What is Neck Strain and Whiplash Injury?
Neck strain is often just called whiplash. Although it’s usually associated with car accidents, any impact or blow that causes your head to jerk forward or backward can cause neck strain. The sudden force stretches and tears the muscles and tendons in your neck.
Neck strain afflicts many amateur and professional athletes. People who play contact sports like football are especially prone to neck strain.
Neck strains are often confused with neck sprains. They’re a bit different. Neck strains are caused by damage to the muscle or the tendons, bands of tissue that connect muscles to bones. Neck sprains are caused by tearing of the ligaments, the tissues that connect the bones to each other.
However, the differences between these strains and sprains probably won’t mean much to you. The causes, symptoms, and treatment of neck sprains and neck strains are usually the same.
What are the Causes Whiplash?
Whiplash typically occurs when a person’s head is thrown backward and then forward, straining the neck’s muscles and ligaments. This type of injury may result from:
- Auto accidents. Rear-end collisions are the most common cause of whiplash.
- Physical abuse. Whiplash may also result from incidents of being punched or shaken. Whiplash is one of the injuries sustained in shaken baby syndrome.
- Contact sports. Football tackles and other sports-related collisions can sometimes cause whiplash injuries.
What Are the Symptoms of Whiplash?
The pain of whiplash is often hard to ignore. The symptoms may include:
- Pain, decreased range of motion, and tightness in the neck. The muscles may feel hard or knotted.
- Pain when rocking your head from side to side or backward and forward.
- Headaches at the base of the skull that radiate towards the forehead.
Sometimes, the pain of a neck strain is immediate. In other cases, it can take several hours or days before your neck begin to hurt.
The blow that causes neck strain can sometimes cause a concussion, too. Since concussions can be serious, you need to see a doctor right away. You need emergency medical care if you are confused, dizzy, nauseous, excessively sleepy, or unconscious.
To diagnose neck strain, your doctor will give you a thorough examination. You may also need X-rays, CT (computed tomography) scans, and other tests, to rule out other problems.
What are the Tests and diagnosis for Whiplash?
A variety of imaging tests may help rule out other causes of neck pain.
- X-rays. Neck X-rays can help rule out problems such as spinal fractures, dislocations or arthritis.
- Computerized tomography (CT). This type of test combines X-ray images taken from many different directions to produce more-detailed images of bone and soft tissues.
- Magnetic resonance imaging (MRI). Using radio waves and a strong magnetic field, MRI scans are particularly good at detecting soft tissue injuries, such as to the spinal cord or nerve roots.
What are the Treatment for Whiplash?
Here’s the good news: given time, whiplash should heal on its own. To help with recovery, you should:
- Ice your neck to reduce pain and swelling as soon as you can after the injury. Do it for 20-30 minutes every 3-4 hours for 2-3 days. Wrap the ice in a towel or cloth to prevent injury to the skin.
- Take painkillers or other drugs, if recommended by your doctor. Non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen (Advil, Motrin) or naproxen (Aleve), will help with pain and swelling. However, these medicines can have side effects. Never use them regularly unless your doctor specifically says you should. Check with your doctor before taking them if you take other medicines or have any medical problems. If over the counter medications do not work, prescription painkillers and muscle relaxants may be necessary.
- Use a neck brace or collar to add support, if your doctor recommends it. However, they are not recommended for long-term use, because they can actually weaken the muscles in your neck.
- Apply moist heat to your neck — but only after 2-3 days of icing it first. Use heat on your neck only after the initial swelling has gone down. You could use warm, wet towels or take a warm bath.
- Other treatments, like ultrasound and massage, may also help.