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Health Information Whiplash: A Pain In The Neck

Did you know you can get whiplash from a fall? Or from high-impact sports, such as snowboarding, skiing, football or gymnastics? 

While the most common cause of whiplash is front- or rear-impact car accidents, the injury can actually happen anytime — even when you’re moving slowly, according to Vincent Traynelis, MD, a neurosurgeon at Rush University Medical Center.

Each year, whiplash affects more than two million Americans. Also called a neck strain or sprain, it occurs when the head suddenly snaps forward, then backward — a whiplike motion that overstretches the joints, muscles and ligaments of the neck and upper back.  

The following are a few things you may not know about this well-known injury.

Driving force. It doesn’t take a lot of force to cause whiplash. In fact, many whiplash injuries from vehicle accidents occur at speeds as low as five to 10 mph.

The severity of the injury often depends on whether you are properly restrained, which is why anyone riding in a vehicle should wear a seat belt or be secured in a size-appropriate child safety seat.

To further protect your head and neck by restricting backward movement, Traynelis advises properly adjusting the heights of the head rests: Ideally, the top of the head should align with the top of the head rest, with no more than two inches between the back of the head and the front of the head rest.

Recognize the signs. Although neck pain is common immediately after a whiplash injury, some people don’t experience pain until a few hours or even days or weeks later. But regardless of when it starts, don’t ignore it.

"Neck pain following even minor mishaps should be evaluated at your doctor’s office or the emergency room," Traynelis says. "Imaging tests, such as x-rays, are often important during an initial exam to make sure there are no fractures or dislocations."

In most cases, the pain will fade within a month. If it persists or worsens or if you develop other symptoms — such as headaches; fatigue; shoulder pain; blurred vision; dizziness; or difficulty concentrating, sleeping or swallowing — see your doctor for further evaluation.

Keep on moving. You may not want to move around after a whiplash injury for fear of making the pain worse. But resting for more than a few days can cause the muscles in your neck, shoulders and back to get stiff and weak — and actually prolong the pain.

To keep your neck healthy and flexible, Traynelis recommends returning to normal activity as soon as your doctor says it’s OK. Your doctor may also prescribe physical therapy to help alleviate symptoms and recondition the muscles. "Even if you have to ease into activity slowly," he says, "don’t let pain, or fear of pain, keep you from getting on with your life."

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