Whiplash – Can We Predict Long-Term Problems?

Whiplash-associated disorders (WAD) often associate with motor vehicle collisions (MVC). Whiplash can occur from any form of trauma arising from slips and falls, sports injuries, and more. A question patients suffering from WAD commonly ask is, “How long will this take to get better?”

There are many factors in play with regard to how quickly one recovers from any injury. The type and degree of injury, the type of care, the “will” to get better, the patient’s education level, gender, etc. But what does the research say regarding risk factors for a prolonged recovery from WAD?

Whiplash Study

A Danish study found that WAD patients with immediate, high-intensity neck pain and stiffness were more likely to be disabled one year following their injury. In contrast, those with a delayed onset of symptoms or those with low-grade pain weren’t as easy. Combining scores for neck pain, stiffness, and other non-painful symptoms, authors found they could identify those at risk for long-term disability within a week of their accident.

Their study included 141 adults who contacted the ER within two days of the MVC. They complain of neck pain or headaches arising from rear-end collisions without loss of consciousness or amnesia. None had prior neck or back pain or a history of severe headaches. The researchers found that 75% of patients with reduced neck motion still reported disability after one year.

Conclusion

Interestingly, the research team observed that those in ongoing lawsuits were at no greater/lesser risk of suffering long-term disability. Recently, a large-scale study uses an online survey and gives it to 127,959 respondents. Researchers found that collision severity, poor expectations of recovery, victim mentality, dizziness, numbness or pain in the arms, and lower back pain each increased the risk of a poor recovery.

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Jonathan Woodward, D.C.

Woodward Chiropractic & Massage 6310 Lyndon B Johnson Fwy Ste 115 Dallas, TX 75240
(972) 490-9888