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Tag: trauma

ChiroMedBlogtrauma
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Therapy, Work Injury , , , , , , , , , , , , , , , , , , ,

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

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Work Injury , , , , , , , , , , , , , , , , , , ,

Wrist Sprain: Diagnosis and Treatment Options

Can knowing about wrist sprains—their types, symptoms, causes, and diagnoses—help develop an effective treatment program?

Wrist Sprain

Wrist sprains are injuries that affect ligaments that attach bone to bone. They occur after a fall from work overuse, house tasks, during sports activities, or with other direct trauma. Symptoms of a wrist sprain include:

  • Pain
  • Swelling
  • Bruising
  • Decreased range of motion
  • Weakness
  • Tingling

The injury affects the ligaments and soft tissue structures connecting bone to bone. Mild wrist sprains typically heal within a few weeks; most heal without complications in six to 12 weeks. (National Health Service, 2020) However, severe injuries can require surgery, physical therapy, and months to recover fully.

Grades and Types

The three grades of sprains are graded by the severity of the injury (American Academy of Orthopaedic Surgeons, 2024)

Grade 1

  • Ligaments are stretched; this is considered a mild sprain.
  • The injury may heal in one to three weeks with standard care. (Mass General Brigham, 2025)

Grade 2

  • Ligaments are partially torn; this is considered a moderate sprain.
  • It may need a brace; healing can take three to six weeks. (Mass General Brigham, 2025)

Grade 3

  • Ligaments are torn completely or have pulled away from the bone.
  • Sometimes, a piece of bone comes off with it, a condition called an avulsion fracture.
  • This is considered a severe sprain. It can take months to heal completely. (Mass General Brigham, 2025)

The wrist is made up of three joints (American Society for Surgery of the Hand, 2017)

Distal radioulnar

  • This joint is between the two forearm bones.
  • The radius on the thumb side.
  • The ulna on the pinky side.

Radiocarpal

  • This joint is between the radius and three small bones in the base of the hand.
  • The scaphoid
  • The triquetrum
  • The lunate

Ulnocarpal

  • This joint is between the ulna and the articular disc and cushions it from the carpal bones, the lunate, and the triquetrum.

Wrist sprains can affect any of these joints but more commonly affect the ligament between the scaphoid and lunate bone or the triangular fibrocartilage complex/TFCC on the pinky side of the wrist.

Symptoms

The primary symptom of a wrist sprain is pain, especially when moving or touching the injured area. Other symptoms can include: (National Library of Medicine, 2021) (American Academy of Orthopaedic Surgeons, 2024)

  • Decreased range of motion
  • Swelling
  • Bruising
  • Feeling instability in the wrist 
  • Weakness
  • Numbness/tingling
  • Popping sensation
  • Warm skin

Causes

The common cause of wrist sprain is falling on an outstretched hand. (American Academy of Orthopaedic Surgeons, 2024) Other common causes include:

  • Repetitive overuse work injuries.
  • Housework and tasks.
  • Sports include skateboarding, gymnastics, basketball, snowboarding, hockey, and contact sports.

Diagnosis

A healthcare provider will diagnose a wrist sprain based on symptoms and injury causes. X-rays are the first imaging to rule out fractures. Other tests can include:

  • Magnetic resonance imaging – MRI
  • Computed tomography – CT scan
  • Arthrogram -X-rays with contrast dye

Treatment

Nonsteroidal anti-inflammatory drugs, such as Aleve, Advil, Motrin, and aspirin, can treat pain and inflammation. The severity of the wrist sprain determines whether additional treatment is needed. Sprains should initially be treated with the RICE protocol (American Academy of Orthopaedic Surgeons, 2024)

Rest

  • Minimize using the injured wrist for at least two days.
  • Wear a splint for support.
  • Avoid sudden movements.
  • Avoid placing too much pressure on the wrist.

Ice

  • Cold packs are recommended several times daily for 20 minutes to decrease pain and swelling.

Compression

  • Wrap the wrist with an elastic bandage or Kinesio tape to help reduce swelling.

Elevation

  • To decrease swelling, use pillows to elevate the wrist as much as possible above the level of your heart.
  1. Grade 1 sprains usually heal with basic care within a week or two.
  2. Grade 2 sprains often require wearing a brace for an extended period while the ligament heals, which can take up to six weeks. (American Society for Surgery of the Hand, 2018)
  3. The removable brace or splint should be worn when using the arm.
  4. It can be taken off at rest at night and when bathing. (National Health Service, 2020)
  5. Individuals may need the brace for a week or more.

A healthcare provider may also recommend stretching exercises to overcome stiffness and regain mobility. (American Academy of Orthopaedic Surgeons, 2024) Physical therapy, occupational therapy, or treatment by a certified hand therapist can also reduce pain and improve range of motion and strength.

Treatment for grade 3 sprains often requires surgery. Grade 3 sprains, including avulsion fractures, often require a six-week cast for bones to heal. In some cases, the bones might also need a screw or temporary wires to hold them in the proper position. (Vannabouathong, C. et al., 2018) Severe wrist sprains may also require surgery to repair the injured ligament. If the original ligament cannot be repaired, a piece of the tendon can be used to reconstruct it. (American Society for Surgery of the Hand, 2020)

Healing Time

Mild to moderate sprains usually recover within a few weeks without long-term complications. (American Society for Surgery of the Hand, 2018) The prognosis for severe wrist sprains improves with early diagnosis and treatment. After surgery, ligaments usually heal within eight to 12 weeks but can take six to 12 months for function to return to normal. (American Academy of Orthopaedic Surgeons, 2024)

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.

The Path to Healing Personal Injury

References

National Health Service. (2020). Advice after spraining your wrist. https://www.ruh.nhs.uk/patients/patient_information/ORT_057_Advice_after_a_wrist_sprain.pdf

American Academy of Orthopaedic Surgeons. (2024). Wrist sprains. https://orthoinfo.aaos.org/en/diseases–conditions/wrist-sprains

Mass General Brigham. (2025). Wrist sprains. https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/hand-arm/wrist-sprain

American Society for Surgery of the Hand. (2017). Anatomy 101: Wrist joints. https://www.assh.org/handcare/blog/anatomy-101-wrist-joints

National Library of Medicine. (2021). Wrist injuries and disorders. Retrieved from https://medlineplus.gov/wristinjuriesanddisorders.html

American Society for Surgery of the Hand. (2018). Sprained wrist. https://www.assh.org/handcare/condition/sprained-wrist

Vannabouathong, C., Ayeni, O. R., & Bhandari, M. (2018). A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs. Clinical medicine insights. Arthritis and musculoskeletal disorders, 11, 1179544118809050. https://doi.org/10.1177/1179544118809050

American Society for Surgery of the Hand. (2020). Scapholunate torn ligament. https://www.assh.org/handcare/condition/scapholunate-torn-ligament