Chronic neck pain following road traffic accidents is a highly prevalent condition in developed societies. It constitutes the main element of chronic whiplash syndrome, and is often used synonymously with that term. It is also a highly controversial condition, with debate in the extensive literature as to the nature of the complaint. We performed an analysis of 100 consecutive patients presenting for treatment of chronic neck pain following road traffic accidents. The mean duration of neck pain was 15.5 months and 90% of patients reported wearing a seatbelt at the time, a significantly greater proportion than the general population (p<0.001). All patients in the study were involved in litigation related to the accident. The mean time off work due to the injury was 4.9 months (range 1 week-3 years). 60 patients also complained of accident related low back pain, a statistically significant association with whiplash syndrome (p<0.001). Our study demonstrates a significantly high incidence of reported seatbelt use in patients presenting with chronic neck pain and whiplash syndrome. We also found a significant association between whiplash and chronic lumbar pain, an association having important medico-legal implications and requiring further analysis. (Author/publisher)
Abstract