PTSD, not injury, the key to whiplash

The chronic post-injury pain of whiplash should be viewed like fibromyalgia with origins in post-traumatic stress disorder, two leading Australian rheumatologists say.

Writing in the Journal of Rheumatology  this month Professor Geoffrey Littlejohn and Dr Emma Guyer of Monash University, Melbourne, say the key to successful management of whiplash patients is early recognition of a central sensitisation mechanism that is distinct from the peripheral nociception mechanism for the initial acute injury.

They also suggest that