Tag Archives: Neck Pain

This Common Car Crash Injury Leads To Bigger Problems

Sub failure Injuries

Whiplash Is Not A Diagnosis

Not a week goes by that a patient doesn’t come in and tell me that he/she has or had whiplash.  Whiplash is not an injury, it’s a mechanism of injury.  Saying you have whiplash would be like saying you have “fell on my back” or “slip and fall”.

So now that we understand that whiplash is not an injury, lets talk about one of the most common injuries whiplash can cause…Subfailure Injuries.

Subfailur Ligament Injuries

Ligaments are fiberous connective tissue that hold bony joints together.  They attach from bone-to-bone with the purpose of stabilizing joints and allowing them to move within their normal range of motion.  Unlike other connective tissue, such as muscles, they are not very elastic and do not stretch very well.  This is critical to understanding how these tissue get injured in car crashes.

Ligament Instabilities Defined

“The loss of the ability of the spine under physicologic loads to maintain relationships between vertebrae in such a way there is neither damage nor subsequent irritation to the spinal cord or nerve roots, and, in addition, there is not development of icapacitating deformity or pain due to structural changes.”

White AA, Panjabi MM:  The problem of clinical instability in the human spine:  a system approach.  Clinical Biomechanics of the Spine.  1978:192

The adult cervical spine is unstable when:

  1. a)  All the anterior or all the posterior elements are destroyed or unable to function.
  2. b)  More than 3.5mm horizontal displacement of one vertebra in relation to an adjacent vertebrae measured on lateral x-rays.
  3. c)  More than 11º or rotation difference to that of either adjacent vertebra measured on lateral cervical neutral or flexion-extension x-rays.
  4. d)  Cervical kyphosis.

Future Health Problems

Joint instabilities resulting from ligament injuries causes not only increased pain but may also lead to additional health problems including: disc derangement, degenerative changes, increased pain, nerve entrapment and spinal cored compression.

Proper Diagnosis Leads To Proper Treatment

Special evaluation of joint instabilities needs to be considered when determining the most appropriate treatment.  Frequently joint instabilities will not be detectable on neutral lateral and anterior x-rays, cervical flexion/extension and open mouth lateral bending films should be taken to determine the true integrity of the spinal ligaments.  If injuries to the lumbar spine are suspected; flexion/extension and lateral bending films of the lumbar spine are recommended.  Think about an athlete with a torn ACL; the knee and supporting ligaments may appear fine in the neutral position but when the knee is put under stress with pushing or pulling the lower leg, pain is created because the injured ligaments are stressed. Similarly many injures in the spine will only present themselves when the spine is stressed in flexion/extension or lateral bending.

Special consideration needs to be considered with treating injuries with instabilities because improper treatments and irritate and potentially make the instabilities worse.

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Best Posture Exercises for Neck and Back Pain


Hi this is Dr. Chris Gubbels Fort Collins chiropractor here at Square One giving you the square one healthy tip of the week. And this week I want to take a minute to show you some things that you some that sits at a computer your hands over a lot, this is some quick exercise that you can do and take a break to work on your posture.

So I call this YWT and I’m gonna show you from the front side. So first thing if you’re like this, one thing I’m gonna have you do is you gonna start by bringing your hands up like this your thumbs pointing back to we call this Y, while I’m doing this I’m gonna make sure that my head stays stuck with my chin down. So I’m not gonna let my head drop forward but the first you’re gonna do is go ahead make of Y you’re gonna point your chin in, and you’re gonna pull your shoulder weight together in the back and we gonna hold this for about 30 seconds and after 30 seconds you can bring your arms down into W just like this keeping your head take back you opening up here after after you hold out for about 30 seconds go ahead and bring your arms out like this you’re making a T from the side its gonna look like this and then after 30 seconds or so bring your arms down to an L to finish it like that.

That gives you a nice stretch appeared the shoulders for something back muscles and get your head backwards supposed to be. That’s a great thing that you can do just take a break once or twice a day when your seating in your desk and it will help you improve your real posture so Dr. Chris Gubbels from square one that is your square one help tip of the week.

Now if you’re someone that has any ongoing neck pain, upper back pain, headaches we always recommend that you get checked by a healthcare professional.

Just give us a call at 970-207-4463 to get a free consultation to know more about square one just visit our site: http://www.squareonehealth.com/

Whiplash Treatment


My name is Marvin Thomas, and I was a rollover auto accident that put me in a quiet bit of pain before I came to Square One chiropractic.

The exams that I took were amazing, I’ve never gone through anything that extensive as far as the x-rays and photographs showing me my body, true body alignment and things that I didn’t even know where out of a line.

My treatment was quite a different because of the traction the actual relaxation and pulling in aligning the body back into into position slowly increased blood flow, circulation, male capacity and more alert and just a lot nicer not living in pain.

The home exercise where they were difficult to keep up on if you have a busy life but I recommend it highly I kind of slacked off at first and then I picked up dramatically toward a hand. And I can see just a huge difference I wish I’d start starting stronger in the beginning.

My quality of life is improved 10 fold I didn’t even know I was in pain because I was so used to it. And now my life is really turned around for me.

I’ll definitely go to the folks at Square One. They’ll find out what’s wrong with you and and fix it or find someone who can.

To learn more about Square ONE  http://www.squareonehealth.com/ft_collins_whiplash.html.