Whiplash: still a pain in the neck

BACKGROUND: Whiplash is a common problem, particularly following motor vehicle accidents and may have significant sequelae in terms of disability and financial compensation. Recent research has demonstrated that a number of commonplace medical practices as well as the compensation system may lead to unfavourable outcomes. OBJECTIVE: This article discusses recent research into whiplash and its implications for clinical practice. DISCUSSION: A full assessment of biopsychosocial factors in the acute phase of the injury is essential to predict those at risk of chronicity. Simple therapeutic and educational measures should be employed and early referral to a psychologist or pain specialist considered for those at high risk.