whiplash


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Related to whiplash: whiplash injury

Whiplash

 

Definition

Whiplash is a sudden, moderate-to-severe strain affecting the bones, discs, muscles, nerves, or tendons of the neck.

Description

The neck is composed of seven small bones. Known as the cervical spine, these bones:
  • support the head
  • help maintain an unobstructed enclosure for the spinal cord
  • influence the shape and structure of the spine
  • affect posture and balance
About 1,000,000 whiplash injuries occur in the United States every year. Most are the result of motor vehicle accidents or collisions involving contact sports. When unexpected force jerks the head back, then forward the bones of the neck snap out of position and irritated nerves can interfere with flow of blood and transmission of nerve impulses. Pinched nerves can damage or destroy the function of body parts whose actions they govern.

Risk factors

Osteoarthritis of the spine increases the risk of whiplash injury. So do poor driving habits, driving in bad weather, or driving when tired, tense, or under the influence of alcohol or other drugs.

Causes and symptoms

Tension shortens and tightens muscles. Fatigue relaxes them. Either condition increases the likelihood that whiplash will occur and the probability that the injury will be severe.
Sometimes symptoms of whiplash appear right away. Sometimes they do not develop until hours, days, or weeks after the injury occurs. Symptoms of whiplash include:
  • pain or stiffness in the neck, jaw, shoulders, or arms
  • dizziness
  • headache
  • loss of feeling in an arm or hand
  • nausea and vomiting
Depression and vision problems are rare symptoms of this condition.

Diagnosis

Whiplash is difficult to diagnose because x rays and other imaging studies do not always reveal changes in bone structure. Organs affected by nerve damage or reduced blood supply may generate symptoms not clearly related to whiplash.
Diagnosis is based on observation of the patient's symptoms, medical history, physical examination, and neurological studies to determine whether the spine has been injured.

Treatment

Medication, physical therapy, and supportive measures are used to treat whiplash. Chiropractors gently realign the spine to relax pinched nerves or improve blood flow. A patient whose symptoms are severe may wear a soft, padded collar (Thomas collar or cervical collar) until the pain diminishes.
When pressure on the root of the nerve causes loss of strength or sensation in a hand or arm, a cervical traction apparatus may be recommended.

Self-care

Inflammation and cramping can be alleviated by wrapping ice or an ice pack in a thin towel and applying it to the injured area for 10-20 minutes every hour. After the first 24 hours, painful muscle spasms can be prevented by alternating cold packs with heat treatments. Letting a warm shower run on the neck and shoulders for 10-20 minutes twice a day is recommended. Between showers, warm towels or a heat lamp should be used to warm and soothe the neck for 10-15 minutes several times a day.
Improving posture is important, and gentle massage can be beneficial. Sleeping without a pillow promotes healing, and a cervical collar or small rolled towel pinned under the chin can provide support and prevent muscle fatigue.
Alcohol should be avoided. A chiropractor, primary care physician, or orthopedic specialist should be notified whenever a painful neck injury occurs. Another situation requiring attention is if the face or arm weaken or become painful or numb following a neck injury.

Prognosis

With treatment, whiplash can usually be cured in one week to three months after injury occurs. If nerve roots are damaged, numbness and weakness may last until recovery is complete.

Prevention

Chiropractors can recommend diet and exercise techniques to reduce stress and tension. Careful, defensive driving, wearing seatbelts, and using padded automobile headrests can lessen the likelihood of whiplash.

Resources

Other

Haggerty, Maureen. "Whiplash." A Healthy MePage. June 7, 1998. http://www.ahealthyme.com/topic/topic100587681.

whiplash

 [hwip´lash]
a nonspecific term applied to injury to the spinal cord and spine due to sudden extension of the neck, as in sudden stopping or propulsion of a vehicle.
whiplash shake syndrome a constellation of injuries to the brain and eye that may occur when a child less than 3 years old, usually less than 1 year old, is shaken vigorously while being held by the trunk or limbs with the head unsupported. This causes stretching and tearing of the cerebral vessels and brain substance, commonly leading to subdural hematomas and retinal hemorrhages, and sometimes associated with cerebral contusion. It may result in paralysis, blindness and other visual disturbances, convulsions, and death.

whip·lash in·ju·ry

popular term for flexion-extension injury.

whiplash

/whip·lash/ (hwip´lash) see under injury.

whiplash

(wĭp′lăsh′, hwĭp′-)
n.
1. The lash of a whip.
2. An injury to the cervical spine caused by an abrupt jerking motion of the head, either backward or forward.

whiplash

An abrupt to-and-fro movement likened to the cracking of a whip, which almost invariably refers to whiplash injury, see there.

whip·lash in·ju·ry

(wip'lash in'jŭr-ē)
An imprecise term for various injuries resulting from sudden and violent hyperextension of the head on the trunk, followed by hyperflexion, as in a motor vehicle collision. Can include fractures, subluxations, sprains, muscle strains, and cerebral concussion.
Synonym(s): acceleration-deceleration injury.

whiplash,

n sprain or strain injury occurring at the fourth/fifth cervical junction due to rapid acceleration or deceleration of the body.

Patient discussion about whiplash

Q. I have hurt my cervical spine and shoulder in a rear end car crash in July. Why does it still hurt?

A. Spine and back injuries are known to to be causing a lot of pain and discomfort and for a long period of time. You should try and do some mellow exercise and physiotherapy that might help you a lot. If the pain is unbarable, you should consult your doctor about using pain medications.

More discussions about whiplash
References in periodicals archive ?
This legislation also limited the amount law firms could charge for handling whiplash injuries.
De la sangre en las manos de Andrew a las explosiones de violencia que siguen a las pausas de Fletcher, Whiplash toma recursos del cine de guerra, el thriller psicologico y otros generos sadicos.
Last month insurer Aviva suggested that car crash victims with minor whiplash injuries should receive medical care rather than cash, estimating that the move would wipe around PS32 off the typical motor insurance premium.
If a startle forms part of the response to a whiplash collision, we expect a whiplash-like perturbation to evoke a descending recruitment of muscles and an increase in heart rate and electrodermal activity characteristic of a startle response.
Whiplash will be available in six-packs and in Tackle Box variety packs throughout the region until late February.
To learn more about Health Solutions, whiplash treatment and to find out more about the wellness services provided by Health Solutions, contact the clinic directly.
There is no doubt that the whiplash phenomena has got out of hand.
Fake claims, especially for whiplash, are also down.
The Transport Committee is calling for evidence on how whiplash costs, which add an estimated PS90 to every motor premium, can be reduced.
UK insurer, Aviva (LON: AV), has stated that whiplash claims increase car insurance costs by an average of GBP118 per motorist annually.
Summary: New plans have been announced in a bid to cut down the huge number of whiplash claims which have been pushing up insurance premiums.
In its Weekly Credit Outlook, Moody's says insurers have seen a "dramatic rise" in the frequency and severity of whiplash claims in the U.