Whiplash
Also known as: Cervical acceleration-deceleration injury, Neck sprain
Whiplash is a neck injury caused by a sudden, forceful back-and-forth movement of the head, most commonly resulting from rear-end car accidents. The rapid motion can damage the muscles, ligaments, discs, and nerves in the cervical spine. Most people recover within a few weeks to months with conservative treatment, though some develop chronic neck pain.
Symptoms
Causes
- Rear-end automobile collisions
- Sports injuries, especially contact sports
- Physical assault or being shaken
- Falls that cause the head to jerk
- Amusement park rides
Risk Factors
- Rear-end motor vehicle collision
- Previous whiplash injury
- Pre-existing neck or back conditions
- Older age with degenerative changes
- Female sex
Diagnosis
- Physical examination of neck, head, and arms
- X-rays to rule out fractures or dislocations
- CT scan for detailed bone assessment
- MRI for soft tissue, disc, and ligament evaluation
Treatment
- Pain relief with OTC or prescription analgesics
- Ice and heat application
- Physical therapy with range-of-motion and strengthening exercises
- Cervical collar for short-term use only
- Muscle relaxants for spasm
- Trigger point injections for persistent pain
Prevention
- Properly adjusted headrests in vehicles
- Wearing seat belts
- Strengthening neck muscles with exercise
- Using appropriate protective equipment in sports
When to See a Doctor
- Neck pain after a car accident or injury
- Numbness, tingling, or weakness in the arms
- Pain that spreads to the shoulders or arms
- Difficulty moving the head
Frequently Asked Questions
Related Conditions
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