Whiplash
How to Heal a Pain in the Neck
By Hope Bentley
http://www.massagetherapy.com
Getting rear-ended in traffic. Face-planting at the bottom of a ski slope. Tumbling over the handlebars on your bike. Whiplash comes in many forms and can become a long-term problem if not treated correctly. Fortunately, massage and bodywork can address the ache and discomfort that come with whiplash and prevent chronic pain down the road.
Understanding Whiplash
The term "whiplash" came into use in 1928. Doctors will sometimes use "hyperextension injury," to describe it, but "whiplash" is a more visceral account of what has happened to the victim's neck. The neck itself has made a whip-like motion bending first towards and then away from the point of impact. As the head moves rapidly in one direction, the muscles in the neck receive the message to contract. The momentum of the head can cause strain or sprain to the muscles and ligaments in the neck as the head reaches the end of its movement.
Car accidents are the most common causes of whiplash. The American Academy of Orthopedic Surgeons reported that about 20 percent of people who have been in rear-end collisions later report whiplash symptoms. Whether front to back or side to side, whiplash can affect muscles all the way into the victim's back and arms. The most serious form of whiplash compresses nerves in the neck and cause multiple sprains of the ligaments.
The good news is, serious hyperextension injuries are in the minority, as whiplash usually comes in the less serious version of the injury. "Fortunately, about 95 percent of the time whiplash tends to be more superficial damage, like slight muscle strains and tears," says Ben Benjamin, Ph.D., a massage therapist who holds a doctorate in education and sports medicine. But whether the pain is minor soreness or serious discomfort, massage can provide relief and prevent chronic problems in the long run.
Whiplash Symptoms
The symptoms of whiplash include neck pain and stiffness, headaches, pain in the shoulder or between the shoulder blades (sometimes called "coat hanger pain"), low back pain, and pain or numbness in the arms or extremities.
Often people who suffer whiplash do not feel the effects until two or three days after the injury-causing incident. Benjamin explains that this delayed onset is because it takes time for scar tissue to manifest in the sprained or strained muscles and ligaments. And because scar tissue is more adhesive than regular tissue, people experience it as stiffness in the injured areas.
Whiplash affects primarily the neck, but victims shouldn't ignore the rest of the body. This injury can pull the long muscles on either side of the spine, which reach all the way to the tailbone and can cause discomfort along the way. Discomfort or stiffness in the chest and arms can also be due to whiplash. And headaches may be the result of slowed circulation to the head caused by the swelling in the injury.
Massage Can Help
Any massage that causes a general relaxation of the client's muscles can help relieve muscular pain in common types of whiplash injuries. In addition, massage increases the amount of oxygen that reaches the healing tissues and opens those tissues so they can receive oxygen and nutrients, thus speeding the healing process.
In addition to relaxation massage, specific bodywork methods ease acute whiplash discomfort and help prevent chronic fallout. For example, myofascial approaches restore fluidity to the fascia--normally a slippery tissue that surrounds all the moving parts inside the body--allowing freer movement of muscles and ligaments. Friction-based massage helps break up scar tissue and relieve stiffness. Trigger point therapy works by releasing tension held in tight knots of muscle. And any type of bodywork that stimulates circulation helps ease and prevent headaches.
Finally, the incident that caused the whiplash in the first place, (a car wreck, for instance) can be traumatic. Massage helps relax a client's psyche as well as their muscles, helping her or him work through the emotional issues induced by the accident.
Because the neck is such a delicate part of the body, it is important to proceed with caution. Benjamin advises waiting a few days after the accident to seek treatment. This allows the initial scar tissue to knit, which is an important part of the healing process. The initial treatment should be extremely gentle, and if there is a chance of a fracture, a concussion, any disc problem or other serious injury, the client should make sure to see a physician first.
Let the Healing Begin
It used to be that physicians would immobilize whiplash injuries with a cervical collar, but now health care professionals advise a more temperate course for their patients.
"I recommend gentle neck movement within your range of motion while lying on a pillow," says Benjamin. Movement may help prolong the benefits of the massage by continuing to circulate blood, oxygen, and nutrients through the healing tissue. "Heat or cold, whichever feels better, can also help," says Benjamin. "Soaking in a hot bath can also be beneficial." Limiting physical activity for a few days and getting plenty of rest in the wake of a whiplash injury is also a good idea.
Whiplash is traumatic and should be addressed soon after the injury to avoid any chronic problems. If you or someone you love is suffering from the repercussions of whiplash, consider a bodywork session to ease the discomfort. Massage can help lessen muscle pain, induce relaxation, and ease the trauma often associated with whiplash. You'll be back to your old self in no time.
"The stress of daily life is making us sick. Our bodies, originally designed to be able to survive in a violent and dangerous wilderness, have not yet adapted to the more subtle pressures of urban survival. The consequences are felt in an imbalance between our Sympathetic and Parasympathetic Nervous Systems.
Our Sympathetic Nervous System is the source of the "fight-or-flight" instinct. This "ready-for-battle" condition is designed to provide a quick response to a short-term crisis, and then disengage so the body can return to a normal, relaxed physical state maintained by the Parasympathetic Nervous System. The problem is that when a person lives with performance pressure, relationship stress, environmental stress, and other anxiety-producing conditions, the Sympathetic maintains a "battle ready" physical state constantly. The return to normal never happens."
Robin Sands describes this situation vividly:
"When people are ruled by their Sympathetic Nervous Systems life slowly becomes more and more uncomfortable. It is imperceptible at first because all they are aware of is the hardship and the oppressive situation, or the thrill and the adrenaline rush. Over time... it will slowly become more and more difficult to relax and give in to the Parasympathetic. Once caught in this vicious circle, sleep and appetite become affected... Later on, backache may appear, or migraine, repetitive strain injury or peptic ulcer. The list goes on and on, and does not include the different types of mental illness that can result from this unfortunate situation."
"To the extent that the Sympathetic is dominant... life will feel tighter, harder, more constricted. Alternatively, life may feel dangerously dramatic, explosive, despairing... Various anxiety states will be felt all too keenly. These can be experienced as numbness, palpitations, stomach knots or less easily definable but equally unpleasant sensations... If stress is continually layered on top of this block, emotional and digestive disorders can develop. Massage breaks the stress cycle and brings the parasympathetic nervous system into play, providing natural relief for a host of stress-related disorders. The direct stimulation of the body through massage mimics the effects of the Parasympathetic, throwing the switch on the nervous system to re-engage the normal relaxed state."
"As it relaxes muscles, blood vessels and internal organs, so the flow of all body fluids becomes easier, smoother, fuller. The intestines expand and the peristalsis (those gurgles of digestion) begins to process the waste products that the Sympathetic has created. It slows the heartbeat and deepens and softens breathing. It calms and changes the brain's waves and patterns, bringing the quieter, more expansive states of mind that are so conducive to imagination and creative thinking... Everywhere that has been overstretched gets pulled back into line. Everything that has been contracted, begins to expand. And this expansion is experienced as pleasure." ("The Power of the Parasympathetic Nervous System" in _Stress News_, Oct. 2002)
