Washington’s Health Guide For Car Accident Victims



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washington's health guide for car accident victims

If you have been recently injured in a car accident, you are probably confused and worried about what to do next.  I bet you are asking yourself questions like the following:

“Will my car be repaired?”

“Will my medical bills be paid?”

“Will I ever get better?”

“Will I be paid for the time I’m missing from work?”

“What do I do if the other person doesn’t have car insurance?”

“What will the insurance company offer me for my injuries?”


If you or someone you care about has any of these concerns, please keep reading this special Car Accident Victim’s Guide. My name is David M. Warwick, D.C, and I’ve been helping injured people get fast relief from auto accident injuries in Lacey / Olympia for almost 20 years.

Whiplash injury is a “very real” problem that costs communities billions in health care and disability dollars.

Studies have recently shown that about 10-20% of the population suffers from neck pain, and car accidents/traumas are a big cause of this type of pain.

But you’ve probably wondered how something as minor as a fender-bender to your bumper could be such a pain in neck…..

Maybe your doctor told you “give it a couple of weeks”…”you’ll be fine.”

But you’re not fine.

Your neck hurts when you work at the computer, when the dog pulls too hard on the leash… maybe sleep has become more difficult with a lot of tossing and turning, or you’ve become dizzy…or always tired when you used to be full of energy and pep.

Maybe you’ve noticed how your neck moves differently since the accident. Looking over the shoulder perhaps isn’t as easy as before.

Does all of this sound familiar?

It’s quite surprising when you look at whiplash research and its global impact-the entire body is affected. You probably didn’t think that headaches or fatigue were part of the whiplash bargain, but they are.

Your Bumper Doesn’t Tell the Whole Story…

You can’t look at a dent in the bumper and conclude that the neck wasn’t injured.  For instance, they’re called 5 mph bumpers for a reason-designed to not be damaged in very low speed collisions.

This is good for the bumper, but not necessarily for your neck!

What researchers have discovered is that when collisions are of enough force, this causes the vehicle to crumple and absorb energy.  Low speed collisions will often not cause the crumple zones to be engaged.

If you have a rigid fixed bumper (seen on many older cars and trucks), that does not crumple-this can make the whiplash injury even more severe.

For the above reasons, you might be even more injured in an accident below 20 mph than one above that speed.

There are of course limits to this effect. Collisions at very high speeds (above 40 mph) will often cause the occupants to suffer severe injuries, even though the crumple zones are absorbing some of the energy.

You may have heard someone profess skepticism for your whiplash injury.  Maybe they thought you were gaming the system or out to make a fast buck.  Where does this perception come from?

Probably the insurance companies, who may have a profit-motive for denying the realty of whiplash injuries.

Some physicians are simply ignorant about whiplash trauma, perform cursory spinal examinations, or offer treatments that have little or no scientific evidence to back them up.

But is there really such a thing as “Whiplash?”

The science says, “YES!”

Whiplash-a soft tissue injury to the neck-is also called neck sprain or neck strain.

It is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion.

The disorder commonly occurs as the result of an automobile accident and may include injury to the joints of the spine, disks, and ligaments, cervical muscles, and nerve roots.

Symptoms such as neck pain may be present right after the injury or may be delayed for several days… especially days 3, 4 and 5 after the accident.

In addition to neck pain, other symptoms may include:

  • Neck Stiffness
  • Injuries to the Muscles and Ligaments (Myofascial Injuries)
  • Headaches
  • Dizziness
  • Abnormal Sensations Such As Burning or Prickling (Paresthesia)
  • Shoulder Pain
  • Back Pain

In addition, you may be experiencing cognitive, somatic, or psychological conditions such as:

  • Memory Loss
  • Poor Concentration
  • Nervousness/Irritability
  • Sleep Disturbances
  • Fatigue or Depression.

But Why Can Whiplash Be So Devastating?

Your head and neck is simply not designed to be accelerated three times the acceleration of gravity….or come in contact with an air bag deployed at 190 mph.

When these injuries occur, muscles and ligaments of the neck cannot resist the force, which then tears tissues apart.  This then sets the stage for degeneration/osteoarthritis years later.

The basic principal in a rear-end whiplash, is anything that makes your vehicle not accelerate as fast when hit, is going to make the injury less damaging to your neck.

If your car is small, it will accelerate much more quickly than a larger vehicle.

If you’re hit on a low friction surface such as rain-drenched pavement, or ice, the car will accelerate very quickly…and some of the worse injuries occur when your vehicle is slightly rolling when hit, because it’s easier to get a vehicle moving that is not stopped.

Women are more injured by whiplash, because they generally have less neck musculature development. The ratio of their head size to their neck size is much greater than in a man. There’s a very good reason why professional football players have those massive necks.

The Four Dangerous Whiplash Myths:

Myth #1: Car Damage = Occupant Injury

It might seem intuitive that if a car is smashed, the neck will be badly injured, and conversely if it’s a simple fender bender, then the neck was spared. Some low speed collisions can be even more damaging than high-speed accidents, within certain limits.  The kinds of things that may be more important are if your head is turned, or the size of the vehicle that is hitting you.

Before the accident, was the vehicle was rolling or stopped, how was the headrest positioned? Other factors include getting hit from behind vs. a head-on impact.

Research shows that people are not as badly injured from frontal impacts. It could be the airbag, anticipating the collision and tightening up, or the chin hitting the chest. All other factors being equal it’s worse to get hit at the side and behind, than at the front.

Airbags have done a lot to save lives from frontal collisions. Unfortunately, side and rear impacts are less protected by an airbag. Seatbelts also save lives by keeping the occupants inside of the vehicle. Although they save lives, they tend to actually accentuate whiplash injuries in low speed collisions where the torso is more restrained relative to the head and neck.

Even car seats can be a factor in how badly you’re injured.  Cars with soft thick seats will cause the head to whip more than occupants in a thin firm seat.  If the headrest was placed too low, it will act as a fulcrum and make the neck injury much worse.  That’s why your headrest should always be positioned at the very highest level, and just touching the back of the head.

Myth #2: No Pain = No Injury

I don’t feel pain so I’m ok. Most people who get in an accident will feel flustered and shook up. In low speed collisions, it is rarer to have pain right after accident. Usually symptoms develop over days, and it is not uncommon for the pain to come on two weeks post trauma. Conversely if you feel immediate pain, then substantial tearing and damage has occurred.

Another thing to consider is that the spine can be injured and yet may not cause much neck pain.  However, these patients usually have tender spines to the touch, even if there are no outward symptoms.  Less than 20% of the nerves that come through bundles between your vertebrae carry pain signals.

That means it’s important to examine for more than just pain, such as neurological and muscle function. A doctor needs to carefully palpate the tissues of the neck, check range of motion, and examine the flexibility of individual spinal joints.  With this type of comprehensive exam you will be able to know if you’ve been injured.

Myth #3: Kids Don’t Get Whiplash

Kids aren’t injured in whiplash. Maybe you thought little Johnny wasn’t injured in the car seat, or since kids tumble around when they play, they couldn’t possibly be injured. This couldn’t be further from the truth.

Infants and young children have much undeveloped spines with much less muscle strength. This makes their ability to resist the forces lessened. You have to also consider the size of the head compared to the size of the neck. This difference is greatest in young children.

When infants are injured they can show behavioral changes such as irritability and disrupted sleep patterns or nursing difficulties.

Myth #4: X-rays Always Show Whiplash Injury

If you’ve had a severe whiplash, you may have taken a trip to the emergency room where an x-ray was taken. If you’re like many patients, the x-ray was read as normal. The problem is the x-ray you received, probably taken with you in one position, does not show injuries to the soft tissues such as ligaments and muscles, unless massive injury has occurred. Only if motion x-rays are obtained, can you see how the joints are moving in the neck. Since the injury is a sprain of ligaments, and x-rays show only bones-they do not give the complete picture.

Unfortunately for some whiplash victims,

Neck trauma will lead to arthritis of the spine.

Don’t be too alarmed, but concern is helpful.  People hear the word arthritis and think of rheumatoid arthritis and crippling joints.  What I’m talking about is osteoarthritis, or degenerative joint disease.

Osteoarthritis is one of most common diseases afflicting humans, more common in people over age 55 than any other health condition.

Billions of dollars are spent each year on drug treatments that really do nothing to prevent degeneration of the joint.  In fact, some scientists suggest that injuries do not heal properly when patients take NSAIDs such as ibuprofen.  This is in addition to the known rare side effects such as stomach bleeding, liver, and kidney problems.

Arthritis occurs in spinal joints that have damage to the ligaments and disks. As degeneration progresses, the mobility of vertebrae are altered. The stretched out ligaments will allow excessive motion and after injury, scar tissue develops. Over months and years, the scar tissue contracts and the disk size decreases. This will make the mobility of the neck abnormally low (more stiffness). This scar tissue is also not as elastic as tissue that has not been injured. Persons, who have pre-existing degeneration and arthritis at the time of impact, will suffer whiplash more frequently and with more severity when it does occur. Since older adults are most likely to have this type of degeneration arthritis, they are put more at risk in whiplash accidents

One of the mainstays of medical treatment of whiplash is to immobilize the neck with a collar. Except in rare cases, it is something that I never use in practice.

While good in theory, it just weakens the muscles and fails to preserve movement, which the neck needs to heal properly.

I am glad to see that many medical physicians are using them less and less, and promoting more active rehabilitation. Neck collars/braces are needed for fractures or dislocations, but strains/sprains are generally made worse with this treatment. In fact, recent studies show that 90% of patients, who are fitted with a collar, end up with arthritis

I have spent years studying the mechanics of neck problems, and effective treatments, and I’ve successfully cared for many patients over the years, getting their quality of life back and reducing pain. But I’m still surprised by how many still take the medical approach-hot packs, collars and pain pills.

Treatments ideally should be mechanical, not chemical, and not just cover up or mask the pain.

I’m not saying that I have all the answers. But I do think there is a general lack of appreciation for the seriousness of these types of neck injuries, and that people are often convinced by insurance companies and others, that no injury occurred.

This can sometimes result in no examination, no professional treatment, or the patient self-medicates with various over-the-counter drugs or maybe you were required to see a “gatekeeper,” that didn’t appreciate the complexities of whiplash injuries and never referred you to the appropriate doctor.

Not seeking proper treatment when indicated can lead to more problems down the road.  The most crucial point I want you to get from this book, is that…

You Are In The Right Place!

Also, one of the most common questions our office gets after someone is involved in an accident and sustains injuries is:

Do I Really Need An Attorney

 Choosing the right attorney may be critical for your case. Insurance company adjusters are trained to handle claims as quickly and cheaply as possible. You may need a professional negotiator on your side to help walk through the process and ensure you get the claim you deserve.

I have seen patients receive offers from their insurance company to settle for $1500 when a good personal injury attorney might have gotten them 10 times that! All you are looking for is a fair settlement to help provide for any future medical bills, lost time from work, as well as pain and suffering, and an attorney trained in personal injury can make sure you get just that!

How Do I Choose An Attorney?

It can be very difficult to know what attorney is right for you. First, you want to select an attorney who specializes in personal injury cases. If you wouldn’t go to a dermatologist for heart surgery, then why would you go to a tax attorney to help with your personal injury claim? It sounds silly, but many people assume that just because their next door neighbor or friend from church went to law school that they can help them negotiate a personal injury claim.

There are lots of good attorneys in the Lacey / Olympia WA area that have helped my patients with their auto accident cases. My office can provide you with names of good, honest attorneys who will make sure you get the compensation you deserve!

I also want you to know that it is very important for you to follow your Chiropractors recommendations over the first 6-8 weeks after the accident, in order to ensure that you have the absolute best chance of avoiding arthritis or degenerative disc disease.

Over the past almost 20 years I have treated hundreds of patients with whiplash injuries, and I believe the systematic approach we use in my office to be very effective at helping patients Feel Better Faster.

Don’t take my word for it…..I have included a sample of my many satisfied patients that have written testimonials. I have also included a collection of the most relevant articles I have published in my popular “In Good Hands” newsletter over the last few years.

It’s easy to make your first appointment with me. All you have to do is call my office today at (360) 951-4504 and schedule an evaluation to see if we can help you.  We’ll do everything possible to get you in the same day…even if we have to stay late or work through lunch!  You’re too young to suffer with terrible auto accident injuries. Let’s handle them today.  Ok, here’s what to do right now…

Call (360) 951-4504 Today!

My staff and I would love to work with you.  All you have to do is call my office right now and we will schedule a time that’s convenient for you! I have the friendliest staff you will ever meet and we are all specially trained in handling the often-confusing paperwork and forms that need to be filled out.

We look forward to helping you Feel Better Faster.

David M. Warwick, D.C.
8730 Tallon Lane

Lacey, Washington 98516
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Washington’s Health Guide For Car Accident Victim’s

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