How Much Is Car Insurance For A 23-Year-Old Per Month Imaging Whiplash Injuries – Pros and Cons of X-Rays, CTs and MRIs

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Imaging Whiplash Injuries – Pros and Cons of X-Rays, CTs and MRIs

Occupants of a car involved in a collision may experience neck pain regardless of which direction the impact came from; however, this is more likely to occur when the impact comes from the rear.

An 8 mph rear-end collision of a vehicle with a 2-g acceleration (2-g = 2 times Earth’s gravity) could result in a 5-g acceleration to the head. Experiments with volunteers show that a 10 mph rear-end collision produces 9 g of acceleration in the neck and 23 g in the frontal cortex.

It has been shown that neck sprains occur in 10-60% of people in car accidents. People who don’t wear seat belts have fewer neck sprains than those who wear seat belts.

The use of head restraints can significantly reduce the incidence of whiplash injuries from rear-end collisions. In fact, cars with adjustable head restraints saw a 10% reduction compared with 17% for cars with fixed head restraints.

Plain film (X-ray):

They say that plain x-rays should be used first in the evaluation of whiplash. This is to obtain a reference image of the cervical spine at the time of injury and, moreover, to assess possible traumatic lesions. Using this approach, secondary symptoms such as degenerative disease can be assessed objectively, even if they are not noticed some time after the trauma.

Disadvantages of X-rays. Also, be aware that plain radiographs may not be fully effective in identifying traumatic cervical spine injuries. In the majority of patients with cervical spine injuries, the combination of cross-tab lateral (CTL), AP and OM views has the following results:

61% of all fractures were missed. 36% of subluxations and dislocations were also missed. Additionally, 23% of patient injuries were misidentified. Half of these patients had unstable cervical spine injuries, and some patients had normal cervical spine.

For this reason, trauma victims should have MRI (magnetic resonance imaging) or CT (computed tomography) scans when their plain radiographs show cervical spine injury or there is a high clinical suspicion of injury. This will provide a clearer and more defined assessment of the condition of the cervical spine.

computed tomography:

CT scan is a good option for all patients who have experienced acute trauma. This is especially true when the cervical spine cannot be seen well with plain radiographs. The same is true when there is unexplained focal neck pain, or neurologic deficits that cannot be seen on plain radiographs.

In addition, CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) is recommended if there is unexplained soft tissue swelling in the prevertebral area or plain radiographs are abnormal for any other reason.

These tests can reveal soft tissue problems such as herniated discs, ruptured ligaments, and soft tissue hematomas. However, CT is limited in its ability to assess trauma to the cervical spine.

Disadvantages of CT scans: Seeing dislocations, subluxations, abnormal angles, and intervertebral distances is not as easy with CT as it is with old-fashioned radiography or newer tomography. In one research experiment, CT detected dislocations and subluxations in only 54% of trauma victims.

MRI scan

MRI data for whiplash injuries vary widely and take into account the time period between X-ray and accident.

  • In the chronic phase, the first year after trauma, findings are usually nonspecific. They will include degenerative disc disease as well as herniated and/or herniated discs. Rarely, patients showed bone or ligamentous lesions.
  • When going through the subacute phase, more characteristic findings such as disc separation from vertebral endplates and ligamentous injuries are usually reported within four months of the whiplash event. When comparing the anterior longitudinal ligament (ALL) to the posterior longitudinal ligament (PLL) or interspinous ligament, the ALL is more likely to be injured.
  • There are usually no specific findings for the first 15 days after the initial injury. This phase is often called the acute phase.
  • An MRI (magnetic resonance imaging) may be required if the patient has neurological deficits, myelopathy, spinal cord injury, or radiculopathy. This is especially true if symptoms exceed those expected from findings on standard radiographs. In cases of whiplash, it is advisable to use MRI (magnetic resonance imaging) as standard procedure. This is especially true when the patient complains of symptoms specific to whiplash or when other investigations reveal important findings.

Disadvantages of MRI scans. cost. Although in the case of whiplash, this is handled by the insurance company.

Neck sprains from neck injuries or car accidents respond well to chiropractic care.

Andrew Mairs, a San Diego chiropractor who specializes in whiplash patients, also offers SASTM (deep tissue massage), which is especially helpful for old injuries that have developed scar tissue, and cold laser therapy for new injuries.

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