Whiplash Injury

Mickey

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I am due to see a client who had a RTA last year followed by whiplash injury. She has been seeing a Chiropractor regular who has been giving her cranio sacral therapy which has helped in the past but is taking its time. That is why she phoned my for an aromatherapy session - she says she is quite stressed out about it as she has started a business recently.

I am seeking advice from fellow therapists on how to treat this client. I am trained in holistic massage, aromatherapy, sports massage (though not sports injury).

My instincts are to treat using aromatherapy, leave the neck injury for the chiropractor to deal with, and to try to relax her as much as possible. To this effect I advised her when she called that I would not deal with the whiplash injury but focus on relaxation.

Any advice from fellow therapists would be appreciated.

Luv Binah
 
Hi Binah

From what you have said I would also go along the Relaxation plan for the treatment, withholistic considerations. So for example,you couldalso addsome essential oilsto tackle emotional flexibility. As the neck condition may be highlighting inflexibility in thought patterns.

Good luck
 
Hi Binah

Is your client complaining of any jaw problems at all? The Temporal Mandibular Joint often develops problems after a whiplash injury.

Your relaxation plan sounds perfect. As you do Sports massage you might give them some gentle stretches and strength exercises for the neck muscles to do at home... assuming your client is not in the acute stage of injury healing... >in which case very gentle massage only.

I would also recommend referring themforNST treatment (Advanced Bowen Technique [link=http://www.nsthealth.com]www.nsthealth.com[/link] to find a therapist) to straighten out their skeleton, if they are not getting a great response from a chiropractor. I have good experience of NST turning around injuries permanently where the chiropractor has been correctingit only temporarily.

If you're not sure, though, stick to what you're happy with, as you suggest, gently massaging the area, which will aid the body's recovery,and lots of relaxation!

Good luck.
 
maybe I am being simplistic but I have always thought that chiropractors dealt with bones and osteopaths dealt with bones and muscles and usually (not always) whiplash injuries are muscular (had a couple so have painful experience) therefore is she actually getting the right treatment in the first place?

you could give her a gentle massage in the affected area in the first massage to see how she gets on - I wouldnt avoid her neck and shoulders - I had a massage after a couple of osteopathy treatments and felt a lot better after..

my opinion and experience for what it is worth - hope it helps

HG
 
Have to say I afree with HEMELGIRL very sound advice indeed !!!

Julie
Allure Massage
 
Well, yes, whiplash is damaged sof tissue,but the two are intrinsically linked, of course: The soft tissues hold the bones in place. When we've had an injury like whiplash, our body will compensate by working to firstly protect - in this case the spine - and then because of the damaged soft tissue over exerting protecting the spine,other areas of soft tissue will be over compensating... vicious cirle. The body of course can heal itself, but sometimes, we 'favour' an injury and do damage to the compensating soft tissue and our body forgets its correct position... and now I'm talking bones and soft tissues.

So it really depends whether this client's whiplash discomfort is justsoft tissue, or if the injury and resulting healing process has,as is very common,resulted in an unbalanced skeletal positioning too.

NST works by releasing the soft tissues (muscles, tendons, ligaments) as well as nerves, so that the bones can go back to their correct place. Massage does the same thing to a lesser extent inasmuch as it loosens the soft tissues which are holding the bones in the wrong place. I don't know enough about how chiropractors work on the bones to comment, but agree that since soft tissue holds the bones in place, manipulating the soft tissue will help to relieve the symptoms.

Now I think I've talked myself in a circle!
 
Thank you all for your helpful replies.

I dont know whether the jaw has been affected but will keep you posted.

Luv Binah
 
Binah, I would also suggest that you work gently with the entire spinal column and the shoulder and pelvic girdles. Whiplash injury, as the name describes,affects the entire spine as theimpact energy ripples up and down the spine and tends to dissipate into the girdles and the neck and head. As AvalonDove says sometimesit affects the jaw - so look wider than just the neck.

Also useful Holistic Post Treatment Advice for RTA's is that there can often be emotional shock that can in some people make them nervous driving - even ifwhiplash typeRTA is often not their fault. If they drive a lot then this can cause ongoing tension / postural problems (often in areas that were originally injured). Here overall relaxation from massage helps :)

Ask the questions on the emotional impact butdon't try and address this directly (its out of scope for a MT): suggest they look at the excellent courses from the Institute of Advanced Motorists and ROSPA. They might help them regain confidence and relax more driving.Might sound daft butthis can have a big impact and help speed up the recovery - or may be the reason that other therapies seem to be taking a long time? Also shows you are taking a holistic view and not just focusing on the original injury :)

Hope that helps

InTouch
 
Hi

Well I've seen the client - and from what she said the neck is fine now, and the only back pain she has is now in the lumbar region. This is exacerbated as she has switched careers and is now a gardener. She had two cars going into the back of her when she was stationary at a roundabout. On asking a few questions about her life generally it transpired that she is now getting a divorce from her husband, a big life changing experience. I look at the accident as being a metaphor for her life - waiting at a roundabout - possibly not of sure of direction to go in life - and being nudged to move on. Since then she lost her job - has gone in a completely new direction (gardening) and is getting a divorce.

Thanks for all your advice.

Luv Binah
 
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    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅTODAYโ€™s ROSTER INCLUDES: Julia๐Ÿ˜˜ - A shy new Korean girl waiting
  30. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ (905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ (437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅ Zoe - ๐Ÿ”ฅStunning Tall Taiwanese Service Queen with Endless Passion and Sensuality w
  31. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡10am-2am, Tall Slim Sexy Chinese Kelly, New First Day Sexy Chinese Coco, Sexy Chinese Linda, Young Sexy Chinese Abie
  32. hiyamickey:
    6 girls working at Reinella wellness, young petite girl Amanda 20 years old, Sasha, Candy, Ocean, Yuki, Grace, @6262 Hwy7 until #1 Vaughan โ˜Ž๏ธ๏ผš905-851-4888
  33. laluna1857:
    Nu spring spa @ ๐Ÿ’‹๐Ÿ’‹sexy hot Viennese โค๏ธSpanish girls ๐Ÿ‘๐Ÿ‘working at Markham ๐Ÿ’‹๐Ÿ’‹๐Ÿš—7-15 Karachi dr Markham close Costco โ˜Ž๏ธ416-669-8508
  34. SugarLoveSpa:
    Tuesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: ANA, CHERRY & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž ANA is a young, short and sweet lady, 5โ€™1 & 105 Lbs, very tight, with a small to medium booty. Ana is a versatile honey who provides great massage, & can accommodate your needs. CHERRY is a young, slim, friendly and absolutely gorgeous Vietnamese beauty, 49 Kgs
  35. Reen:
    bbbj
  36. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Rita๐ŸฅฐA brand new girl from Northeast China of Russian descent has just arrived, a young sexy beauty with smooth white skin, natural 32C breasts with big juicy nipples and fantastic tight little bum bum waiting to be kissed and spa
  37. YM203:
    MoonMoon spa/416 887 8801/8131Yonge st #203 3 young Asian girl in Tuesday
  38. lotushubspa:
    Hello, dear customers, today Lotus Spa is located at 10737 Yonge St unit13 and provides female masseuses for customers. ๐Ÿ‘ฉโ€โš•๏ธTaiwan, China and South Korea have Anna.๐Ÿ’‹Cici๐Ÿ’‹Jissica๐Ÿ’‹ to provide customers with first-class service attitude and a large number of beauties๐Ÿ‘๐Ÿ’‹Please contact phoneโ˜Ž๏ธ9052375885 or SMS 4163565876๐Ÿ’‹๐Ÿคช
  39. Lulu1980:
    Phoenix blossom Spa โ™จ๏ธโ™จ๏ธโ™จ๏ธtable shower ๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘Body scrub ๐ŸŒน๐ŸŒน๐ŸŒน๐ŸŒน5124 Dundas W Etobicokeโ˜Ž๏ธ416-817-3366 Nice girl Luna joined. She can provide very good massage and sexy touch. She knows how to take instruction and please a man๐Ÿ‘๐Ÿ‘๐Ÿ‘ New girl Lisa ๐Ÿ˜˜ can provide deep Thai massage. Earlobe kiss๐Ÿ’‹She looks like an ordinary girl but has a round and beautiful ass. The hot body slide is her unique asset to attract men๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ˜œ๐Ÿ˜œ๐Ÿ˜œCome see her today. Feel free to walk in or make an appointment at any time.
  40. SL West:
    Shangri-la Spa, the place for luxury Asian massages in GTA. ๐ŸŽ‰ Two fab spots: Richmond Hill & Oakville. 9 gorgeous girls from China, Hong Kong, Japan & Korea โ€”Coco, Cindy, Cici, Yui, Lulu, Amber, Kelly, Anita, Evaโ€” ready to spoil you silly. ๐Ÿง˜โ€โ™€โœจ Thanksgiving special on now! ๐Ÿ๐ŸŽˆ Dial 647-578-8169โ˜Ž. Feel like 10 million bucks! ๐Ÿ’ฐโœจ Just swing by 160 East Beaver, Unit 12, Richmond Hill. Let the good times roll! ๐Ÿ™Œ
  41. SunriseRH:
    TUESDAY at ๐—ฆ๐—จ๐—ก๐—ฅ๐—œ๐—ฆ๐—˜ ๐—ฆ๐—ฃ๐—”: JULIA & LUISA. 10 East Wilmot St, Unit 27, Richmond Hill, on โ˜Ž๏ธ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿฏ๐Ÿฎ๐Ÿฑ-๐Ÿด๐Ÿฌ๐Ÿด๐Ÿฒ โ˜Ž๏ธ JULIA is a slim but curvy Spanish attendant with natural B Cups & a pretty face. She can take a load off your mind. LUISA is a young,pretty, and slim Spanish senorita with slight curves and a hot hot hot attittude. SUNRISE SPA welcomes you
  42. NewOriental:
    WEDNESDAY at ๐Ÿ๐Ÿ’š๐—ก๐—˜๐—ช ๐—ข๐—ฅ๐—œ๐—˜๐—ก๐—ง๐—”๐—Ÿ ๐—ฆ๐—ฃ๐—”๐Ÿ’š๐Ÿ: HAPPY & VIVIAN. 10 East Wilmot St, Unit 26, Richmond Hill, on โ˜Ž๏ธ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿฏ๐Ÿด๐Ÿญ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž๏ธ HAPPY is a slim & busty Korean lady with great massage skills & lots of extra fun. VIVIAN is a pretty & very sexy Chinese doll, standing 5โ€™7โ€ tall, with a slim figure. Vivian is very friendly and versatile. NEW ORIENTAL SPA
  43. ASPA:
    TUESDAY at ๐€ ๐’๐๐€: Best Massage Rachel, & Wendy ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ RACHEL is a slim and attractive attendant, about 5โ€™4โ€ tall with nice responsive 34Cโ€™s and a captivating smooth rounded bottom. She is popular for her excellent massage skills and a little extra.
  44. ForeverWarden:
    Tuesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild & her cfs finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular
  45. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: CICI, CINDY & JENNY. CICI is a young, slim & beautiful Chinese gem, petite 5โ€™2โ€ & 100 Lbs with firm but soft C Cups & the absolute best of services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit. Her services are among the best!
  46. Soul Relax Spa:
    โœจClick On Username and FOLLOW USโœ… Today ๐ŸŒธClaire๐ŸŒธNina๐ŸŒธIsabella โ˜Ž289 - 298 - 5662โ˜Ž๏ธ
  47. Lulu_Villa_Spa:
    Sami Gorgeous Model Type CBC Vietnamese School Girl Linda She is Vietnamese Very Spicy Sexy Girl Beautiful Face With Exotic Eyebrow Shape Suki From Taiwan, sweet girl Sexy tight body amazing C cups with Those incredible nipples โ˜Ž๏ธ647- 446-0886
  48. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,young girl pretty face nice figure Thai deep massage Helen,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿฆต๐Ÿฆต๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  49. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Anika , Young girl big boobs beautiful face deep massage Bobo ,Young beautiful face sexy body and good deep massage star ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  50. See You Health Center:
    Natalie She is from Philippines CBC Petite school girl 5โ€™ 1โ€, 100 lbs black Hairโ€จGreat BBJ, Judy is a gorgeous model type Vietnamese Girl She is 5โ€™2โ€tall . 100Lbs, with D Cup Melons Cici Cute Skinny Sexy Vietnamese Girl With Voluptuous Huge C Melons Provides Amazing Service โ˜Ž๏ธ416-988-2950
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