Whiplash Pain? A Solid Reason, At Last
Pain, lawsuits, social withdrawal, malingering. The inability to pin whiplash down, to predict who needs extensive treatment opens a pandora's box of miseries. Many who've undergone the characteristic neck-snapping are OK in a few months. Headache, neck stiffness and other pain gradually ease. But around 20 percent still suffer a half-year later or more. And it's that group that prompted neurosurgeon Donlin Long, M.D., Ph.D., and colleagues to test a hunch on what causes the pain and follow it up with treatment.
"It's hard to define what goes wrong in whiplash. Imaging studies show nothing that's diagnostic," says Long. "Nor does a physical exam." Add whiplash's history of lawsuits and the fact that some studies show many patients stop coming to the doctor once they settle in court, and it's easy to conclude the problem smacks of malingering or that it's psychosomatic.
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