Whiplash(Cervical Sprain and Neck Muscle Strain)
by
Cynthia M. Johnson, MA DefinitionWhiplash is a soft tissue neck injury that may include:
CausesWhiplash can by caused by any sudden, violent, backward jerk of the head or neck. Risk FactorsThings that may raise the risk of this problem are:
SymptomsProblems may start right away or in the days after the injury. A person may have:
DiagnosisThe doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on the neck. Most whiplash injuries do not show up on imaging tests. Neck images may be taken to make sure that no other injuries have occurred. Images may be taken with: An electromyogram may also be done to test for nerve damage. TreatmentThe goal of treatment is to ease pain. Choices are:
PreventionThere are no current guidelines to prevent this problem. Whiplash is often due to accidents. RESOURCES:Family Doctor—American Academy of Family Physicians http://familydoctor.org Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org CANADIAN RESOURCES:Canadian Orthopaedic Association http://www.coa-aco.org Healthy Canadians http://www.healthycanadians.gc.ca References:
Cervical spine injury. EBSCO DynaMed website. Available at:
https://www.dynamed.com/condition/cervical-spine-injury. Accessed October 9, 2020.
Ludvigsson ML, Peterson G, et al. One and two year follow-up of a randomized trial of neck-specific exercise with or without a behavioral approach compared with prescription of physical activity in chronic whiplash disorder. J Rehabil Med. 2016;48(1):56-64. Ludvigsson ML, Peterson G, et al. The effect of neck-specific exercise with, or without a behavioral approach, on pain, disability, and self-efficacy in chronic whiplash-associated disorders: a randomized controlled clinical trial. Clin J Pain. 2015;31(4)294-303. Neck sprain. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at:
https://orthoinfo.aaos.org/en/diseases--conditions/neck-pain. Accessed October 9, 2020. Ritchie C, Hollingworth, et al. Medicine use during acute and chronic postinjury periods in whiplash-injured individuals. Pain. 2019;160(4):844-851. Whiplash information page. National Institute of Neurological Disorders and Stroke website. Available at:
https://www.ninds.nih.gov/Disorders/All-Disorders/Whiplash-Information-Page. Accessed October 9, 2020. Last reviewed September 2020 by EBSCO Medical Review Board
Laura Lei-Rivera, PT, DPT, GCS Last Updated: 5/14/2021 |
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