Whiplash isΒ a common injury, annually affecting about 2 million individuals within the U.S. Generally due to a car accident, whiplash also can be a consequence of falling, engaging in sports &Β being shaken or punched.
Whiplash may be the common termΒ forΒ neck damage or stress caused by hyperextension (see image below) and hyperflexion (see image below). It frequently does not cause immediate symptoms: over-time, it might produce actually. Since whiplash could cause long-lasting results to the back, it is vital that you see your physician if you have been injured, even if you donβt have pain.
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The cervical spine (throat) is really a sophisticated structure consists of vertebrae (spinal bones), intervertebral disks (behave as shock absorbers), muscles, ligaments, and nerves. The throat is is flexible and will move it different guidelines (jerk, swivel) while supporting the total weight of the head. However, that mobility can make the throat at risk of injury. Throughout a whiplash event, your throat goes swiftly and vigorously backward and forward. Pain can continue despite the injury itself has healed.
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A person with whiplashβs chief criticism is upper back pain or neck pain. Other symptoms may include:
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The most frequent cause of whiplash is definitely a car accident in which the personβs vehicle (often stopped) is rear-ended by another car or truck. Because of this, the neckβs bones are forcedΒ into a hyperextended position, while the upper vertebrae are hyperflexed, leading to an unusual S-shaped curve. This cycle typically damages the delicate tissues (structures, tendons, muscles) of the neck.
Your doctor works a neurological and physical exam and carefully reviews your medical history. Because x rays donβt show injuries to delicate tissues, a CT (computerized tomography) scan or MRI (magnetic resonance imaging) could be executed.
Treatment is determined by the extent and level of the whiplash, and factor is given to general health and your age. Initial therapy can include:
*When using ice, make certain the cool source is draped in a towel to safeguard your skin area. Donβt apply ice for longer than 15 minutes at a time.
If your pain does not disappear inside a reasonable timeframe, or when it is serious, your doctor may recommend trigger-point injections, physical treatment, chiropractic, massage, acupuncture, and/or use of a transcutaneous electrical nerve stimulation (TENS) device.
SoftΒ collars, although once trusted for whiplash, are not employed so frequently anymore, since by immobilizing the neck, the muscles can weaken and delay recovery.
Surgery is rarely warranted by whiplash. If your pain persists even after youβve undergone nonsurgical treatment, your doctor might advise surgery, according to what structures have already been injured and how serious the harm is. It is vital that you understand the risks carried with surgery. Thus, you should have a thorough conversation with your doctor.
Sources
Whiplash. Mayo Clinic. www.mayoclinic.org/disorders-situations/whiplash/basics/meaning/con-20033090.
Whiplash. MedicineNet. / whiplash/article.htm Whiplash.
Whiplash Injury. Hopkins Medicine. www.hopkinsmedicine.org/ healthlibrary/problems/adult/spine_shoulder_and_pelvis_disorders/whiplash_injury_85,p01388/.
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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
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Dr. Alex Jimenez DC, MSACP, MSN-FNP, RN* CIFM*, IFMCP*, ATN*, CCST
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