Symptoms After a Crash

Why does my neck hurt after a car accident?

Short answer

Rapid acceleration and deceleration can strain the muscles, ligaments, and joints of the cervical spine, producing pain, stiffness, and referred symptoms.

Deeper explanation

During a crash, the head can move rapidly relative to the torso. Even when there is no direct impact to the neck, the tissues supporting the cervical spine can be stretched or injured.

Neck pain after a crash may include stiffness, reduced range of motion, headaches originating from the upper cervical region, and referred pain into the shoulders or arms.

Urgent care

When to seek urgent medical care

  • Severe neck pain with new weakness, numbness, or difficulty walking
  • Loss of bowel or bladder control
  • Severe headache with confusion or vomiting

If you have any of the above or other emergency symptoms, call 911 or go to the nearest emergency department.

What a proper evaluation should include

  • Cervical range of motion and orthopedic testing
  • Neurologic examination of the upper extremities
  • Imaging or specialist referral when clinically indicated

Documentation considerations

The record should include objective findings such as range of motion measurements, palpation findings, and any neurologic changes — not only the injured person's report of pain.