Everett Car Accident Injury Doctor
Chiropractor Treating Auto Accident Personal Injuries in Everett, WA
You've just been rear-ended. Your heart is pounding, your hands are shaking, and you're not sure what just happened. What do you do next? Should you call the police? Get your insurance company on the phone? Call the hotline that you've seen advertised on billboards and television?
Your first call should be to the police to report the accident. An officer will arrive at the scene to take statements, assess the damage, and determine who was at fault and write any necessary citations. If you are having difficulty breathing, experiencing blurred vision, double vision, nausea, difficulty moving your arms and legs or suspect you may have any broken bones, request to be taken the emergency room. Otherwise, your first call needs to be to a qualified chiropractic physician.
Why should you trust a chiropractor to diagnose and treat injuries from an auto accident? Most chiropractors focus on musculoskeletal injuries like neck pain, back pain, headaches, sciatica, disc herniations, and whiplash. As a result they are extensively trained in determining what diagnostic testing is necessary, and if your pain requires a consultation from a specialist such as an orthopedist or neurologist. A chiropractor can determine the type and severity of your injuries, and how they can be best treated.
It is common for chiropractors to use a combination of therapies to help heal the injuries from your car accident. In addition to gentle chiropractic adjustments, therapies such as massage and rehab exercises are also very common modalities used.
You will also want to make sure that your chiropractor is comfortable working with personal injury attorneys. Not every auto accident case requires the guidance of an attorney, but if yours does it is critical that your doctors and lawyer are on the same page. Ask your chiropractor if they have experience working with "trusted" attorneys and writing narrative reports. This is where your doctor can make or break your personal injury case. For this reason, many family doctors won't even see patients who have been in a car accident- they don't want the hassle of dealing with auto insurance companies and personal injury attorneys.
So if you've recently been in an auto accident and are experiencing common symptoms such as neck pain, whiplash, numbness in the arms or legs, back pain, headaches, or difficulty concentrating, immediately consult with a qualified chiropractor who can help your recovery.
Injuries Resulting from Whiplash Trauma:
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:
Neck pain is the single most common complaint in whiplash trauma, being reported by over 90% 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 annulus) 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% 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 (jaw) 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 collision. 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 and 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 collision, even though it does not have the degree of flexion-extension injury experienced in the neck.
Recovery from Whiplash:
With proper care, many mild whiplash injuries heal within six to nine months. However, more than 20% 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 or instrument adjusting 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, 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 typically only needed in some cases of herniated discs, when the disc is pressing on the spinal cord, and in some cases of spine fractures.
Call our Everett, Mill Creek, Lynwood and Snohomish Chiropractic office today for a free consultation! (425) 379-6301
