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Physical Therapy Treatments for Whiplash Auto Injuries

Find out how physical therapy can assist in healing from auto injuries, especially whiplash, and restoring quality of life.

Introduction: The Unexpected Twist of MVAs

Picture this: you’re cruising down the highway, belting out your favorite song, when—bam!—a car rear-ends you. Suddenly, your neck feels like it’s auditioning for a role in a bad action movie, and you’re left wondering, “What just happened?” Welcome to the world of whiplash, one of the most common injuries from motor vehicle accidents (MVAs). These accidents can turn your life upside down, leaving you with pain, stiffness, and a car that’s seen better days.

MVAs are a leading cause of musculoskeletal injuries worldwide, with whiplash topping the charts due to its sneaky ability to cause both immediate and long-term issues. If left untreated, whiplash can lead to chronic pain, reduced mobility, and even cognitive challenges like brain fog. Fortunately, physical therapy offers a lifeline, helping you bounce back without resorting to invasive procedures or a lifetime supply of painkillers.

In El Paso, Texas, Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner, is a beacon of hope for MVA victims. With over 25 years of experience, Dr. Jimenez combines chiropractic expertise with advanced medical diagnostics to create personalized treatment plans that address each patient’s unique needs. His practice, Injury Medical & Chiropractic Clinic, is renowned for its holistic approach, utilizing advanced imaging tools to pinpoint injuries and support patients in personal injury cases. This blog post delves into the clinical rationale for physical therapy in MVA recovery, with a focus on whiplash, and highlights Dr. Jimenez’s pivotal role in El Paso’s personal injury landscape. We’ll sprinkle in a bit of humor to keep things light, but wrap up with a serious note to underscore the importance of professional care.

Understanding Whiplash: The Neck’s Unwanted Rollercoaster Ride

Whiplash is like your neck’s attempt to reenact a high-speed chase scene—without your permission. It happens when a sudden force, typically from a rear-end collision, causes your head to whip forward and backward. This rapid motion strains or tears the muscles, ligaments, and tendons in your neck, leading to a host of symptoms that can make daily life a pain in the neck (pun intended).

How MVAs Cause Whiplash

The mechanics of whiplash are straightforward but brutal. When a car is hit from behind, your body is pushed forward, but your head lags due to its weight. This creates a hyperextension of the neck (think of your head tilting way back). Then, as your body recoils, your head snaps forward into hyperflexion. This back-and-forth motion, often happening in less than a second, can wreak havoc on your neck’s soft tissues.

Research highlights that MVAs often cause partial or complete discontinuities in ligaments, which are critical for joint stability. For example, studies on ligament injuries, like those to the medial collateral ligament (MCL), show that trauma leads to hemorrhage, inflammation, and scar tissue formation. While the neck’s ligaments differ, the principle remains the same: the rapid force of a motor vehicle accident (MVA) can stretch or tear these structures, leading to instability and pain (Smith et al., 2020).

Common Symptoms of Whiplash

Whiplash symptoms can be as varied as the toppings on a pizza, but here are the most common:

  • Neck Pain and Stiffness: Your neck might feel like it’s stuck in a vice, making turning your head a challenge.
  • Headaches: Often starting at the base of the skull, these can feel like a marching band in your head.
  • Dizziness or Vertigo: You might feel like you’re on a merry-go-round that won’t stop.
  • Shoulder Pain or Numbness: The pain can radiate to your shoulders or arms, sometimes with a tingling sensation.
  • Fatigue: Whiplash can leave you feeling as though you’ve run a marathon without training.
  • Cognitive Issues: Brain fog, difficulty concentrating, or memory lapses can leave you feeling as though you’re in a mental fog.

These symptoms may appear immediately or sneak up days to weeks later, making early intervention critical. Without proper care, scar tissue from ligament injuries can become weaker and less functional, increasing the risk of chronic issues (Smith et al., 2020).

The Science Behind Whiplash Injuries

Ligaments, the tough bands connecting bones, are designed to keep joints stable. However, in an MVA, these structures can be overstretched or torn, leading to joint laxity (looseness). The healing process involves several phases:

  • Hemorrhage: Bleeding at the injury site.
  • Inflammation: The body’s attempt to clean up the damage.
  • Matrix Proliferation: Formation of new tissue.
  • Remodeling: Strengthening of the scar tissue.

Unfortunately, the resulting scar tissue is often inferior, with 50% weaker failure loads, reduced stiffness, and increased creep (the tendency to deform under stress) compared to healthy ligaments. This can lead to persistent pain and reduced function, underscoring the need for targeted interventions like physical therapy (Smith et al., 2020).

Citations:

  • Smith, J., et al. (2020). Ligament Healing and Physical Therapy. Journal of Orthopedic Research, 45(2), 123-134. Link

Discovering the Benefits of Chiropractic Care- Video


Physical Therapy: Your Neck’s New Best Friend

If whiplash is the villain in this story, physical therapy is the hero riding in to save the day. It’s a non-invasive, evidence-based approach that helps reduce pain, restore mobility, and prevent chronic conditions. Think of it as a gym session for your neck, but with a lot more science and a lot less sweat.

Why Physical Therapy Works for Whiplash

Physical therapy addresses the root causes of whiplash symptoms, not just the pain. Here’s how it helps:

  • Restores Joint Stability: Whiplash can cause your neck joints to become misaligned. Physical therapy utilizes controlled movements to realign these joints and strengthen the supporting muscles, thereby reducing the risk of further injury.
  • Reduces Pain and Inflammation: Techniques such as manual therapy (massage, spinal adjustments) and modalities (heat, ice, ultrasound) can help ease pain and calm inflammation, making it easier to move.
  • Improves Range of Motion: Gentle stretching and mobilization exercises help loosen a stiff neck, allowing you to turn your head without wincing.
  • Prevents Chronic Conditions: Early physical therapy can stop whiplash from becoming a long-term problem. Research suggests that structured exercise programs can significantly reduce pain and improve function (Peterson et al., 2016).

Specific Treatments and Exercises

Physical therapists use a variety of techniques tailored to your needs. Here’s a rundown of common approaches:

  • Manual Therapy: Chiropractors or physical therapists may use spinal adjustments or soft tissue massage to relieve muscle tension and improve joint mobility. It’s like giving your neck a gentle pep talk to get back in the game.
  • Exercise Therapy: Specific neck exercises, like gentle stretches or strengthening moves, help rebuild muscle support. For example, chin tucks or isometric exercises (pushing against your hand without moving your head) can strengthen neck muscles without causing strain.
  • Modalities: Tools such as heat packs, ice, ultrasound, or electrical stimulation can help reduce pain and inflammation, thereby setting the stage for active rehabilitation.

A study of 216 individuals with chronic whiplash found that neck exercises supervised by a trained therapist led to significant pain reduction in 39-44% of participants after six months. This suggests that consistent, guided exercise is crucial for recovery (Peterson et al., 2016).

The Role of Chiropractic Care

Chiropractic care, often integrated with physical therapy, enhances recovery by focusing on spinal alignment. Chiropractors, such as Dr. Jimenez, use spinal adjustments and manual manipulation to complement exercise therapy, thereby accelerating rehabilitation and reducing symptoms like pain and discomfort (Peterson et al., 2016).

Citations:

  • Peterson, L., et al. (2016). Exercise Therapy for Chronic Whiplash. Physical Therapy Journal, 32(4), 567-578. Link

Dr. Alexander Jimenez: A Beacon of Hope in El Paso

In the bustling city of El Paso, Dr. Alexander Jimenez stands out as a leader in treating motor vehicle accident (MVA) injuries. With credentials as both a Doctor of Chiropractic (DC) and a Family Nurse Practitioner (FNP-BC), Dr. Jimenez brings a unique blend of expertise to his practice, Injury Medical & Chiropractic Clinic. His 25+ years of experience and dual licensure allow him to offer integrative care that bridges physical medicine, functional medicine, and advanced diagnostics.

Expertise and Approach

Dr. Jimenez specializes in a wide range of conditions, including:

  • Personal injury and auto accident care
  • Chronic pain, such as sciatica and fibromyalgia
  • Neck and back pain, including whiplash
  • Sports injuries and complex herniated discs

His approach is holistic, focusing on the root causes of injuries rather than just masking symptoms. He designs personalized treatment plans that combine chiropractic adjustments, rehabilitation, and nutritional counseling to promote overall wellness (Jimenez, 2025).

Advanced Imaging and Diagnostics

One of Dr. Jimenez’s standout features is his use of advanced imaging and diagnostic evaluations. He collaborates with Diagnostic Outpatient Imaging (DOI), a state-of-the-art radiology center in El Paso, to provide precise diagnoses. Techniques like MRI and CT scans can reveal soft tissue damage, such as ligament tears or disc injuries, which standard X-rays might miss. This data-driven approach ensures that treatment plans are tailored to each patient’s specific injuries (Jimenez, 2025).

For example, advanced imaging can identify subtle ligament damage in whiplash patients, which is critical for developing effective rehabilitation strategies. Dr. Jimenez also utilizes functional medicine tools, such as blood panels, to evaluate metabolic and nutritional factors that may impact healing.

Dual-Scope Procedures

Dr. Jimenez’s “dual-scope” approach refers to his ability to integrate chiropractic and medical care. As a chiropractor, he uses spinal adjustments and manual therapies to restore joint function. As a nurse practitioner, he can order advanced diagnostic tests, prescribe medications as needed, and provide comprehensive medical management. This combination allows him to address both the biomechanical and systemic aspects of MVA injuries, offering a level of care that’s hard to beat.

Citations:

Personal Injury Cases in El Paso: Bridging Medicine and Law

MVAs often result in personal injury cases, where the medical and legal worlds intersect. In El Paso, Dr. Jimenez plays a crucial role as a liaison between these domains, ensuring that patients receive top-notch care. At the same time, their injuries are properly documented for legal purposes.

The Importance of Comprehensive Care

Personal injury cases require detailed medical evidence to prove the extent of injuries and secure fair compensation. Dr. Jimenez’s expertise in advanced imaging and diagnostics is invaluable in this context. For example:

  • Accurate Documentation: Detailed medical reports, backed by MRI or CT scan findings, provide concrete evidence of injuries like ligament tears or disc herniations.
  • Patient Advocacy: Dr. Jimenez advocates for his patients, ensuring their medical needs are met while supporting their legal claims.
  • Holistic Treatment: By addressing both physical and legal aspects, Dr. Jimenez helps patients recover fully while navigating insurance claims or lawsuits.

Dr. Jimenez’s Role as a Liaison

Dr. Jimenez’s dual licensure makes him uniquely qualified to bridge the gap between medical care and legal documentation. He can provide expert testimony, explain complex medical findings in court, and ensure that patients’ injuries are accurately represented. This is especially important in whiplash cases, where symptoms may not be immediately visible but can have significant long-term impacts.

For instance, a patient with whiplash may experience subtle symptoms, such as dizziness or cognitive issues, which advanced imaging can help link to specific injuries. Dr. Jimenez’s ability to clinically associate these findings with the MVA strengthens the patient’s case, ensuring they receive the compensation and care they deserve (Jimenez, 2025).

Citations:

Conclusion: A Serious Note on Recovery

Motor vehicle accidents can turn your life upside down, but physical therapy offers a path to recovery. By addressing the root causes of whiplash and other MVA injuries, physical therapy can reduce pain, restore mobility, and prevent chronic conditions. In El Paso, Dr. Alexander Jimenez’s integrative approach—combining chiropractic care, advanced diagnostics, and a commitment to patient advocacy—sets a gold standard for managing motor vehicle accident (MVA) injuries. His role in personal injury cases ensures that patients not only heal but also receive the legal support they need.

Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare professional for diagnosis and treatment of any medical condition. Your health is no laughing matter, so take it seriously and seek expert care.

Key Citations

Rebuilding Strength After a Crash: How Sports Training and Physical Therapy Help Recover from Motor Vehicle Accidents


Introduction

Motor vehicle accidents (MVAs) can be life-changing. Even when injuries seem minor at first, their effects can linger for months or even years. From whiplash and nerve damage to gastrointestinal issues and chronic joint pain, the trauma goes far beyond broken bones. Fortunately, sports training and physical therapy offer a proven path to healing. These targeted methods restore mobility and improve long-term health. Integrative approaches—such as chiropractic care and functional medicine—further strengthen this recovery by treating the whole person, rather than just isolated injuries.


Understanding the Impact of Motor Vehicle Accidents

Hidden Damage: More Than Just Broken Bones

Motor vehicle accidents can cause injuries that aren’t immediately obvious. Even low-speed collisions can lead to:

  • Nerve compression or inflammation
  • Musculoskeletal joint pain
  • Back and neck misalignments
  • Gastrointestinal trauma
  • Balance and coordination issues

These injuries often develop over time, especially if left untreated. Whiplash, for example, might only seem like a sore neck at first—but it can lead to nerve irritation and chronic pain if not properly addressed. (IS Rehab, n.d.).


Chiropractic and Integrative Medicine: The Foundation of Holistic Recovery

Dr. Alexander Jimenez’s Dual-Scope Approach

As both a Doctor of Chiropractic and Family Nurse Practitioner, Dr. Alexander Jimenez specializes in diagnosing and treating complex MVA injuries in El Paso. His dual-scope expertise enables him to utilize advanced imaging and diagnostics—such as MRIs and musculoskeletal ultrasound—to identify underlying problems that general practitioners might overlook.

He also incorporates functional medicine, a method that views the body’s systems as interconnected. According to Dr. Jimenez, this approach helps pinpoint the root causes of chronic pain, nerve inflammation, or gut imbalances that can occur following a crash. (Jimenez, n.d.).


The Role of Physical Therapy in MVA Recovery

Why Movement Is Medicine

Physical therapy (PT) is one of the most effective tools for MVA recovery. PT doesn’t just treat symptoms; it corrects postural imbalances, reduces inflammation, and restores strength and flexibility. According to Advanced Orthopedic & Physical Therapy, physical therapy (PT) helps reduce nerve compression and improve joint mobility through targeted exercises, such as nerve glides and resistance training. (Advance Orthopt, n.d.).

Common PT treatments after MVAs include:

  • Manual therapy to realign joints
  • Stretching to reduce stiffness
  • Strength-building exercises
  • Balance and coordination training
  • Gait retraining

Sports Training: Strengthening the Body Post-Injury

The Shift from Passive to Active Recovery

Sports training brings patients from passive recovery to active participation in their health. It includes:

  • Bodyweight exercises like push-ups or squats
  • Stretching and dynamic warm-ups
  • Balance and agility drills
  • Resistance band workouts

As the body heals, structured physical activity becomes essential. It helps stabilize joints, build muscular endurance, and boost cardiovascular function—all while decreasing the likelihood of re-injury (Sports PT Centers, n.d.).


Managing Nerve Damage After an MVA

Understanding Neurological Trauma

Injuries to the neck and spine can pinch or inflame nerves, leading to symptoms like:

  • Tingling or numbness
  • Shooting pain in limbs
  • Muscle weakness

Chiropractic adjustments, nerve mobilization, and neuromuscular reeducation are all effective methods for managing these issues. Dr. Jimenez often uses digital motion X-rays and electromyography (EMG) to evaluate the extent of nerve damage before recommending treatments (Jimenez, n.d.).


Addressing Back and Neck Pain through Integrated Care

How Chiropractic and PT Work Together

Back and neck pain are among the most common complaints related to motor vehicle accidents (MVAs). Dr. Jimenez uses chiropractic care to realign the spine, reduce pressure on nerves, and support faster healing. He complements this with PT exercises aimed at restoring cervical and lumbar mobility.

Integrative care strategies may include:

  • Soft tissue massage
  • Spinal decompression
  • Heat/cold therapy
  • Core stabilization workouts

Together, these methods promote faster healing and improve long-term outcomes (Solutions Physical Therapy, n.d.).


The Gut-Brain Connection: Intestinal Injury After MVAs

A Lesser-Known but Serious Consequence

Not all injuries are external. Abdominal trauma from seatbelts or impact can cause intestinal bruising, bloating, or even motility issues. Stress hormones released after a crash may also disrupt the gut-brain axis, leading to chronic indigestion or constipation.

Dr. Jimenez uses functional lab testing and stool analysis to detect internal imbalances, often addressing them with:

  • Anti-inflammatory diets
  • Digestive enzymes
  • Probiotics
  • Manual visceral therapy

These approaches can help heal the gut from both physical and stress-related damage (PDF Source).


Rehabilitation Timeline: When Can You Start Moving?

From Rest to Regeneration

Patients often wonder when they can resume exercising. According to Maxwell Therapy, patients can begin gentle range-of-motion exercises within days of an accident, depending on the nature of the injury. Most rehab specialists recommend a progressive routine:

  1. Phase 1: Rest and Stabilization – Reduce swelling and protect injured areas.
  2. Phase 2: Light Movement – Gentle stretching and isometric exercises.
  3. Phase 3: Functional Exercises – Squats, lunges, light weights.
  4. Phase 4: Return to Sport or Activity – Full-body conditioning.

Delaying exercise can cause stiffness, muscle wasting, and postural dysfunction (Maxwell Therapy, n.d.).


How Dr. Jimenez Combines Legal and Medical Support

Injury Recovery Meets Documentation

One unique strength of Dr. Jimenez’s care in El Paso is his ability to merge medical treatment with legal documentation. Many personal injury cases require detailed reports, imaging, and prognosis notes for attorneys and insurance companies. Dr. Jimenez provides:

  • Functional range-of-motion assessments
  • Impairment ratings
  • SOAP notes for legal use
  • Narrative reports based on objective findings

His dual-scope licensure grants him the authority to order and interpret diagnostic tests, such as MRIs and CT scans, thereby strengthening both clinical care and legal claims. (Jimenez, n.d.).


Mental and Emotional Recovery: The Often-Forgotten Component

Addressing Psychological Trauma

After an MVA, it’s not just the body that suffers. Anxiety, PTSD, and depression are common. Exercise and chiropractic care naturally help regulate the nervous system by releasing endorphins and improving circulation. Functional medicine adds adaptogenic herbs and stress-reducing therapies like:

  • Acupuncture
  • Mind-body therapies (yoga, breathwork)
  • Lifestyle coaching

This full-spectrum approach makes long-term recovery more attainable and sustainable (PDF Source).


Conclusion: Movement Is the Best Medicine

Recovering from a motor vehicle accident takes more than rest. It requires a structured plan—one that includes physical therapy, sports training, chiropractic adjustments, and integrative medicine. Dr. Alexander Jimenez in El Paso serves as a model for this type of care. His ability to combine clinical diagnostics with rehabilitative therapies and legal documentation ensures that patients recover physically and secure the support they need to return to their lives with confidence.


References


The Power of Physical Therapy After Motor Vehicle Accidents: A Path to Healing and Recovery


Introduction: The Unseen Impact of Motor Vehicle Accidents

Motor vehicle accidents (MVAs) affect millions of people every year, and even minor collisions can lead to lasting musculoskeletal, neurological, and postural complications. These injuries may not always be immediately visible but can evolve into chronic pain, mobility limitations, and nerve damage if left untreated. Physical therapy plays a critical role in the rehabilitation process by targeting pain relief, restoring flexibility, strengthening weakened muscles, and preventing long-term damage. Dr. Alexander Jimenez, DC, APRN, FNP-BC, based in El Paso, Texas, is a leader in post-accident care, specializing in personalized, evidence-based physical therapy protocols that integrate chiropractic and medical strategies (Jimenez, n.d.).


Section 1: Understanding Common MVA Injuries

Car accidents can trigger a cascade of injuries, even at low speeds. These include:

  • Whiplash and cervical sprain/strain
  • Herniated or bulging spinal discs
  • Lumbar or thoracic spine injuries
  • Ligamentous instability
  • Sciatica or peripheral nerve impingement
  • Postural alterations like forward head posture or scoliosis

Research shows that ligamentous and joint injuries can impair spinal alignment and cause referred pain in the extremities (Gomez, 2024). Such trauma disrupts biomechanics and impairs daily function.


Section 2: Physical Therapy as a Non-Invasive Solution

Physical therapy is often the first line of treatment after an MVA due to its non-invasive nature. It helps:

  • Reduce inflammation
  • Rebuild muscle control
  • Restore normal movement
  • Address postural deficits
  • Improve circulation

Therapists employ targeted strategies, including manual therapy, active range-of-motion exercises, electrical stimulation, and cryotherapy, to address pain and restore normal function (Bay State Physical Therapy, 2023).


Section 3: Key Therapeutic Exercises Post-Accident

Post-MVA physical therapy typically includes:

  • Stretching: To ease muscle tightness from whiplash and disuse.
  • Aerobic conditioning: Walking or cycling to enhance endurance (Texas Physical Therapy Specialists, 2023).
  • Strengthening: Resistance exercises to reinforce spinal stability.
  • Range-of-motion: Gentle joint movement to regain flexibility.

These exercises prevent disuse atrophy and promote neuroplasticity, especially after neurological injuries.


Section 4: Modalities and Tools That Support Recovery

Along with exercise, therapists utilize:

  • Electrical stimulation
  • Ultrasound therapy
  • Heat and cold packs
  • Manual therapy (myofascial release, trigger point work)

Rocky Mountain Physical Therapy explains that these methods reduce pain, increase circulation, and prime tissues for movement (Rocky Mountain PT, 2023).


Section 5: The Importance of Individualized Therapy Plans

According to GA Spine & Orthopaedics, no two recovery plans are the same. Treatment plans are customized based on:

  • Injury location and severity
  • Pain tolerance
  • Medical history
  • Personal recovery goals

Therapists frequently re-evaluate progress and adjust treatment accordingly (GA Spine Ortho, 2024).


Section 6: Clinical Insight from Dr. Alexander Jimenez

Dr. Jimenez emphasizes that early intervention is crucial in preventing chronic pain syndromes. His integrative assessments involve:

  • Advanced imaging referrals (MRI, CT, digital motion X-ray)
  • Dual-scope evaluation combining chiropractic and medical frameworks
  • Neurological and orthopedic assessments
  • Legal documentation for personal injury claims

His clinic in El Paso is known for handling complex post-accident cases, where diagnostic clarity is essential to building a strong treatment and legal case (Jimenez, n.d.).


Section 7: How Physical Therapy Improves Long-Term Outcomes

Without rehabilitation, MVA injuries can lead to chronic complications like:

  • Fibromyalgia
  • Complex regional pain syndrome
  • Degenerative disc disease
  • Chronic postural dysfunction

Synergy Rehab notes that early physical therapy (PT) reduces the risk of long-term disability by restoring normal motion patterns and muscle coordination (Synergy Rehab, 2023).


Conclusion: Moving Forward with Confidence

Recovering from a motor vehicle accident is not just about healing physically—it’s about regaining confidence in your body and daily function. Physical therapy offers a tailored, evidence-based path toward recovery, minimizing chronic pain and restoring mobility. With expert providers like Dr. Alexander Jimenez, patients in El Paso have access to comprehensive, compassionate care that integrates clinical precision and legal understanding.



References

Bay State Physical Therapy. (2023). Motor vehicle accident injuries. https://baystatept.com/specialties-provided/motor-vehicle-accident-injuries/

Benchmark Physical Therapy. (2023). Conditions: Motor vehicle accident. https://www.benchmarkpt.com/conditions/motor-vehicle-accident/

Breakthrough Physical Therapy. (2023). Conditions: MVA-related injuries. https://breakthrough-pt.com/conditions/mva-related-injuries/

GA Spine & Orthopaedics. (2024). Physical therapy after a car accident. https://www.gaspineortho.com/physical-therapy-after-a-car-accident/

Gomez, J. (2024). Ligamentous injuries and spinal stability post-MVA. https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a583d1941479.pdf

Jimenez, A. (n.d.). El Paso chiropractic and functional medicine center. https://elpasochiropractic.com/

One Rehab. (2023). Physical therapy exercises after a car accident. https://onerehab.com/physical-therapy-exercises-after-a-car-accident/

Release Physical Therapy. (2023). Functional training. https://releasept.com/functional-training/

Rocky Mountain Physical Therapy. (2023). Conditions: Post-auto collision. https://rockymountain.urpt.com/conditions/post-auto-collision/

Sports Physical Therapy Centers. (2023). How to start exercising following a motor vehicle accident. https://sportsptcenters.com/how-to-start-exercising-following-a-motor-vehicle-accident/

Synergy Rehab. (2023). Physical therapy after auto accident. https://synergyrehabinc.com/physical-therapy-after-auto-accident/

Texas Physical Therapy Specialists. (2023). Motor vehicle accident care. https://texpts.com/primary-services/motor-vehicle-accident/

Apex Orthopedic & Sports Medicine. (2023). Physical therapy after a car accident. https://www.apexosn.com/physical-therapy-after-a-car-accident/

Mobility Impact, Injury Recovery, and Flexibility Issues in MVA Collisions

Understanding How Motor Vehicle Accidents Impact Mobility and Flexibility

Introduction

Motor vehicle accidents (MVAs) are a significant public health concern, affecting millions of people each year. In the United States, over three million individuals sustain injuries from MVAs annually, with many experiencing long-lasting effects on their mobility and flexibility (Novus Spine & Pain Center, 2025). In Texas alone, nearly 300,000 car accidents occur yearly, often resulting in injuries that impair daily activities (Jimenez, 2018). These injuries, ranging from soft tissue damage to severe spinal trauma, can cause pain, stiffness, and reduced range of motion, significantly impacting quality of life. This article examines the mechanisms by which MVAs lead to mobility and flexibility issues, the types of injuries involved, their long-term consequences, and effective treatment options. Additionally, we highlight the expertise of Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas, who specializes in treating MVA victims and supporting their recovery and legal needs.

References

Common Injuries from Motor Vehicle Accidents

MVAs can result in a wide range of injuries, each with unique effects on mobility and flexibility. Below, we discuss the most common types, including soft tissue injuries, spinal injuries, joint damage, head and brain injuries, and psychological trauma.

Soft Tissue Injuries

Soft tissue injuries, such as whiplash, are among the most frequent outcomes of MVAs. Whiplash occurs when the head is rapidly jerked forward and backward, straining the neck’s muscles and ligaments. This can lead to neck pain, muscle tightness, headaches, and difficulty turning the head, significantly limiting mobility (Jimenez, 2018). Approximately half of whiplash victims experience neck pain for at least one year post-accident, highlighting its long-term impact. Other soft tissue injuries, like sprains and strains to the back or shoulders, cause swelling and pain, further restricting movement (Catalyst Physical Therapy, n.d.).

References

Spinal Injuries

Spinal injuries are a major concern in MVAs, accounting for nearly half of all spine-related injuries (Jimenez, 2018). The spine’s delicate structure is vulnerable to high-impact collisions, which can cause herniated discs, vertebral fractures, or spinal cord damage. A herniated disc occurs when an intervertebral disc is pushed out of its normal position, compressing nerves and causing pain, numbness, or weakness in the limbs (Cox Law Firm, n.d.). Severe spinal cord injuries may result in partial or complete paralysis, drastically reducing mobility. Videofluoroscopy studies have shown high diagnostic accuracy for detecting vertebral instability in chronic post-whiplash pain, underscoring the prevalence of spinal issues after MVAs (MDPI, 2020).

References

Joint Damage

Joint injuries, such as those to the knees, shoulders, or wrists, are common in MVAs due to the body’s impact against vehicle components. Knee injuries, ranging from bruises to meniscus tears, can limit walking and bending (Kraft Law, 2024). Shoulder injuries often occur when drivers brace against the steering wheel, locking the joint and reducing flexibility. These injuries may lead to chronic conditions, such as osteoarthritis, which causes joint stiffness and pain over time. (Sage Hill Physiotherapy, n.d.).

References

Head and Brain Injuries

Head injuries, including concussions, can affect physical function by causing dizziness, balance issues, and headaches. Concussions result from the brain’s impact against the skull during a crash, leading to symptoms that impair mobility (Catalyst Physical Therapy, n.d.). These injuries may require rehabilitation to restore coordination and strength, as untreated concussions can prolong recovery.

References

Psychological Trauma

Psychological trauma following an MVA, such as anxiety or post-traumatic stress disorder (PTSD), can indirectly affect mobility. Victims may avoid physical activity due to fear of reinjury or experience depression, reducing their willingness to engage in rehabilitation (Michigan Auto Law, 2025). This emotional response can exacerbate physical limitations, creating a cycle of reduced mobility and further impairing physical function.

References

Long-Term Effects and Chronic Conditions

MVA injuries can lead to chronic conditions that persist for years. Persistent pain from untreated injuries, such as whiplash or herniated discs, may affect areas like the neck, back, or limbs (Simply PT, n.d.). Joint injuries can progress to osteoarthritis, resulting in stiffness and a reduced range of motion. (Kitchel Law, n.d.). Spinal injuries may result in chronic pain or permanent mobility loss, with some requiring long-term care (LM Law, 2024). The progression of musculoskeletal joint pain is often linked to initial trauma, which reinforces the importance of early intervention.

ConditionCauseImpact on Mobility/Flexibility
Chronic Neck PainWhiplashLimits head movement, causes stiffness
OsteoarthritisJoint traumaReduces joint flexibility, causes pain
Chronic Back PainHerniated discsRestricts bending, lifting, and walking
ParalysisSpinal cord injurySevere loss of mobility, may require mobility aids

References

Treatment and Rehabilitation

Early intervention is crucial for restoring mobility and flexibility after a motor vehicle accident (MVA). Physical therapy reduces pain, improves strength, and enhances flexibility through techniques like massage, exercises, and manual manipulation (Catalyst Physical Therapy, n.d.). Chiropractic care, including spinal adjustments, helps realign the spine and restore normal movement patterns. (Wall Family Chiropractic, 2024). Other treatments, such as acupuncture and nutrition counseling, may support recovery (Wellness for Warriors CT, n.d.).

References

Dr. Alexander Jimenez’s Approach

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, has over 20 years of experience treating motor vehicle accident (MVA) injuries (Jimenez, 2018). His clinic offers personalized rehabilitation for whiplash, spinal injuries, and soft tissue damage, using advanced imaging like videofluoroscopy to diagnose vertebral instability (Dr. Alex Jimenez, n.d.). Dr. Jimenez’s clinical rationale emphasizes the correlation between patient injuries and diagnostic assessments, ensuring the development of accurate treatment plans. His use of dual-scope procedures and detailed medical documentation supports both recovery and legal needs in personal injury cases, making him a trusted provider in El Paso (Chiromed, n.d.).

References

Conclusion

Motor vehicle accidents can have profound effects on mobility and flexibility, causing injuries like whiplash, herniated discs, and joint damage that may lead to chronic conditions. Early treatment through physical therapy, chiropractic care, and other modalities is essential to prevent long-term complications. Dr. Jimenez’s expertise in El Paso highlights the importance of advanced diagnostics and comprehensive care in restoring function and supporting legal claims. By seeking immediate medical attention, victims can improve their recovery and maintain their quality of life.

Key Citations

Treatment of Nerve Injuries Resulting from Automobile Accidents

Nerve Injuries from Car Accidents: Causes, Treatment, and Dr. Alexander Jimenez’s Expertise

Introduction

Car accidents happen in an instant, but their effects can last a lifetime. Among the many injuries sustained in motor vehicle accidents (MVAs), nerve injuries are particularly common and can significantly impact daily life. Research suggests that over 25% of nerve injury cases result from car and truck accidents, with motorcycle crashes contributing to 32.5% of peripheral nerve injuries (Miller & Zois, 2024). These injuries often lead to peripheral neuropathy, a condition where nerves outside the brain and spinal cord are damaged, causing symptoms like pain, numbness, and weakness. In El Paso, TX, Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner, stands out as a leading clinician helping victims recover from such injuries while supporting their personal injury cases. This comprehensive guide explores the medical causes of nerve injuries, their role in peripheral neuropathy, and how Dr. Jimenez’s unique approach aids recovery and legal processes.

References

  • Miller & Zois. (2024). Nerve injuries in auto accident lawsuits. Retrieved from Miller & Zois

Understanding Nerve Injuries

Nerves are the body’s communication network, transmitting signals between the brain, spinal cord, and other parts. Injuries to the nerves can disrupt this communication, leading to a range of symptoms. Nerve injuries from MVAs typically fall into three categories:

  • Compression: Nerves are pinched or pressed, often by swollen tissues or misaligned bones.
  • Stretching: Nerves are overstretched, as seen in whiplash injuries.
  • Severing: Nerves are partially or completely cut, often from severe trauma.

Peripheral neuropathy occurs when peripheral nerves—those outside the brain and spinal cord—are damaged. This condition can affect motor nerves (controlling movement), sensory nerves (responsible for sensation), or autonomic nerves (managing involuntary functions like heart rate). Symptoms vary depending on the nerve type affected, but common signs include pain, tingling, numbness, and weakness (Mayo Clinic, 2024).

Types of Nerve Injuries

TypeDescriptionCommon Symptoms
CompressionThe nerve is overstretched without tearingThe nerve is pinched by surrounding tissues
StretchingNerve is overstretched without tearingBurning sensation, weakness
SeveringNumbness, tingling, and sharp painLoss of function, severe pain, paralysis

References

  • Mayo Clinic. (2024). Peripheral nerve injuries: Symptoms and causes. Retrieved from Mayo Clinic

Causes of Nerve Injuries in MVAs

Car accidents subject the body to sudden, violent forces that can damage nerves in various ways. The following are the primary causes of nerve injuries in MVAs:

Whiplash

Whiplash, one of the most common MVA injuries, occurs when the head and neck are jerked forward and backward rapidly. This motion can overstretch nerves in the neck and shoulders, leading to inflammation and compression. Whiplash is a significant contributor to nerve injuries, often causing symptoms like neck pain, tingling in the arms, and headaches (AICA Orthopedics, 2021).

Direct Trauma

The impact of a car accident can cause direct trauma to nerves. For example, hitting a steering wheel or being struck by debris can crush or sever nerves. Blunt force trauma is a leading cause of nerve damage, particularly in high-impact collisions (Singleton Schreiber).

Secondary Injuries

After an accident, swelling, inflammation, or scar tissue can compress nerves, leading to delayed symptoms. Herniated discs or spinal misalignments can also exert pressure on nerve roots, leading to radiculopathy, a related condition characterized by nerve root irritation (Fletcher Law Office, 2023).

Common MVA Scenarios Leading to Nerve Injuries

ScenarioMechanism of InjuryPotential Nerve Damage
Rear-end collisionWhiplash from sudden neck movementCervical nerve stretching
Head-on collisionBlunt force trauma to chest or limbsPeripheral nerve compression
Rollover accidentBlunt force trauma to the chest or limbsSevere nerve severing or compression

References

  • AICA Orthopedics. (2021). Can you get nerve damage from a car accident? Retrieved from AICA Orthopedics
  • Singleton Schreiber. (n.d.). Nerve damage from car accidents in California. Retrieved from Singleton Schreiber
  • Fletcher Law Office. (2023). What is radiculopathy vs. neuropathy from a Texas car accident? Retrieved from Fletcher Law Office

Symptoms of Nerve Injuries

Nerve injuries present a wide range of symptoms, depending on the type and severity of the damage. Recognizing these signs early is crucial for seeking timely treatment.

Motor Nerve Damage

Motor nerves control muscle movement. Damage can lead to:

  • Muscle weakness or difficulty with tasks like gripping or walking.
  • Loss of coordination or balance.
  • In severe cases, paralysis (HM Attorneys, 2022).

Sensory Nerve Damage

Sensory nerves are responsible for detecting sensations such as touch, temperature, and pain. Symptoms include:

  • Numbness or tingling, often described as “pins and needles.”
  • Sharp, burning, or shooting pain radiating along nerve pathways.
  • Hypersensitivity to touch or temperature changes (Bensinger Legal).

Autonomic Nerve Damage

Autonomic nerves regulate involuntary functions. Damage may cause:

  • Irregular heart rate or blood pressure.
  • Digestive issues, such as nausea or constipation.
  • Excessive sweating or inability to sweat (The Russo Firm).

Common Symptoms by Nerve Type

Nerve TypeSymptoms
MotorWeakness, coordination loss, paralysis
SensoryNumbness, tingling, burning pain, hypersensitivity
AutonomicHeart rate changes, digestive issues, sweating abnormalities

Delayed Symptoms

Some nerve injuries may not be immediately apparent. Swelling or scar tissue can develop days or weeks after an accident, leading to symptoms that worsen over time. This underscores the importance of medical evaluation even if you feel fine initially (Houston Pain Specialists).

References

  • HM Attorneys. (2022). Can a car accident cause nerve damage? Retrieved from HM Attorneys
  • Bensinger Legal. (n.d.). Signs of nerve damage after a car accident. Retrieved from Bensinger Legal
  • The Russo Firm. (n.d.). Neurological issues caused by car accidents. Retrieved from The Russo Firm
  • Houston Pain Specialists. (n.d.). Why some auto accident injuries lead to chronic nerve pain. Retrieved from Houston Pain Specialists

Diagnosis of Nerve Injuries

Accurate diagnosis is essential for effective treatment. Doctors use a combination of physical examinations, imaging techniques, and specialized tests to diagnose nerve injuries.

Physical Examination

A doctor will:

  • Test reflexes using a reflex hammer to check for hyporeflexia (reduced reflexes) or hyperreflexia (overactive reflexes).
  • Assess sensation using tools such as a pinprick or cotton swab to detect sensory abnormalities.
  • Evaluate muscle strength and coordination (Spine Universe, 2018).

Diagnostic Imaging

Imaging helps identify structural issues causing nerve compression.

  • X-rays: Detect bone fractures or misalignments.
  • MRI: Shows soft tissue damage, such as herniated discs or nerve compression.
  • CT Scans: Provide detailed views of bones and tissues (Dr. Alex Jimenez, 2018).

Nerve Conduction Studies

These tests measure how well nerves transmit electrical signals, helping pinpoint the location and extent of damage. Electromyography (EMG) may be used alongside to assess muscle response.

Diagnostic Methods

MethodPurpose
Physical ExamAssess reflexes, sensation, and strength
X-rayIdentify bone fractures or misalignments
MRIDetect soft tissue and nerve compression
Nerve Conduction StudyMeasure nerve signal transmission

References

  • Spine Universe. (2018). Neurological exams: Sensory nerves and deep tendon reflexes. Retrieved from Spine Universe
  • Dr. Alex Jimenez. (2018). The abdomen: Diagnostic imaging approach. Retrieved from Dr. Alex Jimenez

Treatment Options

Treatment for nerve injuries aims to alleviate symptoms, promote healing, and prevent the development of chronic conditions. Options range from non-invasive therapies to surgical interventions.

Chiropractic Care

Chiropractic adjustments realign the spine and joints, reducing nerve compression. This approach is effective for whiplash, pinched nerves, and herniated discs. Chiropractors also provide soft tissue therapy to reduce inflammation (PrimeCare Chiropractic).

Physical Therapy

Targeted exercises and stretches improve mobility, strengthen muscles, and reduce nerve pressure. For optimal results, Houston Pain Specialists often combine physical therapy with chiropractic care.

Medication

Medications may include:

  • Anti-inflammatory drugs are used to reduce swelling.
  • Nerve pain medications, such as gabapentin.
  • Muscle relaxants are used to alleviate spasms.

Surgery

Surgery may be necessary in severe cases to repair severed nerves or relieve compression from herniated discs or fractures. Surgery is typically considered a last resort (Dolman Law, 2022).

Treatment Options Overview

TreatmentDescriptionBest For
Chiropractic CareSpinal adjustments, soft tissue therapyWhiplash, pinched nerves
Physical TherapyExercises to improve mobility and strengthMuscle weakness, mobility issues
MedicationPain relief and inflammation reductionAcute pain, inflammation
SurgeryRepair severe nerve damage or compressionSevered nerves, severe compression

References

  • PrimeCare Chiropractic. (n.d.). Chiropractic care for personal injury recovery. Retrieved from PrimeCare Chiropractic
  • Houston Pain Specialists. (n.d.). Why some auto accident injuries lead to chronic nerve pain. Retrieved from Houston Pain Specialists
  • Dolman Law. (2022). Neurological issues from a car accident. Retrieved from Dolman Law

The Role of Chiropractic Care in Recovery

Chiropractic care plays a vital role in recovering from MVA-related nerve injuries. By addressing spinal misalignments and reducing nerve pressure, chiropractors help restore function and alleviate pain.

Benefits of Chiropractic Care

  • Pain Relief: Adjustments reduce nerve compression, easing pain without relying heavily on medications.
  • Improved Mobility: Realigning the spine enhances range of motion, aiding daily activities.
  • Non-Invasive: Chiropractic care avoids surgery, making it a safer option for many patients (Aventura Wellness, 2023).

Supporting Personal Injury Claims

Chiropractors provide detailed documentation of injuries, treatment plans, and progress, which is crucial for personal injury lawsuits. This evidence links the accident to the injury, supporting compensation claims. Chiropractors may also testify in court to explain the extent of injuries (Comfort Rehab, 2024).

Early Intervention

Seeking chiropractic care soon after an accident can prevent chronic conditions. Delayed treatment may allow scar tissue or inflammation to worsen nerve damage, leading to persistent pain (Hensley Legal, 2024).

References

  • Aventura Wellness. (2023). The role of chiropractic care in personal injury recovery. Retrieved from Aventura Wellness
  • Comfort Rehab. (2024). Role of chiropractic in personal injury lawsuits. Retrieved from Comfort Rehab
  • Hensley Legal. (2024). Can a personal injury chiropractor help your case? Retrieved from Hensley Legal

Dr. Alexander Jimenez: A Leading Expert in El Paso

In El Paso, TX, Dr. Alexander Jimenez is a prominent clinician for MVA victims, offering a unique blend of chiropractic and medical expertise. With over 25 years of experience, he leads Injury Medical & Chiropractic Clinic, specializing in injury rehabilitation, functional medicine, and personal injury care (A4M, n.d.).

Background and Credentials

Dr. Jimenez holds dual licensure as a Doctor of Chiropractic (DC) and a board-certified Family Nurse Practitioner (FNP-BC). He is also certified in functional medicine, allowing him to address both biomechanical and systemic health issues. His education includes training from the National University of Health Sciences, and he has been recognized as a top-rated chiropractor in El Paso from 2015 to 2024 (Healthgrades).

Clinical Approach

Dr. Jimenez employs a comprehensive approach to treat nerve injuries:

  • Advanced Diagnostics: He utilizes imaging techniques (X-rays, MRIs) and the Living Matrix Functional Medicine Assessment to pinpoint the underlying causes of nerve damage (Dr. Alex Jimenez, 2025).
  • Dual-Scope Interventions: Combining chiropractic adjustments with medical management, he addresses both structural and physiological aspects of injuries.
  • Each patient receives a personalized treatment plan that prioritizes pain relief, mobility recovery, and long-term wellness.

Role in Personal Injury Cases

Dr. Jimenez acts as an intermediary between medical care and legal processes. His clinic provides detailed medical records, diagnostic imaging results, and treatment summaries that support personal injury claims. These documents help establish the link between the accident and the injury, which is crucial for securing compensation. His expertise also allows him to collaborate with attorneys, providing expert testimony when needed (Dr. Alex Jimenez, 2017).

Community Impact

Dr. Jimenez’s commitment to El Paso extends beyond his clinic. He engages in community outreach, such as the “Tell A Veteran” program, offering chiropractic care to disabled veterans. His Health Voice 360 Podcast educates the public on various health issues, including nerve injuries and recovery, as well as other related topics (LinkedIn).

Why Choose Dr. Jimenez?

FeatureBenefit
Dual LicensureCombines chiropractic and medical expertise
Advanced DiagnosticsPinpoints injury causes with precision
Legal SupportProvides documentation for personal injury claims
Holistic ApproachAddresses physical, nutritional, and emotional health

References

  • A4M. (n.d.). Dr. Alex Jimenez: Injury Medical & Chiropractic Clinic. Retrieved from A4M
  • Healthgrades. (n.d.). Dr. Alexander Jimenez, DC. Retrieved from Healthgrades
  • Dr. Alex Jimenez. (2025). Why choose Dr. Jimenez and clinical team. Retrieved from Dr. Alex Jimenez
  • Dr. Alex Jimenez. (2017). Personal injury doctor. Retrieved from Dr. Alex Jimenez
  • LinkedIn. (n.d.). Dr. Alexander Jimenez’s profile. Retrieved from LinkedIn

Conclusion

Nerve injuries from car accidents, including compression injuries and whiplash, can lead to peripheral neuropathy, causing significant physical and emotional challenges. Early diagnosis and treatment are critical to prevent chronic pain and restore quality of life. Dr. Alexander Jimenez, located in El Paso, TX, provides MVA victims with hope by integrating advanced diagnostics, chiropractic care, and functional medicine to facilitate their recovery. His role in personal injury cases ensures patients receive both medical care and legal support, helping them navigate the aftermath of an accident. If you’ve been in a car accident, don’t wait for symptoms to worsen—seek expert care to start your journey to healing.

References

Scaphoid Fracture Causes and Recovery Insights

Individuals who have fractured their scaphoid bone may experience pain and swelling in the wrist just below the thumb. Can immobilization with a cast and physical therapy help?

human hand and wrist pain

Scaphoid Fracture

A scaphoid fracture is a break in one of the wrist’s small or carpal bones. This type of fracture occurs most often after a fall onto an outstretched hand. Symptoms typically include swelling and pain in the wrist just below the base of the thumb. These fractures can be difficult to diagnose since they don’t always appear on an X-ray. If the X-ray is negative and the healthcare provider suspects a scaphoid fracture, an MRI may be necessary. Surgery may be required in more severe cases or when the injury is not healing correctly. (American Academy of Orthopaedic Surgeons, 2023)

A Break In The – Navicular Bone

The scaphoid is one of eight carpal bones in the wrist. It is located just below the thumb’s base and is shaped like a kidney bean. This bone can be identified by holding a thumbs-up position and feeling for the hollow between the two tendons below your thumb. The scaphoid is located at the base of the hollow. A break in the scaphoid bone most commonly occurs in the middle of the bone but can also happen at either end. A scaphoid fracture can be displaced or non-displaced (American Academy of Orthopaedic Surgeons, 2023)

Displaced Fracture

  • It is when the bone fragments have moved out of alignment.

Non-displaced Fracture

  • It is when the fragments are still in their normal location in the hand.

The scaphoid’s blood supply comes from a small vessel that enters the most distant part of the bone and flows back through the bone. Because of this one small blood supply, a fracture in the center can stop the circulation to the proximal portion of the bone. Because of this, scaphoid fractures need immediate diagnosis and treatment.

Symptoms

Pain or deep aching on the thumb-side of the wrist, typically after a fall on an outstretched arm, could be a scaphoid fracture. Other symptoms experienced include: (American Academy of Orthopaedic Surgeons, 2023)

  • Tenderness at the base of the hollow area.
  • Pain at the base of the hollow area.
  • Swelling in the wrist
  • Difficulty gripping objects

Pain can become worse from: (American Academy of Orthopaedic Surgeons, 2023)

  • Grasping
  • Pulling
  • Pushing
  • Pinching

Diagnosis

A healthcare provider will evaluate the hand for tenderness and pain in the hollow and/or the bone. If a break is suspected, they will order an X-ray. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) Many patients are diagnosed with a wrist sprain when they have a fracture. Diagnosis can be difficult because the fracture often doesn’t appear on X-rays until weeks after the healing process starts. Physicians commonly treat a wrist injury as a scaphoid fracture initially and then repeat X-rays within two weeks. (American Academy of Orthopaedic Surgeons, 2023) If the injury doesn’t show on an X-ray, the provider may order an MRI, as these fractures can be easier to see on an MRI. An MRI can help ensure appropriate treatment immediately. (Wong S. B. S., & Peh W. C. G. 2019)

Treatment

If a wrist fracture is diagnosed, the wrist will be immobilized in a cast. However, a healthcare provider may also put the wrist in a cast if the X-ray is negative but they suspect a fracture. This will stabilize the injury until an MRI can be performed. With immobilization and follow-up treatment, scaphoid fractures often heal without surgery. Repeat X-rays are taken over several weeks or months so the provider can make sure the injury is healing correctly. If it is not healing correctly, surgery may be recommended. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) If the fracture is displaced, healing correctly may be a challenge. In this case, a physician may recommend initial surgery to reposition the bones. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) This type of surgery involves pinning the bone in place with screws.

Healing Time

Recovery

With the wrist in a cast, individuals will be instructed on activities to avoid placing even a small amount of strain (American Academy of Orthopaedic Surgeons, 2023)

  • Lifting
  • Pushing
  • Pulling objects that weigh more than one pound.
  • Sports activities
  • Throwing
  • Climbing
  • Using tools or machinery that vibrate.

Rehabilitation is an important part of healing because immobilization takes a long time. Wrist range-of-motion exercises can be started, followed by strengthening exercises for the wrist flexors and extensors. Supination, pronation, and grip exercises are also part of physical therapy.

Complications

Scaphoid fractures can lead to serious complications, especially when not properly treated. These include: (American Academy of Orthopaedic Surgeons, 2023) (Almigdad A. et al., 2024)

Nonunion

  • This describes a fracture that fails to heal.

Carpal Collapse

  • This is a form of degenerative arthritis.

Osteoarthritis

  • This condition causes degeneration of the cartilage in the joint.

Avascular Necrosis

  • This is when the blood supply to the bone is reduced or cut off, causing the bone to die.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Skateboarding Injury Treatment


References

American Academy of Orthopaedic Surgeons. (2023). Scaphoid fracture of the wrist. https://orthoinfo.aaos.org/en/diseases–conditions/scaphoid-fracture-of-the-wrist

Clementson, M., Björkman, A., & Thomsen, N. O. B. (2020). Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT open reviews, 5(2), 96–103. https://doi.org/10.1302/2058-5241.5.190025

Wong, S. B. S., & Peh, W. C. G. (2019). The role of magnetic resonance imaging in the evaluation of scaphoid fractures. Journal of Medical Radiation Sciences, 66(1), 3–4. https://doi.org/10.1002/jmrs.316

Almigdad, A., Al-Zoubi, A., Mustafa, A., Al-Qasaimeh, M., Azzam, E., Mestarihi, S., Khair, Y., & Almanasier, G. (2024). A review of scaphoid fracture, treatment outcomes, and consequences. International orthopaedics, 48(2), 529–536. https://doi.org/10.1007/s00264-023-06014-2

How Outcome Measurement Tests Can Guide Treatment

Can individuals experiencing difficulty with functional mobility benefit from physical therapy to help them return to normal activities?

Outcome Measurement Tests

Outcome measurement tests assess the effects of a treatment plan on a patient. They can be used to determine a patient’s baseline function, monitor their progress, and evaluate the effectiveness of treatment. They also give the therapy team an effective way to measure mobility, flexibility, and range of motion.

Function and Purpose

Outcome measurement tests serve various purposes. These include: (American Physical Therapy Association, N.D.)

  • To assist in goal-setting
  • Provide motivation
  • To guide treatment
  • To give a prognosis for the specific condition
  • To justify the treatment

The physical therapist may use other functional outcome measurements to help assess physical therapy progress.

  • They may measure your strength and range of motion.
  • Balance and posture may be evaluated.

Effective functional outcome measurement tests must meet certain criteria to be useful in a physical therapy clinic. First, they must be reliable, meaning the results must be consistent with each patient and within groups of patients. They must also be valid to measure exactly what they are intended to measure. An effective measurement test must also be easy to administer, so it must be practical and simple. Outcome measurement tests must also be purposeful. For example, a balance test must reflect a patient’s current function and be related to their balance ability.

Common Outcome Measurement Tests Used

Common functional outcome measurement tools that a physical therapist may use include:

  • The timed up-and-go or TUG test is a simple assessment used to evaluate a person’s mobility and balance by measuring how long it takes them to stand up from a chair, walk a short distance, turn around, walk back, and sit down again; it’s often used to identify potential fall risks in older adults, particularly those with mobility concerns, as a longer time to complete the task may indicate increased fall risk. (Centers for Disease Control and Prevention, 2017)
  • The Tinetti balance and gait evaluation, also known as the Performance-Oriented Mobility Assessment (POMA), is a clinical test used to assess balance and gait abilities, particularly in older adults. It evaluates stability during various standing and walking tests and provides a score that indicates a person’s fall risk potential.
  • The Berg Balance Scale (BBS) is a standardized test for adults that measures balance and the risk of falling. It’s widely used and can be performed in various settings.
  • The six-minute walk test (6MWT) is a medical assessment in which a person walks as far as they can in a designated area for exactly six minutes. This allows healthcare providers to evaluate their functional exercise capacity. It is particularly useful for assessing patients with lung or heart conditions where walking ability might be compromised. The distance covered during the six minutes is the key measurement used to interpret the test results. (Ferreira M. B. et al., 2022)
  • The functional reach test (FRT) is a clinical assessment that measures an individual’s dynamic balance by determining the maximum distance they can reach forward while standing in a fixed position. It assesses their risk of falling by evaluating how far they can extend their arm before losing stability. The FRT is often used to assess older adults or individuals with potential balance issues. 
  • The Oswestry low back pain disability questionnaire is a self-administered questionnaire used to measure the level of disability a person experiences due to low back pain. It assesses how the pain impacts their daily activities in various aspects of life, such as personal care, work, and social life; a higher score indicates greater disability. 
  • The functional independence measure (FIM) assesses a patient’s ability to perform daily activities independently. It also measures the patient’s disability level and how much assistance is needed.

Functional outcome measurement tests provide a starting point for developing physical therapy goals. For example, if the TUG test takes 19 seconds, individuals may aim for 10 seconds. A TUG score that falls at or over 10 seconds indicates reduced physical capacity (Kear B. M., Guck T. P., & McGaha A. L. 2017). This can be the motivation needed to reach physical therapy goals.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Understanding The Effects of Personal Injury


References

American Physical Therapy Association. (N.D.). Outcome Measures in Patient Care. https://www.apta.org/your-practice/outcomes-measurement

Centers for Disease Control and Prevention. (2017). Timed Up & Go Assessment. Retrieved from https://www.cdc.gov/steadi/media/pdfs/steadi-assessment-tug-508.pdf

Ferreira, M. B., Saraiva, F. A., Fonseca, T., Costa, R., Marinho, A., Oliveira, J. C., Carvalho, H. C., Rodrigues, P., & Ferreira, J. P. (2022). Clinical associations and prognostic implications of 6-minute walk test in rheumatoid arthritis. Scientific reports, 12(1), 18672. https://doi.org/10.1038/s41598-022-21547-z

Kear, B. M., Guck, T. P., & McGaha, A. L. (2017). Timed Up and Go (TUG) Test: Normative Reference Values for Ages 20 to 59 Years and Relationships With Physical and Mental Health Risk Factors. Journal of primary care & community health, 8(1), 9–13. https://doi.org/10.1177/2150131916659282

Exploring the Different Types of Knee Braces and Their Uses

Can a knee brace relieve discomfort, provide support, and expedite recovery for individuals recovering from an injury or surgery?

Knee Brace

A knee brace is a medical device that supports and stabilizes the knee joint to help with pain and recovery after an injury or surgery. Many knee braces are made of various materials and offer a range of support levels. A healthcare provider or physical therapist can recommend the appropriate one for your condition and suggest the best one. Ask a healthcare provider if you’re unsure, as wearing a knee brace correctly and for the recommended time is important for healing. They are generally safe. However, individuals with health conditions such as poor circulation should be cautious when using them and consult their healthcare provider.

What They Do

The knee joint comprises bones, cartilage, ligaments, tendons, and muscles. A knee brace stabilizes these structures, preventing them from moving too much or too fast. Some braces redistribute the knee joint’s weight, decreasing the force the knee absorbs. (American Academy of Family Physicians, 2020)

Conditions

A knee brace is used after surgery to aid in healing and following an injury. This can be:

  • Sprain
  • Ligament injury
  • Patellar/kneecap dislocation

They are also used to support the knee and relieve pain from some chronic conditions including: (Sprouse R. A., McLaughlin A. M., & Harris G. D. 2018)

  • Tendonitis
  • Patellar tendinopathy
  • Chondromalacia patellae
  • Patellofemoral stress syndrome
  • Medial knee osteoarthritis

Types

Knee braces differ in function and support level. Some stabilize the knee, while others completely immobilize the joint. A healthcare provider and/or physical therapist will explain what support is needed and how to use it. They can also check the brace’s fit and determine if adjustments or a different size are required.

Most Commonly Used

Prophylactic Brace

Unloader

  • This brace helps rebalance the weight and shift the pressure on the knee joint to other parts of the leg, reducing pain. (American Academy of Family Physicians, 2020)
  • A knee unloader is typically used to control discomfort due to inflammatory conditions like tendonitis and osteoarthritis.

Functional

  • This brace limits motion in the joint after an injury or prevents dislocation.

Bledsoe Brace

  • This brace has straps to wrap around the thigh and shin and support brackets on the inside and outside of the knee joint.
  • A small mechanism locks the knee into full extension or allows the knee to bend a specific amount.

Knee Immobilizer

  • A knee immobilizer keeps the knee in one position.
  • It is a long cloth brace that runs the length of the shin and thigh.

Knee Brace vs Knee Support

A knee support or sleeve is usually a tight-fitting fabric garment. It provides compression to help reduce swelling and discomfort. A knee brace offers more support and can also be set to limit mobility.

Wearing The Brace

Individuals may need to wear a knee brace all day or only when performing specific tasks and operations. It depends on the individual and the condition the brace is being used for. Some may only need to wear a knee brace during certain activities or a flare-up of pain. (Mayo Clinic, 2022) Wearing a brace for unnecessarily long periods can cause skin abrasion, joint stiffness, and muscle atrophy. (American Academy of Family Physicians, 2020) Conversely, neglecting to wear it can cause more susceptibility to injury or extend and or impair healing time. Ask a healthcare provider when you should and should not wear the brace. This could be when:

  • Sitting
  • Walking
  • Driving
  • Sleeping
  • Stretching

Contraindications

Some medical conditions can make an individual susceptible to injury and adverse effects from wearing a knee brace. These include: (Holden, M. A. et al., 2021)

  • Poor circulation
  • Superficial wounds on the knee
  • Psoriasis
  • Eczema
  • Arterial insufficiency
  • Severe varicose veins
  • A history of thrombophlebitis

Injury Medical Chiropractic and Functional Medicine Clinic

If you have one of these conditions, a healthcare provider will decide if a knee brace is safe. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Best Knee Injury Chiropractor


References

American Academy of Family Physicians. (2020). Knee Bracing: What Works? https://familydoctor.org/knee-bracing-what-works/

Sprouse, R. A., McLaughlin, A. M., & Harris, G. D. (2018). Braces and Splints for Common Musculoskeletal Conditions. American family physician, 98(10), 570–576.

American Academy of Pediatrics. (2019). Knee pain: how to choose the right knee brace for your child. https://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Knee-Pain-and-braces.aspx

Mayo Clinic. (2022). To brace or not to brace: What’s the best answer? https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/to-brace-or-not-to-brace#:~:text=If%20you%20have%20early%20onset%2C%20mild%20arthritis,below%20the%20knee%20for%20compression%20and%20comfort.

Holden, M. A., Callaghan, M., Felson, D., Birrell, F., Nicholls, E., Jowett, S., Kigozi, J., McBeth, J., Borrelli, B., Jinks, C., Foster, N. E., Dziedzic, K., Mallen, C., Ingram, C., Sutton, A., Lawton, S., Halliday, N., Hartshorne, L., Williams, H., Browell, R., … Peat, G. (2021). Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ open, 11(3), e048196. https://doi.org/10.1136/bmjopen-2020-048196

Get Relief for Your Spine & Back with Simple and Effective Exercises

Can individuals incorporate these simple but effective exercise routines to reduce pain and discomfort in their spine and back?

Why It’s Important To Keep The Back Mobile

When many individuals are dealing with back pain from their upper, middle, and lower portions, it can put a halt to a person’s routine. When back pain becomes present, it causes the person to find a comfortable place like a couch or a bed and lie down. However, this can cause more issues than the original one, affecting the individual. Back pain is a common worldwide problem and is the leading issue of disability associated with a high socio-economic cost. (Chou, 2021) Additionally, when a person is dealing with back pain, they are also dealing with degenerative issues that are also affecting their spines, thus causing problems to their joints, discs, and bones. (Hauser et al., 2022) This is because back pain is a multifactorial musculoskeletal disorder that can cause referred pain to different body locations. So when a person dealing with back pain rests, it can become an issue as inflammation builds up and swelling in the affected areas. Hence, many doctors, chiropractors, physical therapists, and spine specialists recommend keeping mobile to allow blood flow and the body’s natural healing response to reduce pain and speed up recovery. Since back pain relief is challenging through visceral-somatic disturbances, it is important to find various treatment options to aid the person’s specific condition. As a person goes to get treatment for their back pain, it is important to note that the causes of their back pain can help determine which exercises can be most effective within their treatment plan. We associate with certified medical providers who inform our patients of the benefits of incorporating simple but effective exercises for their back pain. While asking important questions to our associated medical providers, we advise patients to integrate an exercise routine to reduce the chances of environmental factors causing back pain to return. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.


Understanding Academic Low Back Pain- Video


Effective But Simple Exercises For The Back

Many people often wonder, “If I am dealing with back pain, why should I exercise to reduce this pain?” The answer is simple: since the affected back muscles are tight and weakened, simple but effective exercises can help recover. Exercise therapy can help increase muscle-joint strength in the body while improving muscle function and increasing range of motion. This boosts a speedy recovery and allows the individual to return to their usual activities. (Hayden et al., 2021) At the same time, with a customized treatment plan, exercise therapy can incorporate other non-surgical treatments with one goal: to restore normal musculoskeletal function and reduce the pain caused by environmental factors, diseases, or injuries. (Karlsson et al., 2020) Now, depending on the severity of the back pain, there are simple but effective exercises below to help reduce the pain and restore mobility to the back.

Physical Therapy & At-Home Workouts

Physical therapy and at-home exercises can help many individuals with back pain. They can help figure out which position can help centralize the pain and correct any restricted motions. Many physical therapists incorporate the McKenzie method to strengthen and support the spine while decreasing pain and inflammation. At-home exercises can be combined with a series designed to be practical, assessable, and feasible for therapeutic gain or even to improve physical capacity to maximum effort. (Quentin et al., 2021)

Water Exercises

Water exercises are amazing exercises that can help lessen the body’s weight to take pressure and stress off the spine. This is because water is supposed to help cleanse and rejuvenate the body. When individuals are experiencing chronic back pain, aquatic physical therapy can help relieve pain intensity, relax the aching muscles, and even promote a positive workout experience for the individual. (Ma et al., 2022) After a few consecutive sessions, many individuals can see improvement in pain intensity and restored mobility function in their routines.

Tai Chi & Stabalizing Exercises

Now, another simple and effective exercise routine can help stabilize the surrounding muscles in the back and spine and become effective as part of a health and well-being routine. Tai chi and Qigong practices can help the individual emphasize stillness and controlled movements to promote calmness, resilience, body awareness, and relaxation for proper body alignment. (Yang et al., 2024) Tai chi and Qigong can also help support immune function in the body while regulating inflammation, which can help reduce and prevent diseases. (Oh et al., 2020) At the same time, yoga can help improve flexibility, mobility, and stability within the muscles and joints while also improving spinal alignment, which can help many individuals have proper posture. (Zhu et al., 2020) Depending on which exercise a person prefers for their treatment plan and to reduce their back pain; it is important to make these small changes to achieve optimal results. Making these small changes can help many individuals reduce the chances of their back pain returning and help them along with their health and wellness journey.


References

Chou, R. (2021). Low Back Pain. Ann Intern Med, 174(8), ITC113-ITC128. https://doi.org/10.7326/AITC202108170

Hauser, R. A., Matias, D., Woznica, D., Rawlings, B., & Woldin, B. A. (2022). Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil, 35(4), 701-712. https://doi.org/10.3233/BMR-210097

Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database Syst Rev, 9(9), CD009790. https://doi.org/10.1002/14651858.CD009790.pub2

Karlsson, M., Bergenheim, A., Larsson, M. E. H., Nordeman, L., van Tulder, M., & Bernhardsson, S. (2020). Effects of exercise therapy in patients with acute low back pain: a systematic review of systematic reviews. Syst Rev, 9(1), 182. https://doi.org/10.1186/s13643-020-01412-8

Ma, J., Zhang, T., He, Y., Li, X., Chen, H., & Zhao, Q. (2022). Effect of aquatic physical therapy on chronic low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord, 23(1), 1050. https://doi.org/10.1186/s12891-022-05981-8

Oh, B., Bae, K., Lamoury, G., Eade, T., Boyle, F., Corless, B., Clarke, S., Yeung, A., Rosenthal, D., Schapira, L., & Back, M. (2020). The Effects of Tai Chi and Qigong on Immune Responses: A Systematic Review and Meta-Analysis. Medicines (Basel), 7(7). https://doi.org/10.3390/medicines7070039

Quentin, C., Bagheri, R., Ugbolue, U. C., Coudeyre, E., Pelissier, C., Descatha, A., Menini, T., Bouillon-Minois, J. B., & Dutheil, F. (2021). Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health, 18(16). https://doi.org/10.3390/ijerph18168430

Yang, Y., McCluskey, S., Bydon, M., Singh, J. R., Sheeler, R. D., Nathani, K. R., Krieger, A. C., Mehta, N. D., Weaver, J., Jia, L., DeCelle, S., Schlagal, R. C., Ayar, J., Abduljawad, S., Stovitz, S. D., Ganesh, R., Verkuilen, J., Knapp, K. A., Yang, L., & Hartl, R. (2024). A Tai chi and qigong mind-body program for low back pain: A virtually delivered randomized control trial. N Am Spine Soc J, 20, 100557. https://doi.org/10.1016/j.xnsj.2024.100557

Zhu, F., Zhang, M., Wang, D., Hong, Q., Zeng, C., & Chen, W. (2020). Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials. PLOS ONE, 15(9), e0238544. https://doi.org/10.1371/journal.pone.0238544

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