Neck Pain After a Car Accident: When to Seek Medical Help - Rehabilitation

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Neck pain


Due to an accident while riding in the passenger seat, I experienced a sudden emergency brake that caused my head (neck) to snap back.
It has been 5 days since the incident, but I still feel soreness in the back of my neck when looking up.
Could you please advise where the injury might be and which specialist I should see—neurology, orthopedics, rehabilitation, or another department? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/04/11

Dr. Li Weiqiang reply Rehabilitation


Hello, the muscles, tendons, and ligaments in the neck can be strained due to the principle of inertia during sudden braking.
Initially, rest and ice application for the first two days are recommended, followed by heat therapy.
Recovery typically takes about one to two weeks.
If symptoms persist, it is advisable to consult a rehabilitation specialist for physical therapy to promote recovery.
Wishing you safety and health.
Sincerely, Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/11

More Info


Experiencing neck pain after a car accident, especially following a sudden movement like whiplash, is quite common. In your case, since the incident involved a sudden stop that caused your head and neck to jerk backward, it is likely that you are experiencing a strain or sprain of the neck muscles and ligaments. This type of injury can lead to symptoms such as pain, stiffness, and discomfort when moving the neck, particularly when looking up or turning the head.

The pain you describe, particularly when looking upward, suggests that the muscles at the back of your neck may be strained. This is often referred to as "cervical strain" or "whiplash injury." Whiplash occurs when the head is suddenly forced backward and then forward, causing the neck to move beyond its normal range of motion. Symptoms can include neck pain, headaches, dizziness, and sometimes even tingling or numbness in the arms if nerve roots are affected.

Given that it has been five days since the incident, it is advisable to seek medical attention if your symptoms persist or worsen. Here are some considerations regarding which type of specialist to consult:
1. Primary Care Physician: If you are unsure where to start, your primary care physician can evaluate your symptoms and refer you to the appropriate specialist. They can perform a preliminary assessment and determine if imaging studies, such as X-rays or MRIs, are necessary.

2. Orthopedic Specialist: An orthopedic doctor specializes in musculoskeletal injuries, including those affecting the spine and neck. They can assess your neck pain and determine if there are any underlying structural issues, such as fractures or disc injuries.

3. Neurologist: If you experience neurological symptoms such as numbness, tingling, or weakness in your arms or hands, it may be beneficial to see a neurologist. They can evaluate for any nerve involvement or other neurological issues resulting from the injury.

4. Physical Medicine and Rehabilitation (PM&R) Specialist: Also known as physiatrists, these specialists focus on rehabilitation and pain management. They can develop a treatment plan that may include physical therapy, medications, and other modalities to help alleviate your pain and restore function.

5. Physical Therapist: If your doctor recommends it, a physical therapist can provide rehabilitation exercises to strengthen the neck muscles, improve flexibility, and reduce pain. They can also teach you proper posture and body mechanics to prevent further injury.

In the meantime, you can manage your symptoms with conservative measures such as rest, applying ice or heat to the affected area, and over-the-counter pain medications like ibuprofen or acetaminophen. However, if your pain is severe, persistent, or accompanied by other concerning symptoms (such as severe headaches, dizziness, or changes in vision), it is crucial to seek medical attention promptly.

In summary, while neck pain after a car accident is common, it is essential to monitor your symptoms closely. If they do not improve or worsen, consulting with a healthcare professional is the best course of action. They can provide a thorough evaluation and guide you toward the appropriate treatment to ensure a full recovery.

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