In The News
As part of Dr. MacDonald’s (Eugene Chiropractor) continuing education, he reads related peer reviewed articles on the subject of whiplash and how they relate to you. Eugene Chiropractor, Dr. MacDonald has an extensive library of literature on the subject to assist you.
At Cascade Health Center, Dr. MacDonald, Eugene Chiropractor, focuses on multidisciplinary care. This included the incorporation of Chiropractic Care, with Medical Therapeutic Massage, and Physical Rehabilitation Therapy. There are also adjuct therapies such as Acupuncture. Active intervention in patients with whiplash-associated disorders improves long-term prognosis: a randomized controlled clinical trial. Spine.2003;28(22):2491-2498
From the Abstract: In patients with whiplash-associated disorders, active intervention is more effective in reducing pain intensity and sick leave, and in retaining/regaining total range of motion than a standard intervention. Active intervention can be carried out as home exercises initiated and supported by appropriately trained health professionals. Whiplash-associated disorders can lead to both short- and long-term health problems. According to the authors of the current study, short-term consequences of whiplash-associated disorders may include neck pain, headache, shoulder pain, and cognitive disturbances and other psychological symptoms. In a study of 108 patients analyzed 17 years after a motor vehicle accident, 55% reported symptoms related to the accident, with neck pain and headache being the most common complaints. The research by Bunketorp and colleagues, which was published in the June 2002 issue of the European Spine Journal, also demonstrated that one third of subjects with residual symptoms claimed disability at work compared with 6% of subjects without residual symptoms.
Standard treatment for whiplash consists primarily of rest and a soft cervical collar for comfort. A study by Rosenfeld and colleagues in the July 15, 2000, issue of Spine challenged this treatment regimen by comparing it with an active-treatment regimen consisting of early and aggressive spine mobilization. At six months, subjects randomized to active treatment reported less pain, especially when active treatment was initiated within 96 hours of injury.
The current study follows these same patients for up to three years to determine if active treatment is superior in preventing long-term pain and disability. The authors also compared cervical range of motion in patients with whiplash-associated disorders to that of patients who had not suffered any injury.
The association between a lifetime history of a neck injury in a motor vehicle collision and future neck pain: a population-based cohort study. Eur Spine J. 2010 Jun;19(6):972-81. Epub 2010 Mar 7.
From the Abstract: The objective of this population-based cohort study was to investigate the association between a lifetime history of neck injury from a motor vehicle collision and the development of troublesome neck pain. The current evidence suggests that individuals with a history of neck injury in a traffic collision are more likely to experience future neck pain.
Our analysis suggests that a history of neck injury in a motor vehicle collision is a risk factor for developing future troublesome neck pain. The consequences of a neck injury in a motor vehicle collision can have long lasting effects and predispose individuals to experience recurrent episodes of neck pain.
Lesson: This is among the 50+ articles that speak to the potential lifelong chronic problems associated with whiplash trauma. If you are being told that your neck problems will simply “go away” shortly, that may not be the case and that person may not be up-to-date with the current literature.