Whiplash Injury

In the past, neck braces (cervical chinlas) were prescribed for long-term use in whiplash injuries. However, recommendations have changed as various studies consistently showed that the group wearing the brace for a long time recovered more slowly and had a higher rate of chronicity compared to the group exercising early. Currently, for whiplash injuries excluding fractures and nerve damage, the standard is to limit the use of the brace to within 3 to 5 days during the severe acute phase, and to perform early active exercise within the pain-allowable range. This is because muscles weaken rapidly if they do not move, creating a vicious cycle where weakened muscles generate pain. From the perspective of a Korean medicine clinic, the same conclusion is reached based on the principles of Korean medicine. Qi and blood flow with movement; however, immobilizing the neck with a brace for a long time causes qi and blood circulation to stagnate. This prevents blood stasis caused by the accident from dissolving, causing the stagnant state to solidify. Based on the principle that blockage causes pain, immobilization effectively preserves the cause of the pain. At Dongjedang, we actively reduce pain and inflammation using acupuncture and pharmacopuncture during the acute phase to allow for the brace to be removed quickly. During the recovery phase, we guide patients through Chuna manual therapy and gentle mobility exercises to restore the flow of meridians. For those with jobs that require continuous neck use, such as driving, we establish a routine of 5 minutes of neck stretching and shoulder loosening before and after work. We also support muscle recovery with herbal medicine tailored to your constitution, designing a treatment plan where your return to work and treatment go hand in hand.