When your body is involved in trauma,
your neck is one of your most vulnerable areas. Whiplash, the hard and
fast forward-backward movement of the neck, can cause pain that can last
well after other injuries have healed. To understand why your neck is
so sore, it helps to know the anatomy involved.
Whiplash can be a
complicated diagnosis as the doctor tries to figure out exactly which
parts of the spine have been affected. And there are a lot of complex
parts to your cervical spine—the technical name for your neck. The
cervical spine begins at the base of the skull. It contains seven small
vertebrae (bones), which doctors label C1 to C7 (the 'C' means
cervical). The numbers 1 to 7 indicate the level of the vertebrae. C1 is
closest to the skull, while C7 is closest to the chest.
In
between each vertebra are tough fibrous shock-absorbing pads called the
intervertebral discs. (These discs are what slide back and forth during
the trauma.) Each disc is made up of a tire-like outer band and a
gel-like inner substance. The outer band is called the annulus fibrosus;
the inner part is called the nucleus pulposus.
In addition to
bones and discs, your cervical spine also includes the upper region of
the spinal cord, eight nerve roots, an elaborate system of arteries and
veins, 32 muscles for strength, and numerous ligaments. For such a small
area, there is a lot to your neck. That means that there are a lot of
parts that can be injured when you have whiplash.
Remarkably, the
cervical spine supports the full weight of your head, which is usually
about 8 pounds—yet no other region of the spine has such freedom of
movement. The cervical spine can move your head in nearly every
direction: 90° of forward motion, 90° of backward motion, 180° of side
to side motion, and almost 120° of tilt to either shoulder.
Unfortunately,
this flexibility makes the neck very susceptible to pain and injury,
such as whiplash. In whiplash, those 15 pounds are dramatically tossed
frontwards then backwards—that's one important reason to wear seatbelts
properly and use airbags whenever possible.
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Monday, October 8, 2012
Anatomy of Whiplash
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