Treating Whiplash

By: Christian Ward | Posted: 16th August 2008

What causes whiplash? Whiplash occurs when the soft tissue in the spine is stretched and strained after the body is thrown in a sudden, forceful jerk. The injury most commonly occurs in car crashes involving sudden deceleration, but the injury can also occur in other strenuous physical activities such as diving.

What does whiplash feel like?

The most frequent complaints are headaches and stiffness in the neck and the back of the head. These symptoms appear within the first couple of days after the accident and usually pass after a few days to a few weeks.

Is whiplash dangerous?

A doctor or hospital should be alerted if the patient experiences memory loss or periods of unconsciousness after a collision. This is especially the case if the patient experiences severe pains in the back of the head, pins and needles in the shoulders and arms or notices a sensation of heaviness in the arms.

Is there anything the patient can do about whiplash injury?

In the first 24 hours after the injury, an ice bag applied to the neck will help to relieve inflammation.

Bags of frozen peas make particularly good ice packs because they mould to the body.

An ice bag should first be wrapped in a towel or cloth to avoid direct contact between the skin and the ice. The patient should lie in bed with their head resting on the ice bag for 20 minutes at a time, with the head also supported by a pillow.

If normal painkillers such as paracetamol (eg Panadol) do not help, consult your GP.

Here's an exercise to relieve pain and stiffness in the neck and back of the head.


How does a doctor diagnose whiplash?

Usually the diagnosis is made on the basis of the background of the injury and the patient's description of symptoms. Whiplash cannot be seen on an MRI scan, CT scan or X-ray, although an X-ray is taken if there is a suspicion of fracture or dislocation of the cervical spine.

Exercise

Research has shown that whiplash patients who rest for several weeks and wear a soft collar actually recover more slowly than those who try to follow a normal routine.

Patients with acute pain in the cervical region of the spine are advised to start their neck exercises as soon as possible and to get out of bed within two to three days.

Outlook

The risk of sustained after-effects is very small and the chances for complete recovery are good. However, whiplash is still a strain injury and, as with other strain injuries, it is not unusual for the pain to last for a couple of months.

Whiplash syndrome

A few people develop continuing symptoms after a whiplash trauma and develop what is known as whiplash syndrome. They suffer continual headaches and pain, reduced movement at the back of the neck, tingling in the arms, lumbar pains, fatigue, sleep disruptions and reduced libido.

Whiplash syndrome is difficult to treat. The essence of the treatment is to prevent any further strain and encourage a quick return to normal everyday activities.

Unfortunately, in a very small number of people who have experienced a severe whiplash injury, symptoms can persist for months or even years before settling and even then there can even be residual long-term neck discomfort.

How is whiplash treated?

There is no single treatment for whiplash that is widely accepted among doctors.

If there is no suspicion of a fracture or dislocation, the patient should begin exercising and pursuing normal activities as soon as possible. In some cases it may be necessary to supplement an exercise programme with painkillers.

Further advice on exercise and recovery can be sought from a physiotherapist or chiropractor. For most people the injury will simply pass after a short period.

What medication can be used to treat whiplash?

Paracetamol (eg Panadol) and NSAIDs (non-steroidal anti-inflammatory drugs) can be given for short periods for pain in the back of the neck and headaches. A doctor should be consulted first.

Christian is an author of several articles pertaining to No Win No Fee, Compensation Claims, Whiplash Claims, Personal Injury Claims and other legal articles.
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Tags: direct contact, stiffness, soft tissue, inflammation, memory loss, painkillers, pins and needles, unconsciousness, frozen peas, whiplash injury, eye movement, car crashes