Whiplash (cont.)

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What causes whiplash?

Whiplash is most commonly caused by a motor vehicle accident in which the person is in a car that is not moving, and is struck by another vehicle from behind. It is commonly thought the rear impact causes the head and neck to be forced into hyperextended (backward) position as the seat pushes the person's torso forward - and the unrestrained head and neck fall backwards. After a short delay the head and neck then recover and are thrown into a hyperflexed (forward) position.

More recent studies investigating high-speed cameras and sophisticated crash dummies have determined that after the rear impact the lower cervical vertebrae (lower bones in the neck) are forced into a position of hyperextension while the upper cervical vertebrae (upper bones in the neck) are in a hyperflexed position. This leads to an abnormal S-shape in the cervical spine after the rear impact that is different from the normal motion. It is thought that this abnormal motion causes damage to the soft tissues that hold the cervical vertebrae together (ligaments, facet capsules, muscles).

What are the symptoms of whiplash?

Common symptoms related to whiplash may include:

In a more severe and chronic case of "whiplash associated disorder" symptoms may include:

  • depression,
  • anger,
  • frustration,
  • anxiety,
  • stress,
  • drug dependency,
  • post-traumatic stress syndrome,
  • sleep disturbance (insomnia),

Patients with whiplash injuries may enter into litigation and social isolation may occur as a result of their symptoms.

Medically Reviewed by a Doctor on 1/7/2014

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