Whiplash

An Osteopathic Approach

Whiplash or Whiplash Associated Disorders (WAD) refers to injuries to the neck as a result of a sudden acceleration - deceleration movement. It generally occurs when your head is thrown backward and then forward, quickly, unexpectedly and with a high amount of force. This can be the result of a road traffic accident, water skiing accident, diving, head injury, a rough rugby tackle or fall from horse or bike.

There are four classifications of whiplash

1. Neck pain, stiffness and tenderness only.

2. Neck pain, stiffness and tenderness with reduced neck movement.

3. Neck pain, stiffness and tenderness with neurological signs (weakness/numbness, loss of reflex) will require urgent medical care

4. Neck pain, stiffness and tenderness with fracture or dislocation also requires urgent medical care.

Most whiplash injuries are Grades 1-2, and are considered soft tissue injuries (muscle and ligaments) and can benefit greatly from osteopathic treatment

Other associated symptoms include:

• Headaches at the base of the skull that refer into the temples & forehead

• Shoulder, jaw, upper back pain

• Tinnitus (ringing in the ears)

• Interrupted sleep pattern

If left untreated, the body can create biomechanical strain patterns and restriction within fascial. This can limit your range of motion and your body’s health.

The team at Osteopathy Nelson is experienced with treating whiplash and plays a crucial role in the management of patients’ experiencing whiplash injuries. The primary objectives of osteopathic treatment for whiplash are to alleviate pain and inflammation while restoring mobility and function throughout the body. This comprehensive approach often results in a decreased reliance on medication for symptom management.

During osteopathic treatment special attention is given to addressing not only the neck symptoms, but also all presenting manifestations of the whiplash injury. These effects can extend beyond the neck, reaching areas as far as the low back and pelvis.

Key components of osteopathic treatment include:

1. Gentle Mobilisation of Joints:

   • Osteopaths employ gentle techniques to mobilise joints, promoting increased flexibility and range of motion.

2. Myofascial Release:

   • Soft tissue components such as ligaments, tendons, and muscles are targeted with myofascial release to alleviate tension and promote healing.

3. Rehabilitation Exercises:

   • Tailored exercise programs are often incorporated, including muscle stretching, strengthening, and proprioception retraining. These exercises aim to enhance overall physical function.

4. Patient Education:

   • Osteopathic treatment involves educating patients about their condition, the importance of self-care, and strategies for preventing future injuries.

By addressing the diverse symptoms associated with whiplash injuries, osteopathic treatment aims to offer a holistic approach to recovery. The inclusion of rehabilitation exercises not only facilitates healing but also empowers patients to actively participate in their own well-being. Osteopaths, through their expertise in both joint mobilisation and soft tissue manipulation, contribute significantly to the overall management and rehabilitation of individuals affected by whiplash injuries.

Here are some self-help tips to aid your journey to health after experiencing whiplash:

1. Gradual Introduction of Exercises:

   • Avoid rushing into exercises; wait until your symptoms allow you to perform them comfortably.

   • Typically, within the first four days after the accident, you may begin with gentle movements.

2. Ice and Heat Therapy:

   • Use ice and heat alternately to reduce inflammation and alleviate pain.

   • Follow your therapist's guidance on duration and choice of modalities.

   • Apply ice for 5-10 minutes, followed by 10-20 minutes of heat, and always use a towel to prevent potential skin burns.

3. Avoid Immobilisation:

   • Refrain from immobilising the injured site for extended periods, as it may lead to muscle stiffness and hinder the healing process.

   • If a neck collar is necessary, use it for a short term (24-48 hours) and remove it as symptoms improve.

   • Focus on regaining mobility in the neck to support the healing process.

4. Resume Normal Daily Activities:

   • Return to your normal daily routine, including work, as soon as possible.

   • Engaging in daily activities has been shown to be beneficial in accelerating the recovery process.

These self-help tips are designed to empower individuals to actively participate in their recovery from whiplash injuries. Remember to consult with healthcare professionals for personalised advice, and always listen to your body's signals during the healing process. Additionally, if you experience persistent or worsening symptoms, seek medical guidance promptly.