THE PHYSICIAN SURVEY ON THE POST-CONCUSSION AND WHIPLASH SYNDROMES

Background: The post-concussion syndrome (PCS) and whiplash syndrome ( WS) have been controversial topics among physicians for many decades. There is little information available on the opinions and practices of physicians. Methods: In June of 1992, we performed a national survey by mail of the four physician groups most commonly treating these prob lems. The number of respondents and response rates were as follows: fa mily physicians, 118, 16%; neurologists, 100, 21%; neurosurgeons, 97, 23%; orthopedists, 82, 13%. The survey instrument contained items on d emographics, definitions, causation, prognosis, medico-legal aspects, testing, and treatment. Results: Only a minority of respondents believ e that PCS and WS are clearly defined syndromes. A substantial minorit y report that psychogenic and litigation factors are most responsible for the conditions. Most of the physicians believe that PCS and WS hav e a 3-6 month recovery time. A significant minority concur that sympto ms of the two syndromes resolve when litigation is settled. Most of th e physicians order tests to rule out pathology although a minority ord er tests to reassure patients or because of litigation concerns. Only a minority of respondents believe that effective treatments are availa ble. Not surprisingly, a multitude of conventional and unconventional treatments are sometimes recommended. Conclusions: Many aspects of PCS and WS are controversial among treating physicians. This controversy can have a profound impact on the quality and cost of patient care. On going research is required to discover more effective treatments for m ild brain injury and chronic pain.