Five Facts Everyone Needs to Know About Head Injuries
Dr. Dallas Humble has been providing chiropractic care in Northeast Louisiana since 1983 and has served his profession in many capacities including president of his state association. In addition to successfully treating thousands of patients over the years, he also served as a consultant to some of the largest alternative... more
Five Facts Everyone Needs to Know About Head Injuries
Car crashes can happen to anyone at any given time. These road mishaps can happen to both, the rich and average families. Here are some simple facts to know if you or a loved one is involved in a motor vehicle accident:
FACT # 1
LOW IMPACT OR NO PROPERTY DAMAGE DOES NOT MEAN NO INJURY
Some car crashes may not be serious, or they are considered “Low Impact” or the infamous “No Property Damage”. The reality and the facts are this does not mean people are not injured. In some cases, they get seriously injured.
There are more than 3 million of these low-speed rear-impact crashes every year and the number, for several reasons, is on the rise. It is a sad reality that most health care providers understand the condition poorly and render treatment commensurate with their level of knowledge. Considering the numbers, this means that for the minority of physicians trained well in whiplash trauma, the volume of potential patients is staggering.
FACT # 2
CAR CRASHES ARE THE NUMBER ONE CAUSE OF FATAL AND MILD TRAUMATIC HEAD INJURIES (MTBI)
Etiological factors in post-traumatic headaches (MTBI)
Blunt head contact 57.3%
Whiplash 43.6%
Object hit head 13.7%
Other 13.7%
Body shaken 09.4%
Motor vehicle trauma is the single most important agent in both fatal and mild brain injuries, which accounts for 60% to 67% of all head injuries. Earlier reports ranged from 40% to 60% caused by motor vehicle accidents (MVC) with the most common diagnosis given, being a concussion. Many of these MVC related injuries are the result of blunt head injury (a.k.a. soft head injury) which describes contact with some object but without penetration of the skull. An example would be striking the steering wheel or door post. The term of choice today is mild traumatic brain injury (MTBI) or traumatic brain injury (TBI) since it is the brain, rather than the head, that we are usually most concerned with.
With victims suffering only from minor scratches and a little shock, but for the unfortunate few, the gruesome reality that they have to face after the crash can be very daunting. Common injuries caused by car crashes are neck and back injuries. Most of the victims suffer from severe shock at the onset of the crash that they can even manage to pull themselves out of the wreck; some even survive for months before succumbing to death.
FACT # 3
MANY HEAD INJURIES ARE MISSED BY MEDICAL DOCTORS AND DOCTORS OF CHIROPRACTIC
Many providers and victims are missing the subtle symptoms that add up to misdiagnosed head injuries.
Concussion - Over the years, this term has been defined in a number of ways that hover at the margins of logic. For example, for many authors, a prerequisite for the diagnosis of concussion was some period of loss of consciousness. Since a loss of consciousness implies a total inability to understand any event, the requirement for this recollection from a person who may have been unconscious is silly.
The Academy of Neurology has now proclaimed that "altered" consciousness is sufficient, given the high index of suspicion and other factors. A concussion can also be graded as follows:
Grade 1: Transient confusion; No loss of consciousness (LOC); Concussion symptoms clear in less than 15 minutes.
Grade 2: Transient confusion; No loss of consciousness; Concussion symptoms or mental status abnormalities last longer than 15 minutes.
Grade 3: Any loss of consciousness, either brief (seconds) or prolonged (minutes).
The most serious of all injuries are those that are sustained by the brain. The effects are often hard to diagnose, with a few patients actually being able to recover while others may just have to live a life of pain and lifetime medications.
FACT # 4
YOU DO NOT HAVE TO LOSE CONSCIOUSNESS TO HAVE SUSTAINED A MILD TRAUMATIC HEAD INJURY.
It has estimated that whiplash injuries are the second most common cause of Post-traumatic Headaches (PTHA) in this country. It has also described the frequency of complaints associated with PTHA, and these are listed in somewhat modified from symptoms common to Post-Concussion Syndrome (PCS) are listed below.
Common complaints in PTHA patients will have the following or any combination of the list below:
Headache 82.9%
Irritability 66.7%
Insomnia 63.2%
Anxiety 58.1%
Memory problems 57.3%
Other pain 56.4%
Concentration problems 52.1%
Depression 52.1%
Dizziness 41.1%
Confusion 41.1%
No control of emotions 36.8%
Loss of libido 35.0%
Tinnitus 29.1%
Can't carry out plans 29.1%
Can't plan 28.4%
Flashbacks 28.2%
Don't enjoy sex 26.5%
Nightmares 26.5%
Arithmetic problems 17.9%
FACT #5
CONCUSSIONS CAN LEAD TO LONG-TERM PROBLEMS
The "Sports Argument" - An often-used strategy for refuting brain injuries in whiplash trauma has been the sports defense in which it is argued that hard contact sports rarely result in such injuries.
Running contrary to such comments is a recent report by Tysvaer. In this study, active and retired professional soccer players were evaluated and compared to controls and it was found that 3% of active and 30% of retired players suffered from permanent problems such as headache, dizziness, irritability, impaired memory, and neck pain. Roughly a third in each group were found to have abnormal EEGs and one-third of the former players showed cerebral atrophy on CT examination, while 81% had mild to severe neuropsychological impairment.
Presumably, American football players would display similar results. In fact, Ingersoll reviews the sports medicine literature and finds that about 9% of all high school football injuries and about 4.5% of all college football injuries are concussion, sometimes with severe long-term effects. Most amateur boxers escape relatively unscathed because they are in a very high state of both readiness and physical condition. However, most of the boxers studied have not had a large number of bouts (nor have they tangled with the likes of Mike Tyson!).
The post-concussion syndrome symptoms:
Light-headedness
Headache
Photophobia
Phonophobia
Tinnitus
Impaired memory
Easy distractibility
Impaired comprehension
Forgetfulness
Impaired logical thought
Difficulty with new or abstract concepts
Insomnia
Easily fatigued
Apathy
Outbursts of anger
Mood swings
Depression
Loss of libido
Personality change
Intolerance to alcohol
Researchers have also pointed out that experiencing any kind of trauma during a person’s younger years could cause Alzheimer’s disease later on in his life. The more serious the head injury is, the higher the chances that the car crash victim would have AD when he’s older.
Problems on motor skills usually occur and a small percentage of these victims actually suffer from Parkinson’s disease which would then result in uncontrolled trembling, stiffness or rigidity, paralysis, or stooped posture.
In Conclusion
A car crash could occur in just a couple of tenths of a second, yet the debilitating effects can be long-lasting. No amount of insurance claim could bring back the vigor of a victim. The injuries caused by a car crash may be short-term or they could last the victim’s entire lifetime. This is why family members should be extra patient during these hard times.
Dr. Dallas Humble is a chiropractor, author, and executive consultant for various national alternative healthcare organizations. For more information email drdhumble@gmail.com.References:
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