Orthopedics Sports Injuries Whiplash Injuries: Causes, Symptoms, Treatment By Elizabeth Quinn Elizabeth Quinn Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics. Learn about our editorial process Updated on December 13, 2021 Medically reviewed by Stuart Hershman, MD Medically reviewed by Stuart Hershman, MD LinkedIn Stuart Hershman, MD, is board-certified in orthopaedic surgery. He is the director of adult spinal deformity & complex spinal reconstruction at Massachusetts General Hospital and is on the faculty at Harvard Medical School. Learn about our Medical Expert Board Fact checked by Nick Blackmer Fact checked by Nick Blackmer LinkedIn Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years’ experience in consumer-oriented health and wellness content. Learn about our editorial process Print Whiplash injuries occur when a forceful impact (commonly from behind) causes the head and neck to snap forward and back in an abrupt, violent motion. It is commonly seen in car accidents, and some contact sports, such as football, can lead to whiplash injuries. Paul Bradbury / Getty Images Causes Whiplash, also called cervical hyperextension injury or flexion-extension neck injury, refers to an injury to the soft tissues of the neck including the ligaments, tendons, and muscles. The symptoms of whiplash include neck pain and stiffness. Upper back and shoulder pain can also occur. Most whiplash injuries heal within weeks, but if left untreated they can linger and turn into chronic conditions that last for years and lead to pain and sometimes disability. Symptoms The most common symptoms of whiplash occur immediately or within 24 hours of the accident: Neck pain and stiffnessHeadachesPain in the shoulder or between the shoulder bladesLow back painPain or numbness in the arm and/or handDizzinessRinging in the ears or blurred visionDifficulty concentrating or rememberingIrritability, sleep disturbances, fatigue Treatment If you have a whiplash injury, it’s important to see a doctor to evaluate the extent of your injuries. Most injuries are similar to those of neck strains and include soft tissues injuries to the muscles and ligaments but whiplash can damage the cervical discs as well. A physician will often request a variety of diagnostic tests to confirm the area of injury. Sometimes CT Scans or MRI are used to determine the extent of the injury. In the past, whiplash injuries were immobilized in a cervical collar. However, the current trend is to encourage early movement, rather than immobilization. A soft cervical collar may be worn to help support the head and relieve pressure on the neck while ligaments heal. First aid for whiplash includes R.I.C.E. therapy (rest, ice, compression, and elevation). Ice may be applied for the first 24 hours, followed by gentle active movement. Over the counter pain medications are also helpful to reduce inflammation and pain. They are reliable and effective when used appropriately for moderate pain relief. A visit to a physical therapist will allow you to receive a personal exercise program and treatment plan. Returning to activity is encouraged, but modifications in your previous training will likely be necessary. Low impact exercise and a great deal of flexibility work will be needed before you can return to your previous training routine. 3 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Tanaka N, Atesok K, Nakanishi K, et al. Pathology and treatment of traumatic cervical spine syndrome: whiplash injury. Adv Orthop. 2018;2018:1-6. doi:10.1155/2018/4765050 North American Spine Society. Whiplash and whiplash associated disorder (WAS). Ricciardi L, Stifano V, D’Arrigo S, Polli FM, Olivi A, Sturiale CL. The role of non-rigid cervical collar in pain relief and functional restoration after whiplash injury: a systematic review and a pooled analysis of randomized controlled trials. Eur Spine J. 2019;28(8):1821-1828. doi:10.1007/s00586-019-06035-9 By Elizabeth Quinn Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit