Whiplash Injuries After an Auto Accident, Should I Use a Neck Collar Or Not? That is the Question
Rusty March 11, 2022 ArticleWhiplash Injuries After an Auto Accident, Should I Use a Neck Collar Or Not? That is the Question
Many people that suffer with neck pain chronically have been involved in a prior motor vehicle accident, and have experienced a “whiplash” type injury.
In fact, many studies exists that examine the long term effects of whiplash type injuries from a car accident. One in particular determined that 55% of the people studied had residual consequences 17 years later(1).
Sadly, many of these participants still continue to receive some type of ongoing rehab.
Many of my patients ask me whether or not they should use a neck collar after an accident. With respect to this topic, a lot of controversy exists. The purpose of this article is to discuss the research related to this topic.
So lets have some fun with this topic.
Think of it as a battle: In the red corner, we have the champion, the “SOFT COLLAR”, and in the blue corner, we have the challenger, the “Early Mobilization/early movement”. However, in order to evaluate the pros and cons of using a soft collar for the neck after a motor vehicle/whiplash type accident, it’s important to first talk about the basic fundamentals of soft tissue injuries and the healing process itself.
John Kellet M.D, an Australian physician published a comprehensive review of the literature on this topic in the journal Medicine and Science in Sports and Exercise and titled it: Acute soft tissue injuries-A review of the literature(2). The article goes on to describe 3 phases of soft tissue repair when injured.
Phase 1: The Acute Inflammatory or Reaction Phase
Lasting up to 72 hours immediately after the injury, it involves dilation of the blood vessels, increased blood flow with the accompanied immune response, cleaning up of the area by white blood cells, and the resultant inflammation.
Pain is produced from tissue damage and the inflammation itself.
Phase 2: Regeneration of Repair Phase
This phase lasts anywhere between 48hours to 6 weeks. It is in this phase that the injured tissue is trying to “repair” itself, thus the name. Collagen cells are produced and laid down at the injured site.
However, the collagen that is laid down is weak, and laid down in an irregular pattern. These collagen fibers continue to strengthen between 3 to 14 weeks after the injury, and even up to 6 months.
Phase 3: The Remolding Phase
Overlapping with phase 2, this phase may last up to 12 months or longer. In this phase, the collagen that has been laid down continues to be “remodeled” in the way that its strength is improved, and oriented along with the healthy tissue.
So in the words of William Shakespeare: “To Collar or Not To Collar?, That is the Question”
When a soft collar is recommended and used after an accident the goal is to immobilize the injured area. This supposedly prevents more trauma/injury to the unstable area, as well as lends support to the injured tissue. All things being equal, with no resultant bone trauma (ie, dislocation and/or fracture), the injury is said to be a “soft tissue” injury.
So in the case of soft tissue injuries, immobilization with a soft collar would be detrimental to the process of healing as described by Dr. Kellet, as early mobilization and movement would seem to improve the timing and healing quality.
If we think about the second phase of healing that we just described, where the collagen fibers that are laid down are trying to orient themselves along the line of stress, then it would make sense that it is the early mobilization and movement that is in fact responsible for its organization.
Dr. Kellet expresses that immobilization of soft tissue injuries with the use of soft collars in particular, results in diminished endurance, that ultimately causes loss of strength and muscle wasting that may delay full recovery “for a year or more”.
Another study done in 2000 by Dr. Pekka Kannus, MD, PhD, adds to our understanding of soft tissue injuries. Published in the journal The Physician and Sports Medicine his article was titled: Immobilization or Early Mobilization after an Acute Soft-Tissue Injury?(3) Dr Kannus basically summarizes his study with the following: “Experimental and clinical studies demonstrate that early, controlled mobilization is superior to immobilization”
This article too adds to the support focusing early mobilization following soft tissue injury and avoiding immobilization.
What about any studies that specifically looked at the outcomes of people who actually used cervical collars, and compared them to those that did not and utilized early mobilization, for treatment of acute soft tissue whiplash injuries?
Well, orthopedist K Mealy and colleagues asked this question and published their study in the British Medical Journal in an article titled (4): Early Mobilization of Acute Whiplash Injuries. …
LAX Transportation to Disneyland
Traveling from LAX (Los Angeles International Airport) to Disneyland means traveling from one of the busiest airports in the world to the most fun place in the world, and what could be a better way to commute than hiring a lax town car service for transportation from LAX to Disneyland.
There are many companies in the Los Angeles that specialized in lax airport transportation to Disneyland, and this is a reason to become happy as well as sad: happy because you have many options, and sad because you have too many options to baffle you, and to make your decision more and more displeasing.
The question arises, how to ensure your satisfaction when booking for a lax town car service for transportation from LAX to Disneyland? The answer lies in the paragraphs written below.
How to make lax airport transportation to Disneyland a memorable experience?
In order to make your Disneyland trip memorable, you need to do the following things before you book a lax town car service, and when I said this, I assumed that you know about the following things. I will base my suggestion taking these as given:
* The distance of Disneyland is from the Los Angeles airport.
* The number of people traveling with you.
* And that you will be going straight to Disneyland from the LA airport.
It would be prudent to check the timing of flight and match it with the availability of a good LA town car service before you fly down to Los Angeles. This will save your time, which otherwise will get wasted booking and waiting for the cab.
Before you book a car service, make sure you know about all the little details. Do not consider anything unimportant, you never know what will become pain in your neck. Do not leave any detail out. Ask as many questions as you need before you make the decision to book the car.
Do not get lured by the unnecessary frills and freebies. At times they are designed just to divert your attention from the real quality of the LA town car service’s fleet. I am not saying that all benefits and freebies are designed with that in mind, but there is no dearth of such beguiling freebies and frills. One need to have an eye to remove wheat from chaff and to see what is what.
If you feel you cannot differentiate one from another then I will suggest going to the experts. Search the Internet and you will find a real lax transportation to Disneyland expert who will do the homework for you for free.…
Never Try to Buy a Vehicle Alone
Going to view a car with the intention of buying is normally an exciting affair and few ever think of taking somebody else along to help them with it.
Well, nearly not everyone ever remembers to seek the next person’s opinion over such matters but this is exactly what they are advised to do.
Here are a few reasons why it is important to take somebody with you on a trip to the motor vehicle showroom.
It is very necessary to bring somebody else along to calm you down when selecting a new car so as to make sure that you do not overlook some crucial factors. It would be easier for the third party to notice something which will help you in the eventual decision.
Selecting a new car to buy can be a very stressful affair which means you actually need somebody to encourage you or to help you with making the important decision. It will be good for you to have somebody you can discuss with and compare what you see.
It can stabilize the situation in case you end up feeling a bit flustered or smothered by the salesman, his boss and another colleague who will be trying to convince you about making a purchase. You need somebody who will give your straight and frank comments about the item you are about to buy.
Your companion might be able to give you other information on other vehicle types that you have never thought of checking or were not aware of yourself. This is important for comparison purposes.
You might have done sufficient research but chances are that you might have overlooked something which might turn out to be the deciding factor. Be very open minded and consider the opinion of your companion as they would be giving you their genuine opinion, even about other cars they are aware of as being better than what you are about to buy. Eventually you would feel secure in the fact that you made the best choice.…
Affects of Whiplash After An Accident
At Horizon Health Care Group our office has been well-known in the treatment of injuries whether it is sport related, falls, or the typical automobile accident. Today we will focus on the Auto Accidents. Most people when injured experience a condition we call Whiplash. This is when the head is thrown violently into the headrest or simply from side to side. This causes damages to the muscles, ligaments, and in some cases nerve and disc damage. The effects of a whiplash injury can last days, weeks, or even months if not treated. Some secondary symptoms are headaches.
Many people go to the ER after an accident, which is good. But the truth is the ER just kicks you out with medication and tells you to go to an Orthopedic doctor if the pain continues. There are a few issues with this. First, there is nothing an Orthopedic doctor will do for you and second if you are like many other Americans, you don’t have health insurance. So, my suggestion is you need to see a doctor that specializes in the injuries you have and also will work with you when you don’t have insurance. My first suggestion is to see a Chiropractor or Physical Therapist. Both of these medical specialists are more comfortable in treating your injuries. When you have a physical injury, the best treatment is physical not a medication(chemical). All that does is cover symptoms.
Remember what I said at the beginning that this can last for months. Well the effects will last longer depending on the damage and also if you don’t get treatment immediately. At Horizon Health Care Group, we provide you with Chiropractic and Physical Therapy treatment that allows the injury to be treated properly. If patients don’t respond then MRI’s and other more invasive treatment will be necessary. What do you do if you don’t have insurance? This become tricky. If the accident is not your fault, we suggest you get an attorney immediately and find a physician that can work with you. Some even will work with you on an attorney lien. Meaning, they will wait till your case settles and then get paid for their services.…
Reasons To Use An Airport Limo Service
When scouting around for a limo service, you will want to find a firm that will impress the person who needs the ride. If they are a client that you have not yet met, this will be the first impression they have of what sort of person you are. You will want them to think that you are someone worthy of respect.
If your associate is able to ride in style to your initial meeting, you have begun your relationship on the right note. The right kind of company will not only provide comfort, but peace of mind through professionalism and courtesy. If you are in the limousine, you will establish at the start that you are a compatriot with status who appreciates the finer things in life. A chauffeur driven vehicle suggests that you have the means to do the job right.
By allowing someone else to do the driving, you can focus on the business at hand. Someone else will be responsible for worrying about traffic and reaching whatever destination you have in mind. You can relax in style and go over plans at leisure. Should there be slow downs or delays, there will be more time to talk over matters with the prospective client that you are coddling.
The driver can be responsible for picking up all the luggage at the baggage claim counter. People are grateful for treatment like that. The vehicle’s large size ensures that even multiple clients will be able to ride together in comfort. These type of stretch cars come in several sizes that can accommodate parties of up to two dozen people without crowding.
Chauffeurs are trained to be courtesy as well as accomplished in driving. You can relax knowing that no matter what conditions are like, they are up to the task. Other people on the road will look over in envy as you move past in luxury. The whole setup is designed to make riders feel like royalty. It isn’t hard to feel you have earned this and to capitalize on the goodwill such prospects entail.
The person behind the wheel will know all the shortcuts to speed you along. They have been trained in all the tricks to navigate through traffic. Treatment like this is something that you can get used to very easily. Your clients may have ridden repeatedly in this sort of fashion and may have come to expect something along these lines. Not to meet these sort of expectations can leave them feeling unsettled.
Arrangements can be made in advance for refreshments and food to be made available. Flowers and other special request can be met. Nothing else can make such a lasting impression as indulging a person’s taste for that certain something that they told you about and that is now sitting on the seat beside them as a surprise that you have arranged to please them with.
Limo Service can be found for quite reasonable rates. Particularly when a number of people are to be driven, the costs per person will end up being low. The large number of firms that have entered the field have made prices competitive. By shopping around, you will be able to secure a vehicle that suits your needs at a price you can afford.…
A Traveler’s Option: Airport Limo Services
Airport limo services are designed to help provide travelers with quick and simple, and sometimes elegant transportation to and also from airports. Different services range in price and can also include valet parking of the traveler’s own vehicle as well as transportation to other locations as well as airports. Using these services can take the headache out of traveling and save gas as well as wear and tear on the traveler’s vehicle.
Airport limo services can also do military work. Recruiters can hire transportation to pick up recruits and take them to specific destinations for testing and airports for shipping out for basic training. These transportation companies offer great competitive rates and build strong clientele with their many services and highly trained and knowledgeable staff.
Being a driver means having a great sense of direction and a clean driving record. Being able to follow specific direction, being responsible, using time wisely and obeying traffic laws are keys when driving for a transportation company. Learning routes and communicating with dispatchers is also a part of being a driver. Anything can happen at at any time so the lines of communication must remain open between dispatchers and drivers.
Using airport transportation gives you the option to save gas and wear and tear on your own vehicle. If you can’t afford or wish not to pay for airport parking, most of these companies provide valet parking for a flat rate. Travelers do not have to worry about getting lost when they use these services because the staff is so well trained and know exactly where each destination is and how long it will take to get there. Limo service is a great option for those who hate to drive. Especially in congested areas like airports, where there are so many vehicles around already, plus it helps to cut down on pollution!
Driving for these companies can be a rewarding career! To qualify for most driving positions one must complete and pass drug testing and a background check. A clean driving record is preferred, and extensive direction training, getting know the different routes a driver must take. Overall being a driver can be a fun and interesting career, if you enjoy driving!
Taking the guess work out of parking and toll paying and trying not to get lost, using these companies can really save time and money. The drivers are trained to always be on time and deliver amazing customer service to all passengers. Each limo is constantly maintained and cleaned inside and out for maximum customer satisfaction. Drivers handle all luggage with care as if it were their own and always make sure each passenger is comfortable and safe.
There are companies everywhere, at most airports that deliver these services and more, for great rates. Each company is different so be sure to do research before traveling to make sure you use the best company at the best rate for you. Online you can find thousands of airport limo companies and get their price and service listings.
These companies are created to help traveler’s everywhere get the most out of their time and money. They are a great way to be sure not to get lost while going place to place in a city that you may not be familiar with. Save time, save money and be safe which traveling, hire an airport limo company to be your transportation.…
Finding A Personal Injury Attorney: 3 Things To Consider
Rusty February 18, 2022 ArticleFinding A Personal Injury Attorney: 3 Things To Consider
If you’ve recently been in an accident that wasn’t your fault, you could be stuck wondering how you’re going to fight the insurance company to get what you deserve. Instead of going up against the insurance company on your own, consider hiring yourself a motor vehicle accident attorney. Before choosing one, however, consider these things.
Look For Recommendations For Auto Accident Lawyers From Friends And Family
If you need a personal injury attorney, talk to your friends and family. Chances are fairly high that at least one of them has been injured before and has done a little research into a local personal injury attorney. Ask your family and friends if they met with any auto accident lawyers and what kinds of impressions they got from each one. It’s not a good idea to hire a motor vehicle accident attorney based on a recommendation alone, but you can rule out any that your family and friends didn’t get along with.
Interview Attorneys
Before choosing which personal injury attorney to work with, make a list and interview your top choices. The interviews should be done in person and most attorneys do not charge for this initial consultation. Ask lots of questions, such as ‘How many cases are settled before going to trial?’ and ‘What percentage of cases receives some sort of award?’ Don’t feel awkward about asking about the win vs loss record and finally, ask to meet other people in the firm who may be helping your case. The firm is working for you and you want to be comfortable with everyone involved in your case. Finally, ask them if they think you have a case! You don’t want to go through the entire process, only to lose in negotiations or at court.
What Are Your Fee Requirements?
Do you want a lawyer who will take your case on contingency? Or do you expect to pay a fee up front? Ask about these things in your initial meeting so there aren’t any surprises when it comes to your case. Standard rates vary by location, but you can expect to give 1/3 to 40% of your winnings to your lawyer. Lastly, ask if you’ll be expected to pay anything if you lose your case – most lawyers don’t take cases they don’t expect to win so the answer is typically no. However, it is a good idea to have this in writing to protect yourself. Make sure to get the fee structure and payment details in writing before signing a contract.
Finding a personal injury lawyer can take some work, but that’s a good thing. By taking a little time, you can be sure that you’re working with a motor vehicle accident attorney who has your best interests in mind. Having auto accident lawyers on your side will help ensure that someone is looking out for your needs while your case is being settled.…
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