Early Treatment for Whiplash Injuries

For many people, the term “whiplash” conjures up a fairly uncomfortable image: being rear-ended by another car and having your head suddenly snapped back and forth by the impact.

Despite innovations in automotive design, whiplash injuries have become increasingly frequent in the past 30 years. Symptoms of whiplash can include serious and lingering neck pain, back pain, headaches and dizziness; no single effective treatment has been identified to deal with this chronic, frustrating condition.

But help may be on the way. A recent study in the journal of Spine suggests that early, active treatment is most effective for managing whiplash symptoms. In the study, “active” treatment consisted of repetitive motion exercises performed at home (10 times every hour, beginning within 96 hours of injury); “standard” treatment involved home exercises performed only a few times each day, starting two weeks after injury.

Results showed that 38% of patients receiving immediate, active treatment reported “no pain” at six-month followup, compared to only 5% of patients receiving delayed standard treatment. The authors note that this type of active home treatment is an “ideal form of rehabilitation” because it expends only small resources within the health care system.

It’s time to whip whiplash! If you or someone you know is suffering from whiplash, schedule an appointment today with us at Laurel Regional Chiropractic.

Reference: Rosenfeld M, Gunnarsson R, Borenstein P. Early intervention in whiplash-associated disorders. A comparison of two treatment protocols. Spine 2000: Vol. 25, No. 14, pp1782-87.

Dr. David P. Chen
Chiropractor in Laurel, MD 20708

Chronic Whiplash Pain Caused by Spinal Facet Injury

In an article published in late 2007 in the Journal of the American Academy of Orthopedic Surgeons revealed that a significant number of people suffering acute neck pain following a motor vehicle collision develop chronic pain that last for years. The most common source of the chronic pain is damage to the spinal facet joints, followed by disc pain. The authors reviewed the medical literature and published data concerning chronic whiplash pain. The review reveals that 15% to 40% of patients with acute neck pain following a motor vehicle collision develop chronic pain, and that 5% to 7% become permanently partially or totally disabled. The most common source of chronic whiplash neck pain: the facet joint (49% to 54%).

In the treatment of chronic neck pain, exercise is recommended as helpful to strengthening the weak muscle groups but exercise alone is rarely curative. Many studies have shown that spinal manipulation is one of the most effective treatments for whiplash injury. Early manipulation to the cervical spine will restore motion, decrease pain, and increase the speed of recovery. The early manipulation will also decrease the buildup of scar tissue and future chronic pain syndromes.

As you may know, Tiger Woods announced on his blog on Wednesday that an MRI determined he has inflammation in the facet joint of his neck which causes pain in the area along with headaches and difficulty rotating the head. Even though he denied that his neck injury is related to the Nov. 27 car accident, but it is possible that Tiger may not have been aware of the damage immediately. As the damage sometimes doesn't manifest itself until a physical activity that puts strain on the neck - things like lifting boxes or hitting golf balls in Tiger’s case.

Reference: Schofferman J, Bogduk N, and Slosar P. Chronic whiplash and whiplash-associated disorders: An evidence-based approach. J Am Acad Orthop Surg. 2007 Oct;15(10):596-606.

Dr. David P. Chen
Chiropractor in Laurel, Maryland
Laurel Regional Chiropractic