Whiplash is a neck injury due to forceful, rapid back-and-forth movement of the neck, most often occurring during a rear-end motor vehicle accident. However, the injury can also result from a sports accident, physical abuse, bungee jumping or other trauma. Whiplash Associated Disorder (WAD) describes the injury sequelae and symptoms that follow any of these incidents. This includes damage to bony structures, ligamentous structures, muscles, neurological structures, and other connective tissue. A WAD can be an acute or chronic disorder. In acute whiplash, symptoms last no more than 2-3 months; whilst in chronic whiplash, symptoms typically last longer than three months. Most studies suggest that there can be a spontaneous recovery within 2-3 months, and that the majority of patients recover within 6 months. Symptoms may appear immediately after the injury, but often are not felt until the days following. Some of these symptoms include, but are not limited to: Pain or decreased range of motion in the neck. Tightness or tenderness of the muscles in the neck. Pain on turning the head from side to side or backward and forward. Headaches at the base of the skull that may radiate towards the forehead. Jaw pain or clicking Referred pain into the shoulders and arms Pins and needles, or weakness in the arms Dizziness Please note: this information is provided as general information and a guide only. Clients are advised to consult with their own Osteopath for further advice. Dr Elizabeth Chen Page WHIPLASH ASSOCIATED DISORDER (WAD) 1 Ringing in the ears Difficulty swallowing Difficulty concentrating Impaired vision If you are suffering from any of the above symptoms after an injury it is important that you visit your doctor or hospital (depending on the severity) to rule out more severe complications of whiplash before proceeding with osteopathic and home care. Home care: Remain mobile – studies have shown this is superior to neck braces, collars and immobilisation. Ice Relative rest Ask your pharmacist or doctor about pain relief options Osteopathic treatment will help in improving your posture, range of motion, loosening off the tight muscles and reducing your pain levels. Your osteopath will also provide you with tailored advice; take-home stretches and exercises to aid in strengthening the damaged muscles to ensure long-term recovery. It is important to begin treatment and rehabilitation as soon as possible as research indicates that rapid improvements are achieved by early active management. As with most injuries: the longer you leave it, the longer it will take to recover! 1. 2. 3. 4. Krafft, M; Kullgren A; Lie A; Tingval C (2005-04-01). "Assessment of Whiplash Protection in Rear Impacts" (PDF). Swedish National Road Administration & Folksam. Archived from the original(pdf) on August 8, 2007. Retrieved 2008-01-18. Mealy K et al (1986). Early mobilisation of acute whiplash injuries. Br Med J 292:656-657 Schnabel et al (2004). Randomised, controlled outcome study of active mobilisation compared with collar therapy for whiplash injury. Emerg Med J 21:306-310 http://www.nhs.uk/conditions/whiplash/Pages/Introduction.aspx (2010). Retrieved January 16, 2013 from http://www.njpcc.com/conditions-of-the-spine/neck-paininjury.html Please note: this information is provided as general information and a guide only. Clients are advised to consult with their own Osteopath for further advice. Dr Elizabeth Chen Page WHIPLASH ASSOCIATED DISORDER (WAD) 2
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