What Exactly Is Whiplash?

When you think of whiplash, most people immediately think “car accident.” But a fall or many types of repetitive movement may also cause whiplash. Sometimes the symptoms from whiplash take days or even weeks to manifest themselves, but the damage it causes can last for years.

What exactly is whiplash? It’s a condition in which the joints in the back of the neck, joints that usually slide easily over one another, are forced together, causing damage to the nerves, discs, ligaments and muscles all around them.

The symptoms? Generally, these include headaches, dizziness, neck and arm pain, decreased attention span, an inability to focus and fatigue. These symptoms can be both very painful and downright debilitating to the whiplash sufferer.

It helps to come into our practice immediately for a thorough examination if you have been involved in an accident and suspect that you might be the victim of a whiplash injury. The earlier you establish the proper intervention, via chiropractic adjustments, the better your chances for a full recovery.

Of course, chiropractic adjustments also help older whiplash injuries, but recovery is usually slower and care during the acute phase generally takes longer.

We manage whiplash injuries with careful and precise neck adjustments, sometimes ice and rehabilitative exercises that are designed to address the injured neck and shoulder muscles and joints. This has been shown to be very effective in managing the symptoms of whiplash, particularly the headaches that often accompany this type of injury.

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That Spare Tire Around Your Middle Can Be Hazardous to Your Health!

Pot belly. Spare tire. The middle age spread. These are just a few of the endearing names bestowed to the extra layer of fat that accumulates around the abdomen. But aside from the amusing nicknames, this type of fat is a serious danger. Unlike fat that appears on other parts of your body, belly fat increases your risk for cardiovascular disease, diabetes, metabolic syndrome, sleep apnea and some types of cancer.

Subcutaneous fat is the jiggly fat that rests between your skin and abdominal wall. Visceral fat is the next layer and surrounds your internal organs. Visceral fat is biologically active. It produces an excess of hormones, which increase the risk of insulin resistance - a key factor in type 2 diabetes. This hormonal imbalance puts women at higher risk of breast cancer. And visceral fat boosts inflammation throughout your body. Your chiropractor can tell you how inflammation is closely tied to numerous diseases and health conditions.

Why does belly fat affect so many people? Genetics play a role, so you may see the problem from one generation of a family to the next. Hormone fluctuations in the body can increase fat. After menopause, hormonal changes in women cause fat to gather more in the belly than hips or legs. As you age you lose muscle mass and your metabolism slows, which makes it easier to acquire fat in the abdominal area.

Poor dietary habits and lack of physical activity are also big contributors to this problem. Our increasingly sedentary ways have unleashed an explosion of obesity across North America and other industrialized areas of the world. Our love of unhealthy fatty foods and refined carbohydrates has made it all too easy to surge the waistline well past the appropriate size.

What to do?  In our next issue we will look at ways to combat this through diet and exercise. In the meantime, talk to your Chiropractor about things you can start doing today!

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Do I Have Carpal Tunnel Syndrome?

Many people believe they have carpal tunnel syndrome (CTS). The majority have been told by their medical doctor that they have CTS. Others have mistakenly concluded that because they have some numbness and tingling in their wrist or hand, they must have this neurological disorder. Still others have ongoing forearm, wrist, or hand pain (possibly localized to the thumb and/or index finger), and are led by articles they've read on the Internet to diagnose themselves with CTS. Almost all of this is in error.^1,2

Why are so many diagnoses of this condition mistaken? The primary culprit is lazy clinical decision-making, compounded by a failure to understand correctly the workings of the musculoskeletal system. Carpal tunnel syndrome is a specific diagnosis which involves mechanical pressure on the median nerve as it passes through a small tunnel in the wrist created by tiny adjoining bones. There's not much room in this carpal tunnel and its dimensions can be narrowed further by inflammatory conditions such as osteoarthritis or rheumatoid arthritis. Pregnancy can lead to CTS owing to increased fluid retention. Repetitive stress may lead to inflammation of tendons that cross the wrist. Such inflammation may lead to soft tissue swelling which compresses the carpal tunnel, causing CTS. Various other disorders should also be considered when CTS is suspected.

Importantly, CTS is not a catchall diagnosis to be used when a person has forearm, wrist, and/or hand pain. If a person really has CTS, he or she will have specific symptoms. The person will awaken at night owing to pain and/or numbness and tingling. Symptoms will be precisely located to the thumb and index finger (possibly involving the middle finger). Wrist pain may or may not be present. Also, the person will demonstrate a weakness of pinch grip involving the thumb and index finger. If these signs and symptoms are not present, the person does not have carpal tunnel syndrome. Usually, the diagnosis is clearcut and does not require special tests such as electromyography.

Remarkably, most physicians, regardless of specialty, are unaware of these important criteria. If the patient has pain and/or numbness in the hand, the patient has CTS. Case closed. This lack of sophistication leads to real harm done to the patient, such as unnecessary tests which waste time, cost a lot of money, and may result in damaging surgery which is not curative as it was directed at a problem that really wasn't there.

In marked contrast, chiropractors are highly trained in accurate analysis of musculoskeletal problems involving the shoulder, arm, and hand.³ When patients have symptoms mimicking those of carpal tunnel syndrome, chiropractors use their broad knowledge and experience to correctly evaluate the situation. For example, spinal dysfunction, muscle spasm, and trigger points can all cause symptoms which appear to be those of CTS. Chiropractors are able to see through this masquerade and effectively address the real underlying problems.

 

 Many musculoskeletal problems, including symptoms masquerading as carpal tunnel syndrome, are effectively managed by chiropractic care. The key, as always, lies in accurate evaluation of the cause of the patient's pain patterns.

To a very large extent, physical pain involving the spine, arms, and legs is related to mechanical joint dysfunction. There are exceptions, of course, including pain caused by a severe acute injury or an inflammatory condition such as ankylosing spondylitis. But in most cases, chiropractic care will provide a solution to a person's musculoskeletal pain, resulting in a reduction or even a resolution of the problem.
It's important to remember that most painful symptoms don't just happen on their own. Your chiropractor will do more than address the problem at hand. He or she may also help you design an effective exercise program and a healthful nutrition plan to optimize your health and well-being over the long-term.

¹Ibrahim I, et al: Carpal tunnel syndrome. Review of the recent literature. Open Orthop J 6:69-75, 2012

²Uchiyama S, et al: Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. J Orthop Sci 15(1):1-13, 2010

³Bialosky JE, et al: Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention. Man Ther 16(6):602-608, 2011