INITIAL TREATMENT: REHABILITATIVE CONSERVATIVE MEASURES
CONSERVATIVE REHABILITATIVE TREATMENT IS THE STANDARD FIRST LINE TREATMENT
• In the absence of “red flags” Conservative Rehabilitation Treatment is supported and absolutely standard.
• The best approach is a multidisciplinary approach, (including chiropractic and physical therapy modalities) that addresses a range of patient deficits (ROM, strength).
• Integrated multidisciplinary treatment programs are the most effective in reducing pain and are the most cost effective.
• A focus on early intervention and functional restoration, results in quicker return to work and the ability to resume their normal lives.
• An active 'treat' model of care offers better outcomes than an 'wait' model. Active interventions have a tendency to be more effective in patients with MVC injury
• Treatments include rest, analgesia, and early conservative treatment such as physical therapy modalities and chiropractic treatment.
• Individualized and supervised physiotherapist therapy is most effective for muscle re-education after motor vehicle collision (MVC) injury.
• Patient perception, support and coping strategies are more important than any method of treatment; hence the importance of patient education strategies of coping with disability and stress resulting from it (work situation, career, finances).
CONSERVATIVE REHABILITATIVE TREATMENT ARE ALSO AN IMPORTANT ADJUNCT TO THERAPEUTIC MODALITIES & TO MAINTAIN FUNCTIONAL AND SYMPTOMATIC GAINS
• If the patient undergoes a therapeutice interventional procedure (steroids, radiofrequency, regenerative), conservative treatments should be renewed to augment the therapeutic benefits of the procedure(s)
• Conservative rehabilitative measures are often utilized to maintain symptomatic or functional gains.
PHYSICAL THERAPY
• Manual Therapy is an essential and critical part of interdisciplinary function restoration and pain treatment.
• Best evidence suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients.
• A physical therapy regimen is superior in reducing pain 6 weeks and 6 months after whiplash injury compared to the current standard treatment.
CHIROPRACTIC
• Manual therapy (spinal manipulation) is recommended for managing pain
• Chiropractic manipulative therapy in conjunction with standard medical care offers a significant advantage for decreasing pain.
• Following MVC, chiropractic treatment has been shown to be advantageous.
SUPPLEMENTS
VITAMINS
HERBS
MEDICATIONS
• Individualized
Goals
• Anti-inflammatory action
• Pain reduction
• Muscle relaxation
• Sleep improvement
• Stress reduction
IMAGING & TESTING
•Static & dynamic imaging
• X-rays
• Computed Tomography [CT]
• Magnetic Resonance Imaging [MRI]
• Quantitative Motion Analysis [QMA]
• Electromylogram EMG
MASSAGE
• Massage promotes blood flow, improves range of motion and reduces damage associated with the inflammatory process, improving symptoms.
• Soft tissue techniques such as massage is recommended for managing pain.
ACUPUNCTURE
• Substantial data support the efficacy of acupuncture in treating painful syndromes. Studies implicate the cns, peripheral nervous system, endorphins, and monoamine neurotransmitters as mechanistic processes in inhibiting pain
DRY NEEDLING
• Dry needling is a treatment that healthcare providers use for pain and movement issues associated with myofascial trigger points.
• With this technique, a provider inserts thin needles into or near your trigger points.
• This helps relieve pain and improve your range of motion.
EXCERCISE, TRACTION & STRETCHING
• Core strengthening
• Yoga
• Pilates
• Flexibilty
ELECTRICAL STIMULATION
• Stimulation, relaxing and calming of muscles, helping to decrease pain.
• Improve blood flow to promote healing
• Relaxation and reduction of stress
• Inhibition of pain by inhibiting pain impulses
• Endogenous production of endorphins and encephalins.
LIGHT & LASER TREATMENT
SHOCKWAVE THERAPY