Are neck injuries common?
Yes. Neck pain is one of the most common reasons why people see their doctor. Almost three quarters of North American adults will suffer from neck pain at some time in their lives. For up to 20% of these people, the pain will not go away. Long-term symptoms, although annoying, typically do not mean there is serious injury. “Hurt” does not necessarily mean “harm”.
What is whiplash?
Whiplash and other medical conditions related to whiplash are types of neck injuries caused by sudden changes in the position of the neck. The most common way they happen is through car accidents where the car is hit from behind. The most common symptom reported by persons who have whiplash is pain due to mild muscle strain or minor injury to other non-bone tissue. Other injuries include injury to the nerves, discs and in the most severe cases injury to ligaments in the neck and even a broken bone in the neck. Minor whiplash injuries can result in pain and decreased movement in the head and neck. These symptoms may last for weeks or months, but sometimes they last longer and may include headaches, dizziness and tingling in the arms. Exactly what happens physically to produce whiplash symptoms is unknown. Some scientists believe that the cause of long-term whiplash symptoms is due to damage of nerves and that the cause of short-term pain may be minor injury to the muscles.
What else can cause neck pain besides whiplash?
Sitting for long periods of time combined with a lack of exercise can lead to symptoms similar to whiplash. Sports activities resulting in being hit from behind can cause similar injury as whiplash from car accidents. Other medical conditions such as arthritis can also cause neck and shoulder aches. Your doctor is trained to find them. Living with a lot of tension and stress can also cause neck pain. It’s important to keep your neck healthy, especially if you’ve already suffered whiplash injury. The most important thing to do is to prevent whiplash by properly positioning the head restraint of your seat in your car.
How long will it take to recover from whiplash?
That depends. Every person is different and aches and pains are part of your body’s response to trauma and stress. Healing takes time. Research suggests that people with more symptoms from the initial injury may take longer to heal. Most people are back to their normal activities, including work, even though their symptoms may take weeks, months or longer to get much better. For those who need time away from work, most will return to their usual activities within weeks. Only 3-5% of people with whiplash injuries are still on disability after one year.
What treatments help whiplash?
Most whiplash injuries respond to a simple approach:
Keep generally active and do some neck exercises
Download Neck Exercise Sheet and discuss with your health professional
Stay at work or return as soon as you can
Research shows that people who keep active and are involved with other parts of their life recover faster than those who stop working and focus on their pain.
Practice activities that help reduce stress
Download stress-free resources.
Keep a positive attitude – A sense of humour is essential
Prevent future injuries – Get a vehicle with GOOD rated head restraints and adjust them correctly!
Over a third of chronic neck injuries from rear-end collisions are preventable.
What else can I do to relieve the pain?
Here are some recommendations about other therapies:
Stay active and exercise. Prolonged rest or use of a collar weakens tissues and slows recovery. Most people do not need a collar.
Neck manipulation, mobilization or massage by a trained professional may help in the beginning, but is not recommended as a long-term treatment.
Treatments where you are not active (for example, treatments that you recieve when you are lying down) not recommended for long periods of time. These passive treatments should be combined with an active exercise program.
Using painkillers or muscle relaxants is generally not a good idea because they may be harmful.
As a general rule, if a treatment is going to help, you should feel some improvement in days to weeks. If not, check back with your doctor.
Is it all in my head?
Most physical pain and suffering have a psychological component, especially when pain continues and leads to fear, anxiety and depression. That is normal. However, focusing too much on your suffering, fears and anxieties can make you feel worse. If you find yourself dwelling on pain, reassure yourself and seek help from your doctor.
Who’s most likely to get whiplash?
Studies show that young women who are not very muscular are more prone to whiplash.
Can I reduce my chance of getting whiplash from a car accident?
Yes. The proper use of well-engineered head restraints dramatically reduces serious neck injuries from automobile accidents. Studies show that vehicles with well designed head restraints can reduce injuries in rear-impact crashes by 24% to 44%. Drivers can protect themselves from whiplash by buying safer vehicles. However, having a car with well-engineered head restraints isn’t enough.To reduce your chance of whiplash, those restraints have to be positioned correctly. Studies by the Insurance Institute of Highway Safety (IIHS) found that many head restraints were too low or too far away from an occupant’s head to provide effective protection against neck injury in rear-end crashes.
How do I know if my head restraint is positioned correctly?
Ask yourself the following two questions:
Is it high enough? The top of the restraint should be even with the top of your head or at least to the top of your ears.
Is it close enough? The restraint should be around 5 cm (2 inches) from the back of your head. Closer head restraints are twice as good at preventing injuries as those set too far back.
What is the difference between headrests and head restraint devices?
Many motorists refer to a head restraint as a headrest. But head restraints are not comfort features. They are essential safety features like lap/shoulder belts. In a rear-end crash, effective, well-designed head restraints help move your head forward along with your body, thereby decreasing your chances of getting a whiplash injury.
What happens if the vehicle I’m driving is hit from the rear?
For the following image, the top sequence shows a “POOR” rated head restraint and the bottom sequence shows a “GOOD” rated head restraint.
At impact, the vehicle moves forward causing the seat to push against your back (1). Your body is cushioned by the seat while your head and neck continue to move back (2). If your head is unsupported due to an improperly positioned head restraint (top sequence), it continues to move backwards over the head restraint (3). Properly adjusted head restraints (bottom sequence) keep your head and body positioned in line with each other throughout the collision, thereby protecting your neck (4).
Picture courtesy of the Insurance Institute for Highway Safety
What types of head restraints are available?
Reactive Head Restraint: A head restraint that automatically moves up and forward during the crash, activated by the weight of the person in the seat.
Pro-Active Head Restraint: A head restraint that automatically moves up and forward at the start of the crash, activated by crash sensors on the bumper or within the car.
Reactive Seat: An entire seat and head restraint that absorbs the energy of a rear end crash.
Passive Seat: A seat that uses passive foam technology to absorb the energy of the crash and allows the person to use the head restraint without the neck changing position.
Traditional Seat: A traditional fixed or adjustable head restraint that has no specific anti-whiplash technology.
Where can I find out how my car’s head restraints rate?
The Whiplash Prevention Campaign makes it easy for you to find the head restraint rating for any car that has been tested by IIHS. So if you are looking to buy a new car or want to see what the rating is for your current car, use our search feature.
The Insurance Institute for Highway Safety provides ratings for head restraints and the research behind those ratings. Find the section for rear crash protection/head restraint ratings and choose your make of car from the dropdown list. You can also check the rating for other important safety features for your vehicle.
The Motor Insurance Repair Research Centre also provides ratings for many 2008 makes/models in their comprehensive brochure.
Do newer vehicles have better head restraints than older ones?
Yes. Head restraints have improved so that a newer vehicles are likely to have better head restraints than older ones. In 1995 only 3% of measured head restraints received good geometric ratings from the Institute, compared with 51% in 2005. The number of poor restraints decreased from 82% in 1995 to only 6% in 2005.