Accident and Injury Experts

St. Louis accident doctors · Car crash injury care

St. Louis Accident Doctors: Comprehensive Injury Care That Holds Up in Your Record

St. Louis Accident Doctors: Comprehensive Injury Care That Holds Up in Your Record

St. Louis Accident Doctors: Comprehensive Injury Care That Holds Up in Your Record

May 12, 2023

St. Louis accident doctors examine, diagnose and treat crash injuries such as whiplash, concussion, disc and joint damage and fractures. They also write the medical record your claim will rest on. Go within days of the crash, even if you feel fine. Adrenaline hides pain, and a gap in care is the first thing an insurer points to.

The owner of this practice says it bluntly: if the first thought you have after a major injury is finding a lawyer, you might not be that injured. Your health comes first. The lawyer can wait. What cannot wait is the exam, because everything that follows, medical and legal, is built on what a doctor found and wrote down in the first days.

Which injuries do accident doctors see after a St. Louis car crash?

  • Whiplash. The head is thrown forward and back faster than the neck muscles can brace. That strains muscles and ligaments. It often sprains the small facet joints of the spine.
  • Concussion and other traumatic brain injury. The brain can be injured without the head striking anything. Memory problems, headaches, light sensitivity and mood changes can last long after the visible bruises fade.
  • Disc and spinal injuries. A herniated disc can press on a nerve root and send pain, numbness or weakness down an arm or leg. Hard impacts or shifted bones of the spine can injure the spinal cord itself. That can cause temporary or permanent paralysis.
  • Fractures. From hairline cracks to breaks that need surgery.
  • Cuts and bruises. Broken glass and loose objects in the car cause gashes and bruises. They are usually the least of the damage, but they get photographed most.

The list matters because adjusters tend to judge an injury by what can be seen. The common vehicle accident injuries are mostly ones that do not show in a photo. How a crash loads the body, from blunt impact to the pull of the body’s own momentum, is covered in what a collision actually does to you.

Why do symptoms show up days after a car accident?

Adrenaline. In the minutes and hours after a crash, stress hormones dull pain and sharpen focus so you can get out of danger. They wear off, usually over the next day or two. Then the neck stiffens, the headache arrives, the back seizes. Inflammation in strained tissue also builds over 24 to 72 hours.

Delay helps no one but the insurer. Medically, an untreated injury can become a harder one. Muscles tighten to guard the area. Sleep breaks down. The nervous system starts to turn up pain. On paper, a person who waited three weeks to see a doctor is described as someone who was not really hurt. You can read more in the importance of timely care after a car accident.

How long does whiplash pain last?

Longer than most people are told. An international task force on neck pain reviewed the research on whiplash-associated disorders. It found that about half of people with whiplash still report neck pain a year after the injury (1). The same review found that details of the crash itself did little to predict who recovered. That includes the direction of impact or the type of headrest. What did predict a slow recovery was more pain, more symptoms and more disability at the start. Mental factors after the crash also predicted it: fear of movement, low mood and a passive way of coping (1).

Two practical points follow. A small dent says almost nothing about the injury inside the car. See the vehicle damage myth. And a high early pain score is a reason to treat hard and early, not to wait and see.

Can a car accident cause anxiety, depression or PTSD?

Yes, and often. One study followed 1,084 patients admitted to four major Australian trauma hospitals. 31% had a psychiatric disorder 12 months after their injury. 22% had a disorder they had never had before. The most common new ones were depression (9%), generalized anxiety disorder (9%), post-traumatic stress disorder (6%) and agoraphobia (6%). Patients who also had a mild traumatic brain injury were about twice as likely to develop PTSD, panic disorder, social phobia or agoraphobia (2).

A good accident doctor asks about sleep, nightmares, driving anxiety and mood at every visit. They treat these as part of the injury, because they are. Coping strategies are in unseen scars.

Can you black out in a car accident?

Yes. A blow or a violent jolt to the head can knock you out for a moment. The shock of a crash can also cause fainting from a sudden drop in blood pressure, called vasovagal syncope. Either way, any blackout needs a quick medical exam. A normal CT scan in the emergency room does not rule out a concussion; see your CT scan is clear and your head still isn’t.

Accident doctor or family doctor: what is the difference?

Your family doctor knows you. An accident doctor knows crash injuries. That difference shows up in five places.

  • Injury-specific knowledge. Spotting a facet sprain, a disc injury or a concussion from how it happened and the exam. And knowing how each tends to change over months.
  • A plan built for your injury. Not a one-size handout and a referral, but a treatment plan matched to what was found.
  • Pain treatment beyond prescriptions. Physical therapy, targeted injections, nerve blocks and minimally invasive procedures. These address the injured part instead of only masking the pain. The goal is to prevent long-term problems.
  • Coordination with other specialists. Orthopedic surgeons, neurologists and occupational therapists when the injury calls for them. One doctor keeps the whole picture together from diagnosis through rehab.
  • A record that answers the questions that come later. How the injury happened, what the exam found, which tests confirmed it, what treatment was tried and how you responded. Accident doctors know what insurers and attorneys look for. They write it down as the care happens. How adjusters actually read that record is explained in your claim is not being evaluated, it is being scored.

How do you choose an accident doctor in St. Louis?

  • Check credentials. Board certification and real experience with crash injuries matter more than ads.
  • Ask what treatments are offered in-house. Physical therapy, medication management, injections and, when needed, a surgical referral. A practice that can only offer one thing tends to prescribe that one thing.
  • Ask people you trust. Friends or family who have been through a crash can tell you who listened and who rushed.
  • Read patient reviews and professional directories, and look for comments about follow-through, not just a kind manner.
  • Call about coverage. Your insurer may keep a list of doctors who treat accident injuries; confirm how your care will be billed before the first visit so there are no surprises.

A detailed checklist is in accident doctor near me: your guide to finding expert care.

How is pain treated after a car accident?

Medication, for a short window

Ibuprofen or acetaminophen for mild to moderate pain and inflammation. A muscle relaxant when spasm is part of the problem. Opioids only for severe acute pain, briefly and under strict watch, because of their side effects and risk of addiction. Every prescription becomes part of the file. That is why the medication list becomes the case.

Injections and nerve blocks

For nerve pain from whiplash or a herniated disc, a nerve block or targeted injection puts medicine where the pain starts. When numbing a part stops the pain, the injection has also confirmed the diagnosis. That turns a complaint into a recorded finding.

Physical therapy

The core of recovery. It is a program built around flexibility, strength, balance and coordination. It also eases the stiffness and swelling crash injuries leave behind. The American Physical Therapy Association offers a directory for finding a licensed therapist near you.

Chiropractic, massage and acupuncture

Chiropractors treat muscle, bone and joint problems with hands-on adjustments and other methods. They can help with spine and soft tissue injuries. Massage and acupuncture give some patients added relief. Check with your doctor before starting any of them. That way the treatments fit together and show up in one clear record.

The full sequence this practice follows is laid out in our 8-component injury care protocol; whiplash specifically is covered by our St. Louis whiplash injury doctor guide.

Related reading: a rotator cuff tear after a car accident.

Frequently asked questions

What kind of doctor is best for car accident injuries?

One who will not dismiss your symptoms and will not rush to operate, such as an interventional pain physician. These doctors find the injured part and treat it with the least invasive option that works. They bring in orthopedic surgeons, neurologists or occupational therapists when the injury needs them.

Is a “soft tissue” injury a minor injury?

No. Soft tissue injuries are sprains, strains, bruises, muscle tears and whiplash. They are the most common injuries doctors treat. About half of people with whiplash still have neck pain a year later. The label describes the tissue, not how bad it is. See “soft tissue” injury, but my neck is killing me?

What is the medical term for an accident injury?

Trauma: physical harm to the body’s tissues or organs from an outside force. It ranges from cuts and bruises to fractures and internal injuries. The record will usually describe both how it happened and each injured body region.

Where is Injury Experts located?

Injury Experts is at 4477 Woodson Rd, Suite 202, St. Louis, MO 63134, next to Lambert International Airport, serving the St. Louis region in Missouri and Illinois. Call (314) 887-5866 or text (314) 886-5902.

Injured in a crash?

Get examined while the findings are fresh. We diagnose the injury, treat it, and document it the way it will be read later.

Schedule a Consultation

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Sources

  1. Carroll LJ, Holm LW, Hogg-Johnson S, et al. Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008;33(4 Suppl):S83–S92. doi:10.1097/BRS.0b013e3181643eb8 (PMID 18204405)
  2. Bryant RA, O’Donnell ML, Creamer M, McFarlane AC, Clark CR, Silove D. The psychiatric sequelae of traumatic injury. Am J Psychiatry. 2010;167(3):312–320. doi:10.1176/appi.ajp.2009.09050617 (PMID 20048022)

Medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP — Board Certified in Anesthesiology, Pain Medicine, Interventional Pain Management, Addiction Medicine, and Obesity Medicine.