| r |
Injuries:
Of all the injuries associated with motor vehicle accidents, chronic whiplash-associated disorder (WAD) represents the
most common medical and psycho-social problem. Typically, whiplash presents with mild neck stiffness and soreness.
Patients can also have an associated post traumatic stress disorder. In 2005, physicians studied if the acute stress
reaction following a whiplash injury predicted long-term consequences. Their results demonstrate that both physical and
psychological factors play a role in recovery or non-recovery from whiplash injury. This may assist in the development of
more relevant treatment methods for acute whiplash (Sterling 2005).
When traveling at a high speed, your body suddenly stops during a car collision. This produces a significant amount of
stress on one’s body. Most often, neck muscle and soft tissue straining occurs. In other cases, other injuries may occur
including bone fractures, ligament tears, head injuries, internal bleeding, abrasions, and spinal cord injury.
Treatments:
Following a motor vehicle collision, 15% to 40% of patients who have acute neck pain will eventually develop chronic neck
pain (Schofferman 2007). Therefore, it is important to treat the symptoms of whiplash to decrease the chance of
developing chronic sequelae.
There are many treatments that may be effective for whiplash. NSAIDs (Advil type medications) reduce the inflammation
that forms acutely. Chiropractic manipulations and acupuncture may also help relieve the discomfort. When the neck
pain persists, medial branch blocks of the facet joint can be done to determine whether the facet joints are the cause of
pain. When significant relief occurs on two occasions, radiofrequency ablation typically provides significant relief for an
estimated 8 to 12 months and can be repeated as needed (Scofferman 2007). Botox (Botulinum toxin A) injections have
recently been studied and show effectiveness in reducing pain and increasing range of motion in patients suffering from
whiplash (Juan 2004).
After a motor vehicle accident, you should go to a hospital to rule out more serious complications that may ensue following
a collision. If these complications have been ruled out and you are still feeling discomfort then contact Arizona Pain
Specialists today to see if our physicians can help you decrease your discomfort with one of the many innovative
treatment options we offer.
Journal Articles:
Physical and psychological factors predict outcome following whiplash injury.
Sterling M, Jull G, Vicenzino B, Kenardy J, Darnell R. Pain. 2005 Mar;114(1-2):141-8. Epub Jan 2005
Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among
children in the United States. Gardner R, Smith GA, Chany AM, Fernandez SA, McKenzie LB. Arch Pediatr Adolesc Med.
2007 Sep;161(9):889
World Health Organization. WHO.com April 2007
Chronic whiplash and whiplash-associated disorders: an evidence-based approach. Schofferman J, Bogduk N, Slosar P. J
Am Acad Orthop Surg. 2007 Oct;15(10):596
Use of botulinum toxin-A for musculoskeletal pain in patients with whiplash associated disorders [ISRCTN68653575]. Juan
FJ. BMC Musculoskelet Disord. 2004 Feb
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Motor Vehicle Injuries
by Nicole Berardoni M.D, Tory McJunkin M.D, and Paul Lynch M.D
Motor vehicle injuries (MVIs) are a huge concern throughout the
United States health care system. People are brought in to the
Emergency Room every day with injuries caused by motor vehicle
accidents. In the United States, MVIs among children burden the
health care resources with an estimated $2 billion annually.
Globally, approximately 1.2 million people are killed in motor
vehicle accidents each year and as many as 50 million are injured.
Unless there is further intervention to prevent these road injuries,
studies indicate that these injuries will increase 65% over the next
20 years (WHO 2007).
by Nicole Berardoni M.D, Tory McJunkin M.D, and Paul Lynch M.D
Motor vehicle injuries (MVIs) are a huge concern throughout the
United States health care system. People are brought in to the
Emergency Room every day with injuries caused by motor vehicle
accidents. In the United States, MVIs among children burden the
health care resources with an estimated $2 billion annually.
Globally, approximately 1.2 million people are killed in motor
vehicle accidents each year and as many as 50 million are injured.
Unless there is further intervention to prevent these road injuries,
studies indicate that these injuries will increase 65% over the next
20 years (WHO 2007).
We offer the highest quality of pain management to patients
in the phoenix area who've had the horrific experience of a
motor vehicle collision.
in the phoenix area who've had the horrific experience of a
motor vehicle collision.
Book I - Pain Syndromes
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions