For 2-3 days after injury, which management approach is recommended in WAD?

• A. Aggressive strengthening
• B. Active rest
• C. Surgical intervention
• D. Immobilization with a hard collar

Answer: (B)

In acute whiplash injuries, keeping the neck moving within pain limits and returning to normal activities as tolerated promotes healing, rather than locking the neck in place. About 2-3 days after injury, the recommended approach is to stay active and perform gentle neck movements and activities as tolerated, using pain relief measures as needed. Prolonged immobilization with a hard collar is discouraged because it can lead to stiffness, muscle weakness, and slower recovery. Aggressive strengthening is not appropriate in the early phase, as it can irritate the injured tissues, and surgical intervention is not indicated for typical whiplash. So, staying active with controlled movement aligns with the best current approach.