Whiplash Frequently Asked Questions
 What are the most common symptoms of whiplash? |
There are some symptoms that are present in
nearly every case of whiplash. The following is
a list of the ten most-reported symptoms, with
their estimated prevalence:
- Neck pain
- Headache
- Shoulder pain
- Anxiety
- Back pain
- Depression
- Visual symptoms
- Thoracic outlet syndrome
- Dizziness
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How long does a typical whiplash injury take to
heal? |
| It depends. First of
all, there is no such thing as a typical
whiplash injury. There are so many different
variables (see risk factors, below) involved in
a collision that it's not uncommon for two
people to be in the same vehicle, and suffer
different degrees of injury. Therefore, the
healing time also varies greatly. Some people
who have experienced a rear-end collision may
suffer symptoms for just a few hours. Most
people seem to recover in around six weeks. But
the medical literature consistently shows that a
significant percentage of people -- around one
out of three experience some kind of long-term
symptoms after a crash.
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What's the best way to treat a whiplash injury? |
| It depends on the
severity of the injury and the patient's needs.
Very few whiplash injuries require surgical
treatment or a hospital stay, but many whiplash
patients go the emergency room as their first
treatment, especially if the collision was
severe. Drugs are often prescribed for whiplash
patients, and they can be useful for short-term
relief of pain. Long-term use of medications,
however, can lead to dependency, and they drugs
themselves do not help the injured tissues heal.
The key to long-term health of the soft-tissues
after injury is mobilization of the affected
areas. This is best accomplished with spinal
manipulation and muscular therapy, either alone
or in combination. |

What are the risk factors for long-term injury
from a rear-end collision? |
There are hundreds of
them. A recent engineering study attempted to
predict which variables would result in injury
in their test occupants exposed to low speed
crashes. Even when taking into account 18
different measurable factors, their predictions
were only 70% accurate. Over the past twenty
years, researchers have compiled a list of
factors and variables believed to influence the
risk of injury.
- The angle of the collision.
- The speed and size of the vehicles involved.
- Road conditions.
- Occupant head position.
- Gender. Women are more likely to be injured
than are men.
- Occupant awareness. An occupant who is aware
of the impending impact is less likely to suffer
long-term consequences, as they have time to
"brace" themselves for the impact, lessening the
severity of injury to the soft-tissues of the
neck.
- The proper use of head restraints.
- Safety belts. Some researchers have suggested
that seatbelts may increase the risk of injury
in rear-end collision. (NOTE: Seat belts save
many lives each year, and the potential
life-saving ability of seatbelts far outweighs
the slight risk of increased injury during a
"minor" collision. You should always wear your
seatbelt.)
- Secondary collisions.
- Direct body impact.
- Loss of consciousness.
- Medical history. Pre-existing health
conditions can increase the risk of injury.
- Pain onset. Generally, when symptoms appear
immediately after the collision, healing takes
longer.
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What are the risk factors for long-term injury
from a rear-end collision? |
| Yes. Nearly all
engineers refuse to conduct rear-end test
collisions over 5 mph because of the possibility
of injury to the test occupants. For many years
in the scientific community, it was believed
that injury was impossible in low speed
collisions, since the typical motion of the head
seen during a higher speed collision did not
occur. In the last few years, however, a whole
new body of literature has shown that the
cervical spine may actually be more at risk from
a low speed collision than a higher speed
collision.
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