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| More than 1.8 million people in the United States suffer from chronic pain and disability following motor vehicle accidents each year. The majority of these cases start with a relatively minor neck injury. Multiple studies have described the clinical features of Whiplash Associated Disorders, which include neck, shoulder, arm, low back, and head pain; tinnitus; visual symptoms; dizziness; temporomandibular joint pain; and paraesthesias. Onset of these symptoms after the injury is usually delayed for several hours and worsens within 24-48 hours. Neck pain is the most frequent symptom, and between 14% and 42% of patients with Whiplash Associated Disorders develop chronic neck pain symptoms. Studies suggest that the neck pain will either resolve in the first few months or persist indefinitely. One variable that may predict outcome after an accident is the acute emotional response immediately after the accident.
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