7. Whiplash-Associated Disorders

Authors: van Suijlekom, Hans1; Mekhail, Nagy2; Patel, Nileshkumar3; Van Zundert, Jan4; van Kleef, Maarten; Patijn, Jacob5

Source: Pain Practice, Volume 10, Number 2, March/April 2010 , pp. 131-136(6)

Publisher: Wiley-Blackwell

Buy & download fulltext article:


Price: $48.00 plus tax (Refund Policy)



Whiplash-associated disorders are comprised of a range of symptoms of which neck complaints and headaches are the most significant spine related.

In the acute and sub-acute stage of the disorder, conservative treatment for minimally 6 months is recommended, active mobilization is slightly better than passive treatment. Thereafter, interventional treatment may be considered. The available evidence for injection of Botulinum toxin A (2 B−) and intra-articular corticosteroid injections (2 C−) supports a negative recommendation.

Radiofrequency treatment of the ramus medialis (medial branch) of the ramus dorsalis is recommended (2 B+).

Keywords: evidence-based medicine; facet joint; interventional management; pain; whiplash

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1533-2500.2009.00356.x

Affiliations: 1: Department of Anesthesiology and Pain Management, Catharina Ziekenhuis, Eindhoven, The Netherlands; 2: Pain Management Department, Anesthesiology Institute, Cleveland, Ohio, USA; 3: Pain and Rehabilitation, Coastal Orthopedics, Cleveland Clinic, Bradenton, Florida, U.S.A.; 4: Department of Anesthesiology and Multidisciplinary Pain Centre, Ziekenhuis Oost-Limburg, Genk, Belgium 5: Department of Anesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands;

Publication date: March 1, 2010

Related content



Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content

Text size:

A | A | A | A
Share this item with others: These icons link to social bookmarking sites where readers can share and discover new web pages. print icon Print this page