Impact!

Imagine yourself driving when a car behind you rear-ends your vehicle. The impact pushes your car forward. It takes about 100 milliseconds for your body to catch up to the forward movement. Your shoulders travel forward until they are under your head, and your neck extends backward. You step on the brakes bringing the car to an abrupt halt. The sudden stop throws your head and neck forward, and they bounce against the headrest. In a matter of seconds, you’ve experienced the classic back and forth mechanism of a  whiplash.

About 20 percent of people involved in rear-end collisions later experience symptoms that center in the neck region. Although most of these people recover quickly, a small number develop chronic conditions that result in severe pain and sometimes disability.

Whiplash is an injury to the soft tissues of the neck. Whiplash injury strains the muscles and ligaments of the neck beyond their normal range of motion. There is often pain and stiffness in the neck for the first few days following a whiplash injury. The pain can also be felt in the surrounding muscle groups in the head, chest, shoulders, and arms.

Causes of Whiplash: In addition to car accidents, whiplash can be caused by roller coasters and other amusement park rides, sports injuries, or being punched or shaken. (Whiplash is one of the hallmarks of shaken baby syndrome.)

Symptoms of Whiplash: You may feel pain and stiffness in your neck for the first few days following a whiplash injury. Then you feel better, but the pain and stiffness may come back several days later.

The discomfort you feel may involve surrounding muscle groups in your head, chest, shoulders, and arms.

Diagnosis and Treatment of Whiplash: How whiplash injuries occur is clearly understood, but the extent and type of injuries varies greatly. The diagnosis of whiplash is often one of exclusion. Most injuries are to soft tissues such as the disks, muscles and ligaments, and cannot be seen on standard X-rays. Your doctor may need to request specialized tests, such as computed tomography scans or magnetic resonance imaging (MRI).

First Aid of Whiplash: Try over-the-counter pain relievers like aspirin, acetaminophen, or ibuprofen.
For at least 2 to 3 weeks, avoid activities that bring on or worsen your pain and stiffness. Don’t lift or carry anything heavy or participate in sports.

If you have pain when you move your head or the pain involves your shoulders or arms, your doctor may recommend a soft neck collar or short-term prescription drug to relax the muscles.

Call your doctor if:

• Neck pain and stiffness comes back after it had resolved.
• The pain spreads to your shoulders or arms.
• You have pain when you move your head.
• You have numbness, tingling, or weakness in your arms.

Prevention of Whiplash: Headrests in your car can reduce the severity of neck pain from a car accident. Make sure that the headrest is positioned properly for your height.

If you do get whiplash, learn proper stretching exercises once your neck has healed. This reduces the chance that neck pain or stiffness will come back. And call your chiropractor!