From Dr. Natalie Meiri’s Clinical Pearl Stories:

What To Do After A Car Accident

Author: Natalie Meiri, D.C.        Posted: 10/18/2021


This was a 47 year old mother and her 13 year old daughter with chief complaints of neck, back and extremity (arms and legs) injuries.  They presented to my office 1 day after sustaining injuries from a car accident. Their car was hit on the highway and ended up rolling down a hill.  To be HIPAA compliant, I will call the mother Sun and the daughter Yang instead of their real names.  Sun was a long time patient of my office and knew the benefits of chiropractic.  She knew What to do after a car accident!  Sun knew chiropractic physicians examined, diagnosed and treated neuromusculoskeletal conditions. Moreover chiropractic care after a car accident can get you out of pain naturally.  After all, pain medications can be harmful and additive.

Examination and X-rays

Upon examination, I found positive tests for a sprain diagnosis for all Sun’s injuries (neck, back and right shoulder).  Similarly, upon examination, Yang also had a sprain diagnosis for all her injuries (neck, back and left foot). They had suffered a whiplash injury (injury due to forceful, rapid back-and-forth movement). Sun had bruising from the seat belt across her abdomen and had twisted her right shoulder. Yang had similar injuries from the seat belt, but had somehow twisted her left foot. 

The x-rays taken in my office showed mild osteoarthritis in Sun’s right shoulder, cervical (neck), thoracic (mid back) and lumbar (low back) spine. This is the “wear and tear” type of arthritis. However, Sun’s sprains from the car accident was her diagnoses for the auto injury.  The osteoarthritis was solely a finding on the imaging.  Furthermore, an important finding on Sun’s cervical (neck) x-rays were the instability in her neck shown on the lateral (side view) stress views.  One of her vertebrae in her neck had ligamentous instability (stretched or tiny torn soft tissues, but not ruptured) from this accident.

Both Yang and Sun had decreased cervical lordosis (decreased normal curve in the neck) consistent with cervical myospasm (muscle spasm) on their cervical x-ray. The foot x-ray of Yang’s left foot ruled out a fracture.  I would order an MRI (magnetic resonance imaging) if there was no improvement after 12 visits.

Chiropractic Treatment

Starting at 3 times a week, it took many months of care. Firstly, treatments included  chiropractic adjustments/ manipulation.  Secondly, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures).  Thirdly, modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Finally, therapeutic exercises to continue treatment at home were given.

Both Sun and Yang started to feel better from the first week of treatment.  After months of treatment, their conditions were stable and they were both back to their normal daily activities.

Dr. Natalie Meiri

What are some auto accident injury symptoms?

  • Neck pain from whiplash. The pain can range from mild to severe. It might be  in one spot, a general area, or radiate down the shoulder into the arm and/or hand. This can be caused by ligament sprains or muscle strains, but also by injuries to discs, nerves, joints, and/or bones.
  • Neck stiffness or reduced range of motion. Reduced neck mobility could be from pain, irritation of the cervical facet joints, or spasm of the cervical muscles.
  • Headache. This could be from neck muscle tightening/spasm.  Also, a nerve or joint irritation of the spine could cause headaches.
  • Neck instability. This whiplash symptom commonly results from stretched or torn soft tissues, such as ligaments. Although, it could also be caused by a fracture.
  • Back and extremity (arms and legs) pain. Your back can also suffer whiplash (acceleration/deceleration injuries) during an auto accident. Subsequently, your back can refer pain to other soft tissues in the upper back and shoulders or legs. Of course, you can also separately sprain or strain your extremity as well during the collision. 
Patients respond well to chiropractic care after whiplash.

For some people, whiplash symptoms can be minor. For others, the symptoms can become varied and chronic, ranging from severe pain to cognitive and emotional problems.  Some patients often complain of other symptoms and signs such as blackouts, visual disturbances, nausea and vomiting, and chest pain.  Also, a nondermatomal pattern (a large area of sensory finding) of pain and deficit is common.

Sometimes whiplash symptoms persist or get worse with time. Whiplash symptoms might manifest immediately following the acceleration-deceleration accident, or they can take a few hours or days to appear.

Even low-speed rear impact injury crashes (LOSRIC) account for as much as 80% of rear impact collisions. The range of speed in these types of crashes are between 6 and 12 mph.

Results from a study showed an association between a history of neck injury in a motor vehicle accident and chronic headaches, disabling neck pain, and a perception of  lower general health compared to those with no history of neck injury. This is why it is so important to get care right away as Sun and Yang did.

The good news is, recent encouraging research indicates that patients with symptoms of whiplash injury respond well to chiropractic care!

Meiri Chiropractic, the Best Chiropractic Care Center in West Palm Beach, offers chiropractic treatment for car accident injuries and other ailments. What to do after a car accident? Call 561-253-8984 to schedule an appointment!

If you have neck and back pain due to scoliosis than chiropractic care may be your best choice. We’ve got some great information to share below on Neck and Back Pain Due to Scoliosis: a Chiropractic Care Center Can Help.

What is scoliosis?

Scoliosis is an abnormal curving of the spine. Your spine is your backbone.  Everyone’s spine naturally curves a bit. But people with scoliosis have a spine that curves too much. With scoliosis, the spine rotates and develops a side-to-side curve. Curves may be as mild as 10 degrees, or as severe as 100 degrees or more. The American Chiropractic Association estimates up to seven million Americans suffer from scoliosis. Moreover, as the degree of curvature increases, the excess curvature can cause other health problems.

Symptoms and Causes

Scoliosis can be part of a disorder (e.g. poliomyelitis). This includes neurologic, muscular, congenital (born with it) bone anomalies, developmental (e.g., due to abnormal collagen), and several other disorders.

The majority of scoliosis, however, are idiopathic. “Idiopathic” means there is no known definite cause. It can affect people of any age, from babies to adults, but most often starts in children aged 10 to 15 (idiopathic). Idiopathic scoliosis is usually discovered during growth in childhood or adolescence. When it begins or is found after puberty (after complete skeletal growth), it is called adult scoliosis.

The cause of adult scoliosis varies depending on the type of scoliosis as noted above. The most common form of adult scoliosis is degenerative arthritis (spine curves as you age). In some cases, adolescent scoliosis may develop symptoms with aging and require treatment.

Firstly, the majority of scoliosis curves do not progress to compromising the cardiopulmonary system. In fact, forced vital capacity in nonsmokers does not decrease significantly until curves progress to 100° to 120° (a rare occurrence even in adulthood). Secondly, cosmetic appearance can be a concern. Thirdly, some are born with it, and some get scoliosis as they age. Lastly, 90% of scoliosis patients have a spinal curvature that is not severe enough to require surgery, yet is extremely painful because of how it affects the body’s anatomy.


Dr, Meiri adjusts a patient


What Do Chiropractors Do to Help?

In milder cases, scoliosis may not be easily noticed by the person or their family. Detecting scoliosis early in children is especially important because some forms of scoliosis keep progressing. Parents or guardians, a child’s doctor, or school screening can detect scoliosis.  Detection by a parent is usually based on either noticing shoulder elevation or noticing that clothes hang unevenly. Doctors of chiropractic have a detailed knowledge of musculoskeletal issues, conditions, and disorders. The comprehensive physical examinations all chiropractors provide with new patients can help identify scoliosis.

Balance is often a problem in children with idiopathic scoliosis. It is also likely that as an adult, chronic back pain is more common. So a major concern is to reduce the pain component, improve function (e.g. balance) and prevent progression. The only component however that is amenable to correction in idiopathic scoliosis is likely the functional component of the curve.

Many patients with scoliosis find non-drug, non-invasive treatment through chiropractic care centers.  The theory is, by freeing up movement at each spinal segmental level with regular adjustments, the spine is kept more flexible and scoliosis is less likely to progress. Adjustments decrease the pressure on your nervous system.  This eliminates the pain and muscle spasm.


Dr. Natalie Meiri will examine you and come up with a treatment plan to get you better!

Through regular visits, you can get pain relief and improve your neck and back health with chiropractic manipulative treatments without drugs or surgery.

Our other therapies, such as soft tissue techniques, therapeutic exercise, electric muscle stimulation, ice/ heat therapies and homeopathic consultations, may also provide some relief for your pain. 

In West Palm Beach, Meiri Chiropractic has given hope to patients with Scoliosis and many other ailments and given them a better quality of life with a safer, natural and effective treatment for their symptoms.

If you or a loved one is suffering from scoliosis, call our chiropractic care center to make an appointment suitable for your individual needs. Or ask about Neck and Back Pain Due to Scoliosis: a Chiropractic Care Center Can Help at 561-253-8984.


       Meiri Chiropractic


There are some injuries female athletes tend to have more than male athletes. This is true in many sports including running, soccer, rugby, basketball, bodybuilding, bowling, swimming, volley ball and golf injuries. There are many theories as to why this increase seems out of proportion to similar injury patterns in males. Some of the most obvious have to do with gender specific training. Other factors relate to the anatomic and physiologic differences between males and females. These observations started an interest in gender specific research. There are unique biomechanical, anatomic and hormonal factors that predispose skeletally mature female athletes to certain injuries. The Female Athlete and the Sports Injury Chiropractor is about what these female athlete injuries are and how a chiropractic clinic can help.

Anatomy & Physiology

Firstly, prior to puberty, the differences between males and females are insignificant. Secondly, girls reach puberty earlier than boys.  And then there is a small time frame in which girls mature quicker, have greater coordination, and, in many cases, are taller than the boys. So prepubescent males and females are equal in body fat composition. Thirdly, the male body fat decreases 11% on average through adolescence. Females increase body fat on average 25% during this same period. Finally, post puberty, there are some recognized differences between males and females.

The fact is, the average female is two thirds as strong as the average male.  Upper body strength is only 30% to 50% and lower extremity strength 70% that of the same size male. In some studies the body mass (BMI is the measure of body fat based on height and weight) and relative strength (the amount of strength to body size) were considered. In conclusion, in relative strength, the female still has less of the male’s upper body strength, but is almost equal in lower body strength.

Statistically, there are no objectifiable differences between joint laxity (looseness of a limb or muscle) of females compared with males. Clinically, it has been observed that the knees and shoulders of females seem to be “looser.” Regarding the menstrual cycle, there appears to be no significant correlation between menstrual phase cycle and exercise performance. However, injury rates appear to increase in athletes with premenstrual symptoms. Furthermore, there has been an association between estrogen and possible laxity of the anterior cruciate ligament.

Female athlete injuries

Shoulder laxity:

Women who participate in upper body sports such as tennis, swimming, and volleyball should be instructed to focus on both strengthening the rotator cuff and trunk muscles.  This decreases the stress to the shoulders and possible injuries. Since women are generally weaker in upper body strength, focus on a generalized upper body-strengthening program will also be beneficial.

Knee laxity:

It has been observed that patella (knee cap) instability is more common in females. This may be due, in part, to more of a tendency toward underdevelopment of the back surface of the patella and lateral condyle of the femur (thigh bone).  Women tend to have decreased vastus medialis strength, tighter illiotibial band (ITB), or a high riding patella. This tendency, combined with a position of recurvatum (hyperextension) seen more commonly in females, may predispose toward either tracking problems or patella dislocation. Similarly, for female athletes, vastus medialis strengthening, ITB stretching, proper training shoes (e.g. for pronation), and proprioceptive( sense of self-movement) training is important.

Anterior cruciate ligament (ACL):

ACL (tissue that connects the thighbone to the shinbone, at the knee) laxity or looseness is a concern for females. Although there are many theories, the main effective strategy for decreasing injury is training. It is clear that the vast majority (80% in one study) of ACL injuries are noncontact.  And often occurring when landing from a jump. This is even more true in sports such as basketball and volleyball. One study divided these noncontact injuries into three types depending on the movement/maneuver causing it:


  1. Planting and cutting– player acts as if she is going to the right but quickly and aggressively plants the right foot. Then immediately reverses her motion and accelerates to the opposite left side.
  2. Straight leg landing– Landing with straight knees can lead to a higher rate of ACL tears.
  3. One-step landing with the knee hyperextended– when the knee is bent backward, often as a result of landing wrong after a jump.

In one study, ACL injuries were reduced among a group of women by almost 90%.  They simply modified the plant-and-cut maneuver to a three-step stop. Female athletes should jump and land in a more flexed position, avoiding extension of the knee.

Noncontact ACL injuries may be related to both genu recurvatum and hyperpronation. Genu recurvatum is hyperextension of the knee which has several causes. Muscle weakness, especially of the muscles in the top of the thigh (quadriceps), an injury, or the shape of your bones at the knee are some. Hyperpronation occurs when the ankle bone turns inward and the rest of the foot turns outward. This puts too much body weight on the inside of the foot.


adjustment of patient's shoulder

The Female Athlete and the Sports Injury Chiropractor

Whether it’s your hip, knee, shoulder, ankle or foot, a chiropractic adjustment can help.  Just as your spine/ pelvis can get out of alignment, so can your extremities.  In other words, additional joints may need chiropractic adjustments (hip joints, knee joints, ankles joints) along with the spine.  After all, Chiropractic adjustments restore joint mobility and function, resolves joint inflammation and reduces the patient’s pain.

A sports chiropractor in North Palm Beach can adjust the spine/pelvis and extremities. And the best sports chiropractor is one who has the expertise and training to work on your muscles/ soft tissue surrounding your joints using soft tissue techniques (e.g. myofascial release, Instrument assisted soft tissue mobilization-IASTM).

There are sports chiropractors who use their skills in soft tissue manipulation techniques to help optimize athletic performance and prevent injury.

Spinal and extremity adjustments along with recommendations from your chiropractor regarding stretching and strengthening exercises, nutrition, and lifestyle changes can successfully prevent a number of common, chronic and acute sports related injuries. Furthermore, besides from the female athlete performing better and reducing their injuries, regular chiropractic care will help with digestion, improve sleep, and increase energy. Regular chiropractic adjustments help avoid many of the disorders that take shape as illness.

If you are looking for a West Palm Beach sports chiropractor for women, Dr. Natalie Meiri can definitely help you. Call 561-253-8984 today.