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Dr. Brian Abelson

Whiplash Injuries: Chapter 3 – Treatment & Exercise

Updated: Aug 15


Woman Receiving Manual Therapy

Recovery from Whiplash Associated Disorders (WAD) is highly achievable with comprehensive conservative care, patient education, and personalized exercise programs. With our WAD injury process achieving over a 90% success rate, early and targeted intervention is key to effective recovery. While most individuals can fully recover with the right approach, it's important to recognize that WAD symptoms can sometimes progress into chronic conditions if not addressed promptly.


Research shows that 15% to 40% of those who experience whiplash injuries may develop chronic neck pain. That's why it's critical for patients to engage in a structured rehabilitation program, including targeted treatment and exercises, to decrease the odds of developing long-term issues. This chapter will explore the essential therapeutic interventions that can significantly reduce this risk, ensuring a quicker and more complete recovery.


Article Index:

 

Which Intervention Strategy Works Best?


Prompt initiation of manual therapy following a thorough physical examination, including orthopedic and neurological evaluations, and any necessary imaging to rule out fractures or soft tissue injuries, is vital. Research supports manual therapy's effectiveness in reducing pain and improving function.


A comprehensive treatment plan should target both soft tissue and joint injuries. A multidisciplinary approach is especially beneficial in the early stages when pain is most intense. This includes conservative care from a musculoskeletal professional, complemented by medication prescribed by a physician to manage acute pain and inflammation.


Targeting Soft Tissue Limitations in the Cervical Region


4 Point Neck Pain Protocol

In this video demonstration, we emphasize the importance of recognizing and addressing neck pain as a unique aspect of Whiplash Associated Disorders (WAD). Each case of WAD is distinct, requiring a customized approach tailored to the individual's specific dysfunction. Whether the pain stems directly from structures near the injury site or is part of a broader kinetic chain, a personalized strategy is essential for effective treatment.


Fascial Expansion: MSR Neck Pain Protocol

n managing neck pain related to Whiplash Associated Disorders (WAD), utilizing fascial expansions offers a highly effective approach. This strategy integrates modern understanding of fascia, kinetic chain relationships, and principles from traditional Chinese medicine. In this video, Dr. Abelson, the developer of Motion Specific Release (MSR), demonstrates how fascial expansions can be applied to treat WAD-related neck pain, providing an integrative method for addressing these complex injuries.



 


Woman Receiving Manual Therapy

Addressing Cervical Joint Restrictions


Effectively treating Whiplash Associated Disorders (WAD) requires attention to both soft-tissue and cervical joint restrictions. Neglecting to address joint constraints can prevent full recovery from WAD symptoms. Certified practitioners can alleviate these restrictions through neck adjustments or mobilization techniques.


Neck Adjustment vs. Mobilization: Choosing the Right Approach


Deciding between neck adjustments and mobilization depends on the patient's specific needs and comfort level. For those hesitant about manipulation, mobilization provides a safe and effective alternative for relieving cervical restrictions.

While neck manipulation is a powerful method for managing joint restrictions, it’s not suitable for everyone. It is generally avoided in patients over 70, those with severe osteoarthritis or osteoporosis, and individuals with autoimmune conditions like Rheumatoid Arthritis.


Ultimately, the choice should be personalized, based on both the practitioner’s expertise and the patient’s preferences. The following videos demonstrate cervical adjustments and mobilization techniques to help you make an informed decision.


Cervical Adjustments

Chiropractic adjustments are particularly effective in managing complications from Whiplash Associated Disorders (WAD). Research shows that chiropractic care can significantly benefit individuals suffering from neck or back pain due to whiplash injuries. Patients who receive these adjustments often experience faster pain relief and a quicker overall recovery compared to those who do not undergo such treatments.


Cervical Mobilization Procedures

When it comes to addressing joint restrictions from Whiplash Associated Disorders (WAD), many patients may not realize they have options. Whether you prefer Neck Adjustments or Cervical Mobilization techniques, the decision is ultimately yours, allowing for a tailored approach to your recovery.



 


Treatment Recommendations for WAD Grade 2


Phase 1: Intensive Treatment (Weeks 1-3)

  • Chiropractic/Physiotherapy: 2 sessions/week (6 total)

  • Massage Therapy: 2 sessions/week (6 total)


Phase 2: Transition to Maintenance (Weeks 4-7)

  • Chiropractic/Physiotherapy: 1 session/week (4 total)

  • Massage Therapy: 1 session/week (4 total)


Phase 3: Evaluation & Continued Maintenance

  • Evaluation: Assess progress after 21 treatments. (21 appointments are covered by most insurance companies)

  • Continuation: If needed, request an additional 5 weeks (10 total visits).

  • Frequency: 1 session/week each for Chiropractic/Physiotherapy and Massage Therapy.


Functional Exercise Program

  • Start immediately to improve mobility, strength, and balance.

  • Adjust based on patient progress.


Medication Management (if necessary)

  • Consult with MD: Discuss pain and anti-inflammatory medications to help the patient tolerate treatment, perform exercises, and get adequate rest.



 

Exercise is Critical


Exercise plays a crucial role in rehabilitating Whiplash-Associated Disorders (WAD). Combining exercise with manual therapy, such as manipulation or mobilization, effectively reduces pain and improves mobility. It’s important to start with exercises that stay within a comfortable range to avoid triggering central sensitization and to promote tissue repair. While healing takes time, neglecting appropriate exercise increases the risk of further injury and chronic pain.


Each exercise plan is tailored to the patient’s specific needs and injury severity. Personalized advice on daily activities, including heat/cold therapy and optimal sleeping positions, further supports recovery. We begin with mobility exercises, then move to strengthening routines, and finally incorporate functional exercises to enhance balance and proprioception. Including low-intensity aerobic exercise can also accelerate the rehabilitation process.


Mobility and Flexibility Exercises


tretching and mobility exercises are essential for whiplash rehabilitation. Whiplash injuries often result in sudden neck and shoulder movements, leading to muscle strain, ligament sprains, joint dysfunction, and reduced mobility. These issues cause stiffness, pain, and a limited range of motion, which can significantly affect daily activities and quality of life.


Incorporating stretching and mobility exercises helps restore flexibility, improve range of motion, and reduce pain. Stretching alleviates tension by lengthening tight muscles and ligaments, while mobility exercises enhance joint function and promote healthier movement patterns and better posture, ultimately reducing the risk of future injuries.


5 Minute Neck Pain Relief

Welcome to our "5 Minute Neck Pain Relief" exercise guide, designed to provide effective, quick relief from neck discomfort. This simple routine, which should be performed 3 to 4 times daily, is tailored to help alleviate pain, increase mobility, and promote overall neck health.


PNF Neck Stretches - Mobility, Strength and Power

Studies indicate that PNF stretching techniques efficiently boost and sustain flexibility, augment muscular strength and force, and elevate athletic performance. If you are injured, please ask your physician if these exercises are appropriate for your case.


Pain Relief For Problem Headaches

This video, "Pain Relief For Problem Headaches," shows you a great way to resolve your headache. This Headache Relief video shows you how to release trigger points at the base of your skull, the Suboccipital region. Releasing this area is a key aspect of resolving headaches.


6 Effective Jaw Release Exercises

Whiplash injuries frequently coexist with issues related to the jaw. The upcoming video illustrates six exercises tailored to Temporomandibular Joint Dysfunction, a common complication seen with whiplash. These exercises mirror those we recommend to our patients after applying Motion-Specific Release (MSR) procedures for TMJ dysfunctions.



 


Woman Performing Band Exercises

Strength Exercises for Whiplash Recovery


Strengthening exercises are vital for recovering from whiplash injuries. The sudden forces of whiplash can overstretch and damage neck and upper back muscles and ligaments, leading to weakness and reduced functionality, compromising neck support.


Incorporating strengthening exercises helps rebuild muscle strength and resilience, alleviating pain and preventing future injuries. These exercises enhance muscular endurance, correct posture, and improve neck stability, making it more resistant to future impacts. Strengthening exercises are essential for fully restoring neck and upper back function after whiplash trauma.


Neck Strengthening Exercises That Work

Neck and Shoulder exercises are essential to correct bad posture. What you need are neck-strengthening exercises that work! A strong mobile neck can go a long way in preventing future injuries and completely resolving an existing injury. Neck strengthening is also incredibly important for postural improvement.


 


Man Performing Tai Chi Exercises

Nerve Flossing Exercises: A Vital Element in Whiplash Treatment


Nerve flossing exercises are crucial for treating whiplash injuries. The sudden, forceful movements from whiplash can stretch or compress nerves in the neck and upper back, leading to pain, numbness, and muscle weakness.


Nerve flossing, or neural mobilization, gently stretches the nerves to reduce inflammation and compression, promoting better nerve function. Incorporating these exercises into your treatment plan can enhance mobility, reduce pain, and improve overall function.


The following videos demonstrate nerve flossing exercises tailored for whiplash recovery, targeting various affected areas. These exercises should be customized to individual needs and performed with professional guidance.


Median Nerve Flossing Video
Click Image to Watch Video

Median Nerve Flossing

The following video showcases the execution of median nerve gliding exercises. These maneuvers aim to liberate the median nerve from the enveloping tissues, offering a therapeutic benefit to those with whiplash injuries who have developed ancillary issues such as median nerve entrapment.



Releasing Entrapments of the Spinal Accessory Nerve  Video
Click Image to Watch Video

Releasing Entrapments of the Spinal Accessory Nerve

This video demonstrates how to perform exercises to alleviate entrapments of the Spinal Accessory Nerve. Whiplash injuries often impact this nerve, which is integral to the functioning of the neck and shoulder. Entrapment of this nerve can lead to neck and shoulder pain. Hence these exercises can be particularly beneficial for whiplash recovery.



Sciatic Nerve and Spinal Nerve Root Flossing Video
Click Image to Watch Video

Sciatic Nerve and Spinal Nerve Root Flossing

Whiplash injuries often result in lower back pain and, in some cases, sciatica-like symptoms. The following video demonstrates exercises aimed at relieving sciatic and lower back pain. These procedures help release the spinal cord and sciatic nerve tension by employing nerve flossing techniques. This can effectively target the entrapment of spinal nerve roots and the sciatic nerve, offering relief to those suffering from whiplash-related pain.




 

Happy Woman Sitting on a Swiss Ball

Why Choose Our Approach


Our integrative approach to treating Whiplash-Associated Disorders (WAD) consistently achieves a success rate of over 90% in reducing pain and restoring function. Here’s why our method is highly effective:


  • Established Expertise: With over 30 years of clinical experience and a track record of successfully treating more than 25,000 patients, our WAD injury process, developed by Dr. Brian Abelson, ensures you receive expert care rooted in proven methods.

  • Thorough Assessments: We conduct comprehensive evaluations to pinpoint all contributing factors, including nerve compressions, joint dysfunctions, and soft tissue injuries, which are often involved in WAD cases.

  • Advanced MSR Techniques: Our Motion-Specific Release (MSR) methods precisely target areas of fascial restrictions, nerve entrapments, and joint limitations, providing targeted and effective relief from WAD symptoms.

  • Customized Exercise Programs: We design personalized exercise plans that enhance mobility, strengthen the neck and upper back, and restore function, helping you achieve a full recovery.

  • Logical, Evidence-Based Approach: Our treatment integrates manual therapy, functional exercises, and supportive care, offering a well-rounded and lasting solution to WAD injuries.


Choose our proven, patient-centered approach for effective, long-term relief from Whiplash Injuries.




 

References


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DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

With over 30 years of clinical practice and experience in treating over 25,000 patients, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.



 


MSR Instructor Mike Burton Smiling

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Integrating MSR into your practice can significantly enhance your clinical practice. The benefits we mentioned are only a few reasons for joining our MSR team.


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