![\"\"](\"http:\/\/dominicanewsonline.com\/dno\/wp-content\/uploads\/2010\/09\/docEmanuel21.jpg\" "\\"docEmanuel2\\"")
DEFINITION<\/p>\nDEFINITION<\/p>\n
Whiplash is a common neck injury that often occurs during rear-end vehicle collisions, when your head suddenly moves backward and then forward \u2013 similar to the motion of someone cracking a whip. These extreme motions push your neck muscles and ligaments beyond their normal range of motion.<\/p>\n
Whiplash injuries can be mild or severe. Treatment typically starts with over-the-counter pain relievers and ice applied to the painful neck muscles. Persistent pain may be relieved by prescription medications or physical therapy (physiotherapy).<\/p>\n
Most people recover quickly \u2013 usually within four to six weeks \u2013 but some people develop chronic symptoms that can be extremely painful and disabling.<\/p>\n
SYMPTOMS<\/p>\n
Whiplash symptoms can occur immediately after the injury or, as is very common with musculoskeletal injuries, may develop after a few days following the injury. Symptoms may include:<\/p>\n
\u2022\u00a0\u00a0 \u00a0Neck pain and stiffness
\n\u2022\u00a0\u00a0 \u00a0Headaches
\n\u2022\u00a0\u00a0 \u00a0Dizziness
\n\u2022\u00a0\u00a0 \u00a0Ringing in the ears
\n\u2022\u00a0\u00a0 \u00a0Blurred vision
\n\u2022\u00a0\u00a0 \u00a0Difficulty concentrating
\n\u2022\u00a0\u00a0 \u00a0Pain in the shoulder or between the shoulder blades
\n\u2022\u00a0\u00a0 \u00a0Memory problems
\n\u2022\u00a0\u00a0 \u00a0Irritability
\n\u2022\u00a0\u00a0 \u00a0Fatigue
\n\u2022\u00a0\u00a0 \u00a0Sleep disturbances<\/p>\n
CAUSES<\/p>\n
When sudden force throws your head backward and then forward, whiplash typically occurs. It is what we call a decceleration injury. The neck muscles and ligaments are usually strained. This type of injury may result from:<\/p>\n
\u2022\u00a0\u00a0 \u00a0Vehicle accidents, especially for people whose vehicle has been rear-ended (hit from the back).
\n\u2022\u00a0\u00a0 \u00a0Collisions while playing contact sports.
\n\u2022\u00a0\u00a0 \u00a0In places where they exist, amusement park rides, such as roller coasters.
\n\u2022\u00a0\u00a0 \u00a0Incidents of being punched or shaken.<\/p>\n
RISK FACTORS<\/p>\n
Factors which put you at risk for whiplash include:<\/p>\n
\u2022\u00a0\u00a0 \u00a0Being female
\n\u2022\u00a0\u00a0 \u00a0Younger age
\n\u2022\u00a0\u00a0 \u00a0Rear-end collision
\n\u2022\u00a0\u00a0 \u00a0Previously having had neck pain<\/p>\n
CONSULT YOU DOCTOR PROMPTLY<\/p>\n
\u2022\u00a0\u00a0 \u00a0If the pain spreads to your shoulders or arms
\n\u2022\u00a0\u00a0 \u00a0If it becomes painful to move your head
\n\u2022\u00a0\u00a0 \u00a0If you experience numbness, tingling or weakness in your arms<\/p>\n
TESTS AND DIAGNOSIS<\/p>\n
Doctor will want to know how the injury occurred and will measure how far your neck can move in different directions. He or she will also check to see if any parts of your neck are especially tender to pressure. X-Rays may help to rule our other neck pain causes such as fracture of the vertebrae, dislocation or arthritis. CT Scans might be requested to check for soft-tissue damage or pressure on nerves.<\/p>\n
COMPLICATIONS<\/p>\n
Between 15 percent and 40 percent of people who get whiplash will continue to have pain for months following the injury. In some people, this chronic pain can be traced to damage in the joints, discs and ligaments of the neck.<\/p>\n
But in some cases, no abnormality can be found to explain the persistent neck pain.<\/p>\n
TREATMENT AND DRUGS<\/p>\n
Medications<\/strong><\/p>\n Over-the-counter pain relievers can sometimes, even often, control mild to moderate whiplash pain. People with more severe pain may need short-term prescription pain relievers. Muscle relaxants may also be prescribed, but these drugs often cause drowsiness, so doctor may advise you to take them only at bedtime.<\/p>\n Ice, heat and exercise Once your pain is controlled, doc may want you to regularly perform gentle stretching exercises to help get your neck\u2019s range of motion back. These usually involve rotating your head from side to side, and bending your neck forward, backward and to the sides.<\/p>\n If pain persists for several months, doc may recommend physical therapy to help strengthen the muscles supporting your head.<\/p>\n Injections<\/strong><\/p>\n A corticosteroid or lidocaine injection into painful muscle areas may relieve the muscle spasms that can be associated with whiplash injuries. This makes it easier for you to perform the stretching exercises crucial to recovery.<\/p>\n Cervical collars<\/strong><\/p>\n These are actually no longer recommended to be used as commonly as they once were. The thing is that immobilizing the neck for long periods of time can lead to decreased muscle bulk and strength and impair recovery.<\/p>\n During the day, collars should be worn for no longer than three hours at a time and for only the first few weeks after the injury. If you\u2019re continually being awakened at night by whiplash pain, wearing a cervical collar may help you sleep.<\/p>\n ALTERNATIVE MEDICINE<\/p>\n Among the many traditional therapies that have been employed to treat whiplash pain are: I mention these only for your interest and will not elaborate from the standpoint that they are essentially \u201calternative\u201d \u2013 non-conventional.<\/p>\n See you next week.<\/p>\n Dr. Victor Emanuel has been an educator of medical professionals in training, and the public, for over 20 years in Dominica. The contents of his articles are based on facts and research conducted, and not of his opinion.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"DEFINITION Whiplash is a common neck injury that often occurs during rear-end vehicle collisions, when your head suddenly moves backward and then forward \u2013 similar to the motion of someone cracking a whip. These extreme motions push your neck muscles…","protected":false},"author":15,"featured_media":17122,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[49],"tags":[],"class_list":["post-25426","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-talk"],"acf":[],"yoast_head":"\n
\n<\/strong>
\nMany whiplash sufferers find it helpful to use ice or heat on their necks and upper backs. Generally, ice should be used early in the recovery period to reduce inflammation, while heat is particularly helpful to relax muscles before range-of-motion exercises.<\/p>\n
\n\u2022\u00a0\u00a0 \u00a0Acupuncture
\n\u2022\u00a0\u00a0 \u00a0Chiropractic care
\n\u2022\u00a0\u00a0 \u00a0Massage
\n\u2022\u00a0\u00a0 \u00a0Transcutaneous electrical nerve stimulation (TENS)<\/p>\n