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Quote of the Month:

If you are distressed by anything external, the pain is not due to the thing itself, but to your estimate of it; and this you have the power to revoke at any moment.

---Marcus Aurelius

The more you understand your body and how it functions, the better equipped you'll be at taking care of yourself to achieve optimal health. Our team of chiropractic professionals empower patients to take charge of your own health and future, educating you about your condition to decrease your need for future care. We've included the Patient Education section on our website to provide you with valuable, practical wellness information which you can incorporate into your lifestyle to improve the quality of your life. We hope you will turn to these pages whenever you have a question about health related issues and urge you to contact our practice at any time to make an appointment with one of our chiropractors.

Providing the best, most comprehensive treatment, evaluation of neck, back and musculoskeletal injuries, www.chulavistachiro.com, serving San Diego, South County & North County, www.chulavistachiro.com, feel free to visit our website at www.chulavistachiro.com, and please visit our Blog, www.DrStevenWachsBlog.com, updated monthly we feature condition specific articles on our, www.DrStevenWachsBlog.com.

Whiplash, or more properly stated, Whiplash Associated Disorders (WAD), is usually associated with car accidents, slip and falls and sports injuries. It is a very common injury affecting millions of people around the world, and costing health care systems billions of dollars. The question of the month is, what can we do to AVOID or prevent whiplash?

STEP 1. SHOP FOR A SAFER CAR. There are many resources that you can review such as the “Insurance Institute for Highway Safety” that have published ratings for the safest seats, head restraints, and include many makes and models of cars, SUV’s and trucks. For example, Volvo and Saab have recently designed car seats where the seat back collapses backwards upon impact so as to minimize the rebound response in a rear-end collision, thus minimizing the head and neck from whipping back and forth. Therefore, before YOU purchase your next car, compare the vehicle’s structural design, its size and weight, the restraint systems, the airbags, the head rests, as well as crash avoidance features. Remember, in general, small cars put you at greater risk simply due to the small mass equaling less protection.

STEP 2. POSITION THE HEAD RESTRAINTS PROPERLY. This means put them in their “up” position. The most common problem with head restraints is that they are placed too low and offer little to no protection if and when you are struck from behind. In fact, 80% of cars have the head restraint in the low or “down” position, which (surprisingly) is WORSE than having no head restraint at all! This is because when the head restraint is too low, it acts like a fulcrum, hitting the middle of the neck promoting MORE hyperextension when compared to having no head restraint whatsoever. Remember, head restraints are designed to fit an “average man,” making it challenging for a tall or short person to obtain a good “fit.” A good position for a head restraint is within 1 inch of the back of the head and 1-2 inches above the mid-portion of the head as “ramping” often occurs especially if the seat back is reclined backwards, and the whole body slides up and over the head restraint.

STEP 3. PREPARE FOR THE CRASH. This actually may NOT be possible since the “whipping” action happens within 500 milliseconds and voluntary muscle contraction is about twice as slow, not to mention that the crash can occur at lightning fast speeds leaving you with little time to prepare. However, if you do have time to prepare, do the following: 1. Put your head and neck all the way back into the seat back and a properly adjusted head restraint so that there is firm contact. 2. Extend the elbows and straighten the arms gripping firmly onto the steering wheel in preparation to brace yourself. 3. Place your foot on the brake as firmly as possible (assuming that you are stopped in traffic). 4. Look straight ahead avoiding neck or head rotation. 5. Tilt your head back slightly so that your eyes are pointed toward the top of the windshield. 6. Prior to impact, shrug your shoulders upwards toward the ears and brace yourself firmly.

STEP 4. SEEK IMMEDIATE TREATMENT. It is critical to obtain treatment as quickly as possible as there is a tremendous advantage to start treatment especially with the first 2 weeks post-collision to avoid the likelihood of a chronic potentially disabling condition.        

We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Providing the best, most comprehensive treatment and evaluation of neck, back and musculoskeletal injuries, www.chulavistachiro.com, serving San Diego, South County & North County, www.chulavistachiro.com, feel free to visit our website at www.chulavistachiro.com, and please visit our Blog, www.DrStevenWachsBlog.com, updated monthly we feature condition specific articles on our, www.DrStevenWachsBlog.com.

 



Eighty percent of Americans experience one form of back pain or another during the course of their lives. More men over the age of 45 are disabled by back pain than any other condition. It is the third most common reason for surgeries. Because of this, people complaining of back pain cannot be easily diagnosed. This is because the spine is such an incredibly complex structure of bones, muscles, nerves, joints, tendons, and ligaments. Injury or disease affecting any one or more of these structures can often trigger an episode of pain.

Lower back pain is often caused by a muscle strain. The erector spinae, or large paired muscles in the lower back that help keep your spine erect, can become inflamed and spasm. In more serious cases, the pain may be caused by a degenerative condition, such as arthritis, disc disease, or disc herniation.

A degenerative disc condition can sometimes cause a chain reaction of other events in your spine. When a disc is not in its proper place, or is malformed from disease or some other condition, it can allow additional undue pressure on other healthy structures, such as neighboring discs, nerves, muscles, joints, ligaments, and tendons.

Rest, ice or heat therapy, and over-the-counter anti-inflammatory medicine, such as aspirin, are often the first course of treatment for mild lower back pain. This allows your muscles to return to their normal position and begin to heal.

Because the thoracic spine is the sturdiest part of the spine, it is less prone to injury. That said, upper back pain, while less common than lower back pain, is often caused by irritation of the muscles or a problem with a joint. Other less common causes of upper back pain include herniated or degenerative discs.

However, rest for a sore back should be kept to no more than two weeks. Otherwise, the muscles in the lower back begin to atrophy and can become significantly weak, leaving you open to further undue pain and injury.