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Sep 5, 2023 · Treating whiplash. Whiplash injuries can cause significant pain and limit the range of motion in the neck. Treatment plans focus on controlling pain and restoring movement so you can return to daily activities. Your treatment plan will depend on the extent of your whiplash injury.
- Assessment
- Prognosis
- Exercise and Activity
- Medications
- Complementary Medicine and Injection Therapies
- Psychological Interventions
- For More Information
According to Randy A. Shelerud, M.D., a physiatrist at Mayo Clinic's Spine Center in Rochester, Minnesota, patients with a whiplash injury may present with a wide variety of symptoms known as whiplash-associated disorders (WAD). The Quebec Classification of Whiplash-Associated Disorders, published in Spine in 1995, divides WADinto grades 0 to 4, ba...
According to Dr. Shelerud, many WAD symptoms resolve within three months. However, it has been estimated that up to 50% of patients with WAD report pain lasting for months or years after the time of injury. And up to 30% of these patients have persistent moderate to severe pain and disability that may significantly impact their lives. Chronic WADis...
Most patients seeking care in the outpatient setting want to know when they can remove the cervical collar and what they can and cannot do. Dr. Shelerud emphasizes that early physical activity and correct posture are superior to rest and neck collars. "Although prescribing collars and rest were the mainstay of emergency department recommendations i...
According to Dr. Shelerud, scientific evidence demonstrating the efficacy medications for treatment of acute and chronic WADsymptoms is still limited. Until more data is available, practitioners can consult expert consensus-driven guidelines, some of which are summarized below. 1. Acute WADgrade 1 — No medication other than simple analgesics. Opioi...
Dr. Shelerud notes that currently there is a lack of quality published evidence demonstrating the efficacy of spinal manual therapy, botulinum toxin type A injections and nerve blocks for the treatment of WAD. But these approaches can be used in conjunction with exercise and advice if there is evidence of continued benefit. For example, trigger poi...
Cognitive issues seen in patients with WADor concussion have considerable overlap. Newer studies point to the impact of the head on the head restraint in motor vehicle collisions as the cause. Therefore, the treating provider must assess for concussive symptoms in patients with whiplash and consider referring them to brain injury clinics. Approxima...
The Quebec Classification of Whiplash-Associated Disorders*. Spine. 1995;20:6S. Refer a patient to Mayo Clinic.
Jun 22, 2023 · June 22, 2023. Editors' notes. You've suffered whiplash: Know the symptoms and treatments. by Ann Schreiber. Whiplash—an often underestimated injury that can strike in the aftermath of a...
- Ann Schreiber
Apr 26, 2004 · We have reviewed the literature relevant to pathophysiology, diagnosis, treatment, and prognosis of whiplash-associated disorder (WAD) since 1995 and provided a brief summary of literature pertaining to forces action on the head and neck during a motor vehicle accident.
- Arthur A. Rodriquez, Karen P. Barr, Stephen P. Burns
- 2004
Aug 16, 2024 · “Whiplash treatment focuses on alleviating pain, reducing inflammation, promoting healing and restoring normal neck function. Initially, conservative measures such as rest, ice or heat therapy, pain medication and gentle neck exercises are typically recommended,” Smith said.
For patients without these findings, simple transport in a C-collar, on a stretcher when indicated, is advo-cated as safe and more than adequate. In-creased adoption of this approach in the pre–hospital care phase may reduce pain, discomfort, and anxiety once patients ar-rive for emergent care.
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Feb 17, 2024 · Treatment. The goals of whiplash treatment are to: Control pain. Restore range of motion in your neck. Get you back to your regular activities. Your treatment plan will depend on the extent of your whiplash injury. Some people need only medicines available without a prescription and at-home care.
