2408 Apple APR MAY 2016 A4 Bleed 5

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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. 8 JDOC365 APPLE MAGAZINE
ASH gentle neck exercises. neck and using soft APRIL/MAY 2016 9
Page 1 and 2: THEApple TODAY’S NEWS FROM YOUR D
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2408 Apple APR MAY 2016 A4 Bleed 5

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