affected body part will help exercise promotes movement of
MOTOR VEHICLE decrease the pain and muscles and joints, and increases
inflammation. circulation to the healing tissue.
ACCIDENTS When icing, use a wet towel/cloth Exercise will help with recovery
between the ice and your skin. in the long-term.
Ice for 10-15 minutes every Focus on maintaining good
hour. posture and mobility. As you’re
When able, early movement of the able, it is important to move
injured body part within a pain- your neck to prevent stiffness.
free range will help prevent joint
stiffness. Your health care provider will be
Your therapist will likely provide able to provide you with a
you with some exercises when diagnosis and will determine if
the injury has begun to heal. you are to be treated inside the
Strengthening the injured tissue protocol or outside the protocol.
helps prevent re-injury.
Pain /Anti-inflammatory Inside the protocols
medication may help short-term Includes treatment of any sprain,
So you’ve been in an accident? Here’s some symptoms. strain, WAD I, or WAD II resulting
information that will help guide you through from the MVA that has been
your recovery… Management of WAD I and WAD II: assessed by a doctor, physical
The use of ice (as described therapist, or chiropractor within 10
Within 10 days following a motor vehicle above) will help decrease pain days of the accident.
accident (MVA): and inflammation in the early Your personal auto insurer is the
A physical assessment and an AB-2 stages of recovery. first payer until the 90th day.
form must be completed by a primary The use of heat (15-20 minutes)
health care practitioner (medical will help to loosen stiff muscles Inside the protocols, pre-
doctor, physical therapist, or and joints and will help to authorized treatments include:
chiropractor). You (the patient) must decrease pain while promoting
complete an AB-1 form. circulation to healing tissues in 1st/2nd degree sprain/strain:
Insurer must be notified of claim the later stages of recovery. Do combined maximum of 10
Treatment may begin immediately if not use heat in the first 2-5 days treatment visits to physical
necessary following the injury as this may therapist, chiropractor, massage
Management of sprains/strains: increase inflammation. therapist, or acupuncture within 90
In the early stage (2-5 days following It is important to stay active days
the injury), the use of rest, ice, and continue your daily
compression, and elevation of the activities as able. Daily
3rd degree sprain/strain: combined Definitions Definitions (continued)
maximum of 21 treatment visits to
physical therapist, chiropractor, WAD injury: Whiplash associated Sprain: any injury to one or more
massage therapist, or acupuncture disorder. May be classified according to ligaments. Tendon may or may not be
within 90 days the severity and the structures damaged. injured
WAD I: combined maximum of 10 WAD I: Painful, stiff, or tender neck, Strain: any injury to a muscle or a
treatment visits to physical therapist, without any loss of range of motion or tendon.
chiropractor, massage therapist, or any damage to neurological structures
acupuncture within 90 days (nerves). There is no diagnosis of Sprains/strains may be classified as:
fractures. 1st degree: minor tear involving few
WAD II: combined maximum of 21 fibres
treatment visits to physical therapist, WAD II: Painful, stiff, or tender neck, 2nd degree: partial tear involving
chiropractor, massage therapist, or accompanied by decreased neck range approximately half of the fibres
acupuncture within 90 days of motion. There is no neurological 3rd degree: complete tear/rupture of the
damage or diagnosis of fractures. structure (tendon/ligament/muscle)
Required supplies to assist in the
recovery of the injury WAD III: Damage to neurological
structures that may result in altered
NOTE: Authorization for payment under the sensation, altered reflexes, and/or
protocols expires 90 days after the weakness in the neck or upper limbs.
collision unless the insurer approves The spine is not fractured or dislocated.
use of the protocols beyond 90 days.
WAD IV: A neck injury in which the
Outside the protocols spine is fractured or dislocated. This
Refers to the treatment of: may be accompanied by damage to
1. WAD III or WAD IV neurological structures.
2. Any diagnosed fracture
Assessment must be completed
within 30 days of the accident.
Auto insurer provides payment only
after coverage from secondary health
insurance (e.g. Blue Cross) has been
depleted. If you do not have any
secondary insurance, your auto
insurance is the first payer