In this case, Giuseppina DiFranco was driving in stop-and-go traffic when her car was struck from behind by the car driven by Constance Kusar. The DiFranco car then hit the car in front of her making her knee strike the dashboard and jerking her back and forth.
Over the next months, she was treated for tenderness at the lower back and right pelvis. She reported moderate pain; the treating physician concluded that she had a cervical strain, arm strain, forearm strain and back strain. The doctor recommended physical therapy and pain relievers. After months of physical therapy and other treatment, DiFranco was diagnosed after an electromyogram with a pinched nerve in her cervical area related to the crash of June 9, 2011.