Post: Whiplash: What are the symptoms and when to start care

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Introduction to whiplash

We have all heard of whiplash and usually think car accident when we hear the term. However what really is whiplash and when should you start care. Whiplash is any neck injury that occurs due to a sudden and forceful back-and-forth movement of the neck. It is commonly associated with car accidents, especially rear-end collisions, but can also result from contact sports or physical assault. Understanding the symptoms of whiplash and when to seek care is crucial for proper diagnosis and treatment. So lets get into the nuts and bolts of whiplash, so you know when to seek care.

Whiplash injury of the neck showing in hyperextension and hyperflexion.
Whiplash Injury

What is Whiplash?

Whiplash, also known as neck sprain or neck strain, is an injury to the soft tissues of the neck. This includes the muscles, ligaments, and tendons. This type of injury typically occurs when the head is suddenly jerked backward and then forward. Causing the neck to move beyond its normal range of motion. This movement beyond your normal range of motion overstretches your soft tissues, causing damage.

Who does Whiplash Affect?

Whiplash can affect anyone who experiences a sudden and forceful movement of the neck. It is not uncommon for people playing a contact sport to experience the symptoms of whiplash. Especially as we age. Physical assault is also common causes of whiplash. However, it is most commonly associated with car accidents, particularly rear-end collisions. Although all car accidents can lead to a whiplash injury.

What are the Symptoms of Whiplash?

The symptoms of whiplash may vary depending on the severity of the injury. However common symptoms include neck pain, stiffness, and loss of range of motion. Other symptoms may include headaches, shoulder pain, and numbness or tingling in the arms. Furthermore, whiplash symptoms are not limited to the neck region. Often you will feel a persistent dull achy pain between your shoulder blades. This is due to the fact that your neck muscles begin way down between your shoulder blades and come up to your neck. So, when thinking about whiplash don’t just limit yourself to neck pain.

infograhic of the effects of whiplash. Large word with angled words around of the symptoms from neck injury

How Common are Whiplash Symptoms?

Whiplash symptoms are relatively common, especially following car accidents. It is estimated that more than one million people in the United States alone suffer from whiplash injuries each year. Because whiplash can affect any age or gender demographic the incidence of whiplash injuries increase.

Whiplash Grading 0-4

Whiplash injuries are typically graded on a scale from 0 to 4, with 0 indicating no injury and 4 indicating severe injury. Grade 0 is often used when there are symptoms but no physical signs of injury, while grade 4 indicates a fracture or dislocation of the neck.

What are the Common Causes of Whiplash?

As mentioned the most common causes of whiplash include rear-end car crashes, contact sports, and physical assault. However, any activity that causes a sudden and forceful movement of the neck can result in whiplash.

A lady sits on a table in a brown singlet top. Doctor stands behind her performing physical examination of the neck. Chiropractor physical examination.
Neck Physical Examination

How is Whiplash Diagnosed?

Whiplash is diagnosed based on a physical examination and a review of the patient’s symptoms and medical history. Imaging tests, such as X-rays, CT scans, or MRI scans, may also be used to rule out other possible causes of neck pain. Imaging can also be used to diagnose the severity of a whiplash injury.

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What Imaging Tests Can be Done for Whiplash?

Imaging tests, such as X-rays, CT scans, or MRI scans, may be used to diagnose whiplash and assess the extent of the injury. CT scans and MRI are the most prominent test done as these test show both the bones are soft tissues surrounding the bones in your neck and upper back. These tests are the gold standard to help identify any fractures, dislocations, or other abnormalities in the neck.

Treatment Approaches for Whiplash

Treatment for whiplash may vary depending on the severity of the injury, but common approaches include medication, physical therapy, and in severe cases, surgery. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to reduce pain and inflammation, while physical therapy can help improve range of motion and strengthen the neck muscles. In some cases, a cervical collar may be used to immobilize the neck and allow the soft tissues to heal. With a whiplash injury it is important to receive the correct treatment early as a delay in your care can lead to chronic neck problems.

Possible Long-Term Effects of Whiplash

Whiplash can lead to long-term complications if not properly treated. This is due to a lost of postural control and muscle weakness in the region. Your muscles will tighten post whiplash injury as your body’s way of protecting itself. This protection is great in the short term as the healing process begins. However leads to long-term symptoms of not treated correctly. These symptoms may include chronic pain, muscle spasms, and decreased range of motion in the neck. In severe cases, whiplash can also cause nerve damage or spinal cord injury.

Importance of Treatment to Stop Long-Term Neck Degeneration

Seeking prompt treatment for whiplash is essential to prevent long-term degeneration of the neck muscles and tissues. Here is a little fact you properly do not know. Your brain has a detailed map of your whole body. That means your brain always knows where every part of your body is all the time. This is because your body is always sending millions of pieces of information to your brain every second of the day. Following a whiplash injury this information becomes distorted as all your muscles have been overstretched. Therefore your brain tells your body to hold every muscle tight your neck, to protect your neck from further injury. This leads to long-term problems as you no longer use your neck properly. Treatment can help improve mobility and reduce the risk of developing chronic symptoms form this lack of movement, like pain and weakness or other neurological complications.

Female doing Bird dog exercise to work core and extensor muscle of the back.

Importance of Building Strength and Stability

If you have suffered a whiplash injury, it is important to building strength and stability in the neck muscles. By building your muscle strength and stability you can help prevent further injury and improving overall neck function. Physical therapy exercises, such as functional movement training, can help strengthen the muscles and improve your range of motion.

Importance of Keeping Active

Staying active is important at all stages of life. However, following a whiplash injury, keeping an active lifestyle can help prevent stiffness and improve overall neck function. Gentle exercises, such as stretching and range-of-motion exercises, can help maintain flexibility and reduce the risk of further injury. The important point to remember is that with an active lifestyle you are stretching your joints, muscle, tendons and ligaments. This stretching maintains the integrity of your body.

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How We Can Help with Hands-On Care

Healthcare professionals, such as physical therapists, can provide hands-on care to help manage whiplash symptoms and improve neck function. Techniques such as massage, manual therapy, and transcutaneous electrical nerve stimulation (TENS) can help reduce pain and improve mobility. It is highly recommend to visit a physical therapist following a whiplash injury. They will be able to provide you hands on care, but also a tailored stretching, strengthening and stability program for the best long-term result.

A lady on a treatment table having neck traction. Traction is performed by doctor with hands under the neck gently pulling on the neck. Traction helps calm the nervous system.

Preventive Care Options for Whiplash

Whilst it is not possible to completely prevent a whiplash injury. There are several preventive measures that can reduce the risk of whiplash. Some of these include adjusting your vehicle seat and headrest to support your neck and minimize the risk of injury in a car accident. Always driving safely and defensively, to decrease the risk of an accident. Avoiding contact sports or activities that may put you at risk of neck injury. This especially applies as we age. With age your body naturally loose elasticity, making it easier to damage your soft tissues.

An elderly lady sitting on a table learning how to move. Chiropractor standing behind gently directing movement. Chiro low back pain. or upper back pain.

Conclusion

Whiplash is a common neck injury that can cause significant pain and discomfort. Understanding the symptoms of whiplash and seeking prompt care is crucial for proper diagnosis and treatment. With the right treatment approach, including medication, physical therapy, and preventive measures, most people can recover from whiplash and regain full neck function.

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Five Dock Osteopathic and Chiropractic male chiropractor wearing a light blue shirt performing a stretch on the neck of a young female patient. The doctors right hand is placed on the head of the patient and the left hand on the shoulder of the female patient

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