What is whiplash?

Whiplash is when someone’s head moves forwards and then backwards quickly. This often happens in car crashes but can also occur as a result of a sports injury.

What is whiplash?

Symptoms may be experienced immediately but often develop after a day and can include:

  • Pain And Aching Into The Back, Neck And Shoulders.Pain May
  • Be With Some Or All Movements Of The Neck And Back.
  • Headache, Visual Disturbance Or Tinnitus (Ringing In The Ears).
  • Pins And Needles Or Referral Of Pain Into The Arms.

Do I need an X-Ray?

Following a motor vehicle accident, your GP/Physiotherapist will send you for an x-ray if:

  • You are 65 years of age or over
  • The accident was dangerous (For Example high speeds> 100km/hr, car rolled over, ejected from the vehicle, or a bicycle crash)
  • Unable to rotate your head 45° to the left and right

A CT and MRI scan may be indicated 2-4 weeks after the accident if there is persistent neck pain or pins and needles/ numbness/ hot or cold sensations in the arms indicating there is pressure on a nerve in your neck.

Initial Management

Once severe injury has been eliminated, initial management in the first 24-48 hours includes rest and avoidance of aggravating activities to allow the damaged tissue to settle. Heat and anti-inflammatory medication are useful in managing your symptoms.


Book in to see a Physiotherapist or Chiropractor at Masnad Health Clinic who will commence gentle hands on techniques and prescribe you with an exercise program to restore the movement of your neck. You should expect some level of discomfort with these exercises but remember they should not cause severe pain.

When should I start Physiotherapy or Chiropractic Treatment?

The first three months post injury is the most crucial timeframe. As soon as you are able to get yourself to a Physiotherapist or Chiropractor after the accident the better your recovery!

What can I do to speed up my recovery?

  • Try to stay active and continue with your normal daily activities
  • Continue going to work if you can. People who stay at work after an accident recover more quickly than those who take time off!
  • Do not use a collar unless it’s recommended by your GP or Physiotherapist. Collars used to be standard protocol for Whiplash injuries, howevernew evidence shows that active treatment is much better and wearing a collar slows down your recovery
  • Perform the exercises prescribed by your Physiotherapist

Tips & Tricks for Managing Daily Activities

  • Initially avoid heavy lifting. Divide heavy loads into several lighter loads for carrying.
  • When sitting, change your posture regularly, stand up for a break at regular intervals and perform gentle exercises regularly throughout the day.
  • Ensure correct seat setup and sitting posture when at work, sitting at a computer or when driving.
  • Spread out tasks and rotate them to prevent over straining
  • Bring objects closer to you. For example, lower the clothes line to reduce the strain on your neck and shoulders when hanging clothes, kneel to weed the garden rather than bending over.

How long till I get better?

Most people are able to continue with their normal activities, but it may take weeks or months for the discomfort to go away completely. Every injury is different.

Take Home Message:

  • See your GP or Physiotherapist as soon as you can
  • DO NOT wear a collar or stay in bed and cease all activities
  • Try to stay as active as you can without causing severe pain

Common Types

Different team members diagnose pelvic floor dysfunction such as a: Urologist, Gastroenterologist, Physiotherapists,Proctologist or Gynecologist. People suffering from pelvic pain often get different diagnoses. Here are some names for pelvic floor dysfunction:

  • Levatorani muscle syndrome
  • Dyspareunia
  • Pain in the coccyx/chronic rectal pain
  • Chronic Proctalgia
  • Prostatitis/non-bacterial prostatitis


Interstitial cystitis.

Symptoms of Pelvic Floor Dysfunction

Typically, patients manifest two or more symptoms:

  • Frequency of urination/urge to urinate
  • Pain in a seated position
  • Pain in the perineum or anus
  • Pain in the genitals
  • Pain during intercourse
  • Pain or reduction of discomfort after bowel movement
  • Reduction of pain when taking a hot bath or applying heat

Pelvic Floor Dysfunction Treatment

If you have problems with defecation for a long time, you need to see a doctor.

Before seekingtreatment for your pelvic floorat Masnad Health Clinic, your doctor should conduct a few examinations to diagnose the condition and will be able to choose the optimal treatment strategy for you. When pelvic floor dysfunction is caused by prolapse of the rectum or other anatomical diseases, surgical intervention is usually indicated. Otherwise, you will be offered an initial face-to-face appointment with a Physiotherapist to develop a management plan for you to understand and care for your problem.

Exercises to strengthen the pelvic floor (Kegel exercises) can reduce undesired symptoms. These exercises help strengthen the pelvic floor muscles, the muscles around the vagina, the urethra and the rectum – used to stop the flow of urine.

Squeeze your pelvic floor muscles, stay in this position for about 2 seconds, and then relax for about 10 seconds. The period of muscle contraction should be gradually extended to about 10 seconds. The exercise must be repeated 10 times. It is recommended to do these exercises several times a day. You can do exercises while sitting, standing or lying down. Regular execution helps to cope withincontinence for both women and men.

Note: To learn how to correctly perform exercises to strengthen the muscles of the pelvic floor and achieve a positive effect, it is better to consult a physiotherapist.

How long till I get better

There are several methods for treating PFD with different duration. Physiotherapy helps to restore the pelvic floor. Patients learn to contract muscles correctly. Muscles get stronger with constant training. If there are painful scars in the muscles, a relaxing massage of the back, thighs, lower leg and pelvic area will help.

One technique doesn’t always help everyone, so there are many ways to treat. Remember, if you have pelvic floor dysfunction, have patience.We encourage treatment to be multidisciplinary and holistic. We offer help with stress management, nutritional counseling, massage therapy, support groups and psychological services.