Do you have whiplash pain? Have you been in a car accident and been rear ended or hit from the side? You don't need to be in a car accident to have whiplash; I had whiplash as a child when I fell head first off my bike at age 6 and knocked my 2 front teeth out.
Whiplash can cause significant pain. You may have headaches, neck pain, upper back pain, shoulder pain and tingling in your arms.
Whiplash hurts; the sooner you get treatment, the sooner you will feel better. How can physical therapy help? Our physical therapists can massage injured muscles, for example, the muscles pictured to the right.
We will also give customized gentle exercises to get your muscles back on the path to recovery. Other treatments designed to reduce the pain such as ultrasound, electric stimulation and cold laser can be provided. We can coordinate care with other providers such as acupuncturists, chiropractors, and massage therapists as needed.
At Comstock Physical Therapy the Muscles In-Sync approach reduces muscle spasms, increases mobility and increases strength.
Science tells us with whiplash the core muscles in your neck become out of sync or out of order. They need to be retrained to contract in the right order, then strengthening will be a lot less painful and your results will last.
Why is there a need for a "special" training program? If you have whiplash the normal sequence of the muscles contracting becomes disordered. Normally the core muscles contract to make your neck stable, then large muscles (sternocleidomastoid and scalenes) pull on the neck to rotate it or pull on your neck as you lift your arm.
After whiplash, large muscles (the big ones you can see on the sides of your neck) contract first to splint the neck. The problem is, the right order of muscle contraction does not come back and the large muscles (sternocleidomastoidand scalenes ) keep contracting, which causes headaches (see the headache referral pattern for sternocleidomastoid) and arm tingling and pain (see the scalene brachial plexus picture below). We will massage these muscles to help them relax and retrain.
>What can you try at home to help this pain? Nod your head in little tiny nods, like you are nodding "yes" to getting better. Also, ice is helpful after you first hurt your neck and heat for stiff muscles.
Give us a call at 360-455-8014 to schedule an appointment to get relief from your whiplash pain!
A concept called “crossover gait” has been around for a long time in running circles (at least since 1994, as noted in a medical article, “Relationship between foot placement and mediolateral ground reaction forces during running–Clinical Biomechanics March 9, 1994”. Here is the definition of crossover gait: The runner places the weight bearing foot under the center of the body or across the center to the opposite side. It happens with same sided hip weakness and opposite abdominal weakness.
The idea of crossover gait also happens with walking as well as running, but the consequences can be different. In the video shown above, the client’s left pelvis is higher than her right when she is, at the same time, putting weight through her left hip and leg as she lifts the right leg to place it onto the step. She SHOULD be contracting her left glut muscles and right abdominals at the same time to assist in lifting the right leg, (whether stepping up onto a step of taking a step forward) but she does not. Instead her left pelvis shifts to the left and the right side of the pelvis drops as she lifts her right leg. This causes her to have to fold her right knee into a knock knee position. THAT will cause knee pain.
If you watch the video, you can see she has been taught to lift her right pelvis and contract her left side glut muscles, which raises her right pelvis allowing the right knee to unfold to a straight position from a knock knee position!
On our website, Comstockpt.com and MusclesInSync.com, you’ll notice a tab which is called Muscles InSync (TM). It describes muscles getting out of sync with injury, and how we look to get the timing and coordination of the muscles working well again to get you better. How does this idea relate to Morton’s Neuroma? And….how can it help you if you have Morton’s neuroma?
First, what is Morton’s Neuroma? It is tangle of nerves which bunch up between the bones on the bottom of the ball of the foot. It causes a lot of pain when you walk and put pressure on the ball of the foot when you walk. It is a lot worse when you wear high heel shoes or heeled boots.
If your foot puts pressure down on the ball of the second toe, instead of the first toe, you end of lifting the outer toes too early, and the weight of your body can spin on the ball of the second toe. Below is a video from The Gait Guys which demonstrates the foot tripod
Which muscles are out of sync if you have a poor foot tripod? In the foot, the adductor halluces muscle, transverse portion (runs under the ball of the foot) supports the piece of the tripod which runs from the big toe to the little toe.
The Gait Guys are of the opinion that the extensor halluces brevis also plays a role in tripod support:
Try these two exercises slowly for 2 weeks and see if you can achieve a good tripod!
I've recently treated 2 ladies with significant pelvic pain. One patient is fairly young, and for some unknown reason seemed to develop pelvic floor pain, specifically by the soft tissue on and below the pubic bone, as well as in the bladder area. Sometimes the pain was referred down into her leg and sitting and walking were difficult.
She has received 3 treatments consisting of gentle stretches as well as manual therapy/myofascial release to the fascia and tissue which are painful and tight. The major problem turned out to be a sprain of the round ligament on the right:
Another patient had endometriosis which caused significant scarring through her abdominal area, including on the bladder, bowel, uterus, and ligaments. She received gentle stretches as well as core strengthening and has returned to a normal workout routine. She also has avoided another surgery and higher intensity medication.
If you have questions, please feel free to comment.
If you have a tight Achilles do you the usual stretch, which is to lean against a wall, the foot you are stretching farther back. Here is a picture: Another way to stretch the Achilles is the stand with your feet on a step and slowly lower your body weight while keeping your toes on the stair. Stretching the Achilles feels good, and can increase motion, but how does that translate into walking? Could the problem be weakness in the front of the ankle, instead of tightness in the Achilles? And if the front ankle muscles are weak, and they are needed to help lift the foot when you swing the leg through, and needed to support the arch as you put weight on the leg, could you accomplish both front ankle strength AND Achilles stretch at the same time? Yes, you can, and it is better for your feet! What to do? First, standing, practice lifting the toes from the tips of the toes. Then, lift the foot, keeping the heel down on the floor. Take 10 steps on each foot. Repeat this in sitting to stretch the soleus muscle, the muscle underneath the gastrocnemius.