Thursday, December 13, 2012

Ability to sit and rise from the floor is closely correlated with all-cause mortality risk

Ability to sit and rise from the floor is closely correlated with all-cause mortality risk: A simple screening test of musculo-skeletal fitness has proved remarkably predictive of all-cause mortality in a study of more than 2000 middle-aged and older men and women.

HPV in older women may be due to reactivation of virus, not new infection

HPV in older women may be due to reactivation of virus, not new infection: A new study suggests that human papillomavirus (HPV) infection in women at or after menopause may represent an infection acquired years ago, and that HPV infections may exist below limits of detection after one to two years, similar to other viruses, such as varicella zoster, which can cause shingles. The study highlights the need for additional research to better understand HPV infections and the role of HPV persistence and reactivation, particularly in women of the baby boomer generation.

Vegetable compound could become ingredient to treating leukemia

Vegetable compound could become ingredient to treating leukemia: A concentrated form of a compound called sulforaphane found in broccoli and other cruciferous vegetables has been shown to reduce the number of acute lymphoblastic leukemia cells in the lab setting, said researchers.

Brain damage triggered by mini-strokes detailed

Brain damage triggered by mini-strokes detailed: A new study details for the first time how "mini-strokes" cause prolonged periods of brain damage and result in cognitive impairment. These strokes, which are often imperceptible, are common in older adults and are believed to contribute to dementia.

Got food allergies? You can now test your meal on the spot using a cell phone

Got food allergies? You can now test your meal on the spot using a cell phone: Scientists have developed a lightweight device called the iTube, which attaches to a common cell phone to detect allergens in food samples. The iTube attachment uses the cell phone's built-in camera, along with an accompanying smart-phone application that runs a test with the same high level of sensitivity a laboratory would.

Unhealthy behaviors could slow progress in reducing heart disease, stroke

Unhealthy behaviors could slow progress in reducing heart disease, stroke: Poor eating and exercise habits could be the game-changer in the fight against heart disease and stroke deaths, according to new research.

Unhealthy behaviors could slow progress in reducing heart disease, stroke

Unhealthy behaviors could slow progress in reducing heart disease, stroke: Poor eating and exercise habits could be the game-changer in the fight against heart disease and stroke deaths, according to new research.

Stress resilience, susceptibility traced to neurons in reward circuit

Stress resilience, susceptibility traced to neurons in reward circuit: A specific pattern of neuronal firing in a brain reward circuit instantly rendered mice vulnerable to depression-like behavior induced by acute severe stress. The same firing pattern had the opposite effect when the depression-like behaviors were induced by chronic mild stress. Split-second control of the implicated circuit, via optogenetics, showed that context -- stressor type and intensity -- is pivotal to the workings of brain rapid antidepressant mechanisms.

What causes hot flushes during menopause? Researchers identify brain region that may trigger the uncomfortable surges of heat

What causes hot flushes during menopause? Researchers identify brain region that may trigger the uncomfortable surges of heat: Medical researchers have identified a region in the brain that may trigger the uncomfortable surges of heat most women experience in the first few years of menopause. Although the results are not yet directly applicable in helping affected individuals, they provide better understanding of the biological mechanisms involved, a necessary first step for treatments to be developed.

Psychological therapies improve life for children with post-traumatic stress disorder, study suggests

Psychological therapies improve life for children with post-traumatic stress disorder, study suggests: Children suffering post-traumatic stress disorder (PTSD) as a result of traumatic events, including child abuse, may benefit from psychological therapies, according to a new review. In the first systematic review of PTSD in young people, researchers found that children and teenagers diagnosed with PTSD showed signs of improvement up to three months following treatment and called for more studies to assess long-term benefits.

Exercise can extend your life by as much as five years

Exercise can extend your life by as much as five years: Adults who include at least 150 minutes of physical activity in their routines each week live longer than those who don’t, finds a new study.

Could ending your fatty food habit cause withdrawal symptoms and depression?

Could ending your fatty food habit cause withdrawal symptoms and depression?: Even before obesity occurs, eating fatty and sugary foods causes chemical changes in the brain, meaning that going on a diet might feel similar to going through drug withdrawal, according to a new study.

Taxes on sugary drinks and high fat foods could improve health, experts say

Taxes on sugary drinks and high fat foods could improve health, experts say: Taxes on soft drinks and foods high in saturated fats and subsidies for fruit and vegetables could lead to beneficial dietary changes and potentially improve health, according to a study by experts from New Zealand.

Want your baby to learn? Research shows sitting up helps

Want your baby to learn? Research shows sitting up helps: New research shows that something as simple as the body position of babies while they learn plays a critical role in their cognitive development.

Want your baby to learn? Research shows sitting up helps

Want your baby to learn? Research shows sitting up helps: New research shows that something as simple as the body position of babies while they learn plays a critical role in their cognitive development.

Predator-producing bacteria may be battling in human intestines

Predator-producing bacteria may be battling in human intestines: Researchers have found that a bacteriophage unique to the Enterococcus faecalis strain V583 acts as a predator, infecting and harming similar, competing bacteria. They believe these lab results suggest what goes on in the human intestine.

Colic treatment? Manipulative therapies may be beneficial treatment for infantile colic

Colic treatment? Manipulative therapies may be beneficial treatment for infantile colic: Infantile colic is a distressing problem, characterized by excessive crying of infants and it is the most common complaint seen by physicians in the first 16 weeks of a child's life. It is usually considered a benign disorder because the symptoms generally disappear by the age of five or six months. However, the degree of distress caused to parents and family life is such that physicians often feel the need to intervene. Some studies suggest that there are longer-lasting effects. It has been suggested that certain gentle, low velocity manipulative techniques such as those used in osteopathy and chiropractic, might safely reduce the symptoms associated with infantile colic, specifically excessive crying time.

Fear of falling may cause social isolation in older adults with vision problems

Fear of falling may cause social isolation in older adults with vision problems: A new study found that between 40 to 50 percent of older adults with visually impairing eye disease limit their activities due to a fear of falling. Vision scientists warn that this protective strategy puts seniors at risk for social isolation and disability.

How our sense of touch is a lot like the way we hear

How our sense of touch is a lot like the way we hear: Researchers have found that the timing and frequency of vibrations produced in the skin when exploring surfaces play an important role in how humans use the sense of touch to gather information, drawing a powerful analogy to the auditory system.

My, what big teeth you have! Threatening objects appear closer

My, what big teeth you have! Threatening objects appear closer: When we're faced with things that seem threatening, whether it's a hairy spider or an angry mob, our goal is usually to get as far away as we can. Now, new research suggests that our visual perception may actually be biased to help motivate us to get out of harm's way.

Holiday shopping madness: When do consumers seek to punish fellow shoppers for behaving badly?

Holiday shopping madness: When do consumers seek to punish fellow shoppers for behaving badly?: Consumers seek to punish fellow consumers who violate social norms while shopping but also make exceptions depending on the situation, according to a new study.

Need to move soon? Don't trust your emotions

Need to move soon? Don't trust your emotions: Consumers are more likely to make emotional instead of objective assessments when the outcomes are closer to the present time than when they are further away in the future, according to a new study.

Battling brittle bones with … broccoli and spinach?

Battling brittle bones with … broccoli and spinach?: A new study from engineering researchers shows, for the first time, how the little-understood protein osteocalcin plays a significant role in the strength of our bones. The findings could lead to new strategies and therapeutics for fighting osteoporosis and lowering the risk of bone fracture.

Threatening objects appear closer

Threatening objects appear closer: We’re more likely to see threatening objects as closer than they really are, a misperception that may fuel us to act in ways to avoid dangerous situations, psychology researchers have found.

Males hit by vehicles twice as likely to die

Males hit by vehicles twice as likely to die: According to a newly published study, male pedestrians struck by vehicles are more than twice as likely to die as their female counterparts.

Epigenetics may underlie homosexuality, study finds

Epigenetics may underlie homosexuality, study finds: Is homosexuality genetic? It's a long-running debate. Now researchers say they've found a clue that may unlock the mystery. It lies in something called epi-genetics -- how gene expression is regulated by temporary switches.

Does the brain become unglued in autism?

Does the brain become unglued in autism?: A new study suggests that autism is associated with reductions in the level of cellular adhesion molecules in the blood, where they play a role in immune function. Cell adhesion molecules are the glue that binds cells together in the body. Deficits in adhesion molecules would be expected to compromise processes at the interfaces between cells, influencing tissue integrity and cell-to-cell signaling. In the brain, deficits in adhesion molecules could compromise brain development and communication between nerve cells.

Bedroom TV viewing increases risk of obesity in children: More than 2 hours of TV a day adds significantly to children's waist size

Bedroom TV viewing increases risk of obesity in children: More than 2 hours of TV a day adds significantly to children's waist size: The average American child from age 8 to 18 watches about 4.5 hours of TV each day. 70 percent have a TV in the bedroom and about one-third of youth aged 6-19 is considered obese. Researchers have now established the relationship between having and watching TV in the bedroom and childhood obesity, specifically high waist circumference.

Monday, December 10, 2012

What is Personal Injury Protection (PIP)

The Texas Department of Insurance requires automobile insurance carriers in our state to issue all automobile policies it writes at least $2500 worth of coverage and you have this coverage unless you reject it in writing. Most people are unaware of this coverage or even know what it is and therefore very few people use it. You end up paying for coverage that they don’t inform you about and you’re entitled to.

Why? Insurance is not understood and most people rely on their agent and claims adjusters to advise them on what to do after an accident. Insurance is a multi-billion dollar industry and are in business to make money. They keep their costs down, less payout, more profits and bonuses at the end of the year. Good for them and not for you.

What is PIP?

PIP is no fault coverage similar to health insurance but on your auto policy for your injuries and your passengers injuries. This coverage is available regardless who is at fault. Yes, you can be the cause of the accident and you will still be covered. There’s no deductible and no co-payment. There is other separate coverage that will cover the other party if you were at fault. If you do not have PIP then you could still be covered if you were in an accident in another state besides Texas. You may also be covered if you were hit in a crosswalk by a car or on a bicycle or borrowing someone else’s car.

What will a claim do to my insurance rates and policy renewal?

Under section 5.7016 of the Texas insurance code, automobile insurance carriers cannot non-renew you for filing one PIP claim in a 12 month period. Also, it is unlikely that they would raise your rates for a sole PIP claim.

Why doesn’t the other guy’s insurance pay for my medical expenses and why should I use my insurance?

Medical treatment is expensive and you are liable for the costs. There is a chance that the other party may never pay for your medical expenses leaving you a financial burden. PIP gives you peace of mind that your medical bills are covered. If you use your health insurance, you may have to pay a deductible and co-pays to your doctor and if the health insurance finds out that you were in an accident they could request to be reimbursed. Some people get referred to a medical provider by their attorney and the medical provider agrees to be paid months or even years later. Since there are a limited number of medical providers who agree to this arrangement, your choice and quality of healthcare may be limited. The answer is to use your PIP coverage so you will not have to pay for medical expenses out of your pocket and get the best possible healthcare treatment available for you and your family’s injuries caused by the accident.

Get Examined after a Car/Auto Accident!!

Untreated, many people suffer with headaches, back, and neck pain for years after an accident. Chiropractic patient care has been shown to provide effective relief from the sprain and strain resulting from motor vehicle accident injuries.

Whiplash injury is the effect of sprain and strain in the neck, and results from injury to joints, nerves, ligaments and muscles of the cervical spine.

When there is an impact to the vehicle, most often from the rear, and the neck is "whipped" back and forth, this is technically termed hyperextension and hyperflexion of the cervical spine. Nerves are often injured during this process and can cause a radiation of pain to the arms or legs, nausea, dizziness, blurred vision or other symptoms.

skull neck bonesWhen viewing a x-ray of the neck after a whiplash injury, there is most often a loss of the natural curvature, or lordosis. Medical radiologists will note this condition when reading a patient's x-rays, disregarding whiplash as they do not consider it momentous, and some ignore whiplash altogether if it does not present itself in an X ray. Conditions can present themselves after a patient has been released and made a settlement without an attorney. This means that they have to take care of all the medical bills themselves if not covered.

Unfortunately, if this condition is left untreated after the swelling goes down, whiplash injury can contribute to many different symptoms and health problems that can lead to arthritis in the spine that could have been prevented.

Specialized Chiropractic care provides relief of pain, removes pressure or "pinching" that can cause damage to nerves, and prevents the proliferation of spinal arthritis by normalizing the movement of individual segments of the spine, thereby resolving the "wear and tear" that otherwise occurs.

Chiropractic treatment truly rehabilitates the areas of injury, by helping to restore the natural curves of the spine, along with exercises and other positive treatment. It is rare that in this type of treatment you will hear a Chiropractor say to you, "you have to learn to live with it."

Most vehicle insurance companies will cover the fees for Chiropractic treatment applied for in full for injuries resulting from motor vehicle accidents, either through third party or State or medical pay type insurance, or both.

Look for a Chiropractic office that can provide service to verify insurance coverage and to directly bill the carriers involved as a courtesy to their patients. You need to be able to pursue the care you need without the stress of handling insurance and related concerns. You can choose to handle the financial aspect of care on your own or in whatever ways you choose.

Motor vehicle accidents can cause injury and pain in other areas of the spine and body. Patients often complain of associated shoulder pain, upper back pain, lower back pain, and pain to the hips and legs. When multiple areas of the spine are involved, the condition is more complex. Treatment may need to be over a period of weeks, usually resulting in the patient getting full movement and full recovery. 

Make An Appointment Today! @ Ndallaschiropractic.com

WHIPLASH

Whiplash is the most common injury sequelae following motor vehicle accidents. Speeds of as little as 5 mph have been documented to result in whiplash injuries. And although whiplash is prevalent in today's society with hundreds of studies on the topic, it is not yet fully understood.

 What is whiplash?
The term "whiplash" was coined by Dr. Harold Crowe back in 1928. It is used to refer to:

  1. the hyperextension/hyperflexion injury of the neck, and
  2. the resulting symptoms of this injury - sustained from a motor vehicle accident.
This forwards-flexion and/or backwards-extension of the neck essentially results in a soft tissue sprain/strain injury to the structures within the cervical and upper thoracic spinal regions. When the initial impact occurs and the head is forced in either excessive flexion or excessive extension, protective reflexes cause the muscles of the neck to forcefully contract which "whips" the head back in the opposite direction. The resulting injury often leads to numerous symptoms, many of which are confusing and poorly understood.

What symptoms are associated with whiplash?
Symptoms following a "whiplash" accident include:
  • neck pain, tenderness, achiness and stiffness
  • cervical muscle spasms
  • tenderness and nodules in superficial cervical musculature
  • cervical reduced range of motion
  • post-traumatic headaches (including migraine and muscle-tension headaches)
  • shoulder and interscapular pain
  • hand and finger pain, numbness and tingling
  • blurred vision
  • difficulty swallowing/feeling of lump in throat
  • dizziness and balance problems
  • lightheadedness
  • post-traumatic depression and cognitive problems

What structures are damaged in whiplash injuries?
Whiplash injuries can damage just a few structures or many, depending on the severity of the accident and direction of the injurious forces, to name a few.
Some of the more common pain-sensitive structures that are damaged include:
  • outer layers of the intervertebral discs
  • intervertebral ligaments
  • capsule of the facet joints
  • anterior longitudinal ligament (runs down the front of the vertebral bodies-prevents excessive extension)
  • posterior longitudinal ligament (runs down the back of the vertebral bodies-prevents excessive flexion)
  • nerve root dura
  • extensor spinal musculature
  • flexor spinal musculature: the colli and scalene muscles
Damage to any of these structures results in tissue inflammation, tissue edema, microscopic hemorrhage, and the release of noxious chemicals such as histamine, prostaglandins, substance P, and kinins which further hypersensitize already painful and injured tissues.

How is whiplash treated?
The most important aspect of a successful treatment program involves active patient participation and patient compliance to the agreed upon program. When treatments focus solely on pain-relief and not tissue rehabilitation or when patients fail to comply with the prescribed treatment plan, the chronicity of problems becomes highly likely.
The chiropractic approach to treating whiplash injuries is highly successful compared with other health care professionals because chiropractors focus on rehabilitating the injured tissues and restoring optimal function. This is reflected in the high patient satisfaction scores that chiropractors have received in "patient satisfaction surveys" performed on MVA patients.
 
Chiropractic care is a safe, natural, noninvasive, and addresses the cause of the symptoms. Our treatments also include active patient participation, and in some cases, lifestyle modifications. While we do focus on eliminating pain early on, we realize that in addition to pain - optimal tissue healing, restoration of normal function, and prevention of future recurrences and reinjuries - are equally important.
Our treatments are highlighted by our use of many gentle and highly effective spinal adjustive techniques. When used properly, these techniques allow us to safely and effectively reduce pain levels, reduce muscles spasms, eliminate inflammation, restore normal joint motion and biomechanics, prevent or minimize degenerative processes, and minimize the likelihood of future recurrences.
We also incorporate many natural and safe adjunctive therapies into our treatment plan to further assist in the healing process. Some common adjunctive therapies include ice therapy, heat therapy, physical therapies like therapeutic ultrasound and muscle stimulation, spinal traction, soft tissue mobilization, spinal exercises and stretches, and nutritional supplementation.

How long do whiplash treatments take?
As with any other injury, there are a number of factors which influence the treatment length of whiplash injuries:
  • the severity of the injury
  • when treatment was initiated
  • patient compliance to the treatment plan
  • the nature of the accident
  • the size and speed of your vehicle and other vehicles involved
  • whether or not seat belts were worn
  • whether you were aware of the impending accident
  • the height of the head rest
  • the age of the individual
  • the size and strength of the cervical musculature
  • the presence of preexisting spinal conditions
The easiest and most effective way of eliminating pain and preventing residual and chronic problems is to start care immediately following the accident. As you allow time to slip by without seeking appropriate treatment, your injuries become more permanent and far more difficult to manage.

Will I have future problems from my whiplash injury?
Numerous studies show that many whiplash victims have a relatively poor outcome without immediate and appropriate treatment. One such study found that 75% of patients with whiplash still suffer from symptoms 6 months after the accident. Experts agree that individuals with any degree of neck complaints following a motor vehicle accident dramatically improve their prognosis if they seek immediate evaluation and appropriate treatment within hours of the accident.

Interesting whiplash statistics.
  • whiplash symptoms last more than 6 months in 75% of patients
  • symptoms of whiplash commonly do not appear until weeks or months after the accident
  • whiplash victims lose an average of 8 weeks of work
  • whiplash is 5 times more common in women than in men
  • whiplash occurs most commonly in those aged 30 to 50 years
  • rear-end collisions typically cause more cervical spine damage than do frontal or side collisions.

What to Do If Injured in an Accident and Suffer From Whiplash

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.

Due to their complicated nature and profound impact on peoples lives, few topics in health care generate as much controversy as whiplash injuries. Unlike a broken bone where a simple x-ray can validate the presence of the fracture and standards of care can direct a health care professional as to the best way in which to handle the injury, whiplash injuries involve an unpredictable combination of nervous system, muscles joints and connective tissue disruption that is not simple to diagnose and can be even more of a challenge to treat. 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.

The Four Phases of a Whiplash Injury
During a rear-end automobile collision, your body goes through an extremely rapid and intense acceleration and deceleration. In fact, all four phases of a whiplash injury occur in less than one-half of a second! At each phase, there is a different force acting on the body that contributes to the overall injury, and with such a sudden and forceful movement, damage to the vertebrae, nerves, discs, muscles, and ligaments of your neck and spine can be substantial.

Phase 1
During this first phase, your car begins to be pushed out from under you, causing your mid-back to be flattened against the back of your seat. This results in an upward force in your cervical spine, compressing your discs and joints. As your seat back begins to accelerate your torso forward, your head moves backward, creating a shearing force in your neck. If your head restraint is properly adjusted, the distance your head travels backward is limited. However, most of the damage to the spine will occur before your head reaches your head restraint. Studies have shown that head restraints only reduce the risk of injury by 11-20%.

Phase 2
During phase two, your torso has reached peak acceleration - 1.5 to 2 times that of your vehicle itself - but your head has not yet begun to accelerate forward and continues to move rearward. An abnormal S-curve develops in your cervical spine as your seat back recoils forward, much like a springboard, adding to the forward acceleration of the torso. Unfortunately, this forward seat back recoil occurs while your head is still moving backward, resulting in a shearing force in the neck that is one of the more damaging aspects of a whiplash injury. Many of the bone, joint, nerve, disc and TMJ injuries that I see clinically occur during this phase.

Phase 3
During the third phase, your torso is now descending back down in your seat and your head and neck are at their peak forward acceleration. At the same time, your car is slowing down. If you released the pressure on your brake pedal during the first phases of the collision, it will likely be reapplied during this phase. Reapplication of the brake causes your car to slow down even quicker and increases the severity of the flexion injury of your neck. As you move forward in your seat, any slack in your seat belt and shoulder harness is taken up.

Phase 4
This is probably the most damaging phase of the whiplash phenomenon. In this fourth phase, your torso is stopped by your seat belt and shoulder restraint and your head is free to move forward unimpeded. This results in a violent forward-bending motion of your neck, straining the muscles and ligaments, tearing fibers in the spinal discs, and forcing vertebrae out of their normal position. Your spinal cord and nerve roots get stretched and irritated, and your brain can strike the inside of your skull causing a mild to moderate brain injury. If you are not properly restrained by your seat harness, you may suffer a concussion, or more severe brain injury, from striking the steering wheel or windshield.

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
It 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 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% 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
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 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.

WHAT IF I WAS IN AN AUTO/CAR ACCIDENT ?

Unfortunately, studies show that most of us will be in an auto accident at some point in our lives. The only question remaining, is how bad will it be? 
The following are important things to remember if you are involved in an auto accident

1. Seek treatment as soon as possible. 
If there is a chance you may be seriously hurt, you should go to the Emergency room at your local hospital. There they can rule out fractures and life threatening injuries. 

2. If you are still experiencing pain and discomfort a few days to a couple weeks later, than you should come to our office to find out if you have any structural damage. 
NOTE: The longer you wait after an accident to come to our office, typically the longer it takes to get you better. 

3. Most auto insurance companies have what is called Med Pay. This means that your bills will be paid up to 100% up to a certain limit. Our office can check that for you. 

4. If the accident was not your fault. The other party's auto insurance should cover your health care expenses in our office. We do all of the paperwork for you. 

5. At the accident scene, get as much information on the other driver or drivers as possible. An accident report by Police is always helpful, but not required to have a case. 

6. You should never settle with an insurance company before you have had us evaluate your injury for you. If you settle before your injury is fully resolved, you will be completely on your own and will have to pay out of pocket for your care. 

7. Dealing with insurance companies can be difficult after an auto accidentWe have a number of reputable and highly qualified Attorneys who we can refer you to for a complimentary consultation. Hiring a reputable Attorney essentially takes you out of the direct bargaining process with the insurance company and all the paperwork and phone calls associated with that and lets you concentrate on healing. 

8. Injuries sustained after a car-accident if left untreated can lead to spinal degeneration and a host of other problems for years to come.

FINAL NOTE: We find that many people involved in an auto accident that WAS THEIR FAULT never get treatment
This tends to be due to the fear that their insurance will go up after a claim is filed. 
Your PIP (Personal Injury Protection) is why you have auto insurance in the first place. 
Many insurance companies will not raise your rates after 1 or even 2 accidents in the same year. 
THE INJURIES SUSTAINED IN AN AUTOMOBILEACCIDENT CAN CAUSE A HOST OF PROBLEMS FOR YEARS TO COME, OR EVEN THE REST OF YOUR LIFE. 
YOU OWE IT TO YOURSELF TO COME IN AND GET CHECKED.

What is Personal Injury Protection (PIP)

The Texas Department of Insurance requires automobile insurance carriers in our state to issue all automobile policies it writes at least $2500 worth of coverage and you have this coverage unless you reject it in writing. Most people are unaware of this coverage or even know what it is and therefore very few people use it. You end up paying for coverage that they don’t inform you about and you’re entitled to.

Why? Insurance is not understood and most people rely on their agent and claims adjusters to advise them on what to do after an accident. Insurance is a multi-billion dollar industry and are in business to make money. They keep their costs down, less payout, more profits and bonuses at the end of the year. Good for them and not for you.

What is PIP?

PIP is no fault coverage similar to health insurance but on your auto policy for your injuries and your passengers injuries. This coverage is available regardless who is at fault. Yes, you can be the cause of the accident and you will still be covered. There’s no deductible and no co-payment. There is other separate coverage that will cover the other party if you were at fault. If you do not have PIP then you could still be covered if you were in an accident in another state besides Texas. You may also be covered if you were hit in a crosswalk by a car or on a bicycle or borrowing someone else’s car.

What will a claim do to my insurance rates and policy renewal?

Under section 5.7016 of the Texas insurance code, automobile insurance carriers cannot non-renew you for filing one PIP claim in a 12 month period. Also, it is unlikely that they would raise your rates for a sole PIP claim.

Why doesn’t the other guy’s insurance pay for my medical expenses and why should I use my insurance?

Medical treatment is expensive and you are liable for the costs. There is a chance that the other party may never pay for your medical expenses leaving you a financial burden. PIP gives you peace of mind that your medical bills are covered. If you use your health insurance, you may have to pay a deductible and co-pays to your doctor and if the health insurance finds out that you were in an accident they could request to be reimbursed. Some people get referred to a medical provider by their attorney and the medical provider agrees to be paid months or even years later. Since there are a limited number of medical providers who agree to this arrangement, your choice and quality of healthcare may be limited. The answer is to use your PIP coverage so you will not have to pay for medical expenses out of your pocket and get the best possible healthcare treatment available for you and your family’s injuries caused by the accident.

EXTREMITY PAIN, NUMBNESS and TINGLING

Extremity symptoms such as arm and hand pain, numbness and tingling are common following motor vehicle accidents (MVA's). They are caused by thoracic outlet syndrome, myofascial adhesions, muscular trigger points, and spinal disc lesions. It's important to note that these symptoms are commonly not experienced until weeks or even months after the injury. A study, published in the Britain Journal of Rheumatology, involved 37 motor vehicle injury patients and found 35% had an onset of arm and hand symptoms (upper extremity symptoms) beyond 3 months of the accident.
This reinforces the need for proper and full treatment of MVA injuries. Failure to receive appropriate treatment (where injured tissues are fully healed and tissue functioning is adequately restored) is a major contributor to the development of these symptoms.

BACK PAIN

In addition to whiplash/neck injuries, the mid and lower back are also frequently injured in motor vehicle accidents (MVA's). 
The Mid Back

The mid back or thoracic spine is most commonly injured as a result of the asymmetry of most seat belt designs. As the torso moves forward the seat belt locks and the torso is forced to stop at the end of the shoulder strap. Because the shoulder strap crosses only one shoulder (usually the left), the side without a strap (usually right) is able to travel forward further which results in a forward flexing and twisting injury to the mid back. For additional information on mid back pain, see " Mid Back Pain ".

The Lower Back
The lumbar spine is also frequently injured, but the mechanism differs from the above. As the torso and pelvis move forward the pelvis is stopped by the lap belt. However, the torso continues to move forward which producing a shearing force in the lumbar spine. These injuries often result in lumbar disc injuries. For additional information on low back pain and lower back injuries, see " Low Back Pain ".

Pain Sources

Spinal injuries can damage a number of pain sensitive structures located in the spinal region. Some of the more common structures that are damaged and that have innervation which allows them to transmit pain include:
  • anterior longitudinal ligament (runs down the front of the vertebral bodies-prevents excessive extension)
  • outer layers of intervertebral disc (located between adjacent vertebrae)
  • posterior longitudinal ligament (runs down the back of the vertebral bodies-prevents excessive flexion)
  • nerve root dura
  • capsule of the facet joints
  • intervertebral ligaments
  • extensor musculature
  • flexor musculature: the colli and scalenes
When these tissues are injured, pain is experienced.Damage to these structures also results in tissue inflammation, edema, microscopic hemorrhage, and the release of noxious chemicals such as histamine, prostaglandins, substance P, and kinins which further hypersensitize already painful and injured tissues. In addition, when spinal injury occurs spinal muscles often reflexively spasm to protect the area from further injury - whether or not the muscles are injured. This spasming can lead to muscle ischemia (lack of oxygen) due to increased energy demands.

Anatomy of Whiplash

When your body is involved in trauma, your neck is one of your most vulnerable areas. Whiplash, the hard and fast forward-backward movement of the neck, can cause pain that can last well after other injuries have healed. To understand why your neck is so sore, it helps to know the anatomy involved.

Whiplash can be a complicated diagnosis as the doctor tries to figure out exactly which parts of the spine have been affected. And there are a lot of complex parts to your cervical spine—the technical name for your neck. The cervical spine begins at the base of the skull. It contains seven small vertebrae (bones), which doctors label C1 to C7 (the 'C' means cervical). The numbers 1 to 7 indicate the level of the vertebrae. C1 is closest to the skull, while C7 is closest to the chest.

In between each vertebra are tough fibrous shock-absorbing pads called the intervertebral discs. (These discs are what slide back and forth during the trauma.) Each disc is made up of a tire-like outer band and a gel-like inner substance. The outer band is called the annulus fibrosus; the inner part is called the nucleus pulposus.

In addition to bones and discs, your cervical spine also includes the upper region of the spinal cord, eight nerve roots, an elaborate system of arteries and veins, 32 muscles for strength, and numerous ligaments. For such a small area, there is a lot to your neck. That means that there are a lot of parts that can be injured when you have whiplash.

Remarkably, the cervical spine supports the full weight of your head, which is usually about 8 pounds—yet no other region of the spine has such freedom of movement. The cervical spine can move your head in nearly every direction: 90° of forward motion, 90° of backward motion, 180° of side to side motion, and almost 120° of tilt to either shoulder.

Unfortunately, this flexibility makes the neck very susceptible to pain and injury, such as whiplash. In whiplash, those 15 pounds are dramatically tossed frontwards then backwards—that's one important reason to wear seatbelts properly and use airbags whenever possible.
spineuniverse.com

Why should i get an attorney after an Auto/Car accident for my injuries?

An attorney helps with all aspects of an auto/car accident claim or injury. They keep an individual from spending countless hours on the phone with insurance adjusters that really don't care about your well being. It also helps to keep stress levels down and allow you to concentrate on recovery and getting well. Our office only works with the best attorneys/lawyers in Dallas/Fort Worth. We have learned through trial and error, who best takes care of our patients. They also make sure that all your medical bills are settled. This allows you to be additionally stress and medical bill free at the end. We also help those who are not able to treat in our office, who are in need of an attorney. We are here to help!!! So don't hesitate in calling and making an appointment to get examined and also ask about scheduling a free consultation with a reputable attorney. You only have one body, so you need to take care of it. Call Today!!! (972)215-7720

What exactly is whiplash?

The term “whiplash” is actually not a very good description of this type of injury as it is describing the movement of the head and neck during a collision or other high velocity forces on the body. Logically, it can be described as the head going through acceleration (picking up speed) and then rapid deceleration (slowing down). These excessive forces on the neck are known to cause soft-tissue (ligament, tendon, muscle) injury and sometimes can affect bony tissue. Generally, the injuries obtained are sprains, strains, and other varying amounts of soft-tissue damage.


So everyone should be checked/examined following an auto/car accident injury!

What is Personal Injury Protection (PIP)

The Texas Department of Insurance requires automobile insurance carriers in our state to issue all automobile policies it writes at least $2500 worth of coverage and you have this coverage unless you reject it in writing. Most people are unaware of this coverage or even know what it is and therefore very few people use it. You end up paying for coverage that they don’t inform you about and you’re entitled to.

Why? Insurance is not understood and most people rely on their agent and claims adjusters to advise them on what to do after an accident. Insurance is a multi-billion dollar industry and are in business to make money. They keep their costs down, less payout, more profits and bonuses at the end of the year. Good for them and not for you.

What is PIP?

PIP is no fault coverage similar to health insurance but on your auto policy for your injuries and your passengers injuries. This coverage is available regardless who is at fault. Yes, you can be the cause of the accident and you will still be covered. There’s no deductible and no co-payment. There is other separate coverage that will cover the other party if you were at fault. If you do not have PIP then you could still be covered if you were in an accident in another state besides Texas. You may also be covered if you were hit in a crosswalk by a car or on a bicycle or borrowing someone else’s car.

What will a claim do to my insurance rates and policy renewal?

Under section 5.7016 of the Texas insurance code, automobile insurance carriers cannot non-renew you for filing one PIP claim in a 12 month period. Also, it is unlikely that they would raise your rates for a sole PIP claim.

Why doesn’t the other guy’s insurance pay for my medical expenses and why should I use my insurance?

Medical treatment is expensive and you are liable for the costs. There is a chance that the other party may never pay for your medical expenses leaving you a financial burden. PIP gives you peace of mind that your medical bills are covered. If you use your health insurance, you may have to pay a deductible and co-pays to your doctor and if the health insurance finds out that you were in an accident they could request to be reimbursed. Some people get referred to a medical provider by their attorney and the medical provider agrees to be paid months or even years later. Since there are a limited number of medical providers who agree to this arrangement, your choice and quality of healthcare may be limited. The answer is to use your PIP coverage so you will not have to pay for medical expenses out of your pocket and get the best possible healthcare treatment available for you and your family’s injuries caused by the accident.

WHAT IF I WAS IN AN AUTO/CAR ACCIDENT ?

Unfortunately, studies show that most of us will be in an auto accident at some point in our lives. The only question remaining, is how bad will it be?
The following are important things to remember if you are involved in an auto accident:

1. Seek treatment as soon as possible.
If there is a chance you may be seriously hurt, you should go to the Emergency room at your local hospital. There they can rule out fractures and life threatening injuries.

2. If you are still experiencing pain and discomfort a few days to a couple weeks later, than you should come to our office to find out if you have any structural damage.
NOTE: The longer you wait after an accident to come to our office, typically the longer it takes to get you better.

3. Most auto insurance companies have what is called Med Pay. This means that your bills will be paid up to 100% up to a certain limit. Our office can check that for you.

4. If the accident was not your fault. The other party's auto insurance should cover your health care expenses in our office. We do all of the paperwork for you.

5. At the accident scene, get as much information on the other driver or drivers as possible. An accident report by Police is always helpful, but not required to have a case.

6. You should never settle with an insurance company before you have had us evaluate your injury for you. If you settle before your injury is fully resolved, you will be completely on your own and will have to pay out of pocket for your care.

7. Dealing with insurance companies can be difficult after an auto accident. We have a number of reputable and highly qualified Attorneys who we can refer you to for a complimentary consultation. Hiring a reputable Attorney essentially takes you out of the direct bargaining process with the insurance company and all the paperwork and phone calls associated with that and lets you concentrate on healing.

8. Injuries sustained after a car-accident if left untreated can lead to spinal degeneration and a host of other problems for years to come.

FINAL NOTE: We find that many people involved in an auto accident that WAS THEIR FAULT never get treatment.
This tends to be due to the fear that their insurance will go up after a claim is filed.
Your PIP (Personal Injury Protection) is why you have auto insurance in the first place.
Many insurance companies will not raise your rates after 1 or even 2 accidents in the same year.
THE INJURIES SUSTAINED IN AN AUTOMOBILE ACCIDENT CAN CAUSE A HOST OF PROBLEMS FOR YEARS TO COME, OR EVEN THE REST OF YOUR LIFE.
YOU OWE IT TO YOURSELF TO COME IN AND GET CHECKED.

The Four Phases of a Whiplash Injury

During a rear-end automobile collision, your body goes through an extremely rapid and intense acceleration and deceleration.  In fact, all four phases of a whiplash injury occur in less than one-half of a second!  At each phase, there is a different force acting on the body that contributes to the overall injury, and with such a sudden and forceful movement, damage to the vertebrae, nerves, discs, muscles, and ligaments of your neck and spine can be substantial. 


Phase 1

During this first phase, your car begins to be pushed out from under you, causing your mid-back to be flattened against the back of your seat.  This results in an upward force in your cervical spine, compressing your discs and joints.  As your seat back begins to accelerate your torso forward, your head moves backward, creating a shearing force in your neck.  If your head restraint is properly adjusted, the distance your head travels backward is limited.  However, most of the damage to the spine will occur before your head reaches your head restraint.  Studies have shown that head restraints only reduce the risk of injury by 11-20%.

Phase 2

During phase two, your torso has reached peak acceleration - 1.5 to 2 times that of your vehicle itself - but your head has not yet begun to accelerate forward and continues to move rearward.  An abnormal S-curve develops in your cervical spine as your seat back recoils forward, much like a springboard, adding to the forward acceleration of the torso. Unfortunately, this forward seat back recoil occurs while your head is still moving backward, resulting in a shearing force in the neck that is one of the more damaging aspects of a whiplash injury.  Many of the bone, joint, nerve, disc and TMJ injuries that I see clinically occur during this phase.

Phase 3

During the third phase, your torso is now descending back down in your seat and your head and neck are at their peak forward acceleration.  At the same time, your car is slowing down.  If you released the pressure on your brake pedal during the first phases of the collision, it will likely be reapplied during this phase. Reapplication of the brake causes your car to slow down even quicker and increases the severity of the flexion injury of your neck.  As you move forward in your seat, any slack in your seat belt and shoulder harness is taken up.

Phase 4

This is probably the most damaging phase of the whiplash phenomenon.  In this fourth phase, your torso is stopped by your seat belt and shoulder restraint and your head is free to move forward unimpeded.  This results in a violent forward-bending motion of your neck, straining the muscles and ligaments, tearing fibers in the spinal discs, and forcing vertebrae out of their normal position.  Your spinal cord and nerve roots get stretched and irritated, and your brain can strike the inside of your skull causing a mild to moderate brain injury.  If you are not properly restrained by your seat harness, you may suffer a concussion, or more severe brain injury, from striking the steering wheel or windshield.

WE CAN HELP YOU TAKE THE GUESS WORK OUT OF DEALING WITH THE INSURANCE COMPANIES!