Back Pain After a Car Accident? What You Should Know (2023)

Every day in the United States more than 27,300 car accidents occur on the road, amounting to the staggering total of more than 10 million every single year.

Back Pain After a Car Accident? What You Should Know (1)

Even if you drive defensively, obey speed limits and use your turn signal, it doesn’t mean everyone else on the road acts the same way. As a matter of fact, statistics show that even safe drivers are likely to experience at least 3-4 car accidents in their lifetime.

Of course, many of these accidents will be minor and do nothing but cause a little damage to your car and a headache after dealing with your insurance company.

But sometimes, accidents can be more serious.

Every year, over 2.5 million Americans visit the emergency room as a result of a car accident and in many instances, people find that they start experiencing pain in their neck or back afterward.

Many people have questions when they start feeling back pain and worry that there’s been permanent damage done to their spine. Unfortunately, much of the material that appears online (typically from law firms that are seeking to make a profit from your injury) can only fuel those fears.

In this article, we bust some of the common myths that arise around back injuries and car accidents and take a real, medical look at what can happen to your spine as the result of a crash.

What’s Causing My Back or Neck Pain After My Car Accident?

There are a number of painful conditions that can arise from a car accident, but they commonly stem from muscle strains or tears that occur when the head is violently thrown forward and backward; commonly known as whiplash.

Though relatively uncommon, it’s also possible to sustain injury to the spinal discs, facet joints, bone structure as as result of this motion and depending on the severity of the accident.

We’ll discuss each of these potential causes for pain in detail below:


Whiplash, otherwise known as neck strain, is one of the most common forms of neck pain that occurs after a car accident and happens when, like a whip, the head is forcibly jerked backward and then forward.

Your neck, shoulders and upper back contain 32 muscles as well as numerous tendons and ligaments that all work together to help support your spine and head. They also allow for flexibility while providing strength and movement in the neck.

These soft tissues, like others throughout the body, are susceptible to injury. What’s different about them is that they support the weight of the entire head – usually about 8 pounds – while remaining remarkably flexible.

This extensive range of motion coupled with the overall lack of stability for your head makes these muscles some of the most common to injure.

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In addition to the many muscles and soft tissues that are in your neck and back, you also have your actual spine which can be susceptible to injury as well.

Your spine is made up of 33 different bones, 7 in the neck (also known as the cervical region), 12 in the thoracic region, 5 in the lumbar region, 5 in sacral region and 4 in the coccygeal region.

In addition to the bones and soft tissue, your spine has intervertebral discs between every vertebrae and 31 pairs of nerve roots that exit the spinal cord at various points.

The point is that there’s a lot in your spine that can be susceptible to injury as a result of whiplash, so there are a number of things your spine specialist should look for when investigating your pain. That said, while you should certainly have any neck or back pain examined, you should not immediately assume that chronic or permanent damage has been done to your spine as a result of your accident.

Spine and disc injury is rarely the cause of back pain, though it may often feel like it. In reality, the majority of back pain is caused by inflammation or unnecessary strain placed on the joints and muscles surrounding the spine.

What happens to muscles that have been strained from whiplash?

Whiplash typically occurs when a muscle, tendon or ligament is stretched past its normal capacity, or hyperextended.

Have you ever heard of a knee hyperextending? It’s the same principle in your neck.

Your muscles, tendons and ligaments are only meant to stretch so far. For example, your arms and legs typically only stretch to a 180-degree angle.

This natural limit allows you to have incredible flexibility and movement in your extremities, while still allowing you to maintain balance and keep vital interior structures from being compressed and injured.

When, through the use of excessive force, these soft tissues are stretched beyond their capabilities the result is almost always strain of some sort.

Think about it like a rubber band. The band has a limit to how far it will naturally stretch and when it is extended beyond that point you start doing damage to the structure itself. The extent of the damage depends almost entirely on how far it is extended.

Your neck is the same way and the excessive and sudden motion of a car accident can cause the soft tissues holding it to tear on a micro level which typically produces pain, stiffness and inflammation at the site of the injury.

Other common symptoms of whiplash can include:

  • Headaches, especially at the base of the skull
  • Dizziness
  • Blurred vision
  • Constant weariness
Back Pain After a Car Accident? What You Should Know (3)
(Video) Lower Back Injury: Doctor Explains Injuries from Car Accident

What about dizziness after whiplash?

Muscle and soft tissue pain seems like a pretty common symptom of whiplash but, interestingly enough, about 25-50% of whiplash victims also report feeling dizzy after their accident.

Research has shown that people who have experienced whiplash can also exhibit the signs of a concussion or injury to the brain.

Concussions are caused when the brain, due to a violent blow to the head, collides with the inside of the skull. Symptoms and damage can vary depending on the severity of that impact.

People can experience dizziness, blurred vision and weariness after getting whiplash for the same reason.

Now, it’s important to note that while concussions can occur as a result of whiplash, they are relatively uncommon. The amount of force that it takes to cause a concussion is about 60g of acceleration. On the other hand, the limit of human tolerance to whiplash is only 14g.

Whiplash itself likely won’t cause a concussion on its own. Rather it could come as a result of your head hitting something, like a window or steering wheel, during the accident.

That said, people with whiplash can experience some minor concussion-like symptoms because the brain can still be impacted by the quick and forceful movement caused by the accident. However, these symptoms typically clear up within several weeks after the accident with rest and recovery.

There is still some debate in the scientific community as to why substantial inner ear problems like dizziness, ringing, vertigo and other symptoms can occur after whiplash. Some believe that the triggering of a migraine could be the cause of these symptoms.

What spinal conditions can whiplash cause?

Most of the time, the pain caused as a result of whiplash is as a result of soft tissue injury. However, if the accident is serious enough it can cause more serious spinal conditions like a herniated disc, advanced degenerative disc disease, fractures, stenosis and others.

Disc Herniation

A herniated disc occurs when the inner, gelatinous material of the spinal disc pushes out through the rigid outer layer. This can cause pain if the fluid starts to press up against the sensitive nerve roots that exit the spine.

Herniated discs typically occur in older patients who have experienced a lifetime of natural disc degeneration. However, they can also be caused when severe amounts of pressure have been exerted on the spinal discs; often through a traumatic accident.

Symptoms of a herniated disc typically include:

  • Severe pain in the neck
  • Arm or leg pain
  • Tingling, numbness or weakness in the extremities (likely your arms)

Advanced Degenerative Disc Disease

Degenerative disc disease is a natural condition that affects just about every person with a spine. It’s simply the process of your spinal discs wearing out over a lifetime of constant wear and tear.

Typically, degenerative disc disease never causes any pain and people will go their whole lives without ever knowing they have it.

However, in the case of a serious car accident, it’s possible that the spinal discs experienced a serious amount of damage and degeneration occurred at an increased rate.

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Here’s a simple metaphor to help explain advanced degenerative disc disease:

Imagine a calm, quiet river. Now, we know that water is constantly eroding or “degenerating” the banks of the river. Over time, the river will become wider and deeper as erosion naturally continues.

Now, imagine that one day there’s a flash flood and a ton of water rushes through quiet river. Suddenly, erosion is going to occur at a much quicker rate than it naturally would.

This is similar to what can happen to your spinal discs during an accident. Over the course of your life, your discs will naturally erode or degenerate. However, whiplash is like a flash flood pouring through your spine and putting a ton of extra pressure and force on your discs, causing dengeration to happen at a much quicker rate.

Degenerative disc disease can cause a number of different conditions including spinal stenosis, bone spurs, disc herniation and more.

Spinal Stenosis

Spinal stenosis is a condition that occurs when the canal that houses the spinal cord and nerves narrows as a result of bone spurs or thickened ligaments.

Stenosis typically occurs when the spine has been destabilized by some sort of injury or degeneration. To combat excess movement and to compensate for degeneration, the body will naturally build up bone spurs or thicken the ligaments around the area. A side effect of this process is a narrowing of the spinal canal and potentially pressure being placed on the vital nerves that run through it.

Symptoms of spinal stenosis typically include:

  • Weakness or tingling in the arms
  • Difficulty balancing or standing

It’s important to note that while stenosis has been reported in patients who have experienced whiplash, there hasn’t been a direct correlation as of yet.

Facet Joint Disease

Facet joint disease is a condition where the facet joints in the spine degenerate to the point of causing pain.

Facet joints run all the way up the spine and allow for movement and flexibility in the back. Similar to other major joints in the body like the knees and shoulders, these joints are lined with cartilage that can naturally wear out over time.

However, like degenerative disc disease, this process can be expedited by significant trauma to the spine; like whiplash.

The symptoms and amount of pain a person experiences from facet disease depends almost entirely on the location of the degenerated joint, the extent of damage that has occurred and the amount of pressure that it is putting on the surrounding nerve roots.

For example, a degenerated joint in the upper spine will generally manifest itself through symptoms in the neck, shoulders and, occasionally, headaches.

Conversely, symptoms from a damaged joint in the middle or lower back will typically be felt in the lower back, buttocks or legs. That said, there are some common symptoms that do occur in patients with facet disease, these include:

  • Throbbing lower back pain that radiates into the buttocks or upper thighs
  • Pain that goes from the back of the neck out to the shoulders
  • Bone spurs
  • Inflammation
  • Tenderness of certain areas of the spine
  • Pain that is exasperated through certain spine movements, like twisting your back, bending over, leaning back, etc.

When should I see a doctor as a result of whiplash?

Most cases of whiplash, while potentially painful, will heal on their own. However, if you’re experiencing any of the following symptoms for an extended period of time, you should see a spinal specialist:

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  • Symptoms spread to the shoulders or arms
  • Moving your head is exceptionally painful and not getting better with time
  • You feel a bulge in your neck
  • You have numbness or weakness in your arms
Back Pain After a Car Accident? What You Should Know (4)

Often, these types of symptoms are indicative of a more serious problem with the spinal structure itself, likely a herniated disc that is pressing up against the nerve roots that exit your spine. It could also be an indication of damage to the vertebrae itself or the tendon or ligament structures that are connected to the bones.

Regardless of whether or not you are experiencing these more serious symptoms of whiplash, you should always see your spinal specialist after experiencing any kind of trauma to the head or neck that is causing you prolonged discomfort or pain.

Oftentimes, we are not the best judges of our pain and far too often we assume that problems will simply go away on their own. While this is true in most cases, there are instances where medical attention is required and it is always far better to receive that attention as early as possible to avoid any permanent damage.

Will My Whiplash Pain Go Away?

In most cases, the pain from whiplash typically goes away after about 6 weeks. However, a vast majority of the pain should dissipate a couple of days after the accident as the soft tissues impacted begin to heal and inflammation dies down.

While painful, whiplash typically doesn’t affect the vital nerves, bones or other structures located within the neck and pain can be reduced with ice, pain-relieving medication and rest.

Which means that the prognosis for victims of whiplash is often good, according to the National Institute of Neurological Disorders and Stroke.

That said, about 12-50% of people still report experiencing symptoms, like headaches or neck pain, after a year and others will continue to exhibit symptoms the rest of their lives.

The amount of time that pain lasts is typically dependent on the seriousness of the accident, the amount of damage that was caused to the spine and soft tissues and whether or not you had any preexisting spinal conditions beforehand.

By taking a MRI or CT-scan of your spine, a neurosurgeon will be able to better determine the symptoms that you’ll likely experience as you’re recovering from your accident and whether or not they will be long-term.

How is whiplash treated?

Typically, the best treatment for whiplash is simply rest. Your neurosurgeon may prescribe you an over-the-counter medication like Tylenol or aspirin to help with pain while more serious cases may require muscle relaxants or stronger painkillers.

Apart from using medication sparingly, you can combat your back or neck pain using at-home, conservative treatments.

If the muscles in your neck are tight or knotted after your accident, you can apply local heat therapy to the area to help encourage blood flow to the area. When applying heat, you should first determine which muscles are tight, then heat up that area of your body using a warm water bottle, a heating pad or a heated gel pack onto the affected muscle. Depending on the severity of your strain, you can leave the heat on for 20-30 minutes (minor strain) to up to 2 hours (severe strain).

If your neck injury is considered “fresh”, meaning that it is swollen, red, hot or bruised, apply an ice pack to the area for no more than 20 minutes.

This will help restrict blood flow to the area and help relieve swelling and inflammation pain.

Your spine specialist may also recommend that you visit a chiropractor or a masseuse to help adjust your spine or loosen the muscles surrounding it to help provide some pain relief.

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Rest is typically the best way to help you recover from whiplash but, nevertheless, it may be helpful to visit a spine specialist after undergoing a car accident just to ensure that everything in your spine and neck is without injury.

Symptoms of a more serious spine injury can sometimes take days, even weeks, to fully manifest, but can be caught early through tests and imaging. Even if there isn’t an injury a spinal scan can give you the peace of mind to know that, with time, your pain will very likely decrease.

Have more questions about your spine pain or want to get your neck examined by our neurosurgeon? Just contact us and we’ll help you schedule your initial consultation.


How do you describe back pain after a car accident? ›

Burning pain: A searing pain may move down your back and buttocks through the back of one or both legs. It can be a mild ache that goes away quickly or a burning pain that lasts for days. Stiffness: You may not feel as flexible after a car accident as your muscles tense up to protect your body.

How long does back pain after car accident last? ›

How long does back pain last after a car accident? Back Pain usually subsides within six weeks in the majority of auto injury patients. However, the bulk of the pain should reduce within a few days following the injury as the affected soft tissues recover and the inflammation subsides.

What are the 5 steps you should follow if you are involved in a car accident? ›

5 Steps to Take After a Car Accident
  • 1) Call for Help. If you or anyone else involved is injured, call 9-1-1 and ask for help. ...
  • 2) Get Medical Treatment. ...
  • 3) Gather Information & Document Evidence. ...
  • 4) Don't Admit Fault. ...
  • 5) Contact a Car Accident Lawyer in Lubbock, Texas.
Mar 8, 2018

What usually hurts after a car accident? ›

Normal pain after a car accident usually includes minor soreness. Commonly, car accident victims experience pain in the neck or back. Even minor whiplash can linger for weeks, making it difficult for you to turn your head or move your neck into certain positions.

How do I know if my back pain is serious? ›

Contact your doctor if your back pain: Persists past a few weeks. Is severe and doesn't improve with rest. Spreads down one or both legs, especially if the pain extends below the knee.

What helps back pain from accident? ›

4 Ways to Manage Back Pain After a Car Accident
  1. Rest, Ice, and Heat. Rest is vital for the healing of your back injury. ...
  2. Painkillers. Over-the-counter painkillers such as ibuprofen will help to reduce inflammation. ...
  3. Gentle Exercise. ...
  4. Massage Therapy.

How do you strengthen your back after a car accident? ›

Eight Exercises To Relieve Back And Neck Pain After An Accident:
  1. Seated Neck Release.
  2. Bird Dog.
  3. Seated Clasping Neck Stretch.
  4. Table Top Leg Press.
  5. Behind The Back Neck Stretch.
  6. Glute Bridge.
  7. Seated Heart Opener.
  8. Dead Bug.
Jun 10, 2019

Why does my lower back hurt after being rear ended? ›

Strains and Sprains: Back strains and sprains are very common after being rear-ended in a car crash. Most strains and sprains can cause muscles, tendons, and ligaments in the lower back to tear or overstretch. This can cause acute low back pain, muscle spasms, and muscle tightness.

What are 3 things you do immediately after a car accident? ›

A. STOP Immediately and move only if it is safe to do so.
  1. Call 911 if there are injuries.
  2. Call the police. ...
  3. Obtain names, addresses, telephone numbers, and driver's license numbers from all drivers.
  4. Obtain license plate(s) and vehicle identification numbers.

What should you do immediately after an accident? ›

The following is a list of the top ten things you should do if you are in an automobile accident:
  1. STOP. Never drive away from the scene of an accident, even a minor one.

What should we do after motor accident? ›

  1. Safety First. ...
  2. Do Not Cause Traffic. ...
  3. Insurance and Repairs. ...
  4. Check if anyone is hurt. ...
  5. Make sure to take pictures of the accident. ...
  6. Move your vehicle off to the side of the road if possible. ...
  7. Let the investigator take command of the situation, and institute measures to prevent the accident from getting worse.

What to expect after being rear ended? ›

Many people who have been rear-ended feel pain and soreness after the accident. Your body will likely experience some level of trauma and injury due to the collision that will cause you to feel pain, soreness, or stiffness. Some people feel no pain or soreness at all immediately following a rear-end accident.

What should I watch after a car accident? ›

What Are Common Physical Symptoms After a Car Accident?
  • Headaches (Very Common) Many people experience headaches after a car accident—but not always right away. ...
  • Neck, Shoulder, or Back Pain. ...
  • Bruising. ...
  • Numbness or Tingling. ...
  • Changes in Mood. ...
  • Upset Stomach or Abdominal Pain. ...
  • Swelling. ...
  • Ringing in Your Ears.

What happens to your body after car accident? ›

Since the ribs protect the lungs, the chances of a lung collapsing increase drastically. In addition, the heart is propelled forward with the rest of your torso and can hit the hall of the chest and ribs, bruising the heart. This can lead to large amounts of blood loss or even instant death.

How do I know if my back pain is muscular or spinal? ›

If the pain you feel extends to your arms, forearms, and hands, the source may be your cervical spine. On the other hand, if you feel the pain radiating to your legs, it may be a problem with the lumbar spine.

How do you know if back pain is muscle or disc? ›

Your spinal disc is at the bottom of your back, so if you have pain in your lower back, you may assume it is a slipped disc. Furthermore, the feeling of pain will differ between the two. Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.

Which of the following symptoms suggests a more serious cause of back pain? ›

If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury: Sudden spike in pain, discomfort, weakness or numbness. Loss of bladder function. High fever.

What are the 3 categories of back pain? ›

3 Types of Back Pain and What They Mean
  • Acute Pain. Acute pain, or short-term pain, can last anywhere from a day up to four weeks. ...
  • Subacute Pain. Subacute pain lasts anywhere from four to 12 weeks. ...
  • Chronic Pain. Chronic pain lasts longer than 12 weeks.
Sep 21, 2018

What are the three most common types of back injury? ›

Common Types of Back Injuries
  • Sprains and strains.
  • Herniated or bulging disc.
  • Fractured vertebra.

Should I exercise after car accident? ›

Although resting appears like the best thing to do to heal after an injury, moving the body and exercising it may be the most effective way to expedite recovery. People who are injured from a car accident need to find ways to reduce pain while regaining their flexibility and strength.

Why does my lower back hurt after a car accident? ›

Sprains and strains.

Lumbar spine sprains and strains are another common back injury following a car accident. The force of impact can cause the muscles, tendons and ligaments in the lower back to overstretch or tear. Sprains and strains usually lead to acute low back pain, tightness and muscle spasms.

How long should you wait to exercise after car accident? ›

Although stretching can be very beneficial after an accident, you should not stretch within the first 72 hours after the crash. Your body needs rest and stretching may cause unnecessary stress on the injured area.

At what speed do airbags deploy in a rear-end collision? ›

Airbag Injuries

Even if you are stopped when you are rear-ended, if the force of the vehicle hitting you from behind brings your speed up to 20 miles per hour and that vehicle pushes you into another car or object, the airbags may deploy.

How long will my back hurt after getting rear ended? ›

Symptoms for muscle strains can last for days to weeks. More serious cases of shifted or fractured spinal vertebrae may occur as a result of a rear end collision. These cases will most certainly require specialized treatment and can take months to years for recovery.

What happens to your body in a rear-end collision? ›

The body snaps back against the seat thanks to the seatbelt. The skull and spine are quickly forced back into the seat. Because nobody in the car is bracing for an accident, the motion is even more violent. As a result, many rear-end collisions lead to internal, soft tissue, and spine injuries.

What should you not say to your insurance company after an accident? ›

Even if you know the accident was your fault, don't say sorry or admit guilt at the scene as your insurer might have a clause about it. Exchange details with the other's involved and get in touch with your insurer to report the incident.

How long does an insurance company have to investigate a claim? ›

Generally, the insurance company has about 30 days to investigate your auto insurance claim, though the number of days vary by state.

How does car insurance work when you are not at fault? ›

If you are involved in an accident and found not to be at fault, the insurance of the responsible party will cover your costs. When you buy a motor insurance policy from an insurance company, you will get an insurance disc and a certificate of insurance.

How do you explain a car accident to insurance? ›

What Information should I Give when Describing my Car Accident? Stick to providing only the facts as you remember them and do not speculate on anything, especially what the other driver was doing at the time of the collision. Never admit fault, even if you suspect you contributed to or caused the accident.

Why car insurance claims can be denied? ›

Insurance claims are often denied if there is a dispute as to fault or liability. Companies will only agree to pay you if there's clear evidence to show that their policyholder is to blame for your injuries. If there is any indication that their policyholder isn't responsible the insurer will deny your claim.

How do car insurance claims work? ›

To make a claim, get a form from your insurer or write to the other driver or their insurer, giving details of the accident and the other driver's policy number. Tell your insurer about any independent witnesses and send them witness statements if you can.

What are the 7 steps to dealing with a car accident? ›

How to Handle a Car Accident in 7 Easy Steps
  1. Move to a safe area (if you can) ...
  2. Stop your vehicle and get out. ...
  3. Check on others involved. ...
  4. Call the police to the scene. ...
  5. Gather info. ...
  6. Document the scene. ...
  7. File your insurance claim.
Oct 2, 2018

What are 3 important tips on filing an auto insurance claim? ›

Gather relevant evidence and documentation
  1. Call the police. ...
  2. Record all accident details. ...
  3. Avoid mistakes that could impair your claim. ...
  4. Open a case. ...
  5. Work with a claims adjuster. ...
  6. File the report before the deadline. ...
  7. Understand fault. ...
  8. Know how long it may take to settle a claim.
Sep 22, 2021

Can a rear end collision cause lower back pain? ›

Strains and Sprains: Back strains and sprains are very common after being rear-ended in a car crash. Most strains and sprains can cause muscles, tendons, and ligaments in the lower back to tear or overstretch. This can cause acute low back pain, muscle spasms, and muscle tightness.

What causes lower back pain after car accident? ›

An accident, especially one in which the torso is strained or twisted, can damage the muscles and nerves, causing weakness and severe pain. Sudden low back pain after a car accident may indicate: Strain, sprain, or tear to muscles and ligaments. Bulging or herniated discs.

What happens physically after a car accident? ›

After trauma to your body from an accident, swelling is very common. You may experience swelling from tissue damage, pulled muscles, sprains (such as whiplash), and more. Swelling can be tricky because it may not reach full effect until hours or days later. When the area swells, it can cause a lot of stiffness or pain.

How long will my back hurt after getting rear-ended? ›

Symptoms for muscle strains can last for days to weeks. More serious cases of shifted or fractured spinal vertebrae may occur as a result of a rear end collision. These cases will most certainly require specialized treatment and can take months to years for recovery.

At what speed do airbags deploy in a rear-end collision? ›

Airbag Injuries

Even if you are stopped when you are rear-ended, if the force of the vehicle hitting you from behind brings your speed up to 20 miles per hour and that vehicle pushes you into another car or object, the airbags may deploy.

How do you strengthen your back after a car accident? ›

Eight Exercises To Relieve Back And Neck Pain After An Accident:
  1. Seated Neck Release.
  2. Bird Dog.
  3. Seated Clasping Neck Stretch.
  4. Table Top Leg Press.
  5. Behind The Back Neck Stretch.
  6. Glute Bridge.
  7. Seated Heart Opener.
  8. Dead Bug.
Jun 10, 2019

How long after a car accident can symptoms appear? ›

Car accident injuries usually manifest themselves immediately, but some may take days or even weeks to appear. In some circumstances, a life-threatening injury could worsen for weeks before a person realizes the issue originated from a recent car accident.

Is it normal to be tired after car accident? ›

Your body will try to take care of itself and begin the healing process, which may cause you to be more tired than normal. However, if this tiredness or extended sleep time lasts for more than a few days after an accident, then it could be a sign of something more serious going on.


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