We offer critical support of injuries after car accidents.
Injuries to the entire body happen during car accidents; often severe anxiety develops related cars with flashbacks and nightmares. Children wake up screaming, start doing poorly in school due to anxiety. Sometimes children take on the pain of their parents.It gets complicated. Counseling early on offers the clearest avenue to successful coping skills for all ages.
Head Injuries include cuts, bruises, concussions, stroke, paralysis. The more serious injuries need long term hospitalization. We offer a way to be evaluated ant treated for concussion. We also offer anxiety intervention that often keeps an accident to becoming a more serious post traumatic stress disorder.
- Laryngeal or tracheal Injuries cause problems with speaking and breathing. Hoarses and difficulty swallowing become important points to understand;
- Esophageal injuries result in difficulty swallowing;
- Carotid artery and jugular vein injuries cause neck swelling. Sometimes stroke evolves suddenly. These too need a thorough review during the first few hours and days.
- Spinal cord or brachial plexus injuries can show hand weakness, leg weakness, specific sensory loss. Sometimes a shoulder cannot move well.
Neck injuries require training and expertise to evaluate and treat.This is the type of expertise associated with trauma surgeons.
- Fractures of the spine will require thoughtful management of a physician. While many of these never need surgery, careful follow-on evaluations can identify early bone slippage and prevent permanent loss of function.
- Muscle strains an Ligament sprains often resolve with supportive care; but many have persisting difficulties with loss of range of motion.
- Disc herniation by itself can happen. When it does it will cause back pain, but also specific loss of sensation and strength (big toe vs little toe). Some can lead to loss of bladder and bowel control. Emergency surgery can be important if this develops.
We offer skilled evaluation, documentation of these injuries with an eye toward maximizing recovery.
The scapula (shoulder blade), clavicle (collar bone), and humerus (arm bone) form the shoulder. These bones fit within the sling of ligaments known as the rotator cuff, joint capsule. This sliding joint moves in many directions, unlike other joints. Loss of range of motion almost always means a life time of pain and suffering.
- Fractures: Car accidents fracture the collar bone, arm, and less frequently the scapular. Bracing and surgery often provide an initial response to recovery.
- Tears of ligaments and tendons cause immediate painful loss of range of motion. These often respond to physical therapy, but unstable shoulders with separation of joint may need surgery.
- Strains can limit the range of motion of the shoulder after a car accident. We have found structural injuries such as tears, fluid accumulation, and tendinosis during MRI. The MRI provides one of the best non-invasive modality for diagnosis.
We take great energy to document the loss of range of motion of the shoulder. Undocumented shoulder injuries remains one the major limitations of chiropractic care and can cause permanent impairment.
Knees contain the distal femur or thigh bone, tibia or shin bone, and fibula, thinner strut like bone. The tendons and ligaments also contain a moving patella, or knee cap. The cruciate ligament has a well known impact often nicknamed "ACL " for anterior cruciate ligament. These can become so damaged a total joint replacement may provide the only return of function possible.
- Fractures of the femur, tibia often involve ligamentous injury. The patella can be crushed when the knee hits the dashboard. These types of injury make it impossible to walk up stairs or over uneven surfaces.
- Strains,sprains and other stretch injuries often improve with physical therapy. This joint heals best when moving.
- Tears of the ligaments often require surgery to return stability back to the knee. With partial tears physical therapy with encouragement often avoids the scapel.
The return of knee strength and function begins with a clear understanding of how serious the injury. We offer this support and early orthopedic referral when surgery an option.
Ankles and Feet contain the distal tibia or shin bone, fibula, thinner strut like bone, and many other critical bones. The tendons and ligaments hold this important structure for running and jumping. The ankle loses function and range of motion, changing how one walks.
- Fractures of the ankle and foot often involve ligamentous injury. The patient must use crutches and often wear a caste. These injuries produce serious loss of ability to enjoy activities.
- Strains,sprains and other stretch injuries often improve with physical therapy. Also, this joint heals best when moving.
- Tears of the ligaments may require surgery to return stability back to the ankle. With partial tears physical therapy with encouragement often avoids the scapel.