Category Archives: Car Accident Injury

About Car Accident Injuries

About Car Accident Injuries

About Car Accident Injuries Orange County, CA

Orange County Car Accident Whiplash & Brain Injury Specialist, Dr Barry Marks explains some car accident information that may surprise you

  • Most injuries occur in crashes of 12 mph or less
  • A 3 mph rear impact has been proven to damage neck ligaments
  • Permanent disc injuries reported in slow speed crashes
  • Over 500 deaths in 1999 in Florida due to car accidents of 10 mph or less
  • Japanese study shows you are more likely to suffer complications and prolonged treatment if your car does not show any visible damage, worse than if car is totaled

Car Accidents Must Be Taken Seriously

A sprain or disc injury in the neck may show as a minor stiffness or headache. Later on it may progress to become more painful. Many people are injured and have no idea because the symptoms are subtle at first. Permanent structural damage may occur even in slow speed crashes. Studies have shown once certain supporting ligaments are damaged, your spine is likely to deteriorate within 5-10 years. Very specific types of treatment and home care have been proven to result in more favorable healing and limitation of impairment.

Don't Go to the Wrong Doctor for Your Car Accident Injury

Most doctors, chiropractors and therapists have no real training in detecting and treating whiplash and brain injuries. They treat them juts like any other type of "sore neck." This can harm you. Undetected and improperly ligament damage can result in serious adverse affects later on like arthritis disc degeneration and nerve injury. The average general doctor will miss key findings and not provide adequate treatment to your detriment.

Car Accident Injuries Require a Specialist

Believe it or not there are doctors who specialize specifically in car accident whiplash and brain injuries. Through rigorous study of current research, biomechanics, vehicle crash reconstruction, orthopedic and neurologic testing, interpretation of MRI studies, disability and impairment rating, forensic examination and report writing, courtroom testimony and court etiquette, and more topics are required to specialize in this field.

Orange County CA Car Accident Injury Specialist, Dr Barry Marks, DC

  • Chiropractor specializing in trauma since 1986
  • Post-doctorate specialty training in Orthopedics
  • Advanced graduate of Whiplash & Brain Trauma post-graduate program
  • Former Associate Clinical Professor LA College of Chiropractic
  • Certified Industrial Injury Evaluator
  • Qualified Medical Examiner, State of CA
  • Certified in Applied Spinal Disability Rating
  • Post-doctorate studies in MRI spine interpretation
  • Has spoken before groups of doctors and lawyers on matters of car accident injuries, MRI diagnostics, Disc injuries and more

For More Information About Car Accident Injuries Explore the Rest of This Site

If You've Suffered an Accident Injury and are Near Orange County, CA Call Dr Marks (714) 938-0575 and Book an Appointment at No Cost to You to Evaluate Your Condition

Related:
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How NOT to Choose a Doctor for a Car Accident Injury

When you've suffered a car accident and are injured, here's how NOT to choose a doctor:

Do NOT:

Call the closest chiropractor near your home or work.

Call a physical therapist nearby.

Call the chiropractor with the most Yelp or Google+ reviews.

Call your HMO primary care physician

“Why not?” you may ask.

You are Confusing a Car Accident Injury with Ordinary Neck or Back Pain. They Are Not the Same.

A car accident injury is different than any other injury. It affects various structures in the spine differently than any other type of trauma. The specific injured structure; disc, ligament, nerve, brain, etc. must be documented and properly treated. If not, you will suffer long term consequences. That is a fact.

A general chiropractor, medical doctor or physical therapist has no specialized training in this and will miss many of the injuries and therefore provide substandard care. Almost all of these doctors will eagerly treat an accident case, but they will treat them just as they would any other case of general neck or back pain.

As an example, if certain ligaments are damaged in your neck it will cause your neck curve to flatten. It can also cause your spinal bones to slip too much when moving. What is your general doctor or chiropractor's plan to restore the lost curve? Have they properly documented the fact that a ligament has been damaged? Do they know how? Do they know how to properly assess impairment based on specific x-ray studies? It is my belief that less than 10% of chiropractors can and do routinely do this. It is probably less than 1% of all general medical doctors and therapists who can do this.

Another example is a brain injury. Does your doctor know how to properly recognize and diagnose a concussion and properly grade it? And if they do recognize it, most won't, will they offer any treatment for it? Or like 99% of all doctors, will they say, “it just takes time, there are no treatments for a concussion.” By the way, there ARE treatments medically and scientifically proven to help head injuries. One of them was documented as far back as 1961, but is ignored by most doctors and therapists.

Apart From the Obvious Medical Reasons, There are Also Financial and Legal Ramifications to Consider.

General doctors do not do anything without getting paid, usually up front or at least the prospect of health insurance. Today, many people have huge deductibles to their health insurance; $3,000 up to $9,000 are now common. If you need treatment after a car accident and you see a ordinary chiropractor or medical physician you will be responsible for payment as you go. That can get pricey. And even if you are only paying a small co-pay, remember you are paying for inadequate care.

Most generalist doctors, medical or chiropractic, do not adhere to the rules of courts of law. The notes they take, exam procedures they perform and reports they write may not be admissible in court if the proper documentation is not done. This can lead to problems if it becomes necessary to provide testimony at trial.  And in fact, most doctors will not appear in court on your behalf because they do not want to be involved in the legal aspect of your case.

What Doctor Should You See After a Car Crash?

A doctor who is a specialist in car accident whiplash injury

A doctor who has many references and reviews specific to car accidents

A doctor who can show you exactly where your damage is and how it can be fixed

A doctor who is a specialist in brain injury from car accidents

A doctor who will assist you in finances so that you do not pay out of pocket

A doctor who has a network of other doctors, imaging centers and lawyers to assist you with your case

All of These Factors are More Important Than Who is Nearby, Who is in Your Network or Merely Has a Lot of Reviews for General Conditions.

Car accident injuries require a specialist who can properly diagnose your specific problem, provide the correct treatment to fix your spine or brain condition, and assist you in securing treatment at no up front cost and the process of filing your claim. Dr Barry Marks Chiropractor is a car accident injury specialist who fulfills all these criteria.

Simple Blood Test Proves Whiplash Injury?

Can a Simple, Inexpensive Blood Lab Test Really Prove Whiplash?

Lab test for whiplash

The problem with whiplash and other injuries associated with car accidents, is that many times there is very little evidence of an injury except for subjective complaints of pain. The doctor caring for a car accident injury victim needs to be able to scientifically prove injuries exist and then be able to follow up and show the problem has gotten better. X-rays and MRI's can be normal, but the patient still complains of pain. What to do?

Laboratory Diagnosis of Whiplash

JW Pritchett writing in the American Journal of Orthopedics* presented a study in which a blood test usually used to indicate inflammation, "C-reactive Protein" or "CRP" was elevated in the presence of disc, ligament and tendon tears 48 hours after an injury. Blood samples taken too early were found to miss the elevated CRP as it takes time to rise.

His research indicated that the more damage was done, the higher the CRP levels in the blood, but that also different structures caused differing levels of elevation of CRP.  But as proof of an actual ligament or tendon tear, he found that patients with pain, but no demonstrable tears on MRI the CRP levels stayed below 1.0 mg/dl and those patients with tears remained above 1.1 mg/dl. He further found that patients who undergo joint replacement, disc surgery, suffer fractures or sustained major trauma will have CRP levels increased by several hundred times the normal. (The normal value for 99% of the population is less than 1.0 mg/dl)

A simple blood test, CRP, can detect if discs, ligaments and/or tendons are torn after a trauma such as a car accident. This gives the doctor treating car accident injuries a way to monitor treatment, but also prove the existence of a major injury.

Dr Barry Marks Chiropractor and Car Accident Treatment Specialist
1745 W. Orangewood Ave #114
Orange, CA 92868
+1 (714) 938-0575

 

 

* Pritchett JW. "C-reactive protein levels determine the severity of soft tissue injuries." The American Journal of Orthopedics 1996; Nov:759-761.

 

 

 

 

 

 

 

 

 

Abnormal Neck Curve After Car Accident Whiplash

Car Accident Whiplash Injuries Cause Abnormal Curve of the Neck

Suffered a car accident neck injury?

Call Orange County's Car Accident Chiropractor Dr Barry Marks

Dr Barry Marks, Chiropractor Orange CA is a former Associate Clinical Professor specializing in car accident injury treatment and fast relief of headaches, neck and back pain since 1986

 

Dr Barry Marks Chiropractor
1745 W Orangewood Ave #114
Orange, CA 92868
(714) 938-0575

http://drbarrymarks.com

How Bad is Your Car Accident Injury?

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Orange County, CA Car Accident Chiropractor Explains Severity Grading of Injuries After a Car Accident

car accident injury

 

Car Accident Injuries

Car accidents cause damage to the muscles, ligaments, tendons, disc and nerves of the spine. Even accidents involving little vehicle damage have been shown in many international research studies to cause injury. Researchers have found that milliseconds into an impact, the spine is put into an awkward position that puts tremendous abnormal force on the upper and middle neck ligaments and discs. Damage of the ligaments and discs occurs, which in turn causes the neck to become misaligned. In time, nerves will become irritated if they weren't directly stretched or damaged by the collision.

Grading the Severity of an Injury After a Car Crash

There are a few grading systems that have emerged over the past decade to allow doctors to predict the outcome and/or treatment times of car accident injuries. These guidelines are not set in stone standards as each individual patients and each accident is totally unique. Guidelines however, are important to understand so that all parties involved; patients, doctors, insurance reps and attorneys have a general idea of the magnitude of the injuries and plan accordingly.

The most highly used and universally accepted set of guidelines are the Croft Guidelines developed by Arthur Croft, D.C., M.Sc., M.P.H., F.A.C.O. Dr. Croft's work in whiplash goes back many years to his groundbreaking book "Whiplash Injuries." These guides have been adopted by many state and international chiropractic boards as standards of care for whiplash type injuries.

Grade I: Minimal Auto Accident Injuries

Very minor or "minimal" whiplash injuries cause no ligamentous or nerve injury. These are instances where the spinal muscles are injured and the spinal bones may be misaligned but there are no signs of ligament or nerve involvement. You may feel pain, but on examination there is  no reduction in range of motion. The symptoms may be delayed by days or weeks. Many people with this level of injury do not seek treatment. Those that do usually resolve in 1-3 months with no long term impairment.

Grade II: Slight Car Accident Injuries

Most auto accident injuries fall into the realm of slight in severity. A mild or slight  injury involves an impact and symptoms combined with some positive examination findings, but no ligament damage and no nerve involvement. Onset of symptoms may be delayed by days or even weeks. If you suffered this type of whiplash injury, you may not feel pain right away or it may be very mild, but then over time it does not go away or the pain intensifies. Your doctor would find tight and/or tender muscles, loss of range of motion, misalignment of the spinal bones, and/or pain on pushing and pulling type examination tests. Your x-rays will not show ligament damage and your nerves will check out normal. This injury will take on average 2-6 months to heal and stabilize under the right care.

Grade III: Moderate Car Accident Whiplash Injuries

Moderate injuries are very common. This injury looks like the above, but usually there  is more immediate pain as there is more ligament or disc damage so you feel it right away. On examination your doctor will find any combination of tenderness, spasm, loss of motion, misalignment, altered reflexes or muscle strength and/or abnormal x-rays that suggest ligament damage. This is a more serious injury and can take as short as 3 months to as long as a year or more to stabilize. It is a permanent injury, which means you will suffer either symptoms or abnormal physical exam or x-rays indefinitely.

Grade IV: Moderate to Severe Injuries After a Car Accident

In this injury there is damage of ligaments that causes instability. Nerves are affected from stretching and/or compression. Bone fractures and/or disc herniations are present.These injuries will require permanent ongoing treatment to keep them stabilized after about 6-12 months of treatment.

Grade V: Severe Car Accident Injury

These injuries rarely walk into an out patient office, they are usually taken from the scene to the hospital and because of findings on x-ray, MRI or CT scan, they may be admitted and have a neurosurgical consult. After surgical stabilization, these cases will require ongoing rehabilitative and supportive care indefinitely.

Car Accident Injury Grading is Important

When you've been injured in an accident, you want to know how bad your injuries are, what type of treatment is necessary and how long it will take. By using guidelines, your car accident doctor will be able to give you good, science based rationale for your particular condition. Without such information, your doctor is merely guessing or playing it by ear. This is one more reason why you should only entrust your car accident injury treatment to a doctor who specializes in car accident treatment.