Often whiplash occurs after a sudden, unexpected
movement of the head which causes rapid extension and flexion of the neck,
most commonly during a car crash, sporting activity, or fall. This can also
be the result of sleeping or holding the neck in an awkward position.
Why did I get a neck strain?
The neck seems to be prone to a whiplash type of injury because
of the demands placed on the cervical spine. The cervical vertebrae are connected
with ligaments and supported by muscles. Together, these structures must
provide our heads with support and allow a wide range of motions. The head
weighs up to 15 pounds and clearly can place stresses on the supporting structures
of the spine. When the muscles or ligaments are injured, the capacity of
the cervical spine is compromised, and the resulting pain may interfere with
our daily lives. That's why whiplash injuries tend to be nagging injuries
which cause a number of problems.
What is the treatment
for whiplash?
A brief period of resting the neck muscles will often help alleviate
the initial pain and spasm of the neck muscles after whiplash type injuries.
Allowing the muscles and ligaments around the cervical spine to rest and recover
is an important aspect of treatment. Although rest is important, prolonged
rest may be detrimental to recovery, since stiffness and restriction of motion
may occur. If rest does not alleviate symptoms of whiplash, you should be seen
by your physician as soon as possible. Since whiplash may hide more serious
injuries, it should be taken seriously.
There are other simple steps which may help your
neck strain symptoms:
Apply
ice packs and heating pads intermittently
Try
an anti-inflammatory medication
Consider
physical therapy for stretching and exercises
In general, treatment of cervical injuries should be guided by
a spine specialist.
What conditions, other
than whiplash, could be causing my neck pain?
There are many other conditions which may cause neck pain, some
of these are serious and require medical attention. Although pain and stiffness
seem to be the hallmarks of a muscular or ligamentous strain injury, there
are a few signs which may indicate more significant underlying disorders. Some
signs to watch for are:
Weakness
of the hands or arms. These symptoms may be due to compression
of the spinal cord or the spinal nerves which exit the cord. Some
causes of this include ruptured discs and spinal stenosis.
Numbness
or abnormal sensations in the hands and arms. Again, these symptoms
can be cause by injury to the spinal cord or nerves. If these symptoms
are present, then you should have further evaluation.
Pain
accompanied by unusual weight changes or fevers. It is important
that neck pain accompanied by these symptoms, as well as nausea,
vomiting, loss of appetite, fevers, chills, or sweats, be further
evaluated. While it is unusual, these can be the first signs of
infections or tumors.
Lack
of improvement over time. Any problem such as this that does not improve
over time should be further evaluated. If the initial diagnosis is whiplash,
but the neck continues to be problematic, further evaluation should take place.