Automobile Crash
Trauma
This report is intended to inform you and help you make decisions for your health care needs following the trauma you have received during your automobile collision. The information in this report is based upon scientific research in the field of spinal trauma, collision reconstruction, whiplash injuries, chiropractic care and rehabilitation. We hope that you can make the appropriate actions for your treatment needs based upon this information. If you have any questions about this report or your injuries, please feel free to contact us at 503-981-4591.
How your injuries occur in an auto collision.
According to Newton's laws of physics, your body will stay at rest until acted upon by another object. If you are stopped at a light and a vehicle strikes you from behind, you are forced into motion. Also, if your body is in motion, it will stay in motion until acted upon by another object. If you are driving along and someone pulls out in front of you and you hit them, you will be forced to stop or slow down very quickly. Both of these cause a rapid acceleration of your body which results in tears of your soft tissues. Soft tissues are your muscles, your ligaments (which stabilize you bones) and your nerves.
One of the primary areas injured during a collision is your neck. Nearly one third of all motor vehicle accidents are rear-end collisions. This is the type of accident that is responsible for most whiplash injuries. If the driver of the front car is relaxed and unaware, then when the cars collide the energy of the moving car is transferred to the front car and propels it forward. The back of the car seat goes with the car and pushes into the drivers back. However, the drivers head will stay in the same place until the neck pulls it forward with the body. It is during this time that the soft tissues tear causing the injuries. This is true in other parts of the body as well.
Why everyone in the accident needs to be examined immediately.
Anyone and everyone involved in the crash needs to be examined within the first week, even if they feel fine. This will allow the physician to determine the immediate nature of the injuries and prescribe the most effective program to begin healing right away. Scientific research notes that chiropractic care is one of the most cost-effective and beneficial treatment choices for whiplash and other collision injuries. In addition, research also notes that the longer you go without proper care, the more difficult it is for you and the doctor to return you to a pre-accident status.
1 out of 10 people will be involved in an auto accident this year.
Over 20% of all accidents lead to SERIOUS and long term injuries.
Another 15% require immediate care to prevent the need for long term care.
An amazing 30% do not ever seek medical treatment.
Too often, people involved in low speed collisions (fender benders) do not take the possibility of injury seriously. More than 80% of all car crashes occur at speeds less than 10 MPH. Fatalities involving non-belted occupants of cars have been recorded at as low as 12 MPH.
That is about how fast you would drive in a parking lot.
By being examined early, you can begin treatment early. Proper treatment will allow the body to reduce the swelling associated with injury, increase circulation to the injured tissues for quicker healing, and minimizing the formation of scar tissues which cause most long term consequences. Without a proper evaluation initially, many important soft tissue injuries may be missed and allowed to go without proper care.
The Evaluation from the Emergency Room May Have Missed Serious Injuries.
When you go to the emergency room or other type of physician that is not specialized in these types of injuries, many times the evaluation is brief and the treatment is simply rest, maybe some medication for pain and swelling and possibly a collar around your neck to prevent your neck from moving. The doctors of the emergency room are looking for things that are life threatening (breathing, bleeding, broken bones). If you appear to be alive with no need for support, they
believe you will be fine in a couple of weeks. The truth is: just because your soft tissue injuries are not life threatening, they may be quality of life threatening. Unless you have a broken neck or severe instability, placing you in a cervical collar (pictured above) prevents the motion necessary for proper and quick healing and forces your muscle to decrease in size and strength at 1.5% per day. This does not allow for proper healing and actually prolongs the intensity of the injuries and causes more severe impairments in both strength and motion.
When you seek a doctor to evaluate and treat your injuries, you need one who:
Understands accident related injuries and knows the (hidden) signs that predict if serious injury exists;
Understands effective methods to treat traumatic injuries, that are preferably pain free and drug free;
Understands how to treat your injuries at their root cause;
Continually educates and learns about the latest discoveries in the evaluation and treatment of accident related injuries.
How Chiropractic Is Often More Beneficial Than Medicine
Although medical physicians have a definite place in the health care of this country, their education does not support them as the expert or specialist in the field of automobile accidents. On the other hand, Doctors of Chiropractic have the most extensive background and education on conditions involving the neuromusculoskeletal (NMS) system. The term neuromusculoskeletal basically refers to your nervous system, your muscular system, and your skeletal system (joints). These are the primary sources of injury involved in automobile collisions, as well as most other common accidents. The following is a comparison of class room hours for the chiropractic college and medical college in Oregon.
Class Chiropractic Hours Medical Hours
Anatomy 288 190
Neuroanatomy 96 84
Histology (soft tissues) 44 84
NMS Diagnosis 276 158
X-ray 376 24
Total Class Room Hours 3,768 2,465
In addition, the doctors of Northwood Health Center have studied the specific mechanisms for injuries in automobile collisions, the most beneficial treatment protocols necessary to return you to a pre-accident status, the long term effects associated with these injuries and many other post-graduate classes designed to assist us in helping you with your care.

Pain is a Poor Indicator of Injury Severity.
Most people involved in an automobile collision experiences pain in one way or another. Sometimes it is severe and prevents you from doing anything. But many times the pain is mild and does not necessarily affect your lifestyle. It is in this case that people place themselves in danger of causing potential long term problems as a result of missed injuries.
Some research states that symptoms from accident injuries can be delayed days, even months down the road. Headaches, neck pain, arm pain, etc. can all be minimal at the onset of injury. Only to be exacerbated with the increased stress of occupational duties, activities of daily living, and/or the secondary affects of the healing process. During the healing process, your torn tissues will heal with a scar. This scar will cause the damaged tissues to become less flexible, weaker, and more sensitive. The increase in sensitivity may cause the increase in pain over 8 weeks later.
When you do receive care for your injuries, even immediately, the pain is not the measure of recovery. Most of the time in our treatment, the pain is the primary goal to relieve. Therefore, it will usually be the first to be corrected. However, the function of the body consisting of motion, strength, endurance and ability to withstand stress are all areas of extreme importance that will be addressed in your treatment needs by this facility. When your pain goes away, many times your functions are still significantly limited.
Pain is not a reason to start or stop treatment. Pain is merely an affect of something damaged or incorrect in your body. Allow the findings of your evaluations to determine your treatment needs, initially and throughout your treatment program.
Aspirin and Drugs Do NOT Heal Your Injuries.
Although there are times when symptoms and pain are so severe that it takes medication to allow you to maintain your sanity, do not mistake their role as pain relievers with an ability to heal you. In fact, many times the numbing affect medication has on your body will mask the presence of more serious injuries.
When your body is sending you signals of a problem, it is important for you to listen to those signals and have the problem evaluated. If a fire alarm was going off in your house, you would not just turn off the alarm...You would hopefully get out and call someone to check for a fire. Your pain is your bodies fire alarm. Do not just take a pill to turn off the alarm. You need to check to see if you have any injuries that are causing that pain and possibly other problems you may not be feeling. By treating what is causing the pain, instead of just treating the pain, you are able to correct the cause and prevent the pain and associated problems from returning in the future.
The longer you wait to have the cause of your pain evaluated, the more serious it will be when it is found.
In addition, the longer you wait, the more difficult it will be to effectively treat your injuries which are causing your symptoms. Sometimes we see patients that have waited too long, and there is nothing left that we can do for them. There is nothing left for anyone to do but provide them a lifetime of taking drugs to mask the pain that is inevitable in their future.
However, all of this can be avoided by getting an early examination after your accident and following the treatment plan scheduled by your doctors.
Auto Insurance Covers Chiropractic Care.
In this age of HMO's, PPO's, MCO's and the need for medical referrals, most health insurance policy holders are in the dark as to which physicians they can go to and which procedures will be covered. This prevents a lot of the general public from receiving the proper care they desperately need. More and more patients, physicians, and employers are progressively seeing the downside of health care coverage regarding HMO's, PPO's, and MCO's. However, in the case of the automobile accident, rest assured that your policy does allow you to see any primary health care provider you choose. This includes medical doctors, chiropractic doctors, osteopaths and naturopaths. With the freedom to choose whom to see, you have the ability to choose the experts in the field; the chiropractor.
Many health insurance policies require the referral from your general practitioner to see a specialist. Under your auto insurance, you do not need a referral to see a chiropractor. A common practice made by insurance company personnel is to inform you over the phone that you can not see a chiropractor for your accident without a referral. This is not true. The current laws in the State of Oregon do allow the freedom for you to choose your health care provider under the Personal Injury Protection act. You also do not need a referral to have physical rehabilitation performed by a chiropractor, which in fact is greatly needed.
Under your auto insurance, if you are involved in an accident, your policy states they must pay for all services which are considered reasonable and necessary within a year of the accident. Our services are supported by research studies and text books on automobile accident injuries and can be proven to be reasonable and necessary which allow them to be covered by your policy.
Chiropractic Treatment is Very Effective For Post-Traumatic Injuries.
The doctors of Northwood Health Center will evaluate your injuries very specifically with appropriate examinations and x-rays if necessary. After thoroughly studying your findings, we will go over everything with you regarding your injuries and what we feel is the best course of treatment for you.
The chiropractic treatment at Northwood Health Center includes more than most offices. In addition to the very beneficial chiropractic adjustments which address the positioning and mobility of your spine and its soft tissues, we will provide complete physical rehabilitation if necessary that includes weights and pool therapy. In this age of waiting weeks to be seen by a doctor, it is nice to know we have the ability to refer within our office for massage, acupuncture, naturopathy and psychology without the common wait from other facilities.

Studies recommend an active approach to your health care needs even after trauma. Our treatment methods address the specific needs of your damaged tissues by assisting their healing process. This allows the overall health of the tissues to be more functional, similar to tissues that were never damaged.
And by re-evaluating your injuries regularly,
we will know when treatment goals have been met or when to stop treatment. By knowing the changes in your condition on a regular basis we can customize your program as your needs change. Whether that means we add rehabilitation, or decrease a frequency of visits, we will know what is necessary. There is no guessing at Northwood Health Center.
What to do when you are involved in an automotive collision...
regardless if you feel fine.
Now that you are aware of how your body reacts to injury, why your medical doctor may not provide the most effective evaluation and treatment, and how the doctors of Northwood Health Center can provide an appropriate and thorough treatment plan, you need to make a decision as to what to do next.
The following is a list of important things to do when you are involved in a collision:
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Immediately tend to obvious injuries. (Go to the hospital if you are bleeding or feel like something may be broke.)
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Report the accident. Try to get a police report. Notify your insurance company promptly. Do not give statements about the accident to anyone other than the police and your doctor.
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Schedule an exam with a doctor from Northwood Health Center who understands the unique qualities of auto injuries. (This should be done within 36 hours of the accident.) Go to our NEW PATIENT section now to download the automobile crash form and bring it in with you.
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Do not delay in receiving care. (This is different than just an exam. The longer you delay, the more serious your injuries may become.)
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Consult an attorney if problems arise.
Call Now if you have been involved in a car crash. We will get you in to see a doctor today or on our next business day.
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