Whiplash

Condition Basics

What is whiplash?

Whiplash is pain and stiffness in the neck after an injury that has caused the neck to move suddenly or beyond its normal range.

It occurs when the head is suddenly forced backward or forward and is then snapped in the other direction. This kind of motion most often happens to people in a car that is hit from behind. Less commonly, it might happen in a fall, a sports injury, or if you are roughly shaken. The motion causes stretching or tears (sprains) of muscles and ligaments in the neck, and it may damage the nerves. In rare cases, it may cause broken bones.

What are the symptoms?

Symptoms of whiplash are pain and stiffness in the neck and sometimes in the muscles in your head, chest, shoulders, and arms. You also may have a headache, feel dizzy, and have pain in your back.

You may not have any symptoms until the day after your injury. Or your symptoms may go away but then return a few days later.

You may have a more serious injury if you have:

• Severe pain in your neck.
• Pain down one or both arms.
• Numbness or tingling in your hands, arms, chest, or legs.
• Weakness in your arms, hands, or legs.
• Inability to move your head.

How is it diagnosed?

Your doctor will ask questions about your neck injury and past health. Your head and neck will be carefully checked. You may need X-rays to make sure there are no broken bones in your neck. You may also need an imaging test such as an MRI or CT scan to look for other injuries.

How can you take care of yourself?

Most whiplash improves with home treatment.

• Ask your doctor if you can take an over-the-counter pain medicine such as acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen.
  • Your doctor may prescribe pain medicines and muscle relaxers to help with continuing or severe pain.
  • Be safe with medicines. Read and follow all instructions on the label.
• Try heat or ice.

  There isn't strong evidence that heat or ice helps. But you can try using them to see if they help you.

  • Try using a heating pad on a low or medium setting for 15 to 20 minutes every 2 to 3 hours. Try a warm shower in place of one session with the heating pad. You can also buy single-use heat wraps that last up to 8 hours.
  • You can also try an ice pack for 10 to 15 minutes every 2 to 3 hours.
• Avoid activities such as lifting and sports that make pain and stiffness worse.
• Place a special pillow or a tightly rolled-up towel under your neck while you sleep.

  Do not use your regular pillow at the same time.

• Talk with your doctor about whether physical therapy could help you.
• Return to your normal daily activities as soon as possible.

It takes up to 3 months for the neck to heal, even though most pain may be gone in less time. More severe whiplash may take longer, but it usually improves within 6 to 12 months.

After your neck pain is gone, do exercises to stretch and strengthen your neck and back. Your doctor or physical therapist can tell you which exercises are best.

How can you prevent it?

To help prevent whiplash when you drive, always wear your seat belt and adjust your headrest to the proper height.