Juliette Lewis injured in hit and run accident

Actress Juliette Lewis was involved in a hit and run accident Wednesday night while driving in Burbank. The actress, known for her roles in “Natural Born Killers,” and her Oscar-nominated “Cape Fear” was driving home from an event when her car was T-boned by a car which fled the scene. Lewis, 37, initially complained of pain in her head, back and neck and was taken to hospital for evaluation.  She was later discharged, and is resting at home. Her spokesperson reported that  Lewis is “bit banged-up and sore but otherwise thankfully OK”.

TMZ has shown pictures of her vehicle after the crash.

As we have stated numerous times, we have no direct access to the celebrities we report on or to their physicians, however it would seem logical that a physician examining Ms. Lewis at the hospital would, with her presenting symptoms, consider whiplash as a possible diagnosis.

What is Whiplash?
Whiplash is a soft tissue injury to the neck an is also called neck sprain or neck strain. When a vehicle stops suddenly in a crash or is struck from behind, a seat belt will keep a person’s body from being thrown forward. The head initially continues to move  forward, then snaps backward causing the injury. It is characterized by a collection of symptoms that occur following damage to the neck and may include injury to intervertebral joints, discs, and ligaments, cervical muscles, and nerve roots.

Symptoms such as neck pain may be present directly after the injury or may be delayed for several days. In addition to neck pain, other symptoms may include neck stiffness, injuries to the muscles and ligaments (myofascial injuries), headache, dizziness, abnormal sensations such as burning or prickling (paresthesias), or shoulder or back pain.  Besides automobile accidents, whiplash can occur in any situation where there can be rapid accelerations and decelerations such as amusement park rides.

Is there any treatment?

Treatment for individuals with whiplash may include pain medications, nonsteroidal anti-inflammatory drugs such as Motrin or Aleve  and  muscle relaxants. Range of motion exercises, physical therapy, and cervical traction may also be prescribed. Supplemental heat application may relieve muscle tension. In the past, whiplash injuries were often treated with immobilization in a cervical collar. However, the current trend is to encourage early movement instead of immobilization. Ice might be applied for the first 24 hours, followed by gentle active movement.

What is the prognosis?

Generally, prognosis for individuals with whiplash is good. The neck and head pain clears within a few days or weeks. Most patients recover within 3 months after the injury, however, some may continue to have residual neck pain and headaches.

For more information about whiplash, click here to go to the Resounding Health casebook on whiplash.

Mark Boguski, M.D., Ph.D. is on the faculty of Harvard Medical School and is a member of the Society for Participatory Medicine, "a movement in which networked patients shift from being mere passengers to responsible drivers of their health" and in which professional health care providers encourage "empowered patients" and value them as full partners in managing their health and wellness.

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