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Whiplash (WAD) is a condition defined as neck pain resulting from sudden acceleration-deceleration movements. The term WAD is often used synonymously with the term Whiplash; however, whiplash refers to
the mechanism of injury rather than the presence of symptoms, such as pain, stiffness, muscle spasm, and headache, in the absence of a lesion or structural pathology. Whiplash can commonly occur from car accidents, sports and other rapid acceleration-deceleration neck movements. It is important to note that symptoms may not occur instantaneously after the incident and may be latent in nature.
Whiplash (WAD) can affect a variety of structures in the cervical spine, depending on the force and direction of impact as well as many other factors. Structures that may be impacted can include muscles, joints (zygapophyseal, Atlanto-axial and Atlanto-occipital), discs, ligaments, neural structures and or potential vertebral fractures. Physiotherapy can be very important in helping identify injuries and ensuring that appropriate imaging is obtained when more serious conditions are suspected. Often imaging such as Xray or MRI can be recommended after these incidents (e.g. car accidents). Physiotherapy management acutely may utilise the commencement of anti inflammatories or medication as per your medical team, alongside education on load management and ergonomics. Manual therapy techniques such as soft/deep tissue work, mobilisations, manipulations, traction, dry needling or cupping to aid in increasing normal range of motion, decrease pain and reduce muscle spasming. The earlier a patient is able to restore baseline movement after an injury, the more likely it is that their overall recovery and long-term functional outcomes will be improved. Lastly, exercise-based rehabilitation and Clinical Pilates can help catalyse your rehab by not only sensitising your body to functional movements but also help build strength/endurance for your neck and its surrounding structures in preparation for long term efficacy. Your physiotherapist will formulate these progressive strength and conditioning individualised programs.