The Delayed Reaction
Adrenaline Lies. Your Body Will Catch Up — And So Will the Insurance Company.
You told the officer you were fine. You drove home. You went to work the next morning. And then, two days later, you couldn't turn your head.
This is not unusual. It is, in fact, one of the most common patterns in auto accident injury and one of the most commonly used arguments against accident victims by insurance adjusters.
When your body experiences a violent physical event, the sympathetic nervous system activates immediately. Adrenaline and cortisol flood your system. Your heart rate rises, your senses sharpen, and — critically — your pain response is suppressed. This is a survival mechanism that has nothing to do with whether you were actually injured. It is your body prioritizing function over sensation in a moment of threat.
That mechanism wears off. Usually within 24 to 72 hours. By then, the inflammatory response has set in. The soft tissue damage that was masked by adrenaline begins to make itself known. The whiplash in your neck. The disc compression in your lower back. The shoulder injury from bracing against the steering wheel. These don't announce themselves at the scene of the crash — they announce themselves in your bedroom at 2 a.m. three nights later.
Dr. Arkam Rehman, a specialist in minimally invasive spine treatments, explains in Episode 4 of Not Another TV Lawyer how delayed onset pain is a medical reality that requires medical documentation to overcome legally.
Spinal injuries in particular tend to follow this delayed pattern. A herniated disc, for example, may not produce significant symptoms immediately. But within days or weeks, as inflammation increases and the disc presses on nerve roots, the pain can become incapacitating. By the time you seek treatment, weeks may have passed. And in Florida, the 14-day PIP window may have already closed.
Dr. Rehman's specialty — minimally invasive spine procedures — exists precisely for patients who have crash-related injuries that weren't caught or treated in time. Nerve blocks, epidural injections, and targeted interventional procedures can address the structural damage that conservative care alone can't resolve. But the documentation trail to support that level of treatment has to exist. It starts with your first medical visit, not your third.
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Our Episode Guest: Dr. Arkam Rehman
Dr. Arkam Rehman is Double Board Certified in Pain & Rehabilitation Medicine and an experienced Regenerative Medicine MD physician who has been blessed to have a made a difference in countless people’s lives.
Dr. Rehman has trained at esteemed & reputable residency programs of Cook County Hospital Internal Medicine in Chicago, Mount Sinai Medical Center Neurology in New York, and Marianjoy Rehabilitation Hospital’s Physical Medicine & Rehabilitaton residency program in the Chicago area. He completed his Physical Medicine and Rehabilitation Residency at the Marianjoy Rehabilitation Hospital affiliated residency program where he was the Chief Resident in his final year of training, managing resident physicians from 4 different residency programs.
Dr. Rehman is an Exceptional Physician who has been using Advanced Treatments that help you get your life back with rare exceptions. His focus is helping his patients feel better without surgery and uses cutting edge techniques to help with Headaches/Migraines, Neck & Lower Back Pain from Disc and Arthritis issues of the Spine, Hip, Knee, Shoulder and other Nerve and Joint problems. Erectile Dysfunction & Other Regenerative Medicine & Patient Wellness focused Medical Practice.
Visit https://sunshinespine.com for more information about Dr. Arkam Rehman and his practice in Jacksonville and Orange Park, Florida.
Episode Notes:
Understanding Minimally Invasive Spine Treatments with Dr. Arkam Rehman
Tune in to learn more about how these innovative techniques can provide relief without the extended recovery times associated with traditional spinal fusion surgeries.
00:00 Introduction to Not Another TV Lawyer
00:28 Meet Dr. Arkam Rehman
01:06 Understanding Car Accident Injuries
02:02 Minimally Invasive Procedures Explained
04:38 Recovery and Alternatives to Spinal Fusion
07:25 Diagnosing and Treating Spinal Pain
12:59 Facet Joints and Their Role in Pain
18:48 Patient Referrals and Initial Consultations
23:35 The Power of Platelet Rich Plasma (PRP)
27:48 Conclusion and Contact Information
