Whiplash
Distorsio columnae cervicalis · Distorze krční páteře (whiplash)
What it is
The neck is flung back and forth in a rear-end crash, straining its muscles and ligaments.
Symptoms & signs
- Neck pain and stiffness, often starting the next day
- headache at the base of the skull
- shoulder and arm pain
- dizziness
- poor concentration and sleep
🚩 Get help if…
- call 112 / 911 now Numbness, tingling or weakness in arms or legs
- call 112 / 911 now Can't turn the head 45° either way after a crash
- call 112 / 911 now Neck pain after a crash if over 65 or with a dangerous fall
- see a doctor soon Headache, dizziness or neck pain getting worse
Where it strikes
Medical treatment
- Canadian C-spine rule to decide on imaging
- stay active — collars delay recovery
- simple pain relief
- physiotherapy exercise
- psychological support if pain persists
Natural & lifestyle
- Gentle movement from day one
- heat
- a good sleeping posture
Emerging & experimental
- Radiofrequency denervation for facet pain
- cognitive functional therapy
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Chiropractic manipulation — trials disagree; rare artery injuries after neck manipulation mixed evidence
- Acupuncture — trials disagree mixed evidence
- Magnesium and CBD oil — anecdotal anecdotal / traditional
ICD codes
- ICD-10 S13.4
- ICD-11 NA23.4Z Strain or sprain of cervical spine, unspecified