MOTOR VEHICLE ACCIDENT/INJURY

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For your convenience as well as to save you time on your initial motor vehicle office visit, you may download the Initial Motor Vehicle Office Paperwork by clicking on the Initial Motor Vehicle Office Paperwork Link.
    
Upon completion of the Initial Motor Vehicle Office Paperwork, you may e-mail or fax the completed paperwork to Dr. Williams Chiropractic Office (please call Dr. Williams Chiropractic Office before faxing paperwork)!

Whiplash injury of the head and neck is caused by a sudden exaggerated thrust of the head backward (extension), forward (flexion) and sometimes sideward (lateral flexion). Abnormal forces are applied to the following as the weighty head moves beyond normal physiological limits.
     Blood Vessels.
     Bones.
     Eyes.
     Intervertebral Discs.
     Ligaments.
     Muscles.
     Nerves.

There may be no visible bruises or abrasions from this type of injury yet motor vehicle accident victims report classis symptoms. The symptoms are due to injuries of vertebrae (bones of the spinal column) and of soft tissues of the head and neck.

 SYMPTOMS

   Headache.
   Dizziness.
   Light-Headedness.
   Neck Pain.
   Numbness.
   Tingling.
   Pain Between The Shoulder Blades.
   Back Pain.
   Rib Pain.
   Low Back Pain.
   Shoulder Pain.
   Arm Pain.
   Forearm Pain.

HYPEREXTENSION

The head is forced backward in hyperextension causing the following anatomical and physiological signs and symptoms.
1. Pieces of bone may be pulled from cervical (neck) vertebrae by a tear of the Anterior Longitudinal Ligament.
2. Spinous processes of the vertebrae may be fractured.
3. Intervertebral disks may be compensated posteriorly and torn anteriorly.
4. Vertebral arteries may be stretched, pinched or torn causing an impediment to blood flow to the brain.
5. Nerves of the cervical sympathetic chain may also be injured.

 HYPERFLEXION

The head is propelled in a forward and downward motion in hyperflexion causing the following anatomical and physiological signs and symptoms.
1. A wedge shaped deformity of the bone may be created if the anterior portion of the vertebrae are crushed.
2. Intervertebral disks may be damaged.
3. The disks may bulge or herniated irritating spinal nerves.

HYPEREXTENSION INJURIES

ARTERY
1. The Vertebral Artery.

BONE(S)
1. The Vertebrae of the spine may slip out of normal alignment and/or fracture.

LIGAMENT(S)
1. The Anterior Longitudinal Ligament, running vertically along the anterior surface of the vertebrae.
2. The Broad Ligamentum Nuchae.

SPINAL LIGAMENT(S)
1. The Interspinous Ligament.
2. The Intervertebral Disc.

MUSCLE(S)
1. The Scalene Muscles.
2. The Splenius Capitis Muscle.
3. The Sternocleidomastoid Muscle.

NERVE(S)
1. The Brachial Plexus.
2. The Brain.
3. The Cervical Sympathetic Chain.
4. The Spinal Cord.


HYPERFLEXION INJURIES

ARTERY
1. The Vertebral Artery

BONE(S)
1. The Spinous Processes of the Vertebrae fracture or brake off.

LIGAMENT(S)
1. The Interspinous Ligament.
2. The Ligamentum Nuchae.
3. The Posterior Longitudinal Ligament.

SPINAL LIGAMENT(S)
1. The Intervertebral Disc.
2. The Ligamentum Nuchae.

MUSCLE(S)
1. The Trapezius Muscle. 

NERVE(S)
1. The Brachial Plexus.
2. The Brain.
3. The Cervical Sympathetic Chain.
4. The Spinal Cord.

WINDPIPE
1. The Esophagus may even be injured as it scrapes against sharp edges of arthritic bone or is pinched between vertebrae.

 

TREATMENT OF MOTOR VEHICLE ACCIDENTS

1. History of motor vehicle accident as related by the patient.

2. Consultation between doctor of chiropractic and patient.

3. Chiropractic orthopedic and neurological examination.

4. X-rays of upper spine, lower spine and if necessary upper extremities and/or lower extremities.

5. M.R.I. or CAT Scan if necessary.

6. Diagnosis.

7. Treatment plan which consists of;
          A) Chiropractic Adjustment(s).
          B) Kinetic Therapy.
          C) Cryotherapy.
          D) Moist Heat (Hot Packs).
          E) Ultra-Sound.
          F) Myofascial Release.
          G) Neuro-Muscular Re-Education.
          H) Transcutaneous Electric Nerve Stimulation (T.E.N.S.).
          I) Therapeutic Massage.
          J) Exercise(s) - Spinal & Extremities.
          K) Braces.

8. Treatment Duration.
             A)  Mild to Moderate Whiplash - 8 To 12 Weeks.
             B)  Moderate to Severe Whiplash - 12 To 16 Weeks.
             C)  Severe Whiplash - 16 Weeks And/Or Surgery.

9. Treatment Schedule.
             A)  3 - 4 Times Per Week For 2 - 4 Weeks.
             B)  2 - 3 Times Per Week For 2 - 4 Weeks.
             C)  1 - 2 Times Per Week For 2 - 4 Weeks.