Back pain (also known "dorsalgia") is pain felt in the back that may originate from the muscles, nerves, bones, joints or other structures in the spine.
The pain may have a sudden onset or it can be a chronic pain, it can be felt constantly or intermittently, stay in one place or refer or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. The pain may be felt in the neck (and might radiate into the arm and hand), in the upper back, or in the low back, (and might radiate into the leg or foot), and may include symptoms other than pain, such as weakness, numbness or tingling.
Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for all physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.

Wednesday, April 23, 2008

Whiplash - A Background And Summary Of Recommendations

What is Whiplash?

Whiplash associated diseases are defined as an acceleration delay mechanism of energy transfer to the neck. The result is typical bony or soft tissue injuries. The most common causes of whiplash associated diseases are car accidents, especially when hit from behind. This leads to a rapid expansion flexion - whipped cream action flexion of the neck. Other less common causes include collision injuries and sports injuries in contact games.

What are the qualities of seriousness?

A classification system was designed to grade the severity of whiplash related diseases. The notes range from 0 to 4 and include the following:

Grade 0: No complaints of physical symptoms without signs

Grade 1: complaint of neck pain, stiffness and tenderness without signs

Grade 2: complaint of neck symptoms with musculoskeletal signs ermaigten range

Grade 3: complaint of neck with neurological symptoms, signs of weakness and sensory deficits

Grade 4: complaint of symptoms and neck fracture /dislocation present

How should I?

A physiotherapist is able to assess their status and injury to determine what classification level to ensure you get the most effective and specific treatment. It is important that patients know that serious physical injury with higher grades is actually quite rare and the majority of patients have an extremely good prognosis. Reassurance and adopting a positive attitude early are essential for good management of whiplash outcome.

Common associated diseases include: advice on amending

Correct activity as adequate working and leisure lists to ensure that you do not aggravate your symptoms, but still remain active. The recovery is actually improved with graded speedy return to normal duties before the accident with bed rest and collar really a delayed recovery and chronicity.

Prescribe an effective exercise muscle re-education program to restore the appropriate muscle control and support in the neck region. Self exercises have been shown to help re-normal activity levels faster than the reduction in neck pain symptoms.

Correct advice on Management Strategies. More than medication has been shown to be detrimental to recovery. My physiotherapist is able to show you the best, non-pharmacological methods of pain relief to help to get back to normal activities pain as soon as possible, but also enable you to get better with symptoms.

McClune et al 2002 Emerg Med J 19:499 506

Summary guidelines for dealing with acute WAD traffic accidents authority 2007

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