Alarming Number of Whiplash Patients Still Disabled

Alarming Number of Whiplash Patients Still Disabled

Alarming Number of Whiplash Patients Still Disabled  If you've been injured in a car accident, you may wonder "How soon can I expect to return to work and my normal life?" While the answer to that question is highly individualized, a new study suggests that patients with whiplash-associated disorder may have slower return-to-work rates compared to people with other musculoskeletal injuries.

A study published in the journal BMC Public Health found that only 44% of whiplash patients had returned to work after two years, compared to 57% of patients with other musculoskeletal disorders.

An estimated 19-60% of patients with whiplash still experience symptoms six months after the injury, and up to half of WAD patients fail to return to work within a year. Researchers from Denmark sought to see whether these high rates of chronicity affected return-to-work rates in whiplash patients. The study included 104 adults with whiplash and 3,204 individuals with other musculoskeletal disorders like back pain. All the participants had been listed for sick leave for at least eight weeks prior to the start of the study. The researchers conducted follow-ups at 26 weeks, one year, two years, and three years after the patients were initially listed for sick leave.

Whiplash Study Results:
Patients with other musculoskeletal disorders returned to work sooner than those with whiplash-associated disorder.
Return to Work Whiplash Other Musculoskeletal Disorders
Week 26 18% 43%
1 year 34% 51%
2 years 44% 57%
3 years 43% 57%
With 56% of whiplash patients still on sick leave after two years, the results from this study are higher than what has been found in earlier studies. For instance, a 2001 study showed that only 12% of whiplash patients hadn't resumed their normal activities or were only back to modified job functions a year after the initial injuries. This difference may have been due to the fact the newer Danish study included a cohort of long-term sick-listed patients who already had a higher risk of chronicity, whereas the 2001 study analyzed a broader group of patients within two days after visiting the emergency room for whiplash. Still, the research shows that individuals with chronic whiplash symptoms, the risk of long-term work disability is great.

"These findings suggest that an active rehabilitation is important to sick-listed individuals with WAD at an early stage of the process," the researchers wrote. Active rehabilitation, such as chiropractic care and exercise therapies, can improve patients' chance of recovery.

References
Biering-Sørensen, et al. The return-to-work process of individuals sick-listed because of whiplash-associated disorder: a three-year follow-up study in a Danish cohort of
long-term sickness absentees. BMC Public Health 2014; 14:113 doi:10.1186/1471-2458-14-113.
Kasch H, Bach FW, Jensen TS: Handicap after acute whiplash injury: a 1-year prospective study of risk factors. Neurology 2001, 56:16371643.

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Posted in Chiropractic. Tagged as car accident, chiropractor charlotte 28209 southpark, neck pain, whiplash.

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Why Chiropractic is the Best Solution for Sciatica Pain


Sciatica and chiropracticSciatica and chiropractic
Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.
Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2).

The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.
The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine.

The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

Posted in chiropracticChiropractic NewsSciaticasciatica treatmentUnderstanding Sciatica
  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.