Car Accident Neck Exercise Videos Part 3

October 1, 2009

Neck exercise videos for car accident victims
Orange County, CA Auto Accident Specialist
Dr Barry Marks, Chiropractor Orange, CA 92868

The third and final video of this 3 part series is the most important exercise to restore a normal curve to a neck that has been damaged by a car crash.

It is an exercise that has not only been proven over many years to restore normal curvature, but many patients enjoy the relief they feel after doing this home therapy.

For more information on car accident treatment, go to http://www.orange-car-accident.com, you may also be interested in a free online video seminar The Truth About Whiplash.


Car Accident Neck Exercise Videos Part 2

September 24, 2009

Auto accident neck injuries and neck exercises
Dr Barry L Marks, Chiropractor Orange County, CA

This is the second of three videos for neck stabilization and correction following a car accident whiplash injury. If you’ve been in an accident and have suffered a reduced neck curve as a result, then you must do these exercises to correct your neck curvature to prevent serious problems years down the road.

Video number 2 depicts Neck Extensions which are vital for restoring neck muscle strength and stamina.

For more information on car accident injury treatment, including a free online video seminar and free report, go to: http://www.orange-car-accident.com


Teen Driving Safety Videos ALL Parents & Young Drivers Should Watch 3/3

September 4, 2009

Teen Driving Safety
Drunk Driving Awareness info
Dr Barry L Marks, Chiropractor, Orange, CA
Car Accident Injury Specialist

This is the third of 3 videos I have come across that parents and young drivers should watch together.

The third video reinforces the destructive power that each car possesses. It also graphically depicts the consequences of driving while impaired. In this case after a moderate amount of alcohol, but it could easily have been texting, goofing with friends, eating, even changing the stations on the radio.

Please share this with others and make the streets safer for all of us.

European DUI Commercial *Graphic*

Dr Barry Marks, DC

http://www.orange-car-accident.com


Car Accidents Often Cause Long Term Pain

July 30, 2009

Orange County Car Accident Information
Dr Barry L Marks, Chiropractor Orange, CA
Auto Accident Injury Treatment Expert

Young Man Holding NeckScientific and medical studies have shown that upwards of 40% of car accident victims suffer long-term pain and impairment. Therefore, contrary to what insurance companies may want you to believe, whiplash is not a self limited problem that will just go away. Car accident injuries are serious.

Researchers point to 3 distinct structures that become injured in a car accident that account for the vast majority of chronic whiplash sufferers.

  1. Facet joint injury
    because the damage. Namely, neck damage is The number one cause of chronic neck pain form am motor vehicle collision is a damaged facet joint. The facet joints technically known as zygapohyseal joints, are the joints on the back of the spine that connect two spinal bones or vertebrae together. These joints are designed to allow your spine to move. When the neck is subjected to the extreme forces of a motor vehicle collision, the joints become damaged. These injuries are nearly impossible to detect since symptoms of a damaged facet joint are the same as a whiplash strain type injury without facet joint damage. Pain and stiffness that radiates into the shoulder blade on certain head and neck movements is the hallmark of this injury. Facet joint injury is suspected in cases of whiplash that fail to respond fully in a reasonable amount of time and a pain pattern that is reproducible. When the head is angled backward and to the side at the same time and then slightly compressed, the characteristic shoulder blade pain will appear.
  2. Intervertebral disc injury
    contact nerves The next most common cause of chronic whiplash pain is a damaged disc. The larger part of the spinal bones are separated by a disc. The disc is a shock absorber and a spacer to allow room for nerves to exit between the vertebrae. Car accidents cause shearing forces across the disc and cause the fibers to tear. Small tears in the outer disc fibers will cause pain in the centerline of the spine . Tears may eventually worsen until the disc begins to bulge outward which causes radiating pain into the arms, hands or fingers. Often times the disc bulge or herniation occurs weeks, months even years after the initial injury.
  3. Upper cervical ligament damage
    The third most common cause of chronic whiplash pain, particularly headaches is damage to the ligaments that hold your head and upper neck in alignment. These “accessory” ligaments as they are commonly called, are damaged by teh spine being forced into an “S” configuration milliseconds after impact. The result is looseness in the joints between the skull and the top 2 spinal bones the “atlas” and “axis.” The looseness is often hidden early on by muscle spasm, but once spasm abates a noticeable “clunk” or “crack” will be heard and felt by the victim on turning or tilting the head. The looseness leads to misalignment of the upper cervical vertebrae which cause head pain.

You may now realize that whiplash injuries from car accidents are in fact serious. Up to 40% of car accident victims will suffer chronic pain and impairment because they have suffered injury to their facet joints, disc or accessory ligaments.

Learn more about injuries and treatment after a car accident by attending a Free Car Accident Injury Webinar. This is an in depth 10 part video series that explains in easy to understand language what whiplash is, what effects it has on your health and what can be done about it. There is even a session on how to avoid whiplash injuries. The information is suitable for the public but is also fully referenced with leading scientific references so that doctors and lawyers handling these cases can better help their patients and clients.


“Auto Accident Injury Intensifiers”

April 8, 2009

Orange County, CA

Car Accident injury information by whiplash expert Dr Barry Marks, DC Orange, CA

Young Man Holding NeckAuto accidents are a common occurrence in Orange County. Each year thousands of Orange residents are injured in collisions between vehicles in the county’s over stuffed freeways.

Here are some of the most commonly known factors or “injury intensifiers,” that can increase your risk for injury in an accident.

  • Rear impact: rear impact collisions cause more damage to the human spine than any other type of collision.
  • Head restraint position: a head restraint that is positioned incorrectly greatly increases your chance for injury
  • Head position: if you are looking to the side, down to your stereo or into your rear view mirror on impact, your injury potential is raised
  • Surprised: being surprised and therefore unable to brace for impact makes it 15x more likely that you will be injured
  • Female gender: females suffer injury more easily than males due to neck size and other anatomic factors
  • Pre-existing arthritis or disc disease: an already compromised neck even if it was asymptomatic previously, makes the neck less resilient to injury

To learm more about these risk factors and others and what you can do to minimize your chance of injury in an auto accident, join the Free online seminar at www.TruthAboutWhiplash.com. This free web based audio seminar with downloadable .pdf fact sheets will teach every accident victim what they need to know about their whiplash injury. Physicians and lawyers will also benefit from this free auto accident seminar by learning key facts about the truth behind motor vechicle collisions and their treatment.


Orange County Car Accident Facts for Auto Accident Victims in Orange, CA

March 29, 2009

Auto Accident and Car Accident facts by Orange County Car Accident Specialist, Dr Barry L Marks, DC, Orange, CA

whiplash_neck_pain1Here are some interesting auto accident facts gleaned from our friends at Spine Research Institute of San Diego…with commentary

Approx 3 million whiplash injuries occur each year in US
That’s a lot of injuries and when you consider other facts revealed below, you’ll realize just how common it is to become injured and suffer permanent pain and disability, despite the fact that insurance companies attempt to tell victims they are not injured or that auto accidents are not serious.

45% of chronic neck pain sufferers blame past MVC as the cause of their pain
Wow, almost half of all chronic neck pain sufferers attribute a car accident as their source of pain…does that sound like auto accidents are simple, uncomplicated injuries?

Females are twice as likely to suffer whiplash injury than males
The most commonly cited reason for this is neck size. Females, in general, have thinner, weaker necks than their male counterparts and therefore are not as resilient to whiplash forces.

Males and females are equally likely to suffer long term residual pain and/or impairment after a whiplash injury
Interestingly, even though females are more easily injured, once someone is injured it does not matter what their gender, they are just as likely to suffer long term impairment and pain from their car accident.

Approximately 35% of all victims of rear impact motor vehicle collisions become chronically painful
Here’s a powerful statistic that flies in the face of insurance adjusters who often claim whiplash injuries go away with our without treatment in a matter of weeks. Sourced from numerous top flight medical and scientific papers, this fact is very troublesome. When you consider that 3,000,000 injuries occur every year and 35% of them will suffer chronic pain, that means every single year there are 1,050,000 new chronic pain sufferers in the U.S.

These facts clearly point to the fact that whplash injuires are very common, are serious and often lead to long-term pain and impairment. For these reasons it is imperative to get checked by a auto accident medical specialist who understands these facts and can properly manage these complex injuires.

Dr Barry Marks, DC
Car Accident Specialist, Orange, CA
http://www.truthaboutwhiplash.com


The Truth About Low Speed Auto Accidents

September 9, 2008

Dr Barry L Marks
Chiropractor, Car Accident Specialist in Orange County, CA

Low Speed Auto Accidents

Thousands of car accidents occur everyday. And every day thousands are injured. Researchers note that the majority of auto accident injury claims occur at relatively low speeds of about 12 mph or less.
Car Accident Disputes
This causes tremendous disputes between injured parties and the insurance companies that are responsible for compensating them for their car accident claim. To insurers, there really is no speed at which they want to admit an injury could occur. For economic reasons they try to dismiss whiplash or car accident injuries entirely, as if they don’t exist.

Thanks to recent irrefutable research studies proving the existence and exact mechanism of whiplash car injuries, insurers are hard pressed to try the “whiplash is a hoax” defense nearly as much as in the past.

A more recent tactic is to claim the speed of the collision is too low to cause injury. Enter the “low speed collision” or “slow speed collision” defense. The defense often relies on their insured’s reports of how fast they were going when they ran into the back of the other party-obviously biased data.

Other times photographs of the vehicle damage is used to show a low speed car accident. Often, the photographs are shown to an Accident Reconstructionist who by merely looking at photographic damage of a car crash then renders an opinion on how fast the vehicles were traveling. They will even go so far to make statements such as “the evidence suggests there was insufficient force to cause human bodily injury…” This would be laughable if it didn’t cause so many problems for injured car accident victims. By the way, in most states Auto Crash Reconstructionists are only allowed to testify or ender an expert opinion as to vehicle damage. They are not trained to determine bodily injury.

The Truth
Here are but a few facts concerning motor vehicle injuries and their relationship to speed with supporting scientific evidence.

Three different studies (Panjabi, Panjabi and Cholewicki and Kaneoka) proved the mechanism by which the neck is injured by a rear impact force simulating a car accident. [1], [2], [3] The studies involved simulating a rear impact collision on live human test subjects and recording the results with cineradiography (high speed motion x-rays). The researchers found that the neck was injured by deforming into an “S- shaped” configuration within fractions of a second of the impact before the occupant is aware of the impact and before reflexes can protect them. All three of these studies found that this physical event occurred at speeds as low as 2.5 mph. In other words, when they simulated car crashes sufficient to cause the head to move in relationship to the body at a rate of 2.5 mph, injuries were recorded.

The radiographically proven human threshold for injury in a rear impact auto accident therefore is 2.5 mph. Other authors have disputed these figures and some insurance company sponsored studies have found the threshold to be closer to 5 mph.

For the sake of argument, let’s stipulate that the 5 mph threshold is correct. It still means that a collision of only 5 mph can cause damage to the neck.

Freeman et. al. in Spine, Vol. 23, Number 9, 1998, p. 1046 shows the damage thresholds for many cars. This is the minimum speed required to cause the car to show visible signs of damage. The smallest, lightest vehicle listed was the 1980 Toyota Tercel, which required a collision of 8.1 mph to become damaged. On the other end of the spectrum was the 1989 Chevrolet Citation, which required 12.7 mph. A Ford F-250 pick up required 11.7 mph.

Cars built today are equipped with rear bumpers designed not to show any damage below 5 mph. In an attempt to reduce repair costs shouldered by insurance companies, crash standards were adopted to mandate rear bumpers must withstand a 5 mph collision into a fixed barrier (wall, pole, etc) without any visible evidence of damage. It should be noted that this standard involves testing of “vehicle to barrier” crashes not “vehicle to vehicle” testing.

Hitting a pole as in “vehicle to barrier” testing yields more damage at lower speeds. The barrier does not move or absorb any energy.

In “vehicle to vehicle” crashes where the bumpers line up well, it takes considerably more force to cause visible bumper damage than a 5 mph collision. Some tests have shown that cars could be crashed repeatedly at 20 mph and not show outer damage. In a “vehicle to vehicle” crash it is estimated that the minimum speed to cause visible damage is approximately 15 mph.

What happens to the occupant in these collisions is what matters. If you are backing up in a parking lot and run into a pole at 6 mph. You will feel a crunch and a bump. You’ll be startled and upset about your bumper, but it is unlikley you’ll be injured.

On the other hand, if you are stopped in a parking lot waiting for a space and another vehicle strikes you at 12 mph (the average speed of a car in a parking lot) you will likely feel a tremendous jolt, hear a loud bang and your car will be pushed forward a few feet. It is probable that your neck will be injured, although it may not show up for hours or days, but your bumper may not even show a dent.

In the first scenario all the energy of the crash was absorbed by the bumper. In the second, some of the energy was bled off into the two vehicles, but much of it was transmitted into your body causing your neck to deform into the “S” configuration resulting in injury.

Another consideration is that while a bumper may look undamaged from the outside after a collision, inside under the skin, the foam or plastic may be crushed or cracked. This is not seen from the outside, so photographs would make it appear as if no damage was sustained. Still further, the bumper may appear intact, but on unibody vehicles, the unibody may be bent or deformed by a collision. This may not be apparent and some auto repair facilities may miss it.

So what does this mean? It means that if you are rear-ended and your bumper is cracked, dented, or misplaced at all, your collision involved speeds in excess of 15 mph. That’s 3 times the human threshold for injury if we use the 5 mph figure. In reality, the proven threshold is only 2.5 mph, so a collision of 15 mph is 6 times the threshold for injury.

Now let’s say your vehicle sustained no visible damage, but your neck hurts after the collision. Does that mean you weren’t really injured? No. It means that the vehicle’s threshold for damage was not exceeded. The impact could have been 10 mph. Too low for bumper damage, but still 4 times the threshold for human injury.

In a low speed collision, the kinetic forces that are transferred from the other vehicle into your vehicle are not dampened or bled off by your bumper. Instead, the force is transmitted through the vehicle, into your seat and to your neck resulting in injury. If your body or neck are jolted or jerked by the impact, an injury could occur.

Another aspect to consider is if your vehicle is moved forward by the impact. An average car weighs close to 4,000 lbs. Let’s say you are hit from behind and your car is pushed forward a few feet, but shows no signs of bumper damage. Is it possible to be hurt? Yes, of course. The force required to move a stationary 4,000 lb object is tremendous. Can you walk up to a car sitting at a red light with its brakes on and shove it forward even an inch? Not likely. A collision that is strong enough to propel a car forward by even inches is plenty enough force to cause a whiplash injury.

So, as you have now learned, there really shouldn’t be any dispute on whether a low speed car accident collision can cause injuries. It has been scientifically proven by several studies. It is also a fact that the speed required to cause bodily injury is quite low, a scant 2.5 mph. It has also been shown that any accident that causes damage to the rear bumper is likely to cause injuries and even in accidents where there is no outward physical damage to the vehicle, there may still be sufficient forces involved to cause bodily injuries.

About Dr. Barry L Marks, DC
Dr. Marks is a car accident injury specialist in practice since 1986. He is a former Associate Clinical Professor at a leading Chiropractic College and has advanced post-doctorate training in whiplash, car accident reconstruction, brain trauma and orthopedics. He is the Medical Director of Orange Spine & Disc Rehabilitation Center in Orange County, CA where he specializes in back pain and neck pain from car accidents. His opinion is often sought by other doctors, attorneys and insurance companies. You may contact Dr. Marks’ office at (714) 938-0575 for a Free Car Accident Severity consultation. Or order his Free Car Accident report.

References

Panjabi MM, Grauer JN (1997): “Whiplash produces a S-shape curvature of the neck with hyperextension at lower levels. ” Spine 22 (21): 2489-94.

Panjabi MM, Cholewicki J, Nibu K, Grauer JN, Babat LB, Dvorak J, Bar HF (1998-12-01): “[Biomechanics of whiplash injury].” Orthopade 1998 Dec; 27(12): 813-9.

Koji Kaneoka, Koshiro Ono, Satoshi Inami and Koichiro Hayashi (99-04-15). “Motion analysis of cervical vertebrae during whiplash loading.” Spine 24(8): 763-770

Characteristics of Specific Automobile Bumpers in Low Velocity Impacts, SAE 940916