Whiplash is a neck injury associated with a sudden movement of the head, including during a vehicle collision. Recovery varies. A promise to resolve whiplash in one week or less does not reflect the range of injuries and symptoms people experience.
Neck soreness, stiffness and reduced movement can develop after the event. Headache or shoulder discomfort may also occur. Dizziness, vision changes, difficulty concentrating or unusual sleepiness after a crash should not automatically be attributed to a neck strain; a clinician may need to assess for concussion or another injury.
Tell the clinician how the injury happened, when symptoms began, what makes them worse and whether you have had previous neck problems. The examination determines whether conservative care is appropriate or whether imaging, urgent care or specialist evaluation is needed. Manipulation should not precede assessment of a possible serious injury.
Some people improve sooner than others. NHS guidance describes improvement commonly occurring over two to three months, with symptoms sometimes lasting longer. Your progress, rather than a fixed deadline, should guide reassessment and changes to care.
After serious injury has been excluded, care may include advice about everyday activity, tailored exercises and selected manual techniques. Ask what each treatment is intended to help, how progress will be assessed and when the plan will be reviewed. Different techniques have different risks and limitations; an instrument-assisted treatment is not automatically risk-free.
Get urgent medical assessment for new weakness, worsening numbness or difficulty walking after an injury. Call 911 or seek emergency care for a worsening severe headache with repeated vomiting, confusion, a seizure, loss of consciousness or difficulty waking after a crash.
For non-emergency follow-up, see our whiplash assessment information or call 704-461-1836.
Sources: NHS: Whiplash; CDC: Concussion symptoms and danger signs.
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