Symptoms of whiplash

Symptoms of whiplash are quite individual as every accident is unique.

Whiplash is another name for a hyperflexion or extension injury.

A great multitude of symptoms and signs may occur after whiplash owing to the fact that every accident is unique and there is no typical patient. The common motor vehicle crash can damage the body, literally from the toes to the skull, and everything in between. It also can and does kill a great many people. Perhaps, more important is those it leaves disabled and spastic, or facing a lifetime of pain.

If you learn nothing else from this page, may I humbly suggest that you drive more slowly, obey the laws of the road even when they are irritating, like a stoplight on orange, and never to drive when you have alcohol or drugs in your system. Always wear a safety belt; the very worst accidents occur when you are thrown out of the car.

Whiplash almost always leaves its mark; a life long legacy of pain. There are no perfect solutions but we think whiplash chiropractic is one of the better once; perhaps the best!

The human skull weighs typically just a little less than five kilograms. Set upon very small and fairly fragile tower of cervical bones, and supported by soft tissue structures designed to make the head highly mobile (ligaments, muscles, discs ...) the skull, when abruptly set in motion, places very great forces on the neck and upper back.

  1. Fracture is not uncommon,
  2. strain of muscles and sprain of ligaments is usual,
  3. spinal subluxation are an every-accident-event, and the
  4. shock to the neurological system is simply enormous. Dizziness, memory loss, fatigue, inability to concentrate are many other odd seemingly unrelated symptoms are quite usual.

Until recently, it was mystery how people emerged from an accident with almost no symptoms of whiplash, or signs yet, within 10 years, their neck was an arthritic mess. Now it is well understood. Research shows that joint nutrition is dependent on movement of nutrient- and oxygen-rich fluid within the joint. Once joints stop moving, the cartilage begins to degenerate (in mice at any rate) within 12 hours.

Joint fixation leads inexorably to Immobilisation Arthritis ...

After thirty years in practice I am convinced of one thing: there are very few whiplash injuries that leave people completely untouched. Research that follows the victims of whiplash for ten years after an accident, reveals that only 12 percent have absolutely no symptoms.

Psychological sequelae are ever present, and to make it more complex, research indicates that the presence of litigation often appears to delay healing. Read more about whiplash research.

  • Post Traumatic Stress Disorder, perhaps in just small measure, is universal. After all almost every whiplash one realises one has had a brush with death. Fear when others are driving, nightmares and depression are not uncommon after whiplash.
  • Secondly, from concussion. In whiplash, the brain rockets from one side of the skull to the other, bashing itself at least twice against hard bone. Seatbelts certainly reduce more serious skull fractures but instead concussion occurs, if only in small measure, with every MVA. So dizziness, blurred vision, memory loss, hearing loss, and ringing in the ears are not uncommon.
  • What is important is to recognise the wholeness of the human being. The brain and spinal cord make up one system. Whether whiplash is a traumatic brain injury, or a spinal cord injury, or both, or now thirdly a spinal or soft tissue injury, the symptoms of whiplash are complex and may be very serious. These can be as divergent as
  • dizziness
  • fatigue and malaise
  • Neck pain and headache, of course
  • Arm and shoulder pain, and much much more.
  • Chest pain from the seat belt.

Whiplash can affect the brainstem.

There is a school of thought promulgated by a prominent orthopedist in the Netherlands that whiplash is no different to a sprained ankle. This lady's views, portrayed in a prominent and I believe highly irresponsible newspaper article caused great anxiety and confusion to many victims of whiplash.

Her opinion seems to be that either whiplash kills you, or causes little more than sprain of ligaments and strain of muscles. There is no continuum. Oddly she even denies that a collar may be of value in whiplash, but is happy to recommend a cast or supporting bandage for a sprained ankle.

Seemingly, having forgotten that the skull and cervical spine contain the most sensitive structures in the body, the central nervous system, this report has reputedly plunged many victims of whiplash into despair.

Fortunately, at Chiropractic Help, we have many tools at hand. We can immobilise with a collar, stretch, massage, cross friction, adjust the spine using both forcible and gentle techniques, use ice for the swelling, and counsel.

What is problematic for doctors who see whiplash in only one mindset, having only one implement in their toolbox, is that that instrument may indeed become a hammer. This is just as true of a medical man who has only drugs at hand, as the chiropractor who only adjusts the spine forcibly. Their treatment may not be the treatment of choice for an acute neck injury, and may aggravate the symptoms of whiplash.

Neck pain treatment

Neck pain treatment is entirely dependent on the diagnosis; chiropractic adjustments may be entirely inappropriate or the therapy of choice.

Every doctor can and should use his own discretion, but for myself I would choose to rule out fracture and serious ligamentous injury that occurs more often than not. Three times in my career I have had patients who presented with upper cervical pain several weeks after an MVA. They had been X-rayed in hospitals where the "open mouth" view for the upper cervical spine is only rarely taken. All three had an Atlas fracture. It was only a careful clinical exam that revealed the likelihood of a fracture, saving my bacon and their lives. Manipulation would have been disastrous.

Whiplash of course doesn't not only occur after MVAs. A fall from a horse, a trampoline, diving into shallow water, thundering down a staircase ... fractures of a lesser nature are not uncommon. Few escape without some form of injury that may leave lasting symptoms of whiplash.

Whiplash as seen on an APOM x-ray taken through the mouth.

"If the only tool you have is a hammer,

you tend to see every problem as a nail."

- Abraham Maslow

Symptoms of whiplash

So, what are these symptoms of whiplash?

They are divergent and complex. There are no two that are exactly the same. The position of your head in the accident, the angle at which you were struck, or struck another impediment (and then another?), whether you anticipated the accident and tensed your muscles. All of these variables make each whiplash unique.

It can affect your low back, your ribcage, and whilst the seatbelt may haved saved your life it probably contused the breastbone and ribs.

The airbags themselves can cause injury.

You are not going crazy! But recognise this: if you are hoping for a big monetary claim, research clearly shows that it's likely to delay healing, perhaps seriously so. Get on with life, accept that what has happened, is history; it's set in concrete and bemoaning the fact will do you not one iota of good. If you get compensation, well and good. If not, put the accident firmly behind you, and move on. Do not, for heavens sake, allow that drunk to continue trampling your mind, long after the accident.

And if your own stupidity caused the accident? There's a lovely Chinese proverb that says:

"Even a wise man can make a new mistake every day."

Move on, just don't make the same one again! That's not wise. Even if your foolishness led to the death of another innocent person, move on, make up for it in whatever way you can. Allowing guilt to paralyse the rest of our lives has no benefit to anyone.

Chiropractic help

Chiropractic help is always precluded by a thorough examination.

So, in conclusion, a great multitude of symptoms of whiplash may occur. Every accident is unique and there is no typical patient. The common motor vehicle crash can damage the body, literally from the toes to the skull, and everything inbetween, and so the symptoms may be very varied. If there is concussion, which is likely, then you may have dizziness, memory loss, even deafness. You can have fractured bones in the spine and ribs, breastbone pain is common ... the list is endless. For more information about chiropractic help neck treatment after whiplash click here, NECK PAIN TREATMENT.

And even if you have no symptoms of whiplash, if only to help prevent the serious onset of arthritis.This little page will give you some idea of how vulnerable the neck is to whiplash. It's the anatomy of the upper neck. No rocket science stuff, just for the layperson. Short and succinct. Read more … ATLANTO OCCIPITAL JOINT

Vertigo may also be caused by a whiplash injury as the tiny crystals on the ends of the hairs in the inner ear are shaken loose; the treatment of choice is not pills or manipulation but the Epley manoeuvres.

› Symptoms of whiplash

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.

Symptoms of whiplash letters