Whiplash

Whiplash

Whiplash is a generic term applied to injuries of the neck caused when the neck is suddenly and/or violently jolted in one direction and then another, creating a whip-like movement. Whiplash is most commonly seen in people involved in motor vehicle accidents, but it can also occur from falls, sports injuries, work injuries, and other incidents.

What structures are injured in a whiplash?

Whiplash injuries most often result in sprain-strain of the neck. The ligaments that help support, protect, and restrict excessive movement of the vertebrae are torn, which is called a sprain. The joints in the back of the spine, called the facet joints, are covered by ligaments called facet capsules, which seem to be particularly susceptible to whiplash injury.

In addition, the muscles and tendons are strained—stretched beyond their normal limits. The discs between the vertebrae, which are essentially ligaments, can be torn, potentially causing a disc herniation. The nerve roots between the vertebrae may also be stretched and become inflamed. Even though it is very rare, vertebrae can be fractured and/or dislocated in a whiplash injury.

What are the common signs and symptoms of whiplash?

The most common symptoms of whiplash are pain and stiffness in the neck. These symptoms are generally found in the areas that are “whiplashed.” For example, during a whiplash, first the head is lifted up from the upper-cervical spine. This creates a sprain/strain in the region just below the skull, where symptoms usually occur. Symptoms may also commonly be seen in the front and back of the neck. Turning the head often makes the pain and discomfort worse.

Headache, especially at the base of the skull, is also a common symptom, seen in more than two thirds of patients. These headaches may be one-sided (unilateral) or experienced on both sides (bilateral). In addition, the pain and stiffness may extend down into the shoulders and arms, upper back, and even the upper chest.

In addition to the musculoskeletal symptoms, some patients also experience dizziness, difficulty swallowing, nausea, and even blurred vision after a whiplash injury. While these symptoms are disconcerting, in most cases, they disappear within a relatively short time. If they persist, it is very important to inform your doctor that they are not resolving. Vertigo (the sensation of the room spinning) and ringing in the ears may also be seen. In addition, some patients may feel pain in the jaw. Others will even complain of irritability, fatigue, and difficulty concentrating. These symptoms also resolve quickly in most cases. In rare cases, symptoms can persist for weeks, months, or even years.

Another important and interesting aspect of whiplash is that the signs and symptoms often do not develop until 2 to 48 hours after the injury. This scenario is relatively common but not completely understood. Some speculate that it may be due to delayed muscle soreness, a condition seen in other circumstances.
How is whiplash treated?

Staying active

One of the most important aspects of whiplash management is for the patient to stay active, unless there is some serious injury that requires immobilization. Patients should not be afraid to move and be active, within reason. In addition, your doctor will often prescribe an exercise or stretching program. It is particularly important to follow this program as prescribed, so that you can achieve the best long-term benefits.

Chiropractic manipulation and physical therapy

Ice and/or heat are often used to help control pain and reduce the muscle spasm that results from whiplash injuries. Other physical therapy modalities, such as electrical stimulation and/or ultrasound, may provide some short-term relief. They should not, however, replace an active-care program of exercise and stretching. Spinal manipulation and/or mobilization provided by a chiropractor can also give relief in many cases of neck pain.

Can whiplash be prevented?

Generally speaking, whiplash cannot be “prevented,” but there are some things that you can do while in a motor vehicle that may reduce the chances of a more severe injury. Always wear restraints (lap or shoulder belt), and ensure that the headrest in your vehicle is adjusted to the appropriate height.

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Dr. Christopher Calarco - Chiropractic Care, Ltd.

Dr. Christopher Calarco

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Dr. Christopher Calarco completed his undergraduate studies at the University of Nevada Las Vegas, where he received a Bachelor in Biological Sciences with an emphasis in biochemistry. He then attended the National University of Health Sciences where he earned his Doctorate in Chiropractic Medicine and currently holds certificates in acupuncture, rehabilitation and physiotherapy. He previously studied Cox-Flexion Distraction under Dr. Jedlicka, and is currently working towards certification under the guidance of Dr. Ralph Kruse. Dr. Calarco takes a multidisciplinary approach to health care with the belief that his patients can benefit from integrating chiropractic care with conventional medicine as well as physical therapy and massage therapy. He is dedicated to a lifetime of continuing education on his particular interests in spinal biomechanics and musculoskeletal pathology. His goal is to educate patients and provide them with the tools for life-long health.

Educational Background
University of Nevada Las Vegas (B.S.) Las Vegas, NV
National University of Health Sciences (D.C.) Lombard, IL

Associations/Organizations
American Chiropractic Association
Illinois Chiropractic Society
Greater North Michigan Avenue Association

Special Honors, Degrees, Certifications

Certified Chiropractic Physician
Certified Acupuncturist

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Just Try Walking

Just Try Walking

While some fitness enthusiasts relentlessly seek out the latest, trendiest exercise crazes, many others are returning to good, old-fashioned walking to help them feel great and get into shape. Whether enjoying the wonder of nature, or simply the company of a friend, walking can be a healthy, invigorating experience. And thanks to its convenience and simplicity, walking just might be right for you, too.

Benefits of Walking

You don’t need to become a member of an expensive gym to go walking. And except for a good pair of walking shoes, it requires virtually no equipment.

A sedentary lifestyle has a debilitating influence on people’s health as they age, therefore exercise is imperative. Walking accomplishes all of the following and more:

• Improves cardiovascular endurance
• Tones muscles of the lower body
• Burns calories: about 80 if walking 2 miles per hour, and about 107 if walking 4.5 miles per hour
• Reduces risk of heart disease

Selecting Shoes

The first item of business when beginning your walking program is to select the right pair of shoes. Too many people choose fashion over function when purchasing running shoes, not realizing that poor-fitting shoes can do more than hurt their stride; they can also lead to pain throughout the body.

• Make sure the shoes you purchase fit properly. The balls of your feet should rest exactly at the point where the toe end of the shoe bends during walking.
• Select shoes with plenty of cushioning in the soles to absorb the impact.
• Shop for sneakers at the end of the day or after a workout when your feet are generally at their largest. Wear the type of socks you usually wear during exercise.
• When trying on shoes, be sure to wear them for at least 10 minutes at the store.
Once you have purchased a pair of shoes, don’t walk them into the ground. While estimates vary as to when is the best time to replace old shoes, most experts agree that between 300 and 500 miles is optimal.

Getting Started

Walking just 12 minutes every other day can offer important health benefits. But in order to increase your longevity, try to eventually work up to 30 minutes, five days per week. Experts generally agree that to be considered “active,” adults should try to take 10,000 steps each day. Wearing a pedometer is an easy way to track your progress.

The following tips can help you get started on your walking regimen:

• Move your arms freely, in coordination with the opposite leg.
• Don’t stoop your head or look down as you walk. This will challenge the normal forward curve of your neck, which, in turn, will cause you to carry your weight improperly.
• Don’t carry weights or dumbbells while walking. They’re better used as a separate part of your exercise regimen.
• Expect a little soreness in the thighs and calves for the first week or two. If you experience more than soreness, check with your doctor of chiropractic.
• Walk briskly, with “purpose.” Simply sauntering, while relaxing and enjoyable, is not an effective form of cardiovascular exercise.

Of course, be sure to consult your doctor before beginning any exercise program.

Walking Surfaces

Some walking surfaces are better than others on your musculoskeletal system.

• Walking on a cushioned or rubberized track is ideal, because the cushioning of this type of track absorbs most of the impact of your walking. Many recreation centers offer this type of track free of charge.
• Grass is another good surface, but watch out for hidden dips or holes in the ground.
• Walking on a surface with no give, such as concrete or a mall floor, is not your best choice, because this type of surface will not absorb much of the impact your body will experience. If you do choose to walk on such a surface, be extra careful to select highly cushioned shoes.

Pain and Injury

While you may experience pain or injury in a particular area, such as a knee or a hip, the root of the problem may lie somewhere else. Injuries of this nature are not regional, or isolated, but systemic. A problem in the foot or ankle can create an imbalance in every step, leading to discomfort or injury that moves to the knees, hips, low back, or elsewhere. If you suffer from pain beyond typical muscle soreness, your doctor of chiropractic can diagnose and treat your pain or injury and get you back into the swing of your walking routine. Your doctor of chiropractic can also help customize a wellness program that is right for you and has the expertise to help keep you in the mainstream of life.

If you have pain in your feet, heels or knees, you may benefit from a pair of custom fitted orthotics. Our offices offer digital foot scans to customize shoe orthotics to your condition and for your specific shoes.

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Dr. Oz Video - Back Pain

Back pain plagues as many as 80% of us – but guzzling pain killers isn’t the only way to get relief. A new report says that chiropractic therapy is just as effective as over-the-counter pain relievers for back pain. Dr. Oz explains how your spine gets misaligned and what this treatment could do for you.

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Quit Smoking...Why and How?

Quit Smoking: Why and How?

More than 50 million Americans smoke. People begin smoking for many reasons—stress, social status, and peer pressure—but the main reason they continue is addiction to nicotine. Smoking is, in fact, so addictive that some people consider giving up cigarettes harder than quitting an addictive illicit drug. People also continue to smoke for psychological reasons. For some, smoking seems to give the hands something to do. Others say it provides comfort.

Cigarette smoke, however, contains more than 4,000 chemicals, and, when inhaled, they merge into a tar-like substance that sticks to the tissues inside the mouth, throat, lungs, and stomach. The chemicals not only damage the tissues they contact directly, but they also harm the entire body by reducing the amount of well-oxygenated blood that reaches the organs.

Smoking affects nearly every organ in the body—heart, brain, stomach, bladder, kidneys, and even the skin. People who smoke also double or triple their risk of developing cataracts.

Why quit smoking?

Smoking affects not only your health. Second-hand smoke can cause damage to those around you—even family and friends who choose not to smoke. If you quit smoking:

• You’ll live longer and you and your family will live better.
• You won’t be winded when walking up a flight of stairs.
• You’ll be able to exercise and keep your heart healthier.
• You will reduce the risk of developing dementia, such as Alzheimer’s disease.
• Your baby will be at less risk of suffering from Sudden Infant Death Syndrome (SIDS).
• You’ll have less heartburn.
• For men, smoking increases the chances of impotence, so your love life will improve, as well.
• You’ll also be giving yourself money each month to spend on yourself and not on cigarettes.

How do I quit smoking?

• Make a serious mental commitment to quitting.
• Set a quit date.
• Refer to yourself as to a non-smoker in the present tense. For example, say, “I am a non-smoker.” Similar affirmations that fit your individual situation may also be helpful.
• Get rid of all cigarettes and smoking accessories (such as ashtrays) in your home, car, and other places where you might be tempted to smoke.
• Do not let people smoke in your home.
• Get support and encouragement from family, friends, co-workers and former smokers and consider joining a former smokers’ support group.
• When tempted, perform tasks that could help distract you: go for a walk, brush your teeth, exercise, or take a bath.
• Drink lots of fluids, preferably those with caffeine.
• Avoid drinking alcohol and avoid contact with smokers.
• You may want to try one of the many medications available to help smokers quit.

Quitting smoking is not easy. If it were, many more people would quit daily. You may find yourself suffering from irritability, nervousness, and sleeplessness. You may feel the need to have something in your mouth or hands. Chewing gum or mints can easily substitute for cigarettes, and rubber bands, paper clips, or other gadgets will help keep your hands busy. For most people, the side effects pass within a few days. It is critically important not to dwell on these adverse signs and to remain focused on the advantages of quitting.

Most smokers have to kick the habit more than once to finally quit. If you are unsuccessful the first or second time, try again. Don’t see the initial attempts as failures, but as opportunities to find out how not to quit. With a sincere commitment and perseverance, you will be able to quit. When you do, your family, friends, and most of all, your body will thank you for rising to the challenge.


For more information and research on this topic, go to http://www.coxchirocare.com/

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