Physiotherapists in Haverfordwest treat many different conditions including the issues profiled below.

Whiplash Syndrome

Whiplash syndrome is typically the result of low velocity car crashes. Usually affecting the neck, whiplash can also affect the lumbar spine as it is almost fully flexed in sitting, allowing the spine to be over flexed by even a small further movement. Most tissues in the neck can be injured in a rear shunt collision but the evidence points to facet joint injury as being the most likely cause of chronic pain and disability. Any warning about the impact can result in the individual tightening up the stabilising muscles around the spine but also increases the forces compressing the spine at the same time. This could allow the discs and vertebrae themselves to be damaged in a compressive injury.

If there is no warning of the accident then there will be no protective muscle contractions to prevent spinal injury, with the posterior ligaments taking stress as the head is bent forward and the posterior bony elements impinging as the head is bent back. The exact position of the head at the moment of impact is also important as if it is rotated then the structures can suffer a rotational injury which could involve the facet joints.

Simple Neck Exercises . Two

Performing routine simple neck exercises every day fulfils a number of functions. It moves the joints through their normal ranges of movement and to the ends of the movement each time, an area where movement can be easily lost without us being aware of it. Movement also stretches out and maintains the length of the annulus of the cervical discs, pulling on the collagen and cartilage fibres of the disc walls. Muscles normally shorten when they are contracting and moving the joints of our bodies and if they are called upon to contract a lot in a particular position they can become more permanently shortened.

Range of movement exercises fully in the opposite direction can stretch out over tight muscles and allow them and the joints to return to more appropriate postural positions as part of a therapy programme. Since much of the use of the neck muscles is to maintain static posture of the head and shoulder area this exposes the head and neck area to long periods in poor positions with unhelpful patterns of muscle contraction. Neck exercises can be done routinely such as three times a day for a certain period or can be done regularly throughout the day to correct poor posture.