Houston Methodist. Leading Medicine

Neck FAQ

Question:

My insurance cut off reimbursement for therapy services saying that I have recovered from my whiplash. Since I still can't sit long enough to return to my job as an administrative assistant, I don't feel very recovered. How is this defined medically?

Answer:

There doesn't appear to be a standard definition of recovery from chronic whiplash, also known as whiplash-associated disorder (WAD). Information on recovery after whiplash isn't even measured the same from patient to patient or from study to study. When health outcomes are measured with different tests, results can be varied and confusing.

Recently, a few studies on WAD have defined recovery for their particular research project. Recovery was defined as no pain or neck symptoms, minimum to very low scores on disability, tests, and successful return to work.

You may have to contact your representative or case manager at the insurance company to find out how they define recovery. Ask what basis they use for their definition. If you do not match their criteria, then you have a right to challenge the closure of your claim. Trudy J. Rebbeck, MAppSc, et al. Evaluation of the Core Outcome Measure in Whiplash. In Spine. March 15, 2007. Vol. 32. No. 6. Pp. 696-702.

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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