Whiplash

Whiplash vs. Concussion: How to Tell the Difference

On this page
  1. What is the difference between whiplash and a concussion?
  2. Can you have whiplash and a concussion at the same time?
  3. Which symptoms overlap, and which point one way?
  4. Which signs mean you need emergency care?
  5. Who should check you first?
  6. How long does each one take to get better?
  7. Find out what's behind your neck pain
  8. Frequently asked questions
Short answer

Whiplash is a neck injury. A concussion is a mild brain injury. Both can come from the same jolt, and both can cause headaches, dizziness, and tiredness. Neck pain and stiffness point toward whiplash. Confusion, memory trouble, repeated vomiting, or sensitivity to light point toward concussion, which needs a medical provider first.

Your head snapped forward and back, and now something feels off. Your neck aches, but you also feel foggy, and the light at work seems too bright. You're not sure whether it's your neck, your brain, or both. That uncertainty matters, because the two injuries need different first steps.

What is the difference between whiplash and a concussion?

Whiplash injures the neck, while a concussion affects how the brain works. Both often come from the same kind of force, which is why they get confused.

Whiplash happens when your head is thrown forward and back faster than your neck muscles can control. It strains the muscles, joints, and ligaments in your neck. According to Mayo Clinic1, common symptoms include neck pain and stiffness and pain that's worse when you move your neck. Headaches at the base of the skull are common too.

A concussion is different. According to Mayo Clinic2, a concussion is a mild traumatic brain injury that affects brain function. During a concussion, the brain slides back and forth against the inside of the skull. Headache, confusion, and memory loss are common.

In short, whiplash is about how your neck moves and feels. A concussion is about how your brain is working. One is a muscle and joint injury. The other is a brain injury that needs medical care.

Can you have whiplash and a concussion at the same time?

Yes. The same jolt that strains your neck can also shake your brain. According to Mayo Clinic2, a concussion can follow a blow to the head, neck, or upper body. It can also follow a sudden speeding up or slowing down of the head.

That means your head doesn't have to hit anything for a concussion to happen. A rear-end crash can whip your head without any impact at all. So a sore neck after a crash doesn't rule out a concussion, even if you never hit the steering wheel.

According to Mayo Clinic2, most concussions don't cause a loss of consciousness. Feeling fine at the scene doesn't settle the question either. Symptoms of both injuries can take hours or days to appear1,3. Read more about delayed neck pain after a car accident.

Which symptoms overlap, and which point one way?

Headaches, dizziness, tiredness, and trouble sleeping can come from either injury. Other symptoms lean more clearly toward one or the other. This guide can help you describe what you're feeling. It isn't a diagnosis, and only an exam can sort it out.

Symptom Common with whiplash Common with concussion
Neck pain and stiffness Yes, the main symptom1 Not a typical concussion sign
Pain that's worse when you move your neck Yes1 Not a typical concussion sign
Headache Yes, often at the base of the skull1 Yes2,3
Dizziness Yes1 Yes, with balance problems3
Tiredness and poor sleep Yes1 Yes3
Trouble focusing or remembering Sometimes1 Yes, a hallmark sign2,3
Feeling foggy or slowed down Less typical Yes3
Bothered by light or noise Less typical Yes3
Nausea or vomiting Less typical Yes2,3
Tingling or numbness in the arms Yes1 Get emergency care if it comes with weakness3

Notice that whiplash can cause trouble focusing too, according to Mayo Clinic1. That overlap is exactly why you shouldn't sort this out on your own. If thinking, memory, mood, or your senses changed after the injury, start with a medical provider.

Dizziness is one of the hardest symptoms to place. Learn more about dizziness after a car accident. Headaches are tricky too. See headache after a car accident for when to worry.

Which signs mean you need emergency care?

Some signs after a jolt to the head or body need an emergency room, not a clinic visit. These come from CDC guidance on concussion danger signs3. Call 911 or go to the emergency room if you have:

  • A headache that gets worse and doesn't go away
  • Repeated nausea or vomiting
  • Slurred speech, weakness, numbness, or trouble with coordination
  • Unusual behavior, more confusion, restlessness, or agitation
  • Trouble recognizing people or places
  • Seizures or convulsions
  • Passing out with growing drowsiness, or trouble staying awake
  • One pupil larger than the other, or double vision

According to NHS guidance4, don't drive yourself to the emergency room if you've hit your head. Ask someone to take you, or call for help.

Who should check you first?

A medical provider should check you first if a concussion is possible. Chiropractic care isn't concussion treatment. According to Mayo Clinic2, see a healthcare professional within one to two days after any head injury. That applies even if you don't need emergency care.

Your primary care doctor, an urgent care clinic, or an emergency room can check for a concussion. While you recover, NHS guidance4 advises a few precautions:

  • Rest, and don't return to work or school until you feel better.
  • Don't drive until you've fully recovered.
  • Avoid contact sports for at least three weeks.
  • Skip alcohol until you feel better.
  • Have an adult stay with you for the first 24 hours.

Once a medical provider has cleared you, neck pain and stiffness may still linger. That's where we can help. Your chiropractor listens to how you were hurt and checks how your neck moves. Your doctor also tests your nerves and takes X-rays if needed. Then your doctor explains what they found and talks through gentle options. You decide what's right for you.

If you have neck pain without any concussion signs, a chiropractic exam is a reasonable place to start. If anything in your exam suggests a concussion, your doctor will tell you and help you get medical care. We work alongside medical doctors, so your care stays coordinated. Read more about concussion after a car accident.

How long does each one take to get better?

Both often improve within weeks, but each can linger. According to Mayo Clinic1, most people with whiplash get better within a few weeks. NHS guidance5 says whiplash usually gets better within two to three months.

Concussion symptoms follow their own path. According to NHS guidance4, symptoms may last up to two weeks after a head injury. According to Mayo Clinic2, symptoms can last days, weeks, or longer. Symptoms lasting more than three months are called persistent post-concussive symptoms2.

When both injuries happen together, recovery can feel more confusing. Neck pain can keep a headache going even after the brain has healed. That's one reason your medical doctor and your chiropractor should both know the full story. For a closer look at neck recovery, see how long whiplash lasts.

Find out what's behind your neck pain

You've been cleared, or you never had concussion signs at all. But your neck still won't turn, and the headache comes back every afternoon. You want to know what's actually going on.

We're here to help you find out. Chiropractic Company has cared for Greater Milwaukee since 1982, with 400,000+ patients, 1,400+ five-star Google reviews, and 20+ neighborhood clinics. Our doctors care for whiplash and other car accident injuries every week. We look for the cause of your pain, not just the symptoms. Your care is designed around your injury, your medical history, your daily routine, and your goals. You choose your care, and you see the same doctor as it continues.

Care is natural and drug-free. Treatment begins at your second visit, or the same day in acute cases if your doctor decides it's appropriate.

We're in-network with most insurance companies and accept Medicare and auto accident claims. Eligible new patients can start with the $29 new-patient special, which includes a consultation, an exam, and X-rays if needed. *See offer terms.

Visit one of our 20+ neighborhood clinics across Greater Milwaukee: Milwaukee East, Milwaukee North, Milwaukee Third Ward, Shorewood, Glendale, Mequon, Cedarburg, Grafton, Germantown, Brookfield, Menomonee Falls, Waukesha, Oconomowoc, New Berlin, West Allis, West Allis North, Greenfield, Hales Corners, Franklin, Muskego, and Cudahy.

Frequently asked questions

It can. Mayo Clinic lists trouble focusing, memory problems, dizziness, and tiredness among possible whiplash symptoms. Because those overlap with concussion, a medical provider should check any change in thinking or memory after an injury.

Yes. A sudden speeding up or slowing down of the head can move the brain inside the skull. That can happen in a rear-end crash even if your head never strikes anything.

No. An X-ray shows bone, not how the brain is working. A medical provider checks for a concussion by asking how you were hurt and what you've noticed since, then examining you.

See a medical provider first after any head injury, ideally within one to two days. Once you've been cleared, a chiropractor can check the neck pain and stiffness that often come with it.

Yes, and younger children may not describe their symptoms clearly. Watch how your child acts, sleeps, eats, and plays for several days. Call their pediatrician about any change, and get emergency care for any of the danger signs above.
Part of our guide

Whiplash: symptoms, causes, warning signs, and how our chiropractors can help.

Read the full whiplash guide
This article is for general education and isn’t a diagnosis. If you have emergency warning signs, call 911. Medical disclaimer.

References

  1. Mayo Clinic. Whiplash: Symptoms and Causes. https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921
  2. Mayo Clinic. Concussion: Symptoms and Causes. https://www.mayoclinic.org/diseases-conditions/concussion/symptoms-causes/syc-20355594
  3. Centers for Disease Control and Prevention. Signs and Symptoms of Concussion (HEADS UP). https://www.cdc.gov/heads-up/signs-symptoms/index.html
  4. NHS. Head injury and concussion. https://www.nhs.uk/conditions/head-injury-and-concussion/
  5. NHS. Whiplash. https://www.nhs.uk/conditions/whiplash/

Reviewed by Ashley Doebert, DC

Doctor of Chiropractic at Chiropractic Company Shorewood.

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