By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Whiplash is a neck harm. It’s brought on on account of motion of the neck just like the cracking of a whip. Herein there’s forceful and speedy backwards and forwards motion of the neck resulting in the neck harm. Different names – Neck sprain, Pressure
Be aware – these phrases embrace different kinds of neck accidents.
Learn – Stiff Neck Causes, Ayurvedic Treatment And Remedies
Causes
Mechanism of whiplash – This situation often happens when the top is thrown backward and forwards, forcefully and rapidly. This may occasionally finally result in harm of bones within the backbone, inter-vertebral discs, muscular tissues, ligaments, nerves and different tissues of the neck.
Vital causes of whiplash –
Rear-end automotive accidents (commonest trigger)
Auto / automotive accidents particularly rear-end collisions
Bodily abuse / assault – It could happen when one is punched or shaken. It’s a generally seen harm in shaken child syndrome.
Contact sports activities / sports activities accident like soccer tackles
Different kinds of traumas, falls and so forth
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Prognosis
The ache and different signs of whiplash begin getting higher in individuals affected by this situation. The aid begins few weeks after following the therapy plan. Interventions embrace medicines for ache aid and train. Some individuals could wind up with continual neck ache and issues which run a protracted course.
Signs
Indicators and signs often develop inside few days of the harm.
- 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 (often 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 individuals –
- Tinnitus – ringing within the ears
- Blurring of imaginative and prescient
- Sleep disturbances
- Irritability
- Depression
- Issues associated to reminiscence
- Issue in concentrating
When to seek the advice of physician?
Beneath 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 automotive accident, sports activities harm or different traumatic harm. This situation must be promptly and precisely identified and damages across the neck or damaged bones shall be dominated out.
Issues
Often inside just a few weeks following harm many individuals who’ve whiplash begin feeling higher. Additionally they don’t appear to have any lasting signs from the whiplash harm. Some individuals proceed having ache for a number of months or years following the harm. 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 prone to happen if the signs on the onset of whiplash had 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 the direction of the arm.
Unhealthy prognosis of whiplash are related to –
Having earlier historical past of whiplash
Outdated age
Excessive pace harm
Current neck ache or low again ache
Learn – Low Back Pain – Ayurveda View Point And Treatment
Analysis
Analysis of whiplash is often completed by way of a radical 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 exams too might be required despite accidents associated to whiplash not being obvious on imaging exams. S rays, CT scan or MRI scan could also be suggested to rule out the opposite circumstances that are much 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 results in the identical. One must be cautious whereas driving or enjoying 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 critically.
Different recommendations embrace – buying a automotive 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 harm in a rear-end collision.
A 2002 Canadian study – confirmed that solely about 14% of headrests evaluated had been correctly adjusted. It was 28% within the UK. That meant 72% of entrance seat occupants didn’t 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?
Remedy
Ache management would be the major objective of whiplash therapy. The opposite objectives might 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 way of relaxation, warmth or chilly software, 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 completed at dwelling. Helps in attaining 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.
Widespread workouts suggested –
Rotation of neck, in each instructions
Tilting of head from one aspect to the opposite
Bending of neck in the 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. It will assist individuals with whiplash to really feel higher and stop additional harm. Bodily remedy would come with workouts which assist in strengthening the muscular tissues, enhance one’s posture and restore regular motion.
TENS (Transcutaneous Electrical Nerve Stimulation) is a process wherein delicate 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 tender 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 would possibly lower if the neck is stored nonetheless for lengthy time period. This can even intervene with restoration from whiplash. Even these days these collars are used to restrict motion and assist to scale back ache quickly after the harm. This additionally assist the individuals to sleep nicely 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 anybody situation defined in Ayurveda treatises. Beneath talked about are the hypothetical understanding of whiplash in Ayurveda language because of the resemblance in manifestation of illness, signs and therapy in managing each these circumstances.
- Vata aggravation – In Ayurveda, abhighata vis-à-vis harm is likely one of the major 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 underneath etiological elements of Vatarakta. Comparable etiologies are the reason for whiplash. So, whiplash could be thought of underneath vatarakta for therapy goal.
- 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 traces 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 muscular tissues positioned within the neck area
Asthigata Vata Chikitsa – therapy for aggravation of vata within the bones positioned 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
Remedy in keeping 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 continual 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 Issue 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 Therapies
Snehana and Swedana
Oleation and sudation are literally not thought of 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.
Inner oleation –
a. Snehapana – consuming 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 goal.
Sudation remedy – that is often completed together with exterior oleation remedy. The beneath talked about sudation therapies shall be most well-liked 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 perfect therapy for whiplash.
Brmhana Nasya i.e. nourishing errhine remedy is right on this case. In continual instances and recurring signs
Pratimarsha Nasya each 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 goal –
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 continual instances of whiplash and in presence of extreme signs. Beneath talked about medicines could also be used for this goal –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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