<prompt> All are true about whiplash injury except :Neck stiffness is a presenting symptomX-ray shows veebral fracture in most casesThere is hyperextension followed by flexionIt is a ligamentous injury of the cervical spine  <response>: Whiplash injury: Collision causing the occupants body to be forced against the car seat, while the head flips backwards causing hyperextension and then recoil into flexion. CF: Neck pain and stiffness, headache, dizziness, blurring of vision, paraesthesia in the arms, Temporomandibular discomfo and tinnitus. Tenderness of neck muscles, restriction of neck movements. Quebec Task Force grading system: 0 - No neck symptoms or signs 1 - Neck pain, stiffness and tenderness 2 - Neck symptoms and musculoskeletal signs 3 - Neck symptoms and neurological signs 4 - Neck symptoms and fracture or dislocation X-ray - Loss of cervical lordosis due to muscle spasm. Veebral fracture is not mostly seen in whiplash injury. Management: SOFT COLLAR Simple pain-relievers like NSAIDs during the first few weeks. Graded exercises and isometric strengthening exercises after the pain subsides. 