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Pain Research and Management
Volume 10, Issue 2, Pages 71-74

A Review of the Literature Refuting the Concept of Minor Impact Soft Tissue Injury

Christopher J Centeno,1 Michael Freeman,2 and Whitney L Elkins3

1The Centeno Clinic, Westminster, Colorado, USA
2Department of Public Health and Preventive Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon, USA
3The Spinal Injury Foundation, Westminster, Colorado, USA

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


BACKGROUND: Minor impact soft tissue (MIST) is an insurance industry concept that seeks to identify late whiplash as a psychosocial phenomenon. However, the medical literature in this area has not been systematically reviewed since the Quebec Task Force's review in 1995.

OBJECTIVE: To review the medical literature which claims that late whiplash is an organic phenomenon causing significant disability.

METHODS: The medical literature was reviewed in a narrative format.

RESULTS: There are a significant number of studies which refute the MIST concept.

CONCLUSIONS: A review of the literature did not support the validity of MIST.