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Neck Muscles

Whiplash

Whiplash is a common injury that is caused by rapid acceleration and deceleration of the head and neck. Most injuries involve sprain and strain to the soft tissues (muscles and ligaments). Higher impact whiplash injuries can lead to bony injuries and nerve irritation which may cause pins and needles in your arm. Road traffic incidents are the most common cause of whiplash but it can also occur as a result of a fall or in a collision when playing sport. Most injuries greatly improve over a 2-12 week period. Recovery time depends on the degree of tissue damage, any psychological trauma caused by the injury and the social support that you have.

Symptoms

Neck pain or stiffness, headache
Shoulder / arm pain,
pins and needles or numbness in the arm.

Management:

A physiotherapist can assess your injury and help you to recover using the management principles of POLICE (protection , optimal loading, ice, compression and elevation).We do not recommend the use of neck collar for whiplash. The best available evidence shows that active exercise/ continuing as normal are the best solutions. Heat , ice and exercise can all help with the management of the pain. As whiplash is often a traumatic event, often fear and stress need to be managed after the injury.

Red flags for neck pain

If you have these symptoms you must seek urgent medical assessment:

Visual disturbances/ Hearing difficulties /Difficulty speaking or swallowing/ Gait disturbances /Progressively worsening weakness or sensation problems /Pins and needles or numbness in the face/ Blackouts / dizziness/ nausea/ Constant headache/ constant pain/ Pain that wakes you up at night not caused by your position.

References:

Walton DM, Elliott JM. An integrated model of chronic whiplash-associated disorder. journal of orthopaedic & sports physical therapy. 2017 Jul;47(7):462-71.

Loppolo F. et al. (2014). Epidemiology of Whiplash-Associated Disorders. Springer-Verlag Italia.

Daenen L, Nijs J, Raadsen B, Roussel N, Cras P, Dankaerts W. Cervical motor dysfunction and its predictive value for long-term recovery in patients with acute whiplash-associated disorders: a systematic review. Journal of rehabilitation medicine. 2013 Feb 5;45(2):113-22. [Accessed 14 June 2018] Available from: http://www.ingentaconnect.com/contentone/mjl/sreh/2013/00000045/00000002/art00001?crawler=true&mimetype=application/pdf

ANGST F. et al. (2014). Multidimensional associative factors for improvement in pain, function, and working capacity after rehabilitation of whiplash associated disorder: a prognostic, prospective, outcome study. BMC Musculoskelet Disord., 15, 130.

Sterling M. (2014). Physiotherapy management of whiplash-associated disorders (WAD). Journal of Physiotherapy, 60, pp. 5–12




Neck Injuries