By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Whiplash is a neck damage. It’s brought about as a result of motion of the neck just like the cracking of a whip. Herein there may be forceful and speedy backwards and forwards motion of the neck resulting in the neck damage. Different names – Neck sprain, Pressure
Notice – these phrases embrace different varieties of neck accidents.
Learn – Stiff Neck Causes, Ayurvedic Treatment And Remedies

Causes

Mechanism of whiplash – This situation normally happens when the top is thrown backward and forwards, forcefully and rapidly. This may increasingly finally result in damage of bones within the backbone, inter-vertebral discs, muscle mass, ligaments, nerves and different tissues of the neck.

Necessary causes of whiplash –
Rear-end automobile accidents (commonest trigger)
Auto / automobile accidents particularly rear-end collisions
Bodily abuse / assault – It could happen when one is punched or shaken. It’s a generally seen damage in shaken child syndrome.
Contact sports activities / sports activities accident like soccer tackles
Different varieties of traumas, falls and so forth
Learn – Cervical Spondylosis: Ayurvedic Treatment

Prognosis

The ache and different signs of whiplash begin getting higher in folks affected by this situation. The aid begins few weeks after following the therapy plan. Interventions embrace medicines for ache aid and train. Some folks could wind up with persistent neck ache and issues which run an extended course.

Signs

Indicators and signs normally develop inside few days of the damage.

  • Ache within the neck
  • Stiffness within the neck
  • Actions of the neck worsens the ache
  • Lack of vary of movement / actions within the neck
  • Complications (normally begins on the base of the neck / base of the cranium)
  • Ache or tenderness within the higher again, shoulder or arms
  • Numbness / tingling within the arms
  • Fatigue
  • Dizziness

Extra signs are additionally famous in some folks –

  • Tinnitus – ringing within the ears
  • Blurring of imaginative and prescient
  • Sleep disturbances
  • Irritability
  • Depression
  • Issues associated to reminiscence
  • Problem in concentrating

When to seek the advice of physician?

Under talked about circumstances of the whiplash ought to provide you with a warning to seek the advice of physician instantly –
Signs / neck ache occurring after a automobile accident, sports activities damage or different traumatic damage. This situation needs to be promptly and precisely identified and damages across the neck or damaged bones shall be dominated out.

Problems

Often inside a number of weeks following damage many individuals who’ve whiplash begin feeling higher. Additionally they don’t appear to have any lasting signs from the whiplash damage. Some folks proceed having ache for a number of months or years following the damage. It’s troublesome to foretell the interval and nature of restoration in whiplash accidents since this varies from individual to individual. Continual ache is extra more likely to happen if the signs on the onset of whiplash have been intense and have quickly began. It could additionally happen if the preliminary signs of whiplash embrace extreme ache within the neck, excessively restricted vary of actions and ache radiating in direction of the arm.

Dangerous prognosis of whiplash are related to
Having earlier historical past of whiplash
Outdated age
Excessive velocity damage
Current neck ache or low again ache
Learn – Low Back Pain – Ayurveda View Point And Treatment

Prognosis

Prognosis of whiplash is normally accomplished by an intensive examination. Case historical past and narration of occasions resulting in the signs will assist the doctor to diagnose this situation. Your physician could palpate your head, neck and arms whereas asking you to carry out some actions to entry the vary of actions / movement in neck and shoulders, depth of ache, diploma of movement which causes or worsens the ache, tenderness in your neck and in addition within the again and shoulders, sensation and power in limbs and reflexes therein. Some imaging assessments too can be required regardless of accidents associated to whiplash not being obvious on imaging assessments. S rays, CT scan or MRI scan could also be suggested to rule out the opposite circumstances that are just like whiplash or could be masking the whiplash ache.

Prevention

Prevention of whiplash and associated signs consists of being cautious with or avoiding the causes which ends up in the identical. One must be cautious whereas driving or taking part in sports activities and in addition ought to steer clear of abuse and assault. One ought to take security measures associated to driving and sports activities severely.

Different solutions embrace – buying a automobile with extremely rated head relaxation after which adjusting the top restraint correctly. Airbags, seat belts, correctly designed seats and adjusted head restraint will shield one from sustaining a whiplash damage in a rear-end collision.

A 2002 Canadian study – confirmed that solely about 14% of headrests evaluated have been correctly adjusted. It was 28% within the UK. That meant 72% of entrance seat occupants did not correctly alter their head restraints or they’d improperly adjusted head restraints. Amongst remaining 28% who had head restraint in correct place, 11% had a hard and fast / non-adjustable one piece design and the safety was additionally restricted to solely a shorter particular person. One also needs to put on a security belt whereas driving and sit upright.
Learn – How to save your neck in a rear end crash?

Therapy

Ache management would be the major aim of whiplash therapy. The opposite targets can be to enhance and restore regular vary of actions / movement within the neck and get the ailing particular person again to regular actions. Ache administration shall be achieved by relaxation, warmth or chilly utility, ache medicines and injections and muscle relaxants.

Workout routines as important a part of intervention
Some stretching and motion workouts shall be suggested. These workouts shall be accomplished at residence. Helps in reaching ache aid and different motives of the therapy talked about above. Workout routines are skillfully mixed with a therapy plan. Train will yield higher outcomes if moist warmth or heat bathe is taken over the painful space earlier than doing the train.

Frequent workouts suggested
Rotation of neck, in each instructions
Tilting of head from one facet to the opposite
Bending of neck in direction of the chest
Rolling of shoulders
Learn – Exercise Timing, Benefits, Side Effects, Ayurvedic Management

Bodily Remedy

Bodily remedy will assist those that have ongoing ache associated to whiplash or those that need assistance when it comes to workouts which might assist in bettering vary of movement. This may assist folks with whiplash to really feel higher and forestall additional damage. Bodily remedy would come with workouts which assist in strengthening the muscle mass, enhance one’s posture and restore regular motion.
TENS (Transcutaneous Electrical Nerve Stimulation) is a process by which gentle electrical present is utilized to the pores and skin. This ease neck ache and in addition assist in bettering muscle power quickly as per sure analysis works.

Foam collars

Lengthy again delicate foam cervical collars used generally to ease the accidents associated to whiplash and in addition to carry the neck and head nonetheless. Research have proven that the muscle power may lower if the neck is saved nonetheless for lengthy time frame. This may also intrude with restoration from whiplash. Even these days these collars are used to restrict motion and assist to scale back ache quickly after the damage. This additionally assist the folks to sleep effectively at evening.

Various Drugs

Acupuncture, chiropractic care, therapeutic massage and mind-body therapies are additionally helpful in treating whiplash however they don’t seem to be supported by analysis proof.
Learn – History of Acupuncture Treatment

Ayurveda Idea of Whiplash

Whiplash can’t be in comparison with anyone situation defined in Ayurveda treatises. Under talked about are the hypothetical understanding of whiplash in Ayurveda language as a result of resemblance in manifestation of illness, signs and therapy in managing each these circumstances.

  • Vata aggravation – In Ayurveda, abhighata vis-à-vis damage is likely one of the important causes of vata aggravation. This aggravated vata causes ache and different signs of whiplash.
  • Vatarakta – Journey historical past, various and irregular postures in journey, trauma and so forth are talked about beneath etiological elements of Vatarakta. Related etiologies are the reason for whiplash. So, whiplash will be thought-about beneath vatarakta for therapy objective.
  • Greeva shula / Manyastambha – Greeva shula means neck ache. Manyastambha means ache within the nape of the neck / neck stiffness.
    Learn – Stiff Neck Causes, Ayurvedic Treatment And Remedies

Ayurveda therapy

Whiplash could also be handled on the beneath stated strains of therapy –
Vata Chikitsa – therapy prescribed for aggravated vata
Vatarakta Chikitsa – therapy prescribed for vatarakta vis-à-vis gouty arthritis / peripheral vascular illness
Greeva Shula / Manyastambha Chikitsa – therapy prescribed for neck ache and ‘neck nape therapy’

Different interventions

Mamsagata Vata Chikitsa – therapy for aggravation of vata within the muscle mass situated within the neck area
Asthigata Vata Chikitsa – therapy for aggravation of vata within the bones situated within the neck area
Sandhigata Vata Chikitsa – therapy for aggravation of vata within the joints of the neck area
Snayugata Vata Chikitsa – therapy for aggravation of vata within the ligaments and tendons of the neck area
Learn – Charaka Vatavyadhi Chikitsa 28th Chapter

Therapy in line with signs –

Sl No Signs of whiplash Ayurveda therapy precept Ayurveda intervention / remedy
1 Ache, stiffness of the neck, lack of vary of neck actions Greeva shula / manyastambha chikitsa
Vata Chikitsa Greevaga – Mamsa, asthi, sandhi, snayugata vata chikitsa
Vatarakta Chikitsa
Abhyanga / Swedana
Greeva Vasti
Vatahara Lepa
Pinda Sweda (patra, shashtika shali)
Nasya
Vasti in persistent and recurring signs
2 Headache Shirashula Chikitsa Nasya
3 Ache / tenderness within the higher again, shoulders, arms
Numbness within the arms
Vishwachi and
Apabahuka Chikitsa 
Abhyanga / Swedana
Nasya
4 Dizziness  Bhrama Chikitsa
Vatahara Chikitsa
Nasya
Brimhana
5 Fatigue Klama Chikitsa
Vatahara Chikitsa
Brimhana
Santarpana
6 Tinnitus Karnanada / Karna kshveda Chikitsa
Vatahara Chikitsa
Nasya
Karna Poorana
Murdni Taila
7 Irritability
Despair Issues associated to reminiscence
Problem in concentrating
Manasika Roga Chikitsa
Apasmara Chikitsa
Avasada Chikitsa
Vata / Kapha Chikitsa
Snehapana
Virechana
Vasti
Murdni Taila
Nasya
8 Sleep disturbances Anidra Chikitsa Murdni Taila
Nasya
9 Imaginative and prescient blurring    

Therapies, Panchakarma Remedies

Snehana and Swedana
Oleation and sudation are literally not thought-about amongst Panchakarma therapies. They’re preparatory procedures for these 5 specialised therapies.

Exterior oleation –

a. Abhyanga – natural oil therapeutic massage
b. Snehadhara – pouring / showering of medicated oils and ghee on the neck
c. Greeva vasti – oil pooling on the neck

Ksheerabala Taila, Mahamasha Taila, Mahanarayana Taila, Prasarini Taila, Balashwagandha Taila, Lakshadi Taila and so forth shall be used for the above stated therapies.

Inside oleation –
a. Snehapana – ingesting of medicated (illness particular) ghee / oil in metered dosage
b. Nitya snehapana – oral consumption of small portions of medicated fat (ghee / oil)
Guggulutiktaka Ghrta, Rasnadi Ghrta, Maharajaprasarini Tailam, Bala Tailam, Masha / Mahamasha Taila and so forth shall be used for this objective.

Sudation remedy – that is normally accomplished together with exterior oleation remedy. The beneath talked about sudation therapies shall be most popular within the therapy of whiplash –Patrapinda sweda – bolus sudation ready with natural leaves
Shashtika shali pinda sweda – bolus sudation ready with particular rice (paddy grown in 60 days) processed with milk ready with natural decoctions

Nasya
Nasal instillation of medicated ghee / oil is the very best therapy for whiplash.
Brmhana Nasya i.e. nourishing errhine remedy is right on this case. In persistent circumstances and recurring signs
Pratimarsha Nasya every day instillation of small amount of medicated ghee / oil within the type of drops shall be used. The beneath talked about medicines shall be used for this objective –
Ksheerabala Taila 101
Masha Taila
Maharajaprasarani Taila
Learn – How To Do Nasya? Procedure, Types, Benefits, Precautions, Side Effects

Vasti
Vasti – medicated enemas, particularly anuvasana vasti, matra vasti – small amount of unctuous enema and brmhana vasti – nourishing enemas are useful in persistent circumstances of whiplash and in presence of extreme signs. Under talked about medicines could also be used for this objective –Guggulutiktakam Ghrtam, Sahacharadi Tailam or Ksheerabala Tailam

Formulations

Mahayogaraja Guggulu
Rasnadi Guggulu
Maharasnadi Kashayam
Prasarinyadi Kashayam
Dashamula Kashayam
Maharajaprasarini Tailam
Rasonadi Kashayam
Mustadi Marma Kashayam
Kokilaksham Kashayam
Guluchyadi Kashayam
Guggulutiktakam Kashayam
Gandharvahastadi Kashayam
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