Whiplash

[physioo]

Had this patient

19 yr old, whiplash patient, whiplash 3 months ago.
No neuro signs, full rom, slight pain at end range, decrease mobility c2/3, c6/c7, also present in transversep processes.

I advised on use of heat, used TNS for 3 times, patient was getting better very slowly. Started isometrics and cerv stability exs.

Every treatment session, took 10 minutes to start with neck traction, someoscillatory grade 3/4 mobes to maintani full range, and did PA grades 1/2 to dec pain in the affected cerv spine. Finsihed off with Mulligans mobes to increase transverse mobility during the actual movement.

The patient is upset that the mobes is making her worse and wants to stop attending!

Am i doing something wrong here?

the more u care, the less they care!

Similar Threads:

• whiplash claims
• Hypermobility and whiplash
• whiplash to myself??
• Whiplash
• Whiplash Guidelines?

[farooqphysio]

better u go for steam bath for perticular area and than go for traction and than go for streaching of scm & upper trapezius with mulligans mob.

[ginger]

Whiplash patients can certainly tests a physio's ability in many ways . Not the least of which is to be able to construct a usefull treatment regimen that minimises post Rx irritation and sets a course for stability, movement and comfort. Post Rx irritation is common with these people. In some cases even pulsed US can irritate. As long as you are both prepared to comunicate , to modify , to establish a good relationship based on mutual trust and respect you will work out the way to proceed together.
Hands are great things. Use them with care and restraint here though.

[linbin]

hi
hows is his neural mobility.any signs of neural tension.if present try neural mobilization too.
"the more we care,less they care" .dont feel bad."people doesnot care how much you know unless and until they know how much you care"

[Yarok]

Hi
very helpfull gentle global and segmental postisometric relaxation followowed by PNF neck pattern.check trigger points in SCM,trape, levator scap if present apply mucle energy tech.

thanks