Whiplash

Kim Braun, PT, DPT, CACI St Raphael Holistic Center
Beaverton, Oregon

Description

Typically, people think of a whiplash injury when someone is involved in a car accident. Whiplash is a condition in which the head and neck are pushed forward and backwards very quickly, even at low speeds.  In a car accident, a person also shakes up their internal organs. Over half of whiplash-associated disorders (WAD) lead to chronic pain. A systemic medical literature review points to continuing pain possibly due to central sensitization. Whiplash injuries typically do not present on diagnostic imaging studies (Van Oosterwijck, 2013). WAD is commonly associated with a rear end collision in a motor vehicle, but can be caused by sports, falls, and any other trauma that causes the head and neck to be forcibly accelerated back and forth.  ANY structures in the head, neck, and those structures attached to the head and neck can be damaged in a WAD.  Patients experience can vary from mild headaches, and neck pain to numbness/tingling, sleep and cognitive changes to concussion like symptoms. (19982019 Mayo Foundation for Medical Education and Research, 2019).   WAD are caused when up to 2.5x the force of the maximum acceleration of the car, blow, or fall rapidly is deaccelerated at the end ranges of the tissues (White, 2009).

Whiplash is a complicated and serious injury which can damage, swell, and inflame the fascia around the nerves, arteries, lymphatics/veins, dura, tendons, muscles, and ligaments of the head and neck and other parts of the body.  Often symptoms do not start immediately but get worse over the following few days.  Concussions in a whiplash incident can also be overlooked. The neuro protective reflex to all of these tissues is often very high and a major cause of continuing pain.  Once a person has had a medical work-up to rule out severe injury, they often seek a variety of direct tissue manipulation to address their pain and may get partial or temporary relief.

Fascial Counterstrain Treatment

How does Fascial Counterstrain help with whiplash?  A Counterstrainer performs a comprehensive assessment identifying the location of the neuro protective reflexes(tenderpoints) of each area of fascial dysfunction. Treatment is a gentle decompression of the involved tissues to drain inflammation and edema and to turn off the protective reflexes allowing the muscle spasms/guarding to relax and healing to begin.  This allows brain fog to clear, headaches to resolve, pain in the neck and head to be eliminated, and movement restored to normal.

Left unresolved, the protective neuro reflexes of the head and neck can lead to bizarre and wide range problems including digestion issues via the vagus nerve and visceral fascia tightness, difficulty taking a deep breath, numbness/tingling, vision problems, balance disorders, limited movements, anxiety, depression, and chronic pain.

Patient Testimonial

Here is a video description of Amy’s experience.

Amy was rear-ended on the freeway.  She developed severe headaches – described as extreme pain and pressure in her head.  She had sensitivity to sounds and light.  She had neck and back pain with patches of numbness in her back and severe restriction in neck movement.  Amy was unable to multi-task at her job and had difficulty concentrating and lifting.  Amy’s quality of life and job were impacted.  Prior to the motor vehicle accident (MVA), Amy was lifting at least 50 pounds at work, planning events for her job which required her to be on her feet 2-3 days in a row for 10-12 hours.  Amy was fit, running and hiking.  She was proactive with her health and ate very healthy.

Amy’s first treatment of Fascial Counterstrain included treating the deep fascia of the lymphatic/venous, arterial, and dural systems.  Amy experienced immediate relief of her head pressure and headaches.  Further treatments resulted in full return to work, resolution of her sensitivity to light and sounds, return of cognitive function, elimination of back numbness, return to good neck range of motion, return to hiking/fitness activities, and 80%-100% reduction in pain depending on her activity.

Counterstrain Whiplash Treatment

Amy ziplining in Costa Rica!

References

1998-2019 Mayo Foundation for Medical Education and Research . (2019, 2 12). Whiplash. Retrieved from MAYO CLINIC: https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921

Van Oosterwijck, J. N. (2013). Evidence for central sensitization in chronic whiplash: A systemic literature review. European Journal of Pain, 17, 299-312. doi:10.1002/j.1532-2149.2012.0019

White, K. H. (2009). Cervical Sprain/Strain Definition. Disease-a-Month, 55(12), 724-728. doi:10.1016/j.disamonth.2009.06.006