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Whiplash and Dural-Neural injury

There are two key ways that nerve tissue (and its dural fabric) get involved in whiplash disorders: 1) Excessive pressure/tension during whiplash motions can physically injure dural tube and nerves -- especially near the nerve root, and especially if there is pre-stress on the system. 2) All the dural tissues are innervated by nociceptors, and can become sensitized by the inflammatory / CNS trauma dynamics that follow whiplash injury. Anecdotally, #2 seems way more common. But in either case, it becomes crucial to understand how neural tissues move with the cervical spine, and how you can modulate pressure/tension on the dura and nerves for more effective whiplash treatment. In this video, I also offer an alternate model for some transverse friction techniques, which often seem useful but whose mechanism seems implausible. Maybe it's not the collagen we are re-organizing, but the inflammatory behavior of dorsal rami we are helping to re-regulate? (This would explain why tissue specificity still seems important, but not require us to adopt counterfactual ideas of fascial plasticity.) How do neurodynamics and nerve tissue anatomy play into your whiplash treatment? ⚡Neurofascial Approach to Whiplash Treatment Friday May 3rd, 10:00 AM-2:00PM Pacific 4 CE hours, $75, and accessible forever. (Or as long as email/youtube exist). https://bit.ly/4aeVvJX ⚡ ----- REFERENCES: Nerve pathology and neuropathic pain after whiplash injury: a systematic review and meta-analysis (fundaun et al 2022) https://www.ncbi.nlm.nih.gov/pmc/arti... How can animal models inform on the transition to chronic symptoms in whiplash? (Winkelstein 2011) https://pubmed.ncbi.nlm.nih.gov/22020... Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group (Hurley et al 2021) https://rapm.bmj.com/content/early/20... Chronic whiplash and whiplash-associated disorders: an evidence-based approach (Schofferman et al 2007) https://pubmed.ncbi.nlm.nih.gov/17916... The Peridural Membrane of the Spinal Canal: A Critical Review (Ansari et al 2011) https://onlinelibrary.wiley.com/doi/a... High-Resolution 3T MR Neurography of the Brachial Plexus and Its Branches, with Emphasis on 3D Imaging (Chhabra et al 2013) http://www.ajnr.org/content/34/3/486/... A Review of the Clinical Utility of Therapeutic Facet Joint Injections in Whiplash Associated Cervical Spinal Pain (Eseonu et al 2021) https://www.jstage.jst.go.jp/article/... Biomechanics of whiplash injury (Chen et al 2009) https://pubmed.ncbi.nlm.nih.gov/19788... The response to the slump test in a group of female whiplash patients (Yeung et al 1997) https://pubmed.ncbi.nlm.nih.gov/11676...