Intermittent visual blurring, dizziness, vertigo, and tinnitus are frequent complaints, as are arm pains and paresthesias. The exact mechanism for these symptoms is not clear. Many patients also complain of fatigue, irritability, memory and concentration problems, and difficulting in sleeping. Psychological problems are extremely common. Recovery from soft tissue injuries of the neck is a slow and tedious process.
Few patients are symptom-free within a week.
The longer disabling symptoms persist, the less the chance of functional recovery. Patients who have not returned to work or leisure activities after 18 months have a very poor prognosis. While the good doctor has done an excellent job of summing up what a patient faces, he ruins things a paragraph later by stating that physical therapy is of no scientifically proven value and is useless beyond 2-3 weeks. He further states that manipulation has no place in the treatment of patients with neck injury and may be injurious.