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Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

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A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
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7. Whiplash-associated disorders.

Hans van Suijlekom1, Nagy Mekhail, Nileshkumar Patel

  • 1Department of Anesthesiology and Pain Management, Catharina Ziekenhuis, Eindhoven, The Netherlands.

Pain Practice : the Official Journal of World Institute of Pain
|April 27, 2010
PubMed
Summary
This summary is machine-generated.

Conservative treatment, including active mobilization, is recommended for whiplash-associated disorders. Radiofrequency treatment shows promise, while Botulinum toxin A and corticosteroid injections are not advised.

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Area of Science:

  • Orthopedics
  • Neurology
  • Pain Management

Background:

  • Whiplash-associated disorders (WAD) present with significant neck complaints and headaches.
  • Early management focuses on conservative approaches for acute and sub-acute stages.

Purpose of the Study:

  • To evaluate the efficacy of various treatments for whiplash-associated disorders.
  • To provide evidence-based recommendations for WAD management.

Main Methods:

  • Review of available evidence for conservative and interventional treatments.
  • Assessment of recommendations based on evidence quality (e.g., 2 B-, 2 C-, 2 B+).

Main Results:

  • Conservative treatment, particularly active mobilization, is recommended for at least 6 months.
  • Botulinum toxin A injections and intra-articular corticosteroid injections received negative recommendations.
  • Radiofrequency treatment of the ramus medialis of the ramus dorsalis is recommended.

Conclusions:

  • Active mobilization is preferred over passive treatment in the initial stages of WAD.
  • Interventional treatments should be considered after conservative management fails.
  • Radiofrequency treatment offers a recommended interventional option for WAD.