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acute neck sprain and whiplash injuries - Doncaster and Bassetlaw ...

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Heat <strong>and</strong> cold<br />

The use of hot <strong>and</strong> cold applied locally to the <strong>neck</strong> can provide some<br />

short term pain relief <strong>and</strong> help relax muscle spasm.<br />

Cold application is most effective for the first few days after injury. Wrap<br />

a bag of frozen peas in a damp teatowel <strong>and</strong> apply across the back of<br />

your <strong>neck</strong> <strong>and</strong> shoulders for about 5-10 minutes <strong>and</strong> repeat 3-4 times<br />

during the day.<br />

Heat is usually most effective after the first three days. Using a hot water<br />

bottle wrapped in a towel, or a wheat bag, apply for 15-20 minutes <strong>and</strong><br />

repeat as necessary throughout the day.<br />

Posture<br />

Poor posture can delay your recovery <strong>and</strong> it is important to avoid<br />

slouching <strong>and</strong> sitting with your chin poking forward. Try to sit up straight<br />

with a hollow in your lower back. Use a rolled-up towel placed at the level<br />

of your waistb<strong>and</strong> to help to maintain this position. Keep your shoulders<br />

pulled back <strong>and</strong> relaxed.<br />

PHYSIOTHERAPY<br />

Avoiding staying in one position for<br />

long periods, eg sitting or driving.<br />

Change your position regularly to help<br />

you avoid adopting poor postures <strong>and</strong><br />

avoid prolonged periods of inactivity.<br />

Sleeping<br />

Try to sleep with your head in line<br />

with the rest of your body; avoid over-<br />

bending or twisting at the <strong>neck</strong>. You<br />

may need to adjust the number of<br />

pillows that you use to allow this. One<br />

is usually adequate when lying on your back, but two may be better if<br />

you sleep on your side.<br />

A small rolled-up towel placed in the crook of your <strong>neck</strong> will help to fill<br />

the gap between your <strong>neck</strong> <strong>and</strong> shoulders <strong>and</strong> support your <strong>neck</strong>. You<br />

may also find it helpful in the initial days following your injury that, while<br />

changing position in bed, you use your h<strong>and</strong>s to support the weight of<br />

your head.

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