|
Management of Grade III Whiplash Associated Disorders (WAD) [15] |
| • Soft collars should not be used as they do not adequately immobilise the spine |
| • Narcotic analgesics may occasionally be needed for pain relief. Psychopharmacologic drugs and muscle relaxants should not be used |
| • In the few cases in which rest for the neck might be indicated, it should be limited to less than four days and followed by early activation |
| • The Task Force consensus is that manipulative treatments by trained persons for the relief of pain and facilitating early mobility can be used in WAD |
| • Long term repeated manipulation or physiotherapy without multidisciplinary evaluation is not justified |
| • Surgery for WAD patients is rarely indicated. Surgery is only indicated for Grade III patients with progressive neurologic deficit or persisting arm pain |
Pollard et al. Chiropractic & Osteopathy 2005 13:15 doi:10.1186/1746-1340-13-15 |