Our Treatment Program


 

OUT-PATIENT SURGICAL TREATMENT IS PERFORMED HERE AT THE NEBRASKA MEDICAL CENTER (www.unmc.edu/international)

 

  • The surgical team is headed by Ake Nystrom, MD, PhD, Associate Professor of Orthopedic and Plastic Surgery at the University of Nebraska Medical Center / The Nebraska Medical Center, in Omaha, Nebraska, USA, head the surgical team. Click here to view full Curriculum Vitae

  • Dr. Nystrom and a highly skilled and experienced team of doctors and healthcare specialists have provided treatment to over 600 patients with whiplash injury from many countries including Sweden, Norway, Canada, Brazil and the United States. The surgical treatment includes a procedure includes a limited fasciectomy of the trapezius muscle, and careful dissection of sensory nerves.

  • In order to minimize the patient’s perception of pain and discomfort in the operating room, a combination of mild sedation and very short acting anesthesia is used during the surgical procedure.

  • Patients are awakened, intermittently throughout the surgery. This process is extremely important because it allows the patient to help the surgical team identify the focal origin of pain or “trigger points.”

  • The patient communicates with the surgeon to guide and provide the feedback that is necessary to reach an optimal outcome.

  • The patient generally confirms a decrease in “old” pain and demonstrates increased range of motion prior to wound closure!

  • Follow-up evaluations document a high long-term satisfactory rate. 

 

Benefits

 

  • More than 80% of patients treated report that their pain is either eliminated or significantly decreased. The great majority of patients report they would repeat the procedure during a post-operative interview and evaluation.


In a recent study evaluating Pre- and Post- Operative Motion Analysis of Chronic Neck Pain Patients at Munroe Meyer Institute (MMI), Omaha, Nebraska.  The following results indicated improvement in mobility and pain.

N= 42 (12 with 3D motion analysis system, 30 with CROM measurement device)
Age at PreOp: 42.5 ± 10.8, range 22.1 - 67.4 yrs.

Number of days between PreOp and Surgery: 5.4 ± 12.9, range 0 – 75 days
Number of days between Surgery and PostOp: 20.6 ± 28.5, range 3 – 123 days


 

 

Pre-op Mean ± SD

Post-op Mean ± SD

 

Mean Diff

 

 

% Diff

Paired t-test  p-value

Flexion

27.6 ± 15.0

40.1 ± 13.8

12.5

+ 45

<0.000001

Extension

29.8 ± 16.7

48.8 ± 17.1

19.0

+ 64

<0.000001

Left Rotation

36.9 ± 16.7

56.3 ± 14.4

19.4

+ 53

<0.000001

Right Rotation

37.4 ± 17.4

57.9 ± 14.0

20.5

+ 55

<0.000001

Left Lateral Flexion

25.7 ± 14.8

37.6 ± 16.2

11.9

+ 46

<0.000001

Right Lateral Flexion

25.8 ± 14.1

36.9 ± 13.6

11.1

+ 43

<0.000001

Avg. Pain for Typical Day

6.4 ± 2.5

3.3 ± 2.6

-3.1

- 48

<0.000001

Change in Pain During Eval.

1.1 ± 1.7

0.7 ± 1.4

-0.4

- 36

0.11