Whiplash study says no benefits from intensive treatment

Intensive whiplash treatment is no better than standard care, a study suggests.

The study, in the Lancet looked at the treatment of more than 2,700 people with mild to moderate whiplash.

No additional benefits were seen in those who had more intensive care – which included suggesting a rapid return to normal activities.

A Canadian expert said the study showed the lack of benefit from “unnecessary treatments”.

Whiplash injuries cost the UK economy about £3.1bn a year, mainly due to the expense of treating those with chronic symptoms (between 30-50%) and their subsequent need to take time off work.

Long-term problems can include pain from even the smallest movement, difficulty sleeping and even being unable to work.

Whiplash Injuries & Trigger Points

Persistent muscle pain following whiplash is commonly considered the result of poor psychosocial status, illness behaviour, or failing coping skills. However, there is much evidence that this persistent  pain may be due to neurophysiologic mechanisms involving peripheral and central nerve sensitisation. Myofascial trigger points may play a crucial role in maintaing this sensitisation. Recent research suggests that the chemical environment of myofascial trigger points is an important factor. Several consequences are reviewed when central pain mechanisms and myofascial trigger points are included in the differential diagnosis and in the management of patients with persistent pain following whiplash.