Chiropractic-Psychological Symptoms Related to Whiplash by aihaozhe2


									Why soft-tissue damage can be misdiagnosed: Many of the symptoms from a
whiplash injury result from soft-tissue damage. The problem is that soft-tissue
damage is not revealed on radiological testing.

Four most common psychological symptoms

According to the research, there are four types of psychological symptoms related to
whiplash: Anxiety; Depression; Anger; and Substance abuse. These psychological
symptoms seem to come about from...

1. A patient who has been in a whiplash accident, who has experienced soft-tissue
damage 2. Combined with the stress of the patient confronting insurance companies,
worrying they won't be covered, compensated, etc. 3. Which exacerbates the pain
symptoms 4. Resulting in chronic physical and psychological symptoms

The most definitive research points to the psychological stress that is caused when
someone is experiencing whiplash pain... but has not been treated for it.

How chronic pain affects psychological symptoms

It makes intuitive sense that a person who experiences chronic pain, is going to
experience some psychological effects from that. A study made by Mayou et al found
that "the severity of psychological symptoms in whiplash patients were related to the
number of medical complications. Radanov et al found that patients which chronic
whiplash pain who experienced frequent migraine headaches had increased
psychological symptoms. In summary, since soft-tissue often goes misdiagnosed,
there can be significant psychological stress...

related to the pain and the stress in resolving the financial aspects to get treated. The
complex issue is how does one measure and account for this psychological component.
To date, the literature provides little in resolving these issues.

On the issue of malingering... Malingering is the term used to describe a patient that is
perceived to be exaggerating their condition because of the potential for financial gain.
Malingering is the second most frequent controversy. The most common research
cited in the legal literature about malingering comes from Miller. He suggests that
much of a patients "psychoneurotic" symptoms miraculously ceased after receiving a
financial settlement.

What is interesting to note is that these statements by Miller do not arise from a
controlled study. They came from a lecture series he gave and were based on
anecdotal experiences. In actual fact, very few clinical studies have found malingering
to be a significant factor in recovery. The question then becomes...
Is it possible to fake whiplash?

Wallis and Bogduk studied this question by asking a group of 40 students to fake a
whiplash injury. The authors concluded that, "it is very difficult for an in genuine
individual to fake a profile typical of a whiplash patient." In summary, the current
literature leads many to believe that malingering is difficult to prove. In fact, to date
there has been no conclusive studies to prove malingering.

And if a person were to attempt to fake whiplash, it would be extremely difficult to do
so if being evaluated by an experienced doctor. There is very little evidence that
so-called "compensation neurosis" is real. So my friend, it seems the controversies
will continue.

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