brain bounces off the inside of the skull, leading to bruising or bleeding in the brain itself. In some cases, patients temporarily lose consciousness and have symptoms of a mild concussion. More often, there is no loss of consciousness, but patients complain of mild confusion or disorientation just after the crash. The long-term consequences of a mild brain injury can include mild confusion, difficulty concentrating, sleep disturbances, irritability, forgetfulness, loss of sex drive, depression and emotional instability. Although less common, the nerves responsible for your sense of smell, taste and even your vision may be affected as well, resulting in a muted sense of taste, changes in your sensation of smell and visual disturbances.

Dizziness
Dizziness following a whiplash injury usually results from injury to the facet joints of the cervical spine, although in some cases injury to the brain or brain stem may be a factor as well. Typically, this dizziness is very temporary improves significantly with chiropractic treatment.

Low back pain
Although most people consider whiplash to be an injury of the neck, the low back is also commonly injured as well. In fact, low back pain is found in more than half of rear impact-collisions in which injury was reported, and almost three-quarters of all side-impact crashes. This is mostly due to the fact that the low back still experiences a tremendous compression during the first two phases of a whiplash injury, even though it does not have the degree of flexion-extension injury experienced in the neck.

Recovery from Whiplash
WhiplashWith proper care, many mild whiplash injuries heal within six to nine months. However, more than 20{9af40bf80e52f11aa5d7472b6ee2426c1e641e46093dbc3d29b8bc21a0ebb17e} of those who suffer from whiplash injuries continue to suffer from pain, weakness or restricted movement two years after their accident. Unfortunately, the vast majority of these people will continue to suffer from some level of disability or pain for many years after that, if not for the rest of their lives.
Whiplash is a unique condition that requires the expertise of a skilled health professional specially trained to work with these types of injuries. The most effective treatment for whiplash injuries is a combination of chiropractic care, rehabilitation of the soft tissues and taking care of yourself at home.

Chiropractic Care
Chiropractic care utilizes manual manipulation of the spine to restore the normal movement and position of the spinal vertebrae. It is by far the single-most effective treatment for minimizing the long-term impact of whiplash injuries, especially when coupled with massage therapy, trigger point therapy, exercise rehabilitation and other soft tissue rehabilitation modalities.

Soft Tissue Rehabilitation
The term ‘soft tissue’ simply refers to anything that is not bone, such as your muscles, ligaments, tendons, nervous system, spinal discs and internal organs. During a whiplash injury, the tissues that are affected most are the soft tissues, the muscles, ligaments and discs in particular. In order to minimize permanent impairment and disability, it is important to use therapies that stimulate the soft tissues to heal correctly. These include massage therapy, electro-stimulation, trigger point therapy, stretching and specific strength and range of motion exercises.

Home Care
The most effective chiropractic care and soft tissue rehabilitation will be limited in its benefit if what you do at home or at work stresses or re-injures you on a daily basis. For this reason, it is important that your plan of care extend into the hours and days between your clinic visits to help speed your recovery. Some of the more common home care therapies are the application of ice packs, limitations on work or daily activities, specific stretches and exercises, taking nutritional supplements and getting plenty of rest.

Medical Intervention
In some severe cases of whiplash, it may be necessary to have some medical care as part of your overall treatment plan. The most common medical treatments include the use of anti-inflammatory medications, muscle relaxants, trigger point injections and, in some cases, epidural spinal injections. These therapies should be used for short-term relief of pain, if necessary, and not be the focus of treatment. After all, a drug cannot restore normal joint movement and stimulate healthy muscle repair. Fortunately, surgery is only needed in some cases of herniated discs, when the disc is pressing on the spinal cord, and in some cases of spine fractures.

If the cause of your condition is related to the misalignment of one or more vertebra which is directly affecting the flow of nerve impulses to your body, you need to know that only specific chiropractic adjustments to gently move your spine into balance is going to fix the cause. Medications may change the symptoms you are experiencing, but drugs have serious side effects and do not address the cause of the symptom. Physical therapy in the case where spinal misalignments are the cause is a waste of money and time.

Call us today at 949-388-0800 and let us get you back to health.

Conditions & Symptoms

Vibration Wave Therapy after Knee Replacement Surgery

“I had a knee replacement surgery in February 2011 and following that I went through 100 therapy rehabilitation sessions. My knee started to tighten up through all that with scar tissue formation.

I came to Dr. Hawn about a month ago for a neck problem primarily. During my initial consultation he inquired about my knee because I had written down that there was a problem there. He then recommended the Vibration Wave therapy for me in regards to the knee. Since receiving the very first treatment I’ve been able to exercise it much more easily and with less pain, and more mobility.

It certainly work for me

The vibration wave therapy seems to be very relaxing for the muscles and tendons. It greatly took away the stress that I had because I was developing very tight tendons following the surgery. I received   four or five treatments and the tightness has lessened quite a bit.

I hope to recover even better from here on out.”

Mike Forslund

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..he genuinely and sincerely cares about his patients

I have known Dr. Hawn for over 2 years.  Unlike numerous success stories you’ll read, I am not a patient.  I’ve collaborated with Dr. Hawn over the last two years developing his digital presence to tell others about his services.  I have learned a great deal about Dr. Hawn’s character, his proficiency in the field of Chiropractic Care, and most importantly his genuine interest in the wellbeing of those he serves.

Throughout Dr. Hawn’s website a visitor learns of Dr. Hawn’s depth of knowledge in the field Chiropractic Care along with his formal education at the prestigious Palmer College of Chiropractic.  Credentials and knowledge are factors in considering a health care professional, and many visitors to his website, just like you choose Dr. Hawn because he genuinely and sincerely cares about his patients.  Dr. Hawn’s patients include the young, old, women, men, and even individuals that seek his expertise on preventative care.

Dr. Hawn is my client, he’s also a friend, and If you were led to this testimonial seeking assurance that the decision you’ll make today to call him is good decision, then you are absolutely correct.  Call Dr. Hawn, he will help you improve the quality of your life through professional Chiropractic Care!  Finally, in so far as I’m aware, Dr. Hawn is the only mobile chiropractor in Orange County. . he comes to you to help you!  Call him now at 949-388-0800.

-Dan R.

 

I can only say I was ecstatic to feel relief in my low back

“After suffering for more than four years with neck and low back pain from an auto accident, I noticed I was beginning to feel a loss of sensation around the front of my right thigh. I went to my doctor who gave me three spinal injections which worked temporarily but did not last.

After two more months of constant and extreme pain I went back to my doctor.  He sent me to physical therapy for three months and it provided no relief.  In fact, I think it made it worse. All they did was heat me up and use electric stimulation and stretching.

I feared I was going to have a permanent disability and lose all the feeling in my right leg.  My neurologist told me that I would probably need surgery but suggested that I try to hold out until I couldn’t stand the pain any more.

My friend recommended Dr. Chris.  I went to see Dr. Chris and he discussed my problem with me. The way he explained it, it all made sense. The nerve flow originating out of my low back was radiating down my leg. Find which nerve is being blocked and relieve it.

I can only say I was ecstatic to feel relief in my low back after only a few treatments.  Within six weeks I had all the feeling back in my leg and no low back pain whatsoever.  This has definitely put on hold any need for surgery in the near future.”

Robert Fowler
U.S. Army Retired
Viet Nam Veteran

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