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Whiplash involves a range of injuries to the neck caused by or related to a sudden distortion of the neck.  Typically this is associated with a rear-end motor vehicle injury.

Whiplash

Whiplash

Common symptoms include neck and shoulder pain, balance disturbances, memory loss and headaches.

Different structures may be injured and cause pain with include:  cervical facets, supra and inter-spinous ligaments, the AA joint,  the OA joint, transverse and alar ligaments and cervical discs.  At the Centeno-Schultz Clinic treatment options include cervical facet injections, radiofrequency, autologous mesenchymal stem cell therapy, intramuscular stimulation and cervical strengthening.

A recent study by Ishikawa MD, demonstrated that a cerebrospinal leak was a common source of headaches, dizziness, visual impairment and nausea in patients who had whiplash injuries.  A nuclear medicine test called radio-isotope cisternography identified a cerebrospinal leak in more than 50% of patients, most commonly in the lumbar spine.  Treatment involved injection of a patients own blood into the epidural space thereby “patching” the leak.  Patients had significant reduction in their symptoms following therapy.

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