Baltimore Injury Lawyer Blog
What is causing lower back pain after a car accident?
Being involved in a car accident can lead to a wide variety of injuries from bumps and bruises to broken bones and even death. We have handled all of these types of cases too many times. But of all the cases we see, back injuries and the subsequent pain are common consequences of car collisions. If you were involved in a car accident, you may have wondered what caused your lower back pain.
First, whether your vehicle struck another vehicle, a stationary object, or suffered a rollover, a vehicle’s passengers experience a tremendous amount of force during an accident. This force strains muscles, joints, and bones and can cause serious injuries. Even if a passenger is wearing a seatbelt or is protected by an airbag during an accident, the force of car collision can cause a jerking motion often referred to as whiplash. This can happen with little or no damage to the vehicle. This is not just plaintiffs’ car accident lawyer puffery. There are many scientific peer-reviewed articles that show that the damage done to the vehicle does not always reflect the damage to the occupants. Can you break eggs in a carton without damaging the carton? Whiplash can cause two types of lower back injuries—discogenic and facet joint injuries. Because of the physiology of the back and the proximity of the thirty-one pairs of nerves known as spinal cord, lower back injuries can lead to nerve damage and paralysis. What is the lower back physiology?
The lower back is made up of the five lowest vertebrae (referred to as L1-L5) and is known as the lumbar region. This complex system of joints, ligaments, and tendons is responsible for supporting much of the upper body’s weight and protecting the spinal cord.
What are some common lower back injuries?
Another type of back injury is a lumbar sprain. Lumbar sprains occur when muscle fibers are abnormally stretched or torn. Another common condition of the back is spinal stenosis, where a ruptured disc or bone fragment enters the spinal canal space, applying pressure to the nerves or spinal cord, which can lead to severe pain.
Facet joints work with the disks to facilitate and limit movement between the vertebrae. Cartilage surfaces surround facet joints and provide for low-friction motion. These joints define the back’s range of motion and prevent injury from occurring when a person bends too far in one direction. Facet joints have a large number of nerve endings and damage to these joints and the nearby nerves can cause severe pain. Frequently, sufferers of facet joints injuries can cause muscle spasms, which may force the spine out of alignment causing back and neck pain. For example, a patient may experience a muscle spasm that causes the joint to freeze or lock in place; this can occur abruptly and without notice. How much money do back injury cases settle for when bringing a personal injury claim?
It is impossible to give an average back injury settlement number in a vacuum with completely misleading victims. But here are some statistics and sample verdicts and settlement in back injury cases.
- Herniated disc injury case value
- Epidural injection case value
- Average back injury settlements in Maryland
How do doctors diagnose back injuries?
Back injuries, whether discogenic or facet joint, can be challenging to diagnose because symptoms for both types of injuries can be very similar.
When doctors are still unable to diagnose a lower-back injury using x-ray and CT-scans, they can perform discography where they inject dyes into the affected area allowing for CT-scans with a higher degree of contrast and higher resolution images of the affected area. Doctors also use Magnetic Resonance Imaging or MRI, which utilizes magnetic force to create 3D computer-generated images of both bone and soft tissue structures such as muscles, ligaments, tendons, and blood vessels. What you have to know about back injuries is that if you had the top ten orthopedic doctors in the world examining you a few weeks after an accident, they would have no idea of what the course of your injuries will be. I see cases that seem like the injuries will resolve quickly and they end up being surgery cases. I also see cases that look awful and the clients heal well and quickly. It is so hard to know until the injuries play themselves out. How do doctors classify back pain?
Doctors classify back pain as acute, sub-acute, or chronic. Acute pain is short-term and lasts up to thirty days. Subacute pain can last one to three months, and the pain lasts for more than three months is called chronic. Most back pain is acute, and the underlying problem heals in a few days to a few weeks. About 20 percent of people affected by acute low back pain develop a chronic condition where the sufferer has persistent symptoms after one year. In car accident cases, the statistics are probably a bit higher.
What are some treatments for lower back pain?
Treatment for low back pain depends on whether the pain is acute or chronic. For acute pain, the first level treatment often begins with hot or cold packs, which may help ease pain and reduce inflammation. Doctors often recommend that back pain sufferers remain active. Individuals suffering from acute back pain are encouraged to begin stretching exercises and resume normal daily activities as soon as possible.
What are some non-traditional treatments for lower back pain?
There are several common nontraditional treatments for lower back pain including acupuncture, biofeedback, and yoga. Acupuncture involves the insertion of thin needles into precise points throughout the body. Some practitioners believe acupuncture can clear away blockages in the body’s life force known as Qi (pronounced chee). Another theory is that acupuncture causes the body to release naturally occurring painkilling chemicals such as endorphins, serotonin, and acetylcholine.
I have always been of two minds on acupuncture. Certainly, the insurance companies (and some judges) resist paying for acupuncture. But there is science behind it, juries generally get it, and it provides real relief for some who are suffering. Biofeedback is a procedure where electrodes are attached to the skin and stimulated with an electromyography machine. Biofeedback teaches people to self-regulate their breathing, muscle tension, and heart rate and use relaxation techniques in order to respond to pain. Biofeedback is often used in combination with other treatment methods. Does this work? It certainly can help. But if you have a herniated disc impinging on a nerve root, mind over matter will only go so far. Similarly, yoga has also become a common treatment for lower back pain, and practitioners believe some yoga poses can address both the symptoms and causes of lower back pain. Other treatments utilized by doctors may include nerve block therapies which may include injections of anesthetics, botulinum toxin, or steroids into the back. Doctors often use epidural steroid injections for short-term treatment of pain. Our clients have had all kinds of results from steroid injections. Some report the injections saved their life and others noticed little to no difference. It is amazing how much the results vary from treatment, from patient to patient. Some pain relief practitioners are utilizing transcutaneous electrical nerve stimulation or TENS. The treatment involves wearing a battery-powered device that consists of electrodes placed on the skin over the painful area. These electrodes generate electrical impulses that stimulate the nervous system and block incoming pain signals from peripheral nerves. Is surgery an option for lower back pain?
As a last resort, lower back pain sufferers may elect to undergo surgery. Surgery is only considered an option for treatment when the pain is chronic, debilitating, and affecting the patient’s sleep or daily activities.
There are many types of surgery utilized to treat back injuries. Two surgeries used to treat back injuries suffered during car collisions are discectomy and laminectomy. A discectomy is a procedure that involves the removal of the herniated portion of a disk to relieve irritation and inflammation of a nerve. A laminectomy is a less invasive procedure where surgeons remove a bone fragment that extends into the spinal canal. In some cases, doctors use a technique that permanently connects two or more bones in the spine. Spinal fusion relieves pain by adding stability to a spinal fracture or misalignment. Surgeons are also using artificial disks, which are relatively new devices and are not an option for most people.
Maryland Back Injury Verdicts and Settlements
YEAR / STATE
CASE / INJURY SUMMARY
RESULT
2020 – Maryland
A 52-year-old man was sideswiped on Route 198. He sprained and strained his cervical and lumbar spine. The man underwent four months of physical therapy. He discontinued treatment after physicians determined that he fully recovered. However, the man continued to experience residual neck and back pain. He claimed it affected his work as an HVAC technician. The man alleged that the at-fault driver’s negligent lane change caused his injuries. A Prince George’s County jury awarded him $20,001.
$20,001 – Verdict
2020 – Maryland
A 41-year-old pedestrian was struck at the intersection of Wisconsin Avenue and Montgomery Lane in Bethesda. She sprained and strained her cervical and lumbar spines. The woman also suffered right-side bruising. She underwent chiropractic care and physical therapy. Five months later, the woman discontinued treatment after showing no symptoms. However, her neck and back pain returned several months later. She underwent chiropractic treatment and Botox and steroid injections. The woman also underwent a neck ablation. Her chiropractor testified that she could not fully recover from her injuries. The woman alleged that the at-fault driver’s negligence caused permanent injuries. The defense admitted liability but disputed her injuries. A Montgomery County jury ruled in the woman’s favor. They awarded $75,125.
$75,125 – Verdict
2020 – Maryland
A 40-something man was rear-ended at a red light. He sprained and strained his cervical and lumbar spines. The man underwent 12 physical therapy sessions over several weeks. Following treatment, his pain seemingly resolved. However, the man’s neck and back pain returned after four months. He subsequently underwent six additional physical therapy sessions. Despite this treatment, he was left with residual neck and back pain. The man alleged that the at-fault driver’s negligence caused permanent injuries. The defense disputed the injuries and the necessity of treatment. A Prince George’s County jury ruled in the man’s favor. They awarded $228,500.
$228,500 – Verdict
2019 – Maryland
A 50-year-old man was T-boned. He strained his cervical and lumbar spines. The man also suffered right knee pain with inflammation. He alleged that the at-fault driver’s negligence caused his injuries. The man claimed she ran a red light, excessively sped, and failed to avoid the collision. A Baltimore City jury awarded him $8,000.
$8,000 – Verdict
2019 – Maryland
A 61-year-old woman was rear-ended at an intersection. She sprained her lumbar spine. The woman underwent physical therapy and took medications. She alleged that the at-fault driver’s negligence caused her injuries. She claimed she failed to control her vehicle and excessively sped. The at-fault driver admitted liability. However, she disputed whether the woman’s treatments were reasonable. The Baltimore City jury awarded a $7,309 verdict.
$7,309 – Verdict
2018 – Maryland
A taxi driver struck a curb. His passenger sustained a lumbar spine injury with radiculopathy and a strained elbow. The man alleged that the taxi driver’s negligence caused these injuries. He claimed failed to control his vehicle, maintain a safe speed, and safely transport him. The taxi driver disputed the man’s allegation. He argued that a phantom driver’s negligence caused the single-vehicle collision. The taxi driver also contended that the man only suffered soft-tissue injuries. An Anne Arundel County jury ruled in the man’s favor. They awarded $968,900.
$968,900 – Verdict
2017 – Maryland
A woman was involved in a chain-reaction collision. She suffered a protruding disc with foraminal stenosis, spondylolisthesis with spondylosis to her L5-S1 disc, and scarring alopecia. The woman alleged that the at-fault driver’s negligence caused her injuries. She claimed he failed to maintain a proper lookout and carelessly swerved across multiple traffic lanes. The at-fault driver denied liability and disputed the damages. An Anne Arundel County jury ruled in the woman’s favor. They awarded $79,387.
$79,387 – Verdict
2017 – Maryland
A 37-year-old woman was rear-ended by a prison transport van. She suffered an L3-5 bulge, an L5-S1 tear, bilateral foraminal stenosis, a lumbar strain, left leg numbness, and emotional distress. The woman alleged that the transport van’s driver’s negligence caused her injuries. She claimed he tailgated her, failed to control his vehicle, and failed to timely brake. The defense disputed the damages. A Baltimore City jury awarded the woman $30,000.
$30,000 – Verdict
What should you do if you suffered a lower back injury as the result of a car collision?
If you have been injured in a car collision and have suffered a lower back injury, you need a car accident lawyer in Baltimore to help you to get the compensation you deserve. The attorneys at Miller & Zois have the experience and the resources to guide you through the complicated issues that can arise out of a car collision. We and stand up to the insurance companies to fight for equitable compensation.