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, December 10, 2012
Anatomy of Whiplash
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