Doctor insights on:
I was recently in a rearend accident and I have sever e neck and lowback pain what should I do? I'm not a fan of painkillers. Help!
Pain from accident: Go see a primary care do (doctor of osteopathy), who offers osteopathic manipulation (omt). If you can't find one, you could look for a do who does full time omm (osteopathic manipulative medicine). If you cannot locate one, check online @ aoa-net. Org and look for a link to a do near you. ...Read more
How dangerous is 4mm movement in my neck rearend car crash. I alredy have a fusion below the instablity how serious is this?
In general, more than a millimeter or so of translation (horizontal displacement) is a potential problem in the cervical spine as this movement can potentially cause spinal cord compression. At the very least, this needs to be evaluated by an experienced spine surgeon.
However, there are several factors that can make this translation more or less of a concern. If your spinal canal is small to start with (congenital spinal stenosis), you are much less able to tolerate a subluxation. If there is an associated disc herniation causing acquired spinal stenosis, then similarly you are much less able to tolerate a subluxation. Lastly, if the 4mm of movement worsens when bending your neck forward (meaning there is a dynamic instability rather an a fixed deformity), then the translation is much more worrisome.
Finally, it also is important what other symptoms or exam findings you have. If you have signs or symptoms of spinal cord compression, then an urgent surgery may be indicated.
At the very least, this needs to be evaluated and, if surgery is not indicated, followed for evidence of a progressive or worsening problem. ...Read more
Yes: The typically mechanism of the whiplash syndrome to the neck is that of a rear end car accident when the driver of the car that is hit has the neck jerked backward and forward which can cause various injuries to the soft tissue of the neck. Most people do well and recover without permanent damage. A small percentage of people do have chronic problems though. ...Read more
Whiplash is non medical turm from cervical acceleration -deceleration injury-usually neck pain radiating to shoulders with pins, needles in arms
can occur from multiple mechanisms like falling without even rear injury--symptoms resolve by themself within few weeks except for small group of people. ...Read more