Whiplash is a hyperextension injury. The injury is caused by abnormal stretching of the muscles and soft tissue structures. There may be an associated disk herniation and tracheal and esophageal injury, resulting in hoarseness and dysphagia. Clinical features are pain in the lower neck and shoulders radiating to the occipital area, which may cause headaches. The neck pain may continue for weeks to months. The patient may have tenderness on palpation of the neck, perhaps some limitation in range of movement, and usually a normal neurologic examination. Radiographs are usually normal. Treatment is conservative with rest, a cervical collar, cold compresses, and pain relief, followed by simple range of motion (ROM) exercises. If symptoms improve, structured physical therapy may be considered.

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