Preventing whiplash

Why prevention matters

Whiplash can feel unsettling, especially when pain, stiffness, headaches, or dizziness show up after what seemed like a minor crash. The good news is that most people improve over the first few weeks with the right plan, and there are steps you can take to lower the chance that symptoms linger or flare up again. ² ³ ⁴

Prevention is not about avoiding movement. It is about rebuilding trust in your neck, pacing your return to normal life, and catching early warning signs so you can respond before things spiral. Guidelines consistently support early reassurance, staying active within your limits, and a gradual return to usual activities instead of long rest or routine neck collars.² ³ ⁴ ¹⁰ ¹¹

Managing whiplash: what can trigger flare-ups?

Not everyone has flare-ups, but many people notice certain situations that temporarily increase symptoms, especially during recovery. Common triggers include:

  • Doing too much too soon: A big jump in activity, exercise, work hours, or driving can irritate sensitive tissues and systems.² ⁴
  • Staying in one position for too long: Long periods at a desk, on the couch, or in the car can increase stiffness and pain.² ⁴
  • Guarding and bracing: Holding your shoulders up, avoiding turning your head, or moving as little as possible can make stiffness and fear worse over time.² ¹⁰ ¹¹
  • Poor sleep: Sleep problems are common after whiplash and can make pain feel louder the next day.² ⁴ ⁸
  • Stress and feeling on edge: Higher early distress, worry about damage, and post-traumatic stress symptoms are linked with a slower recovery in some people.⁶ ⁸
  • Busy environments: Screens, bright lights, noise, and crowded places can feel overwhelming if you have dizziness, headache, or foggy symptoms.² ⁴

If symptoms are steadily worsening, or you develop red flag symptoms like new weakness, trouble walking, severe headache with neurologic signs, or stroke-like symptoms, you should seek urgent medical care.² ⁵ ⁹ ¹⁴

Habits that help prevent flare-ups

  • Move little and often: Do gentle neck movements through the day, even if they are small at first, rather than saving everything for one big effort.² ⁴
  • Return to activities gradually: Build back driving, work, exercise, and chores in steps. Aim for a bit more each week, not all at once.² ³ ⁴
  • Strengthen the neck and upper back over time: Once your symptoms settle, a progressive plan for neck, shoulder, and upper-back strength and endurance can help you feel steadier and more confident.² ⁴
  • Practice calm, controlled movement: If dizziness or unsteadiness is part of your whiplash, exercises that retrain eye–head coordination and balance can be helpful when guided and progressed carefully.² ⁴
  • Notice early warning signs: A spike in headache, stiffness, or sleep disruption after a busier day is a signal to scale back briefly, then restart gradually, rather than stopping completely.² ⁴
  • Support sleep and stress recovery: Sleep and stress can affect pain sensitivity. If you feel very anxious, on edge, or stuck in fear of movement, extra support can improve recovery for some people.² ⁶ ⁸

How Sword supports ongoing strength and mobility

Move is a guided movement program designed to help you stay active by building strength, improving mobility, and supporting stable movement patterns over time. It’s often used after recovery from a flare-up to help maintain progress and support long-term movement health.

Sword offers movement support that fits into daily life, helping you continue building strength and mobility over time. Programs are guided by expert insight and supported by technology designed to help you stay consistent.

  • Focus on strength, mobility, and stability
  • Designed to support movement between flare-ups
  • Guided programs you can follow on your schedule
  • Non-invasive, evidence-informed approach
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Footnotes

1

Québec Task Force. Definitions and classification of whiplash associated disorders (WAD). Spine. 1995.

2

Blanpied PR, Gross AR, et al. Neck pain: revision 2017 clinical practice guideline. J Orthop Sports Phys Ther. 2017;47(7):A1–A83.

3

NICE Clinical Knowledge Summary. Neck pain – whiplash injury: assessment and management. Updated 2023–2025.

4

SIRA (NSW). Guidelines for the management of acute whiplash associated disorders (3rd ed.). 2014; draft 4th ed. 2025.

5

American College of Radiology. Appropriateness Criteria: Acute spinal trauma (cervical). 2024 update.

6

Shiri R, et al. Obesity as a Risk Factor for Sciatica: Meta-analysis. Am J Epidemiol. 2014;179(8):929–937.

7

BMJ Open. Are physical factors associated with poor prognosis following a whiplash injury? Umbrella review. 2019.

8

Styrke J, et al. Fifteen years of emergency visits for whiplash injuries. Life (MDPI). 2025;15:987.

9

Sterling M, Rebbeck T, et al. Psychiatric sequelae following whiplash injury: systematic review. Front Psychiatry. 2022.

10

Stiell IG, et al. The Canadian C Spine Rule versus the NEXUS Low Risk Criteria. N Engl J Med. 2003;349:2510–2518.

11

Ricciardi L, et al. The role of non rigid cervical collar in whiplash associated disorders: systematic review and pooled analysis. Eur Spine J. 2019.

12

Rosenfeld M, et al.; Crawford JR, et al. Early active mobilization versus collar in acute whiplash: randomized trials. Emerg Med J. 2004 and related series.

13

Cochrane Review. Exercise for Low Back Pain and Sciatica. Cochrane Database Syst Rev. 2020.

14

University of Queensland RECOVER Injury Research Centre. WhipPredict clinical prediction rule and patient booklet. 2018.

15

Amundsen R, et al. ACR Appropriateness Criteria: Low Back Pain. 2023.

16

NICE. NG59: Low Back Pain and Sciatica in Over 16s. 2025.

17

Jordan JL, et al. Interventions to Improve Adherence to Exercise for Chronic Pain. Cochrane Database Syst Rev. 2010.

18

European Stroke Organisation. Guideline for management of extracranial and intracranial artery dissection. 2021.

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