Chronic whiplash associated disorder treated with home cervical traction

The subject of this case report is a 43-year-old woman who suffered a whiplash associated disorder as a result of a motor vehicle accident (15 October, 1993). Within several hours she developed neck pain and the next day head pain, earache and a sore throat which became chronic, creating significant disability and a poor quality of life. A variety of diagnostic tests, medications and physical therapy from October 1993 to December 1994 were unsuccessful in determining a cause or relieving her complaint. In January 1995, the patient was a very angry, frustrated woman, reluctant to trust another trial of physical therapy. After observing her cervical motion, a home program of cervical traction and exercise was implemented. She was followed by the same physical therapist for 19 months (21 visits). This systematic, consistent and clearly defined program allowed her to gain control of her condition. The result of this treatment may benefit other patients suffering chronic whiplash associated disorder.