Spinal Injuries

Rear-End Auto Crashes: Aggravation of a Pre-Existing Condition

In the last Blog, we considered the scenario in which a rear-end collision triggered spinal pain and disability because, through the natural aging process, as our spines develop degenerative disc disease (“DDD”), our spines become more susceptible to injury after an impact (read more about degenerative disc disease/DDD here).

spinal injuries from car accident In this Blog, we discuss a different scenario: you already have a pre-existing back condition that is well-managed and you are enjoying life, but suddenly a rear-end impact aggravates your back condition causing it to become unbearable. Do you have a personal injury case? Absolutely!

The attorneys at the law firm of Grazian & Volpe have handled hundreds of auto crash cases and understand the medicine and law dealing with the aggravation of pre-existing injuries. In this Blog, which is part of a series on spinal injuries caused by rear-end auto accidents, we shall use a typical case of an aggravation of a pre-existing injury and explain how such a case is handled.

Aggravation of Pre-Existing Condition

Take the case of a 50-year-old man who goes to his doctor complaining of low back pain, gets an MRI performed, and is diagnosed with a bulging disc. He has occasional pain and discomfort from his bulging disc, but he learns to manage it through physical exercise and maintaining his health to keep his disc from further deteriorating. In other words, he is doing nothing that would, of itself, aggravate, i.e. worsen, his bulging disc. Altogether, his condition is stable and requires neither medication nor surgery.

Enter a negligent 20-something-year-old driver who rear-ends the 50-year-old man at a stop sign while texting a friend. The man now complains of excruciating pain associated with the same bulging disc. His doctor orders another MRI, but the man’s disc appears the same: it hasn’t herniated. Nonetheless, the man still complains of experiencing more pain after the accident than before and he can sit for only half the time that he used to be able to. So, his doctor prescribes him prescription anti-inflammatories and physical therapy and advises he take off work to rest in bed. What happens now?

The Eggshell Plaintiff Rule

In Illinois personal injury law, there is what is called the “Eggshell Plaintiff” rule. The “Eggshell Plaintiff” rule basically means that the defendant, or negligent driver, must take the injured plaintiff as he or she is found. Basically, whatever state the injured plaintiff was in at the time of the accident—that is the state to which he should be returned by means of compensation.

In the case of our 50-year-old man, the law says that he should to be compensated for the aggravation or worsening or his bulging disc. Because the man cannot be physically returned to his pre-accident status, the law provides the monetary compensation for aggravating effect of the collision.

Proving Aggravation of a Pre-Existing Condition

Juries are notorious for having difficulty deciding cases that involve an aggravation of a pre-existing condition. Why? The trial attorney for the injured plaintiff may be inexperienced or unskilled in how to communicate your situation coherently, and there’s nothing worse for your case than a confused jury.

When presenting your case to the jury, your attorneys should strain to make the jury’s deliberations as easy as possible. This means lining up evidence that makes it easy for the jury to gauge the aggravation of your pre-existing injury and to put a value on your pain and suffering.

Every case is different, though, which is to say that the evidence needed or available to prove an aggravation of a pre-existing condition will be different in each case. Prior and post medical records are extremely important: the prior will establish your “baseline,” while the post will demonstrate what aggravation resulted from the accident. Employment records can also be helpful if they show a change in occupation or position that can be tied to the aggravation. An impartial “injury witness” also goes a long way to convincing a jury of the aggravation, particularly when this disinterested witness can attest to your health and activity before and after the accident. Finally, if you participated in hobbies or activities that you had to give up on account of the aggravation, this also is helpful evidence.

Cases involving the aggravation of a pre-existing condition are not the easiest to win. Insurance or defense attorneys know that a lot of discovery work must go into such cases, and oftentimes expert medical witnesses must be called. This tends to add up quickly, subtracts from your ultimate compensation, and discourages some personal injury attorneys from taking such cases.

Nevertheless, all cases are different and you should definitely seek a free consultation before dismissing the possibility of a lawsuit to recover for your aggravation. Only an experienced injury attorney can give you a sense of the strength of your case. Don’t wait: call attorney Kurt D. Lloyd of Grazian & Volpe today at 773.838.8100, or fill out our online form for a free consultation.


The above article was written by Kurt D. Lloyd of Grazian & Volpe. Kurt Lloyd has been practicing personal injury law in the Chicagoland area for over 30 years and has helped his clients win more than $355 million in jury verdicts and settlements from insurance companies and corporations. Kurt helps his injured clients regain their lives after injury. The information provided comes from his extensive legal and medical research and years of experience trying injury cases in courtrooms throughout Illinois.

Rear-End Auto Crashes: Spinal Trauma and Pre-Existing Degenerative Disc Disease (“DDD”)

In a rear-end auto crash, the impact often results in injury to the cervical or lumbar spine. As we each grow older, the impact can cause much more immediate signs and symptoms of a spinal injury, because as we age a normal underlying condition known as Degenerative Disc Disease (“DDD”) can act as a set-up for a spinal injury.

DDD is a natural result of aging: we all have it to greater or lesser extent. But as our spines age normally the majority of us do not experience any pain or limitation from DDD. We remain asymptomatic. Although insurance companies and their defense lawyers know this is a normal phenomenon, they will likely mount a rigorous “Triple-D” defense as the cause of a rear-end accident victim’s pain and disability. That is, defense lawyers will blame normal aging of the spine as the cause of your injuries.

Some personal injury firms might take the bait and make a quick settlement based on the Triple-D defense, but the attorneys at Grazian & Volpe have encountered this misleading defense many times before, and know it can be overcome to get you the full settlement you deserve.

The attorneys at the law firm of Grazian & Volpe have handled hundreds of auto crash cases and understand the medicine related to Degenerative Disc Disease. In this Blog, which is part of a series on spinal injuries caused by auto accidents, we shall explain what DDD is, how it is diagnosed, and what is done to treat a it.


Degenerative Disc Disease (DDD)

degenerative disc disease (DDD) Degenerative Disc Disease is a natural consequence of aging. Everyone experiences DDD to a greater or lesser degree during their life. As the discs between the vertebrae in the spine age and become dehydrated and “flattened,” DDD occurs.

The human spine is made up of a column of vertebrae with jelly-like, fluid-filled discs in between them. hese discs act as the shock absorbers during everyday activities and facilitate flexibility. Our spinal discs are made up of two parts: the outer, fibrous part known as the annulus or annular ring; and the inner part, which is a jelly-like nucleus that absorbs shocks to the spine.

When we’re born, these discs are comprised of 80% water. However, as we age, the water content naturally decreases and the discs generally deteriorate with the passing years of wear and tear. The areas of the spine most susceptible to disc degeneration are the cervical spine (neck) and the lumbar spine (lower back) because these areas undergo the most motion and stress from everyday living.

What the degeneration of these discs means is that your body goes from having Krispy Kreme donut-like cushions between your vertebrae to cushions more like Swedish pancakes, with little shock absorption and suppleness.

But the most important thing to remember is that this doesn’t mean you automatically “feel” it as your spine ages. You can live into your 80s without experiencing any pain related to the degeneration of your discs, because DDD is usually asymptomatic. That is, until a rear-end auto collision occurs.

This is all to state the obvious: a 30-year-old body and a 60-year-old body will respond to the trauma of a rear-end collision differently. The 30-year-old might get up and skip away, while the 60-year-old can barely turn his neck. While the insurance lawyers launch into their “Triple-D” defense, arguing that your neck pain is just the result of a pre-existing DDD, the truth is that a car accident can activate or trigger DDD symptoms that would likely never have developed in the absence of the trauma.


Diagnosis of DDD

Importantly, the trauma of the auto accident is the likely the cause of neck or back pain and disability, and not the pre-existing DDD in your spine which was asymptomatic before the trauma from the auto crash occurred. Therefore, the only certain way to learn of the condition of your discs is to be diagnosed by a medical professional.

A medical professional will take your medical history and perform a physical examination, checking for abnormalities, reflexes, and range of motion. But to diagnose DDD in the spine, a physician should order an MRI scan of the spinal area involved.


Long Term Treatment of DDD

In patients who have silent, underlying DDD, but then suffer spinal trauma in an auto accident causing pain, many long treatments are available. Long-term treatments in trauma patients who also have DDD target reducing the related neck or back pain through pain management, physical therapy, and lifestyle modification. Pain management might include heat or ice treatments and pain medications. Physical therapy might include stretching to improve flexibility, strengthening exercises to improve stability, and/or aerobic exercises to maintain healthy circulation. Some lifestyle modification might include avoiding nicotine and excess alcohol, using ergonomic furniture, and incorporating more movement into your daily routine.

The good news about car accident trauma patients who also have DDD is that, while the discs naturally degenerate, the pain triggered or exacerbated by spinal degeneration will actually feel better with time and proper treatment.

If you suffer from neck or low back pain due to someone’s negligence, getting an accurate diagnosis of your injuries is crucial. It is important to be informed and to utilize qualified medical professionals and experienced personal injury lawyers to help you fully recover. Call attorney Kurt D. Lloyd of Grazian & Volpe today at 773.838.8100, or fill out our online form for a free consultation.


The above article was written by Kurt D. Lloyd of Grazian & Volpe. Kurt Lloyd has been practicing personal injury law in the Chicagoland area for over 30 years and has helped his clients win more than $355 million in jury verdicts and settlements from insurance companies and corporations. Kurt helps his injured clients regain their lives after injury. The information provided comes from his extensive legal and medical research and years of experience trying injury cases in courtrooms throughout Illinois.

Rear-End Auto Crashes: Traumatic Facet Joint Injuries

In a rear-end auto collision, spinal injuries of the neck and back often occur. A traumatic facet joint injury to the spine as a result of a rear-end auto crash is a common injury. Facet joint injuries are an “invisible” injury. A traumatic facet joint injury is usually not seen on X-rays and MRI imaging studies.

The attorneys at the law firm of Grazian & Volpe have handled hundreds of auto crash cases and understand the medicine related to a facet joint injury in the spine. In this Blog, which is part of a series on spinal injuries caused by auto accidents, we shall explain what a facet joint injury is, how a facet joint injury is diagnosed, and what is done to treat a facet joint injury.


Facet Joints

The facet joints help stabilize our spine, holding the spinal column in place and preventing excessive rotation (twisting) and flexion or extension (bending) of the spine.

Facet joints also prevent rotation of the vertebral column to a great degree. In addition, facet joints are necessary to prevent spondylolisthesis, which is forward slippage of one vertebra upon another. When this injury happens, the spinal canal gets compromised and there can be problems with pinching of the spinal cord.

Traumatic Injury to the Facet Joints

In an auto collision, the sudden impact can produce mechanical forces to the body that cause violent flexion-extension (“whiplash”) of the cervical spine or neck. See Image No. 1 below. This is also medically known as cervical acceleration-deceleration syndrome. This sudden force is transferred to the facet joints which attempt to maintain stability of the spinal vertebrae during whiplash by preventing the spine from excessively bending forward or backward. However, the facet joint can be abruptly injured by dislocation of the joint or from tearing or inflammation to the cartilage in the facet joint.

Image No. 1 Flexion-Extension X-Ray images

Image No. 1 Flexion-Extension X-Ray images

Signs and Symptoms of Facet Joint Injuries

  • Acute onset of neck, mid or low back or pain.
  • Palpable tenderness directly over the facet joints and reduced range of motion and muscle spasms.
  • In the neck, pain increases when extending backward and improves when flexing forward.
  • In the low back, pain can radiate or extend from the back to the buttocks; pain is present when standing but increases with sitting.
  • In the neck, the pain can radiate or extend from the neck onto the top of shoulders and upper shoulder blades.
  • The pain and restricted motion are recurrent and ongoing.

Diagnosis of Facet Joint Injuries

A CT-scan at the spinal level involved is the imaging study of choice for a clinically suspected facet joint injury. However, a CT-scan is only sensitive for diagnosis of damage to the facet joint fifty percent (50%) of the time.

The best diagnostic method for facet joint injuries is a medial branch block procedure. The medial branch nerves supply sensation and enervation to the facet joints. During a medial branch block procedure, an anesthetic is injected in the spine near the small medial nerves connected to a specific facet joint.¹

If the facet joint or joints targeted in the block procedure are causing the pain, then a patient will obtain relief from the medial branch nerve block; and if the facet joint is not causing the pain, then a patient will not obtain pain relief. This is what makes the procedure diagnostic for facet joint injuries. See Image No. 2 below.

Image No. 2 Medial Branch Block procedure. Needle injection of corticosteroid to nerve.

Image No. 2 Medial Branch Block procedure. Needle injection of corticosteroid to nerve.

Usually, a medial branch block is performed on two different dates, months apart, to confirm the diagnosis.


¹ Cohen SP, Moon JY, Brummett CM, White RL, Larkin TM. Medial Branch Blocks or Intra-Articular Injections as a Prognostic Tool Before Lumbar Facet Radiofrequency Denervation. Regional Anesthesia and Pain Medicine. 2015;40(4):376-383.

https://pubmed.ncbi.nlm.nih.gov/26066382/


Long Term Treatment of Facet Joint Injuries

A procedure known as radiofrequency ablation (“RFA”) is used to treat a facet joint injury and obtain long term relief. An RFA is a minimally invasive procedure that reorganizes and modulates the nerve fibers carrying pain signals to the brain. In a radiofrequency ablation procedure, also called a rhizotomy, a probe is placed in the spine under x-ray guidance, and heat wave energy is delivered to the affected nerves. The waves “ablate,” or burn, the nerves that are causing the pain, thereby stopping pain signals from traveling along the nerves to the brain.

If you have suffered from back or neck pain due to someone’s negligence, getting an accurate diagnosis of your injuries is crucial. It is important to be informed and to utilize qualified medical professionals and experienced personal injury lawyers to help you fully recover. Call attorney Kurt D. Lloyd at Grazian & Volpe today at 773.838.8100, or fill out our online form for a free consultation.


The above article was written by Kurt D. Lloyd of Grazian & Volpe. Kurt Lloyd has been practicing personal injury law in the Chicagoland area for over 30 years and has helped his clients win more than $355 million in jury verdicts and settlements from insurance companies and corporations. Kurt helps his injured clients regain their lives after injury. The information provided comes from his extensive legal and medical research and years of experience trying injury cases in courtrooms throughout Illinois.

Spinal Injuries in Auto Crashes: Herniated Disc Injuries

In rear-end auto crashes, spinal injuries of the neck and back often occur. A herniated disc of the spine from a rear-end auto crash is a common injury. But a herniated disc injury is usually not diagnosed by your physician for many months, despite ongoing pain, numbness and tingling in your neck, back, arms or legs.

The attorneys at the law firm of Grazian & Volpe have handled hundreds of auto crash cases and understand the medicine related to a herniated disc injury. In this Blog—the first in a series on spinal injuries caused by auto accidents—we shall explain what a herniated disc injury is and how a herniated disc injury is eventually diagnosed.

A new, acute herniated disc in the spine is usually not seen on imaging studies immediately after a rear-end auto collision. In fact, the diagnostic features of a herniated disc which are found on a magnetic resonance imaging study (“MRI”) actually take time to develop in the spine before the MRI will be positive.

This phenomenon holds true even though you may have symptoms consistent with a herniated disc injury in the hospital Emergency Department immediately after an auto collision. Indeed, in the Emergency Department immediately after the car crash, the X-rays of the neck or back are usually negative, even though an MRI study of spine turns out positive for an acute herniated disc several months later.

Our attorneys understand the biomechanical processes that cause a herniated disc. In a rear-end car crash, the mechanical forces acting on your body can result in an abnormal flexion-extension of your spine. When this happens, one of the spinal discs between two of your vertebra can become herniated, that is, the impact forced “disc material beyond the limits of the intervertebral disc space.”* Our spinal discs are made up of two parts: the outer, fibrous part known as the annulus or annular ring; and the inner part, which is a jelly-like nucleus that absorbs shocks to the spine. Think of your discs as if they were jelly donuts which act as the shock absorbers of your spine.

When a herniated disc occurs, what happens is that the mechanical forces from the rear-end car impact tear the annulus (the outer wall of the donut) and some of the jelly-like nucleus pushes or extrudes into vertebral space. The resulting disc protrusion often irritates a nearby spinal nerve causing signs and symptoms of numbness, tingling, discomfort and pain.

MRI showing herniated disc

MRI showing herniated disc.

The MRI study of the cervical, thoracic or lumbar spine performed at the right time can be the gold standard for diagnosing an acute herniated disc ninety-two percent (92%) of the time. An MRI study involves radio waves, a magnetic field and a computer to create image of the spine and surrounding tissues. Our attorneys know how to read and review MRI images from a legal point of view. If your attorney does not understand how an MRI is read and interpreted, then you can lose your case.

Winning your case starts and stops with understanding the MRI results; what demonstrates an acute disc injury versus a chronic disc disease. A bright signal or “lucency” found on the T2 weighted images of disc on the MRI study proves relative acuteness from a rear-end auto collision. In older patients who have suffered from a rear-end auto injury, the presence of this bright signal can prove a new disc injury which is superimposed over a naturally aging spine. What the defense attorneys and defense experts like to do is call it degenerative disc disease of the spinal discs and blame that as the cause of numbness, tingling, discomfort and pain after a car crash, even though you were asymptomatic for a disc injury before the impact.

That’s why you need a good attorney.

At Grazian & Volpe, our years of experience spine injuries have given us the knowledge and skills to help our clients win their cases and recover the money they need to get on with their lives. After an auto accident, if you have low back pain, neck pain, or numbness, tingling in your arms, hands, legs or feet then you may a herniated disc or other disc injury. Call us at 773.838.8100, email us at Attorney@GrazianVolpe.com or fill out our online contact form for a free consultation. We can help you.


* Fardon, D., “Lumbar Disc Nomenclature: Version 2.0Recommendations of the Combined Task Forces of the North American Spine Society, the American Society of Spine Radiology, and the American Society of Neuroradiology,” Spine: November 15, 2014 – Volume 39 – Issue 24 – p E1448-E1465.


 

Women Face More Injury in Car Accidents

When litigating car accident lawsuits, we have always found that women seem to consistently sustain more serious injuries than males. Predominantly, back and brain injuries. We began to wonder if this was just the experience of Grazian and Volpe or if it was a statistical fact.

We began to do some research and came upon a study done by the University of Virginia in October of 2011. Interested readers can access the full report at
ajph.aphapublications.org/.

Researchers reviewed information on 45,445 crash victims gathered by the National Highway Traffic Safety Administration over 11 years. Compared with male drivers studied, women were 5 1/2 inches shorter and 35 pounds lighter; fewer were overweight; and more were driving passengers cars at the time of the crash(carpools, ferrying children and elderly parents and family members). After controlling for these factors and others, the study found that women were 47 percent more likely to suffer severe injuries, most notably brain and spinal injuries.

The study concludes that females are more susceptible to brain injury and spinal injury because of differences in neck strength and musculature. In addition, the positioning of head restraints and seating positions are not configured for the shorter female stature. The study posited that car safety devices have been designed with a male template and car manufacturers may need to consider designing safety features which can accommodate gender differences.

Dipan Bose, lead author of the study cautions female drivers “ensure that their safety systems perform optimally, including maintaining a good belt fit and correct seating posture.”

We have not seen any accommodations made by car manufacturers so it seems incumbent upon female drivers to take it upon themselves to provide for a more secure interior driving environment by assuring their necks and backs are secure and well-supported and their seat belts fit firmly.

Remember, it is always better to stay safe and avoid an accident and a lawyer. But if you can’t stay safe, stay with Grazian and Volpe, Chicago’s experienced car accident attorneys for over 30 years.

Bus Accidents: Beware the Low-Cost Carrier

The National Transportation Safety Board (NTSB)  has found that so-called curbside bus companies, which pick up riders on sidewalks rather than in terminals, are involved in bus accidents involving fatalities at seven times the rate of traditional carriers like Greyhound. On September 8, 2011 Grazian and Volpe wrote of a recent NTSB study finding that bus accidents involving fatalities were greater than expected and appeared to be under reported (myaccidentlaw.com/blog 9/8/2010). As the initial report involved all bustypes,this latest study is more disturbing because it focuses on only”curbside” buses. The curbside carriers first gained popularity in urban areas, such as Chicago, by offering frequent rides betwen major cities for as little as $1 a seat. Popularand catering primarily to students and budget-conscious travelers, these carriers have racked up an alarmingly high number of fatal accidents and safety violations over the last few years. While the report found that low-cost bus companies were a safe mode of travel and that accidents happened infrequently, the bus accidents that do occur, were far more likely than traditional carriers to result in serious injury or wrongful death.

The report suggests that the reasons for the increased rate of serious injury and wrongful death is related to the disproportionate (by industry data) larger number of violations issued to these companies relating to driver fatigue and training errors. In addition, the industry has exploded due to the depressed economy. Regulators indicate that it is more difficult to inspect low cost buses because they do not park in traditional terminals and officials must locate and inspect these buses on crowded street corners. Since they are barred from inspecting buses in the middle of a scheduled trip, it is difficult to conduct the surprise inspections necessary to determine the true operating procedure of any motor carrier. Apparently, many drivers and owners of low-cost bus companies do not speak English, and their records are often kept in other languages. Officials are concerned that this language barrier may mean that some owners and drivers do not fully understand the federal regulations and how to comply.

We reported in our previous article (myaccidentlaw.com/blog) that the Transportation Department, which has oversight of the motor coach industry, had nearly doubled its safety inspection on buses in the past five years and recently issued rules banning bus drivers from talking on cellphones or sending text messages while driving. However, this increase in enforcement and regulation is not applying to the low-cost bus carriers.

Grazian and Volpe has advocated for the rights of victims of bus crashes in Chicago and South Chicago for over 25 years. We have noted an increase in clients who are involved in bus crashes involving low cost carriers. Fortunately, we have not seen a wrongful death but have noted that the injuries sustained are serious injuries often involving brain injury and/or spinal injury. We hope this report will act as a wake-up call to Congress and the National Transportation Safety Board and more inspections and pro-active regulations are promulgated to protect the lives of those using these low-cost providers. Please follow Grazian and Volpe on website or on WCIU, You and Me in the Morning the first Tuesday of every month where we take questions and inform out viewers on how to stay safe and if they have been involved in an accident-how to make sure they obtain the best compensation possible.

The Many Faces of Spinal Injuries Part III: Paraplegia

Spinal injuries are a catastrophic result of accidents: motor vehicle accidents; truck accidents, bicycle accidents, pedestrian accidents, slip and fall accidents and; work accidents. It is important that victims of accidents and their personal injury attorneys are aware of the many types of brain injuries that may occur.  Accident victims need to seek immediate medical attention whenever an injury to the back or neck occurs.

Paraplegia is a form of paralysis of the lower portion of the human torso, from the waist down. Quadriplegia is paralysis from the neck down. Normally paraplegia is a result of injury to the spinal cord but may also result from infection or loss of blood supply to the brain or spinal cord. Paraplegia may result in total or partial paralysis. Paraplegia results in loss of feeling and leg function. It may involve intense pain and suffering and a stinging sensation from pinched-nerves, similar to those caused by a brain or burn injury.  Loss of bladder and bowel control is normally involved as well as spasms and pain.  Sexual dysfunction is common as well as loss of fertility.  Shortened lifespan is a typical result.

Accident victims and personal injury attorneys must be pro-active in seeking immediate diagnosis and treatment of all head and spinal cord injuries. As discussed in last week’s blog (September 7, 2011) not all head and spinal injuries are immediately apparent and often overlooked because either shock is masking the symptoms or there are no external indications of impact.

Please join me at myaccidentlaw.com and the Grazian and Volpe Facebook page for the next 3 Wednesdays where I will discuss the causes and effects of spinal injuries.

 

The Many Faces of Spinal Injuries Part II: Quadriplegia

Spinal injuries are an often catastrophic result of accidents: motor vehicle accidents; truck accidents, bicycle accidents, pedestrian accidents, slip and fall accidents and; work accidents. It is important that victims of accidents and their personal injury attorneys are aware of the many types of spinal injuries that may occur.  Accident victims need to seek immediate medical attention whenever an injury to the back or neck occurs.

Quadriplegia is one of the most tragic and difficult spinal injuries.  It occurs when there is an injury to any of the seven (7) cervical vertebra above the first thoracic vertebrae and the spinal cord is severed from the shoulder and neck area. This injury can result not only in loss of feeling and function of the arms and legs, but also severe pain, loss of bladder control, bowel control, muscle spasm, sexual dysfunction, loss of fertility as well as shortened lifespan.  Quadriplegia also can result in involuntary bodily functions of respiratory and digestive systems. Infections in the brain or spinal cord; and a loss of blood supply to either may also cause quadriplegia.

Accident victims and personal injury attorneys must be pro-active in seeking immediate diagnosis and treatment of all head  and spinal cord injuries. As discussed in last week’s blog (September 21, 2011) not all head and spinal injuries are immediately apparent and often overlooked because either shock is masking the symptoms or there are no external indications of impact.

Please join me at myaccidentlaw.com and the Grazian and Volpe Facebook page for the next 4 Wednesdays where I will discuss the causes and effect of spinal injury.

The Many Faces of Spinal Injuries

Spinal injuries are an often catastrophic result of accidents: motor vehicle accidents; truck accidents, bicycle accidents, pedestrian accidents, slip and fall accidents and; work accidents. It is important that victims of accidents and their personal injury attorneys are aware of the many types of brain injuries that may occur.  Accident victims need to seek immediate medical attention whenever an injury to the back or neck occurs.  As detailed below, not every spinal injury is immediately apparent. Delay in seeking medical treatment can result in an avoidable tragedy. I will spend the next few months, each Wednesday, detailing the cause and effects of each type of injury. Today’s blog is a general overview.

Spinal injuries include the following:

  1. Quadriplegia:  also know as “tetraplegia”.  Quadriplegia occurs when there is an injury to any of the seven (7) cervical vertebra above the first thoracic vertebrae.
  2. Paraplegia: is a form of paralysis of the lower portion of the human torso, from the waist down. It is different than quadriplegia, which is paralysis from the neck down.
  3. Herniated Disc and Bulging Disc: Herniated disc injuries are also know as “ruptured disc” and “bulging disc” injuries. These can be serious and life threatening back injuries, which are unfortunately quite common as a result of the g-forces involved in high or low speed motor vehicle accidents.
  4. Back Pain: Back pain is a sure sign that a accident victim has suffered a spinal cord injury of has a bulging or ruptured disc. Lower back pain is typically the locus of the pain.
  5. Facet Joint Syndrome and Chronic Pain: Facet joints connect the vertebrae in the spine. They allow twisting, bending and other movements and affect the range of movement as well as strength, flexibility and integrity. If they become inflamed due to a motor vehicle accident, arthritis can develop into chronic pain syndrome and cause lifetime pain and stiffness.
  6. Whiplash:  This is the most common injury that occurs in a motor vehicle accident. Whiplash is an injury that occurs when the head is hurled backwards and then forward. This is a “hyperextension” injury from being jerked forward and a “hyperflexion” injury form being jerked backwards. These injuries can not only included spinal damage but may also be responsible for traumatic and mild traumatic brain injury.

Please join me at myaccidentlaw.com and the Grazian and Volpe Facebook page for the next 5 Wednesdays where I will detail these spinal injuries discussing their causes and effects.