The Treatment of Neck Pain–Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline

Neck pain and its associated disorders (i.e. headache, radiating arm pain) are prevalent and may cause substantial social, psychological and economic burden for the patient.  Neck pain is a common reason for patients seeking medical care and is a leading cause of morbidity and chronic disability worldwide. In 2008 the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders reported that 50% to 75% of individuals with neck pain also report pain 1 to 5 years later.  A number of factors influence the course of neck pain, including age, previous neck injury, high pain intensity, self-perceived poor general health, and fear avoidance. 

 More than 85% of patients experience neck pain after a motor vehicle accident, often associated with sprains and strains to the back and extremities, headache, psychological symptomatology, and mild traumatic brain injury.  The median time to first reported recovery is estimated at 101 days and about 23% are still not recovered after 1 year.

 Researchers reviewed multiple trials and reports to develop an updated clinical practice guideline for neck pain and its related disorders.  They concluded a multimodal approach often leads to the best results for the patient.  Depending on the specific patient’s needs, treatment may include:

·        manipulation or mobilization

·        range-of-motion home exercise

·        multimodal manual therapy

·        strengthening exercise (supervised or home exercise)

·        stress self-management

·        high-dose massage

·        supervised group exercise or yoga

 If you are one of the many who experience neck pain, your doctor of chiropractic can evaluate your condition and devise a treatment plan to correct the problem and strengthen your body.  See your chiropractor today to get started on the path back to health. 

 

Learn more about the research study at The Treatment of Neck Pain–Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline