Category Archives: Whiplash Treatment San Francisco

Whiplash Treatment in San Francisco

whiplash treatment san franciscoWe have been providing treatment for whiplash in downtown San Francisco for over 23 years now. 

Just about every day we treat a new patient with a whiplash injury…usually due to an auto accident. Many of our other new patients with chronic neck pain and headaches report previously untreated whiplash injuries.

That’s right, whiplash if not treated properly can lead to problems down the road such as neck and back pain, headaches, low back pain, insomnia, TMJ, and shoulder pain.

This is why it is so important to be seen right away after a car accident even if you have no symptoms. The spine and soft tissues are remarkably strong but are just not designed to handle the amount of forces even a 5 miles per hour impact can expose them to.

Chiropractors are the proven experts when it comes to the treatment of whiplash injuries. if you are in a serious auto accident it is probably a good idea to be checked out in the emergency room for fracture or dislocation, but that’s pretty much where it should end. Your next stop should be a chiropractor.

The most important thing when it comes to healing injured soft tissues sustained from whiplash trauma is “motion”. That’s right, without motion the joints will develop scar tissue which could lead to permanent damage and chronic pain. Chiropractors are motion experts even with badly injured patients. We also have technologies such as deep tissue laser therapy, ultrasound, and electro-stimulation to help reduce pain and inflammation.

Your chiropractor can also provide you with low-tech “do at home” exercises that are very important when it comes to restoring motion and recovering from a whiplash injury.

Our San Francisco Chiropractors are whiplash experts. We treat whiplash injuries day in and day out and have been doing so for over 20 years.

We also have 2 clinics to serve you and they are a short walking distance from one another. Our primary clinic is Chiro-Medical Group, Inc. which has an expert team of medical doctors, physical therapists, nurses, athletic trainers, and chiropractors. We also have state of the art diagnostic equipment such as digital x-ray and diagnostic ultrasound.

Our satellite clinic is located at the Embarcadero Center and offers express, no wait chiropractic, whiplash treatment and spinal decompression.

To schedule an appointment for whiplash treatment in San Francisco please call 415-392-2225. Most insurance accepted. Validated Parking Embarcadero Center.

Please Read: Whiplash Facts here

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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The Damaging Effects of Whiplash

whiplash pain treatment in san francisco

Whiplash Experts in San Francisco

We have been providing treatment for whiplash in San Francisco since 1992. 

Considering how many people take public transportation into downtown San Francisco where we are located, we sure do see a lot of whiplash cases. Some of this has to do with the fact that we have always put a special emphasis on helping whiplash patients.

Whiplash is nothing to mess around with. It is thought that many cases of chronic neck, back and shoulder pain and headaches as well,  can be traced back to previously untreated whiplash injuries or whiplash injuries that were not treated properly.

In general, whiplash victims are typically more concerned about their cars than they are about their bodies. Especially if the symptoms are not severe.

This is a big mistake as even a very low impact motor vehicle collision can cause permanent bodily damage. This is true even if the symptoms seem minimal at the time.

Think about it. Much of the force of the impact goes right into your body. In addition, your head is the weight of a bowling ball and is supported by the neck muscles and soft tissues. When you are involved in an auto accident your head tends to whip back and forth which can rip and tear the muscles, ligaments and tendons as well as knock your spine out of alignment. This is called whiplash.

If this injury to your spine and soft tissues is not treated properly (immediately is best) it can result in scar tissue, spinal degeneration, arthritis, and herniated or bulging discs down the road…even spinal stenosis. The time to treat a motor vehicle accident trauma is ASAP.

Most chiropractors can help you with whiplash. Some put more emphasis on it and are better equipped to help you.

We have two chiropractic clinics in San Francisco and have chiropractors, medical doctors, physical therapists, exercise physiologists, massage therapists, and personal trainers which allows us to effectively treat even the most difficult whiplash injuries.

We have have advanced diagnostic equipment such as digital x-ray, deep tissue laser therapy, diagnostic ultrasound and more.

To find out if you are a candidate for whiplash treatment in San Francisco please call 415-392-2225. We validate parking at the Embarcadero Center. 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Introducing Chiro-Trust.org

As of Feb 1, 2014 there is a new online resource available for consumers, chiropractors, and medical providers that provides high quality information on many of the common conditions chiropractors treat on a daily basis. 

The name of the website is Chiro-Trust.org

chiro-trust.org

 

Here are links to some of the articles:

Can Chiropractic Help The Post Surgical Patient?

Chiropractic Whiplash Management

Fibromyalgia Holistic Care

Chiropractic and Sinus Headaches

The most common conditions chiropractors treat are low back pain, neck pain, whiplash, headaches, carpal tunnel syndrome, Fibromyalgia, shoulder pain, hip, knee and ankle pain, and more.

Make sure to check Chiro-Trust.org for up to date information on these conditions and how chiropractic can help.

To find out more about Chiro-Medical Group and Chiro-Medical Express, and our multi-disciplinary approach to treating these conditions, check us out online or call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash Treatment With Chiropractic

whiplash treatment downtown SF

Whiplash Treatment in San Francisco

We have been providing treatment for whiplash in San Francisco for over 22 years.

With the rainy season upon us the roads will be much more slick leading to more auto accidents and whiplash injuries.  Some more severe than others.

The important thing to remember if you or someone you know is involved in a motor vehicle accident is that even a small amount of property damage can cause major misalignment’s in the neck and back.

Untreated whiplash injuries can lead to arthritis, disc and spine degeneration and symptoms such as headaches, neck pain, insomnia, and chronic back pain.

According to research, it’s best to see a chiropractor for whiplash injuries…and it’s best to be seen right away. If you wait, then scar tissue and inflammation may persist which can become irreversible.

A chiropractor trained in whiplash injuries can prescribe a course of treatment that will include chiropractic adjustments, massage, ice, exercises, and home care to reduce the likelihood of permanent damage. Whiplash is nothing to mess around with and should be addressed immediately to ensure a favorable treatment outcome.

To find out if you are a candidate for whiplash treatment in San Francisco please call 415-392-2225. Ask for a complimentary consultation.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash: What’s Best Rest or Treatment?

whiplash treatment downtown SF

Whiplash Treatment in San Francisco

We have been providing treatment for whiplash in downtown San Francisco for over 20 years.

Whiplash, or WAD (whiplash associated disorders) results from the rapid movement of the neck and head resulting in injury. This is the net result of the “classic” motor vehicle collision, though other injury models (like slips and falls) can result in similar injuries. Last month, we listed basic facts, of which one was better results (less long-term pain and disability) occurred from initial active treatment of the neck with mobilization/manipulation, exercise, and encouraging movement vs. placing a collar on the patient and “resting” the injured neck. Though there are a few studies that suggest there is no difference in results, the majority state that it is BEST to actively treat the patient and encourage movement (of course, assuming no unstable fractures have occurred) rather than to place the patient into a collar and limit activities. The first question that we’ll address this month is, why is this important?           

            The simple answer is that you, as an advocate for an injured friend, family member or as a patient yourself, may NOT be offered “the best” treatment approach by the ER or primary care physician. In fact, one study cited a survey regarding the management of whiplash injuries in an ER and reported that between 23-47% of physicians prescribed a soft cervical collar for acute whiplash rather than promoting immediate active treatment. By knowing this information, the knowledgeable patient can refuse the collar method of care and seek care that emphasizes the use of early mobilization and manipulation, like chiropractic! Though referrals to chiropractors are increasing as more research becomes available, chiropractic care is still significantly ignored or not considered by many practicing ER and primary care physicians. As always, you need to be your own “best advocate,” and the only way to do that is to be informed, hence the intention of this Health Update! Some studies even report that the use of a collar may have deleterious or “bad” side effects and can actually make you WORSE (this was reported by the Quebec Task Force)! The majority of studies on the subject of whiplash report that encouraging “normal activity,” as opposed to immobilization, IS the best approach. We will certainly help steer you in the right direction!

            Next, let’s talk about WHY does this method works better? The research supports that soft tissues injuries heal better and with less scar tissue formation when patients receive active treatment/early activity types of care (like manipulation / chiropractic). In general, any treatment approach that reduces patient suffering sooner, encourages one to return to “normal activities” faster, and promotes independence and self-care methods earlier is the best approach!

            We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To schedule an appointment for whiplash treatment in San Francisco please call 415-392-2225.

~Altadonna Communications   

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash Treatment Basics

whiplash treatment san francisco

Whiplash Treatment

We have been providing treatment for whiplash injuries in the San Francisco Financial District for over 20 years now.

Whiplash is a non-medical term typically describing what happens to the head and neck when a person is struck from behind in a motor vehicle collision. Let’s look at some basic facts about whiplash:

·         Before cars, trains were the main source of whiplash and was called “railroad spine.”

·         Better terms for whiplash injuries include “cervical acceleration-deceleration” (CAD) which describes the mechanism of the injury, and/or the term “whiplash associated disorders” (WAD), which describes the residual injury symptoms.

·         Whiplash is one of the most common non-fatal injuries involved in car crashes.

·         There are over one million whiplash injuries per year due to car crashes alone.

·         An estimated 3.8 per 1,000 people per year have a whiplash injury.

·         In the United States alone, 6.2% of the population has “late whiplash syndrome” (symptoms that do not resolve at one year).

·         1 in 5 cases (20%) remain symptomatic at one year post-injury of which only 11.5% returned to work and only 35.4% of that number returned to the same level of work after 20 years.

·         The majority of whiplash cases occur in the fourth decade of life, females>males.

·         Whiplash can occur from slips, falls, and brawls, as well as from horse-riding, cycling injuries, and contact sports.

·         Injury from whiplash can occur at speeds of 15 mph or less.

·         In the “classic” rear end collision, there are four phases of injury (time: 300msec)

o        Initial (0msec) – before the collision (the neck is stable)

o        Retraction (1-150msec) – “whiplash” starts where the head/neck stay in the original position but the trunk is moving forwards by the car seat. This is where the “S” shaped curve occurs (viewing the spine from the side).

o        Extension (150-200msec) – the whole neck bends backwards (hopefully stopped by a properly placed head rest).

o        Rebound (200-300msec) – the tight, stretched muscles in the front of the neck propels the head forward immediately after the extension phase.

·         We simply cannot voluntarily contract our neck muscles fast enough to avoid injury, as injury to the neck occurs within 500msec. and voluntary contraction or bracing takes 800msec or longer.

·         Injury is worse when the seat is reclined as our body can “ramp” up and over the seat and headrest. Also, a springy seat back increases the rebound affect.

·         Prompt treatment is better than waiting for a long time. Manipulation is a highly effective (i.e., COME SEE US!) treatment option.

 

            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 both presently and in the future.

To schedule an appointment for whiplash treatment in San Francisco please call 415-392-2225. We can also do a complimentary in house or phone consultation to answer any questions you may have.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash Treatment & Diagnosis: What Does It Mean?

Whiplash treatment SF downtown
We have been providing whiplash treatment in San Francisco since 1992.

Whiplash is, by definition, the rapid
acceleration followed by deceleration of the head causing the neck to “crack
like a whip” forwards and backwards at a rate so fast that the muscles cannot
react quickly enough to control the motion. As reported last month, if a
collision occurs in an automobile and the head rests are too low and/or seat
backs too reclined and the head moves beyond the allowable tissue boundaries,
“whiplash” injury occurs.

            When
gathering information from the patient, this portion of the history is called
“mechanism of injury” and it is VERY IMPORTANT, as it helps us piece together
what happened at the time of impact. For example, was the head turned upon
impact? Was the impact anticipated? What were the weather conditions (visual,
road conditions)? What was the direction of the strike (front, rear, side,
angular, or combinations of several)? Did a roll over occur? Was a seat belt
used (lap and chest) and were there any seat belt related injuries (to the low
back/pelvis, breasts/chest, shoulder, neck)? Any head impact injuries with or
without loss of consciousness (if so, how long)? Any short-term memory loss and
residual communication challenges (post-concussive syndrome)? All of the answers
to these questions are very important when determining the examination path,
establishing the diagnoses, and determining the treatment plan.

            We
also discussed last month the WAD classification or, Whiplash Associated
Disorders, which was coined in 1995 by the Quebec Task Force. Types I, II, and
III are defined by the type of tissues injured and the history and examination
findings. In 2001, the Quebec Task Force found that WAD II (loss of range of
motion or ROM/negative neurological findings) and WAD III (both ROM loss and
neurological loss) carried progressively greater risk of prolonged recovery
compared to WAD I injuries (those with pain but no loss of motion or
neurological findings).

            Establishing
a strong diagnosis allows for accuracy in prognosis and treatment plan
recommendations. For example, in WAD II & III injuries, flexion/extension
x-rays are needed to determine the extent of ligament damage as normally, the
individual vertebrae should not translate or shift forwards or backwards by more
than 3.5mm. Similarly, the angle created between each vertebra in flexion &
extension should be within 11 degrees of the adjacent angles, and if that’s
exceeded, ligament damage is likely to have occurred. So often, ER records
describe little to no information about the historical elements reviewed in the
1st paragraph and if x-rays were taken, they rarely include flexion/extension
stress x-rays.

            Headaches
are another component of WAD. Here, the first three sets of nerves that exit
the uppermost levels of the spine (C1, C2, and C3) innervate the head. When a
patient describes headaches that start in the upper part of the neck and
radiate up into the head, the distribution of the pain by history can tell us
which nerve(s) are most affected. In the examination, applying manual pressure
to the base of the skull can reproduce pain when a nerve is injured. Tracking
these findings on a regular basis can tell us how the condition is healing.
Chiropractic is at the forefront of diagnosis for WAD! 

            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. 

To schedule an appointment with one of our whiplash doctors in downtown San Francisco call 415-392-2225. Mention this article for a complimentary in house or phone consultation.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Car Accident (Whiplash) Treatment Options


Car accident chiropractor san franciscoWe have been providing effective treatment for car accident victims in downtown San Francisco since 1992. During this time we have managed thousands of cases of whiplash injuries to the neck and back.

Our current Whiplash topic continues
from last month when we reviewed the “mechanism of injury,” the “type of
injury,” and “prognosis.” This month, we will review the “nuts and bolts” of
the whiplash injury or, whiplash associated disorders (WAD). 

Whiplash diagnosis: The diagnosis of whiplash first and
foremost requires a thorough history. Here, we discuss the factors leading up
to the MVC (motor vehicle collision), the angle or direction of impact (front
end, angular, side or T-bone, rear end), whether the head was pointed straight
or rotated, whether the head hit anything inside the car, airbag deployment and
any related injury, seat belt location and effectiveness, the conditions of the
day (weather, road, lighting, etc.), the onset of each injured area including
neck, upper/lower back, headache, memory loss, and radiating symptoms (time
lapse to symptom onset), ER/ambulance involvement, the initial 24-48 hours, the
point of maximum pain intensity, job and non-vocational capabilities, prior
test results (x-ray, CT, MRI, lab, etc.), prior treatment effectiveness, and
more! The physical examination centers on observation (posture, patient
distress, mood); palpation or touching the injured areas; orthopedic tests
(looking for positions that either relieve or increase symptoms); range of
motion (how far forward, back, sideways, and in rotation can the head be
voluntarily moved and its related level of comfort, speed/quality of motion);
neurological exam (sensory, motor, cranial nerves, etc.); and special tests
(x-ray, CT, MRI, lab, etc.) if not previously done.

Course of care: The type and length of treatment will
vary based on the degree of injury (see last month’s “prognosis” discussion),
the initial response to care (improvement vs. worsening), the compliance of the
patient in modifying their activities, performing home-based care (ice, rest,
exercise, etc.), and the patient’s motivation to get better. The latter may be
partially dependant on factors like whether there is litigation planned or
occurring, their belief that they will “get better,” and how the health care
provider manages the care (the use of passive approaches where the patient must
go and see the doctor vs. active approaches where the patient is taught how to
self-manage through diet, exercise, activity modifications, education, etc.)

Treatment options: The patient has the choice of following a traditional
medical model of initial anti-inflammatory medication, patient education, wait
and watch, and/or a physical therapy referral. The chiropractic approach
includes patient education, anti-inflammatory approaches (ice – NOT HEAT,
anti-inflammatory herbs), exercise training and manual therapies including
spinal adjustments. The latter, when applied properly, has been found to return
patients to work faster than other approaches with a shorter recovery time and
is less costly and more satisfying. When comparing treatment options beyond 6
or 12 months, the differences are more subtle. Other treatment options include
acupuncture, massage therapy, and various forms of exercise. When necessary,
injections, narcotics, and other pharmaceutical options exist but are not recommended as initial care
approaches. Behavioral and cognitive therapy can help people cope with chronic,
permanent pain related problems. There are many approaches to the management of
whiplash and the patient needs a “quarterback” or someone to help them with
these decisions. This is perhaps the
most important role of the chiropractor!

            We realize you have a choice in where you choose your
health-care 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.

To schedule an appointment with one of our San Francisco Car Accident and Whiplash Experts, please call 415-392-2225. Mention this blog post for a complimentary in house or telephone consultation. 

We specialize in Personal Injury Cases

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash: Causes and Cures

Whiplash doctors san franciscoWe have been providing treatment for whiplash in downtown San Francisco for over 20 years.

Whiplash refers to an injury to the
neck resulting from a rapid movement, usually associated with a motor vehicle
collision
(MVC). However, it can occur with a slip and fall injury, a bar room
brawl, during a sports event like being tackled in football, among other
things. For the sake of this discussion, we will stick with the classic example
of a rear-end MVC.

            Mechanism of injury: So what really happens during the MVC
that causes injury? The answer centers around movement of the neck which
exceeds the normal tissue’s stretch limits, sometimes referred to as “the
elastic barrier.” When the MVC occurs, during the first 100-200 milliseconds
the trunk supported by the back of the car seat rapidly moves forwards leaving
the head unprotected in its original position resulting in a backward glide or
motion of the head and neck. Next, the head (which weighs about 12-15 pounds)
drops back (HOPEFULLY) into the headrest stopping the motion, but if the head
rest is too far back (>1/2 inch) or too low, then the head keeps going
backwards until the tissues in the front of the neck stretch to the point of
either stopping the motion or tearing (or both). Next, the highly stretched
front of the neck muscles, ligaments, disks, and tendons (in a “crack the whip”
like manner) propel the head forwards to the point of over stretching the
tissues in the back of the neck, which similarly stops the movement &/or
tears. The degree of injury depends on many things, but is notably worse in the
long-necked, skinny female where the “crack the whip” reaction is the greatest.
Several factors determine the degree of injury, including the “G-Force,” or the
amount of energy produced during the impact. The greater the G-force applied to
the head/neck, the greater the potential for injury. The G-force affecting the
occupants inside the vehicle is related to many things: the speed of the crash,
the size of the two vehicles (worse if a large automobile hits your smaller
car), the angle and springiness of the seat back, the amount of energy absorbed
by crushing metal vs. no damage to the vehicles (worse when there is no damage
as all the energy is transfer to the occupants), whether the head was rotated
or looking straight at impact, and more. The KEY to all of this is that we
cannot voluntarily contract our muscles quicker than 800-1000 msec and the
whiplash process is over after about 500 msec, so we can’t effectively “guard”
or protect ourselves against injury even if we try by bracing ourselves before
the MVC!

            Type of injury: The classic injury is called a sprain
(ligament tear) and strain (muscle and/or muscle tendon tear) to either or both
the front of the neck and/or back of the neck. Sprains and strains come in 1st,
2nd, and 3rd degree tears, getting progressively worse as more tissue is torn.
Please refer to previous issues of the Whiplash Health Update where the anatomy
is reviewed so you can “picture” this properly.

            Prognosis: The length of time to recovery or
maximum improvement varies by the amount of tissue damage. A “prognosis scale,”
first introduced in 1995 and validated by 2001, showed that in Type 1 injuries
pain without loss of neck motion healed the quickest. Type 2 injuries where
neck movement was reduced after the MVC (but no neurological findings occurred)
healed next quickest. Type 3 injuries, which included BOTH motion and
neurological loss, healed the slowest and had the worst long-term outcomes.
Other factors enter into this, of course. We
will continue this “Whiplash 101” discussion next month…

            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.

If you have been involved in an auto accident and want to schedule an appointment with one of our San Francisco Whiplash Doctors call 415-392-2225.

Serving local 94111 for over 20 years

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash Syndrome: Defined


Whiplash experts in san francisco
We have been providing treatment for whiplash injuries in San Francisco for over 21 years now in the Financial District.

The term “whiplash” is a slang term
for a neck injury most accurately called a cervical acceleration-deceleration
(CAD) injury. Now you know why we call it “whiplash”! It suggests that the head
was forced through a range of motion that exceeds the barriers of our normal
tissue, resulting in injury to the neck.

             Though
a slip and fall, or even a bar-room brawl, can cause whiplash, whiplash is
usually associated with injuries that occur from a car accident or “motor
vehicle collision” (MVC). The term “syndrome” refers to a cluster of symptoms
that can include neck pain, headache, light-headedness, ringing in the ears,
visual disturbances, memory loss, nausea/vomiting, noise and/or light
sensitivity (usually associated with mild traumatic brain injury or,
post-concussive syndrome), TMJ (jaw) pain, radiating pain, numbness, and/or
weakness in the arm, limited neck movements, and more. Even the low back can be
injured in a whiplash injury!  In other
words, a whiplash injury can affect MANY different parts of the body, and the
clinical picture can vary widely from case to case.

            Whiplash
is diagnosed through a thorough history, paying particular attention to the
mechanism of injury – that is, how fast were you and the opposing vehicle
traveling, in what direction did you get hit (front, side, rear, angular, or
combinations), what size was your vs. the opposing vehicle, was your head
turned or pointed straight at the time of impact and did you hit your head?
Also, we will ask, what were your immediate symptoms compared to 30 min., 60
min., 3 hrs, 6 hrs later, the next morning, and when did your symptoms peak?
What activities (including work) have been affected, and to what degree? What
self-management approaches have you tried, and how have they worked? The more
we can learn about the accident and your immediate symptoms, or delay in
symptom onset, the better we can address your problems. The physical
examination is also very important as we will observe your movement quality,
posture, pain expression, palpate for muscle guarding, trigger points, and
swelling of the injured joints. We will also evaluate your neck and back range
of motion, assess your neurological functions, and assess extremity issues that
might be present. X-rays will more than likely be done and may include “stress
views” where you bend the neck forwards and backwards to assess the stability
of your spine. Comparison to older x-rays can be very helpful, if they exist.
Depending on the degree and type of the injury, special tests will be
considered such as MRI, EMG/NCV, laboratory tests, and perhaps others.

            Treatment
will consist of: addressing the acute inflammatory painful symptoms by the use
of gentle massage, mobilization and/or manipulation, electrical stim or a
different anti-inflammatory modality, review how to apply ice and/or heat, how
to bend/lift/pull & push properly to avoid irritation. We’ll teach you
exercises, proper sleep positions, and other home applied, self-help
techniques. The goals of pain management, functional restoration, and
prevention will be applied. If needed, coordinating care between our office and
primary care, orthopedic, neurology, or others will be smoothly managed as the
need arises.

            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.

To schedule an appointment with a whiplash specialist in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation in house or by telephone.

Serving local 94111 since 1992

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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