“The politically correct view is that we don’t believe it exists; therefore, all these people are ‘malingerers’ (using 1970s speak) or they are ‘psychosocial’ (using contemporary speak).
80 per cent of the population should recover, irrespective of what you do. There remains 10-20 per cent of the population who do suffer a legitimate injury.
The idea is to keep these people reassured, encouraged and guided into regaining mobility immediately; not waiting three months or anything like that, not wearing collars, but just getting the neck moving. So that’s where physical therapy comes into play. The important thing is that we have to slap the wrists of therapists and stop them doing passive mobilisations on these people.
There is no evidence that the passive interventions actually make a difference. The exercise therapy of getting the neck mobilised [not *mobilising* it], keeping it moving while natural recovery occurs, is the paramount treatment.
In the 10 or 20 per cent that have an injury, the Physiotherapy studies show that we make no headway with [them]. We just need to identify these people.”
Emeritus Professor Nikolai Bogduk, InTouch, Issue 3 2014