Whiplash injury: Difference between revisions
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==Management== | ==Management== | ||
*Symptomatic treatment e.g. [[ibuprofen]] | *Symptomatic treatment e.g. [[ibuprofen]] | ||
*Studies have shown worsened range of motion and pain scores at 1 and 6 months after whiplash injury with placement of non-rigid (soft) cervical collars<ref>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 Ricciardi L, Stifano V, D’Arrigo S, et al. Eur Spine J. 2019;28(8):1821-1828.</ref> | |||
==Disposition== | ==Disposition== | ||
Revision as of 19:39, 20 February 2020
Background
- Also known as Acute Cervical Strain
- Sudden acceleration-deceleration trauma that occurs when car is rear-ended
Clinical Features
- Pain, stiffness, paracervical muscle tenderness
- Isolated cervical strain should have normal neuro exam
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- Clinical diagnosis by history and physical exam
- Use C-Spine (NEXUS) criteria to determine whether imaging is required
- Consider brain, cord, carotid/vertebral artery dissection if neuro findings are present
Management
- Symptomatic treatment e.g. ibuprofen
- Studies have shown worsened range of motion and pain scores at 1 and 6 months after whiplash injury with placement of non-rigid (soft) cervical collars[1]
Disposition
- Generally outpatient management
See Also
External Links
References
- ↑ 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 Ricciardi L, Stifano V, D’Arrigo S, et al. Eur Spine J. 2019;28(8):1821-1828.