Another Cause of Back Pain inside the Upper Middle Shoulder Blades

Another Cause of Back Pain inside the Upper Middle Shoulder Blades

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I recently saw the patient who was linked to a bottom automobile accident. She suffered with what we call an acceleration-deceleration or hyper extension-flexion injury, frequently called whiplash.

With our reliance on the automobile to be a mode of transportation, a lot of these injuries are relatively common.

The mechanism of injury is very straightforward. The victim is stopped for a stop sign or traffic light. Another vehicle hits them from your rear.

What occurs would be that the head slams backwards, and after that is whipped forward, and back again. Why whiplash occurs can be understood if someone looks at how a neck is constructed.

The basis of the neck would be the cervical spine. This is made up of seven bones, known as vertebra, because both versions is separated from your other using a robbery cushion, referred to as the disk. The vertebra along with the discs are stacked together with each other. The discs usually do not extend all the way to the back of the vertebra.

Each vertebra carries a large hole at a corner so that once the vertebra are stacked, there exists a central canal which permits the passage with the spinal cord through the brain down. At each level between vertebra are two openings allowing nerve roots to exit in the spinal cord.

The cervical spine is held along with a complex arrangement of ligaments as well as supported with a girdle of muscles.

During a whiplash injury, the ligaments supporting the cervical spine might be stretched or torn. In addition, the muscles will also be traumatized.


A typical whiplash victim usually doesn't need much discomfort for the time with the injury. However, within twenty four hours, the person may begin to see severe stiffness and pain. The discomfort is really severe that the person cannot bend nor turn their head. In addition towards the pain, patients can also experience headache, dizziness, or nausea.

The pain could be intense radiating for the top in the head and downwards in to the upper back relating to the shoulder blades.

When the individual presents on the doctor, the examination will demonstrate reduced range of motion inside neck in addition to muscle spasm. Usually, the neurologic examination is typical.

X-rays will demonstrate evidence of muscle spasm and loss from the normal gentle curve inside neck because with the muscle spasm.

The initial treatment consists with the use of non-steroidal anti-inflammatory drugs, muscle relaxants, as well as a soft cervical collar. The collar shouldn't be worn for more than a couple of days. Physical therapy can be recommended. Fortunately, most people improve within 3 to 5 weeks.

Unfortunately, there are several people who is going to be left with chronic pain. This is a very hard situation and patients may need other types of treatment including trigger point injections using either dry needling, lidocaine, botulinum toxin (Botox), and prolotherapy.

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