BLOG 428 WHIPLASH
Whiplash is caused by a forward or backwards jerking
of the head. The most common cause is from being in a car accident. Symptoms
don’t always immediately present themselves but tend to surface at least within
24 hours of the trauma. Soft tissue becomes damaged from the jerking motion to
areas such as discs and other muscles and ligaments. The injury may not be
detectable on a standard X-ray, but a doctor can perform CT scan or MRI
(magnetic imaging imaging) to diagnose whiplash.
Some of the most common symptoms include the
following:
1. Headaches
2. Stiff
neck
3. Dizziness
4. Low
back pain
5. Numbness
in the arm of hand that can be painful
6. Fatigue
7. Sleep
disturbance
8. Irritability
Patients are all affected differently, therefore,
there is no one single treatment that works for everyone. Treatment has become
more progressive. In the past, immobilization was the number one recommendation
which involved making sure the cervical collar did not move. Now, doctors are
recommending limited range of motion to the injured areas. Pain medication can
be prescribed or ibuprofen (Advil, Motrin) or naproxen (Aleve) can be used to
help. Heat and ice are readily recommended. Physical therapy and messages can be
used as well. Ultrasound and injections can be done.
The pain and resulting stiffness from whiplash can
remain chronic. For most patients, symptoms remain for at least 6 months. This
can result in time lost at work, multiple appointments like physical therapy to
attend, and inability to perform activities once enjoyed.
Whiplash doesn’t just result from car accidents. A
person can fall from a bike or horse. It can also occur from being hit from the
side not just forwards or backwards. Just because an injury isn’t visible
doesn’t mean that it doesn’t exist, and it doesn’t always surface right away. It
also is most prevalent in woman than in male. This trauma is classified using a
grading scale:
Grade
0: No physical signs of injury or patient complaints.
- Grade
1: No physical signs, but neck pain.
- Grade
2: Patient experiencing neck pain & signs of a musculoskeletal injury.
- Grade
3: Patient experiencing neck pain & signs of neurological impairment.
Whiplash
is the body communicating that trauma has occurred and attention is needed.
Being slowed down can be frustrating, especially if the accident was not your
fault. Treat the symptoms, don’t ignore the pain, and be sure to wear your
seatbelt, a helmet, or whatever type of protective gear can be worn that could
potentially save your life and whiplash.
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