Physiotherapy can greatly assist patients who have whiplash injury following a motor vehicle accident. The NICE (National Institute for Health and Care Excellence) guidelines for ‘Acute whiplash Injury’ last revised 2009  recommended treatment includes “Manual and physical therapies exercise” and details that range of movement exercises, muscle reeducation and low load isometric exercises should be implemented immediately. Joint mobilisations are also recommended and should be commenced within the first 7 days following the injury.

Recommendations for immediate physiotherapy treatment were included due to a growing research base in the area of cervical whiplash injuries.

What is whiplash?

The rapid motion of the neck during a crash can result in a number of injuries. Many of these injuries are impossible to see on xrays or MRI. Even though there may be minimal damage to your car or cycle, you can still sustain whiplash. In fact, even at low speeds, occupants can experience severe whiplash.

 Signs And Symptons

  • Neck pain and stiffness
  • Headache
  • Upper back and/or arm pain
  • Associated stress and anxiety
  • Jaw tightness or pain
  • Tenderness along the back of the neck and shoulders.
  • Neck swelling.


Most soft tissue injuries take 6 to 8 weeks to settle down. It is important to implement early treatment and encourage return to normal function as soon as possible. Research has shown that the prognosis of whiplash depends on many factors, including the availability of early physiotherapy intervention which aims to prevent the injuredjoints from “seizing up”, retrain stabilising muscle function, encourage movement and reassure the patient.

The speed or direction of the accident may not be as important a factor as your stress and anxiety related to the accident. It is important that you continue to move as freely as you can and take advice from your physiotherapist and doctor.


Treatment will include mobilisations, postural correction exercises, stabilising muscle exercises, stretching and more general exercises for the upper body. Education is an important part of treatment. Your physiotherapist may also use other techniques such as electrotherapy and dry needling as part of your treatment regime