2408 Apple APR MAY 2016 A4 Bleed 5

WHIPL
YOUR ROAD TO RECOVERY AFTER A TRAFFIC ACCIDENT
By Dr. Evan Kabir
Whiplash refers to a neck injury that is
caused by sudden movement of the head.
This can occur forwards, backwards or sideways and
often occurs following a road traffic accident.
Common symptoms include:
Pain and stiffness causing difficulty in
moving the neck
Headaches
Tenderness over the muscles of the neck
Pain in the arms or shoulders
Commonly, symptoms do not occur immediately but
can take at least 6-12 hours to develop after the injury
and may continue for several days. Severe symptoms
can cause concern but investigation often fails to find
any abnormality. A description of events and the
symptoms and examination will often reveal the
diagnosis. Further tests rarely reveal any further
problems but may be requested if a fracture is
suspected.
PAIN RELIEF
Pain associated with whiplash can be initially treated
with simple painkillers. Paracetamol can be helpful in
treating mild neck pain. Non-steroidal antiinflammatory
drugs (NSAIDs), such as Ibuprofen, can
also help to reduce pain and inflammation. These
options are usually sufficient for most people.
Paracetamol or Ibuprofen can be taken separately ‘as
required’ or regularly if needed. If pain persists,
Paracetamol and Ibuprofen can be taken regularly
together but this depends on the severity of the pain
and/or patient preference.
If further pain relief is required, your GP will be able to
prescribe stronger painkillers. Always refer to the
manufacturer’s recommended instructions when taking
any painkillers. Ibuprofen should be avoided if you have
a stomach ulcer or had this in the past. You should also
avoid Ibuprofen if you have a history of severe heart
failure or liver disease. Take medical advice if in doubt.
EXERCISE
Try to keep your neck mobile with
There is evidence immobilising the
collars can actually delay recovery.
Therefore, early mobilisation and return to normal
activities is encouraged. This may initially be painful but
this is not harmful or a sign of further damage.
If symptoms persist despite self-managing symptoms, a
referral to physiotherapy may be required.
Physiotherapy can help improve pain and stiffness
associated with a neck injury. Your physiotherapist can
give you exercises to continue at home as well.
It is also important to maintain good posture when
sitting, standing or walking, by keep your back straight
and avoid slouching. You should also ensure you have a
supportive pillow when sleeping.
Most people with whiplash will find their symptoms
improve with these simple measures, but occasionally
symptoms persist for several months after the initial
injury. Consult your GP for further advice if your neck
pain is interfering with work and your day-to-day
activities.
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