Short power point on four phase of whiplash injuries.

1. Whiplash and
Chiropractic Care
Presented by Dr. Tindall and Dr. Miller from E’town
Chiropractic Center.

2. Vehicle collisions are all too common. And
while there are a variety of ways to get
whiplash, vehicle accidents remain the most
common. There are a variety of affects of
whiplash or Whiplash-Associated Disorders.
Whiplash is also know as Cervical
Acceleration/ Deceleration Syndrome, or
CADS.
We see whiplash cases in our health clinic and
we can help with recovery. It can be
understood to happen in four phases.

3. Phase 1
The first step of whiplash starts
when the seat impacts the
body. It begins acceleration of
the body and an S curve begins
in the cervical spine. This
cause the upper neck to be
forced into flexion, while lower
neck joints forced into
extension. Causing injury to the
joints of the upper spine and
lower spine.

4. Phase 2
In phase two, the neck
hyperextends and the head hits
the seat. In this phase the tissue in
the front of the neck get injured.

5. Phase 3
In the third phase, the passenger
rebounds from the seat and moves
forward. The head accelerates
forward too.

6. Phase 4
In the fourth phase, and possibly the
most damaging phase, the seatbelt
restrains the body. But the head
keeps moving forward and the neck
is forced into hyperflexion. This
phase injures the tissue on the back
of the neck.

7. Some Whiplash Stats
• Approximately 15 to 40 percent of those injured in automobile
accidents will struggle with chronic pain for the rest of their life.
Journal of the American Academy of Orthopedic Surgeons, 2007
• Whiplash injuries not only increase your chances of chronic neck
and shoulder pain, they also increase the probability of other
unrelated health problems. Journal of Clinical Epidemiology, 2001
• Chronic Pain can be debilitating. According to standardized
assessment tests, people struggling with chronic pain, caused by
whiplash injuries, have abnormal psychological profiles. The only
way to resolve these abnormal psychological profiles is to relieve
/ remove the chronic back pain, neck pain and headaches. Pain,
1997
• The longest-running study ever done on whiplash patients looked
at the overall health of whiplash patients almost 20 years after
their automobile accident. More than 50 percent of those patients
still deal with chronic pain. Accident Analysis and Prevention,
2002
• One in 100 people around the world suffer from ongoing chronic
neck pain due to an automobile-induced whiplash injury. Injury,
2005
• One in 50 people injured in a whiplash-like accident deal with
chronic pain severe enough to need diagnostic testing,
medications, and doctor visits, on an ongoing basis —– nearly
eight years after the accident occurs. Pain, 1994
Interesting stats, huh? Whiplash is
the most commonly used term for
what happens when your head and
neck suddenly accelerates and is
“whipped” back with deceleration.
More than 3 million new cases of
whiplash occur each year and more
than 50 percent of those progress to
some degree of chronic symptoms.
As I mentioned, whiplash is
commonly caused in even the most
minor of car accidents, however, it
can also happen in sports, work
injuries and other accidents that
may “snap” your head suddenly and
violently.

8. Common Whiplash
Symptoms
• What Are the Symptoms of Whiplash?
• The pain of whiplash is often hard to ignore. The
symptoms may include:
• Pain, decreased range of motion, and tightness in
the neck. The muscles may feel hard or knotted.
• Pain when rocking your head from side to side or
backward and forward.
• Tenderness.
• Headaches at the base of the skull that radiate
towards the forehead.
• Sometimes, the pain of a neck strain is immediate.
In other cases, it can take several hours or days
before your neck begins to hurt.
• The blow that causes neck strain can sometimes
cause a concussion, too. Since concussions can be
serious, you need to see a doctor right away. You
need emergency medical care if you are confused,
dizzy, nauseous, excessively sleepy, or unconscious.
If you have any of theses
symptoms after a crash, you were
injured in that crash and need to
evaluated by a Doctor of
Chiropractic to full assess your
injuries!!

9. OurDoctors • Dr. Dean Tindall graduated from Palmer College of Chiropractic with research
honors.
• Completed "Whiplash: the Masters Program" which is an advanced course of study in
the diagnosis and clinical management of the cervical acceleration/deceleration
trauma and whiplash related temporo-mandibular joint disorder.
• Certified as a Low Speed Accident Re-constructionist through the Spine Research
Institute of San Diego.
• Dr. Tindall is the only Chiropractic Orthopedic Specialist in Hardin County and one
of a few practicing in Kentucky. As a Diplomat of the American Board of Chiropractic
Orthopedics (DABCO),
• Doctorate in Naturopathic from Clayton College of Natural Health and graduated
with highest honors.
• Provide testimony in court and depositions in numerous whiplash cases.
Dr. Miller did his undergraduate work at Augustana College in Rock Island, Illinois.
He graduated in 1980 at Palmer College of Chiropractic, considered one of the
finest institutions of it’s kind in the world.
Dr. Miller continues his education through attendance at various post-graduate
programs to update his skills in chiropractic.
Dr. Miller is a member of many prestigious chiropractic organizations including The
Kentucky Association of Chiropractors and is a Diplomate of the National Board of
Chiropractic Examiners.