Car Accidents and Nerve Injuries: A Biomechanical and Chiropractic Approach

Motor vehicle accidents (MVAs) often result in more than just bumps and bruises. One of the most overlooked consequences is nerve injury, which can affect everything from how we move to how we feel temperature or pain. These injuries don’t just go away on their own—they often require expert attention, particularly from professionals who understand both the biomechanics of trauma and the structure of the nervous system.

On ChiropracticScientist.com, we explore the intersection of evidence-based chiropractic care, integrative medicine, and scientific biomechanics. This article breaks down how car crashes lead to nerve injuries, how to recognize them, and how chiropractors and integrative practitioners like Dr. Alexander Jimenez use advanced diagnostics and therapeutic techniques to help patients recover.

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Understanding the Biomechanics of Nerve Injury in Car Accidents

During an MVA, the body experiences sudden acceleration and deceleration forces. These movements stress the spine, joints, muscles, and nerve pathways. Nerve injuries can happen from:

• Compression: Vertebral misalignment or swelling can press on nerve roots.
• Stretching: Sudden forces can overstretch nerve fibers.
• Avulsion: In severe trauma, nerves can tear away from their spinal connections.

These mechanisms disrupt communication between the brain and body. Chiropractors trained in spinal biomechanics can assess these patterns and develop targeted plans for recovery.

Novus Spine Center, n.d.
Grabban & Durando, n.d.

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Types of Nerves Affected: Sensory, Motor, and Autonomic

Car crashes can affect all three major types of nerves:

1. Sensory Nerves – Control sensations like touch, pain, and temperature.
2. Motor Nerves – Regulate muscle contractions and body movements.
3. Autonomic Nerves – Manage automatic processes like heart rate, digestion, and blood pressure.

When nerves are injured, the results may include:

• Tingling, numbness, or burning (sensory)
• Weakness or paralysis (motor)
• Irregular heartbeat or digestive problems (autonomic)

These symptoms often stem from spinal misalignment, inflammation, or disc injuries—all of which fall within the chiropractic scope of care.

Mayo Clinic, n.d.
Hopkins Medicine, n.d.

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Common Post-Accident Nerve Injuries

Chiropractic and orthopedic teams frequently treat the following nerve-related conditions after a crash:

Whiplash and Cervical Nerve Strain

Whiplash causes the neck to snap backward and forward, damaging the soft tissues and cervical nerve roots. The resulting nerve impingement can create headaches, arm numbness, and radiating pain.

Wallace Wins, n.d.

Herniated Discs and Sciatica

The impact from a crash may cause spinal discs to shift out of place. A herniated disc can press on nerves in the lumbar spine, leading to sciatica—sharp pain that runs from the back down the leg.

Alexander Orthopaedics, n.d.

Brachial Plexus Injuries

This network of nerves in the shoulder can be stretched or torn during side impacts or rollovers, leading to weakness, numbness, or even partial paralysis of the arm.

Mayo Clinic, n.d.
Hopkins Medicine, n.d.

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Classifying Nerve Injuries: A Scientific View

Understanding the severity of a nerve injury is essential for determining the right treatment plan. Chiropractors and medical professionals often refer to Seddon’s classification, a scientific system that breaks nerve damage into three main categories:

Neuropraxia – Mild Compression

This is a temporary block in nerve conduction without structural damage. It often results from whiplash or minor compression injuries. Recovery may take days to weeks with conservative care like spinal adjustments and anti-inflammatory protocols.

Axonotmesis – Moderate Damage

Here, the inner part of the nerve is damaged, but the outer covering remains intact. Symptoms may persist for months. Chiropractic treatment is often combined with functional rehabilitation to promote regeneration and restore mobility.

Neurotmesis – Severe Disruption

In this case, the nerve is completely severed or torn. While chiropractic therapy can support surrounding tissues and reduce inflammation, surgery is typically needed. Chiropractors can assist in pre- and post-surgical rehabilitation and coordinate care within a multidisciplinary team.

Physio-Pedia, n.d.
LWW Journal of Neurorehabilitation, 2019

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Evidence-Based Diagnostic Tools in Chiropractic Care

Modern chiropractic care utilizes objective diagnostics to assess nerve damage precisely. These include:

Electromyography (EMG) and Nerve Conduction Studies (NCS)

These tests measure electrical activity in muscles and nerves, helping determine the location and severity of nerve damage.

MRI and CT Scans

These imaging tools are crucial when evaluating disc herniations, bone fractures, or structural shifts that may be compressing nerves.

Digital Postural Analysis

Many chiropractors utilize posture-scanning software and biomechanical assessments to identify compensatory patterns resulting from nerve dysfunction.

This evidence-based approach helps build accurate diagnoses and track recovery over time—especially in personal injury cases where documentation is key.

Hoffmann Personal Injury Lawyers, n.d.
Kentucky Courage, n.d.

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Dr. Alexander Jimenez: A Dual-Scope Approach to Nerve Recovery

In El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leader in dual-scope care. His background in chiropractic medicine and nurse practitioner primary care allows him to:

• Perform advanced neurological exams
• Order and interpret imaging (MRI, CT, EMG)
• Deliver chiropractic adjustments
• Prescribe medications when necessary
• Offer functional medicine and integrative therapies
• Document findings for legal and insurance claims

Dr. Jimenez employs a biomechanical lens to understand how spinal trauma leads to downstream nerve damage. His integrated care model facilitates the restoration of movement, reduces inflammation, and supports the healing of the nervous system.

Dr. Jimenez – Clinical Website
Dr. Jimenez – LinkedIn
Dr. Jimenez – WhatsApp Channel

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Chiropractic Treatments for Nerve Recovery

Chiropractors trained in neuromusculoskeletal rehabilitation use various methods to relieve nerve pressure, enhance healing, and restore function. These therapies are grounded in both clinical experience and biomechanical science.

1. Spinal Adjustments and Mobilization

When the spine is misaligned—often due to trauma like whiplash or impact—it can compress or irritate nerve roots. Gentle, controlled chiropractic adjustments help realign vertebrae and reduce pressure on nerves. Mobilization techniques also improve joint function and fluid motion in the spine.

2. Decompression Therapy

Non-surgical spinal decompression can help reduce disc bulges and herniations that compress spinal nerves. It is particularly effective for cervical and lumbar radiculopathy (radiating nerve pain).

3. Soft Tissue Therapy

Trigger point therapy, instrument-assisted soft tissue mobilization (IASTM), and myofascial release reduce muscular tension and inflammation around nerve pathways. This supports nerve gliding and improves circulation.

4. Cold Laser Therapy

Low-level laser therapy (LLLT) is used to promote healing at the cellular level. Studies show that LLLT can enhance nerve regeneration and reduce pain and inflammation post-injury.

Palermo Law Group, n.d.
Baltimore Peripheral Nerve Pain Center, n.d.

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Integrative Strategies to Support Nerve Healing

An evidence-based chiropractic approach goes beyond adjustments. It involves comprehensive support for the body’s healing systems.

Functional Nutrition

Nutrients like B-complex vitamins, omega-3 fatty acids, and antioxidants are vital for nerve repair. Chiropractors with training in functional medicine often recommend tailored diets and supplements to reduce inflammation and support regeneration.

Postural Correction

Poor posture following trauma can worsen nerve compression. A biomechanical evaluation helps identify improper loading patterns, which can be corrected with postural exercises and ergonomic support.

Nerve Gliding Exercises

Also known as neurodynamics, these exercises promote nerve mobility and reduce nerve sensitivity. They are often used to treat conditions such as sciatica, thoracic outlet syndrome, and carpal tunnel syndrome.

Lifestyle Education

Patients are educated on avoiding repetitive stress, poor sleeping positions, and inflammatory foods—all of which can aggravate nerve symptoms.

This multi-dimensional approach reflects what ChiropracticScientist.com stands for: merging scientific evidence with hands-on care for sustainable healing.

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Long-Term Risks of Untreated Nerve Injuries

If left untreated, nerve injuries from motor vehicle accidents can lead to chronic complications. These risks include:

• Permanent numbness or tingling
• Muscle weakness or atrophy
• Loss of coordination
• Chronic pain syndromes
• Autonomic dysfunction (e.g., bowel or bladder issues)

Even mild compression injuries can worsen if spinal misalignments are not corrected. Over time, compensatory movement patterns can lead to further degeneration of the spine, discs, and joints.

This highlights the importance of early chiropractic intervention. Chiropractors trained in functional neurology and spinal biomechanics can identify subtle changes that may indicate underlying nerve stress before they become irreversible.

McNicholas Law, n.d.
Grabban & Durando, n.d.

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The Role of Chiropractors in Legal and Medical Documentation

In personal injury cases, clear documentation of nerve damage is crucial for achieving favorable legal outcomes. Chiropractors like Dr. Alexander Jimenez provide:

• Objective findings from orthopedic and neurological exams
• Functional diagnoses correlating trauma to nerve symptoms
• Detailed reports supporting the mechanism of injury
• Progress notes and evidence of treatment compliance
• Collaboration with legal and medical teams

Dr. Jimenez’s dual-scope license enables him to provide both medical and chiropractic narratives, offering attorneys a comprehensive view of the injury. This strengthens the patient’s case and ensures proper compensation for their pain, limitations, and future care needs.

Dr. Jimenez – Clinical Website
Dr. Jimenez – Threads
Dr. Jimenez – Instagram

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Conclusion: A Scientific and Healing Approach to Nerve Recovery

Nerve injuries after a car accident can affect every part of life—movement, sensation, and even internal organ function. Understanding the biomechanics of trauma and the science of healing is essential for a full recovery.

At ChiropracticScientist.com, we advocate for comprehensive, evidence-based care. Chiropractors who combine hands-on treatment with advanced diagnostics and integrative support can offer lasting relief from nerve-related pain and dysfunction.

In El Paso, Dr. Alexander Jimenez is leading the way by blending chiropractic adjustments, spinal biomechanics, functional medicine, and legal documentation. His patients benefit from a dual-scope model that treats the body holistically while addressing the legal and clinical needs of personal injury cases.

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References

Alexander Orthopaedics. (n.d.). Common car accident injuries.

Baltimore Peripheral Nerve Pain Center. (n.d.). Car accident injury and nerve damage.

Grabban & Durando. (n.d.). Different types of nerve injuries.

Hoffmann Personal Injury Lawyers. (n.d.). 4 types of nerve injuries you may suffer in a car accident.

Hopkins Medicine. (n.d.-a). Brachial plexus injuries.

Hopkins Medicine. (n.d.-b). Types of peripheral nerve damage that may need surgery.

Kentucky Courage. (n.d.). Nerve damage after car accidents.

LWW Journal of Neurorehabilitation. (2019). Peripheral nerve injuries: Electrophysiology for diagnosis and prognosis.

Mayo Clinic. (n.d.-a). Brachial plexus injury.

Mayo Clinic. (n.d.-b). Peripheral nerve injuries.

McNicholas Law. (n.d.). Permanent nerve damage after a car accident.

Novus Spine Center. (n.d.). Types of pain following an accident.

Palermo Law Group. (n.d.). Can carpal tunnel be caused by a car accident?.

Physio-Pedia. (n.d.). Classification of peripheral nerve injury.

Wallace Wins. (n.d.). Whiplash neck injury.