Whiplash-Associated Disorder Treatment Guidelines

WAD 2 Treatment


  • Decrease spasms
  • Decrease swelling
  • Decrease high tone
  • Decrease Trigger points
  • Stretch shortened muscles


  • Apply cold on swollen area, be sure to verbally, visually and touch the area to check in on client

Specific Techniques

  • Lymph draining
  • Static touch
  • Effleurage
  • Slow petrissage


  • Reassure client that pillows are placed on the bed for their head
  • Tell them to hold their necks and that you’ll gently lower their neck on to their side
  • Check on client
  • These are specific to muscle guarding

WAD 3 Treatment


  • Relaxation
  • Decrease high tone
  • Decrease trigger points

Specific Techniques

  • Stretch muscles at neural interfaces on side of compression ( side of impact)
  • Muscle approximation on stretched side
  • Work on upper traps, splenius capitus, and SCM

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