The damage to your car is not a reliable guide to whiplash. Even a low-impact rear-end crash sends enough energy into the neck to hurt its muscles, ligaments and nerves. Much of that soft-tissue damage never shows on an X-ray.
Whiplash and neck pain are common after car accidents, even when the car looks like it has little or no damage. Here we cover what whiplash is, what makes it more likely, and why the right medical care matters. We also cover the trouble you can hit with insurance companies, and the red flags to watch for in your symptoms.
What is whiplash?
Whiplash is an injury that happens when the neck snaps back and forth fast. It often comes from a car accident, especially rear-end collisions. This sudden motion can damage the soft tissues in the neck. That includes muscles, ligaments, and nerves.
What are the symptoms of whiplash?
The symptoms of whiplash may develop within days of the injury and can include:
- Neck pain and stiffness
- Worsening of pain with neck movement
- Loss of range of motion in the neck
- Headaches, often starting at the base of the skull
- Shoulder, upper back, or arm pain
- Tingling or numbness in the arms
Less common symptoms may include dizziness, blurred vision, and constant tiredness.
How is whiplash diagnosed?
Diagnosing whiplash starts with a full medical history and physical exam. More tests may be needed to rule out other problems and see how far the injury goes. Many whiplash injuries damage soft tissue that cannot be seen on X-rays.
Can you get whiplash with little or no damage to your car?
How badly the car is damaged does not always match how badly the people inside are hurt. Even in low-impact crashes, the forces can be enough to cause whiplash and other injuries. This is especially true in rear-end crashes. There, the sudden speed-up and slow-down can send significant energy into the neck.
Some things also make people more prone to whiplash. These include being hit from behind, being a woman, being younger, and having a history of neck pain. This is one more reason to get a proper medical exam and care, no matter how the car looks.
Why do insurance companies doubt whiplash claims after minor crashes?
Insurance companies may doubt whiplash claims when the car has little damage. They may argue that no visible damage means no one was hurt, or that the injuries are milder than claimed. This makes it harder for people seeking payment for their injuries and medical bills.
A car with no damage does not mean the people inside were not hurt. Get proper medical care and have your injuries recorded to back your claim. A trained injury and accident doctor, such as Dr. Gurpreet Singh Padda, MD, MBA, MHP at the Center for Interventional Pain Management in St. Louis, MO, can diagnose the injury and document it.
Red Flags to Look Out For
After a car accident, watch for red flags that point to a possible whiplash injury. Some common symptoms include:
- Neck pain and stiffness
- Headaches, often starting at the base of the skull
- Loss of range of motion in the neck
- Tenderness or pain in the shoulder, upper back, or arms
- Tingling or numbness in the arms
If you experience any of these symptoms following a car accident, see a doctor as soon as you can. Delaying treatment can lead to complications and a longer recovery time.
The Role of the Center for Interventional Pain Management
Care from a trained injury and accident doctor, such as Dr. Padda at the Center for Interventional Pain Management in St. Louis, MO, is key to the right diagnosis and the right treatment of whiplash injuries. Dr. Padda and his team have long experience treating people hurt in major accidents. They often help them find their way through insurance claims and medical treatment.
Dr. Padda pays close attention to each patient’s symptoms and orders the right tests to confirm them. That lets him make the correct diagnosis. Then he builds a treatment plan that meets each patient’s own needs. This approach has proven to be highly effective at ending pain and improving quality of life for people with whiplash injuries.
Conclusion
Whiplash and neck pain can have a significant impact on a person’s life, even when the car looks like it has little or no damage. If you were in a car accident, see a doctor right away, no matter how the car looks. Insurance companies may try to discount these claims. A specialist like Dr. Padda can help you get the care you need to fully recover. If you or a loved one was in a car accident and has whiplash symptoms, contact the Center for Interventional Pain Management. Book a visit and start your recovery.
Frequently asked questions
How serious is whiplash in a car accident?
Whiplash can have a significant impact on your life, even when the car looks fine. The sudden back-and-forth motion damages the muscles, ligaments and nerves of the neck. It can bring neck pain and stiffness. It can bring headaches at the base of the skull. It can bring tingling or numbness in the arms. Delaying treatment can lead to complications and a longer recovery.
Can whiplash symptoms show up days after a crash?
Yes. Whiplash symptoms may develop within days of the injury rather than at the scene. Watch for neck pain and stiffness, and pain that gets worse when you move your neck. Watch for lost range of motion and headaches that start at the base of the skull. Watch for shoulder, upper back or arm pain. Dizziness, blurred vision and constant tiredness are less common signs.
Does whiplash show up on an X-ray?
Often it does not. Many whiplash injuries damage soft tissue: the muscles, ligaments and nerves of the neck. That damage cannot be seen on X-rays. That is why diagnosis starts with a full medical history and a physical exam. Other tests are added when needed to rule out other problems and see how far the injury goes.
When should you see a doctor for whiplash after a car accident?
As soon as you can, whatever the damage to your car. Get checked if you have any of these: neck pain or stiffness, headaches at the base of the skull, lost range of motion, pain in the shoulder, upper back or arms, or tingling in the arms. Quick care speeds recovery. A written diagnosis backs your claim if the insurer doubts the injury.
What whiplash symptoms mean something more serious?
Three groups of signs point past the muscles. Weakness or numbness running down an arm points to a nerve root. Pain right over the bones of the neck, or a neck you cannot turn at all, points to a possible fracture that needs imaging before anyone manipulates it. A headache that keeps building, confusion, repeated vomiting or double vision point to the brain, and that is the emergency room, today. Without any of those, stiffness and pain still there after the first week or two deserve an exam, because the facet joints are a common source of lasting neck pain and they do not show on an MRI; how the source of neck pain is pinned down explains the test that finds them.
Injured in an accident? Contact Accident and Injury Experts to have your pain evaluated, or call us.
Sources
- Spitzer WO, Skovron ML, Salmi LR, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining “whiplash” and its management. Spine. 1995;20(8 Suppl):1S–73S. PubMed (PMID 7604354)
- Carroll LJ, Holm LW, Hogg-Johnson S, et al. Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008;33(4 Suppl):S83–S92. doi:10.1097/BRS.0b013e3181643eb8 (PMID 18204405)
- Walton DM, Macdermid JC, Giorgianni AA, Mascarenhas JC, West SC, Zammit CA. Risk factors for persistent problems following acute whiplash injury: update of a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013;43(2):31–43. doi:10.2519/jospt.2013.4507 (PMID 23322093)
Medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP — Board Certified in Anesthesiology, Pain Medicine, Interventional Pain Management, Addiction Medicine, and Obesity Medicine.