The first 72 hours after a car accident shape both your physical recovery and the strength of your insurance claim. This is the window in which injuries surface, evidence is fresh, and decisions you make either help or hurt your case for years to come. Here is the step-by-step playbook we walk every Citrin patient through, hour by hour.
Hour 0: At the Accident Scene
Once you and your passengers are safe and out of traffic:
- Call 911 — even for “minor” crashes. A police report is critical for insurance and any later legal claim.
- Document everything with your phone. Photos of all vehicles, license plates, the road, traffic signs, weather conditions, your visible injuries, and the other driver’s insurance card.
- Exchange information. Name, phone, insurance company, policy number, license plate. Do not discuss fault.
- Get witness contact info. Witnesses leave quickly — get a name and phone number on the spot.
- Do not say “I’m fine.” You feel fine because of adrenaline. You do not yet know whether you are injured.
Hours 1–6: After You Leave the Scene
Even if you feel okay, do these things before the day ends:
- Notify your insurance company by phone. Stick to facts — no opinions about fault.
- Save all paperwork and photos in one folder (digital is fine).
- Watch for symptoms. Stiffness, headache, dizziness, numbness, ringing in the ears, or trouble sleeping all warrant a medical evaluation.
- If symptoms appear, go to urgent care or the ER immediately — do not wait until morning.
Within 24 Hours: Your First Medical Visit
This is the most important step many accident victims skip. Even if you feel only mild stiffness, you should be evaluated by a chiropractor or accident-specialized doctor within 24 hours. Why so soon?
- Your medical record establishes a clear link between the accident and any injuries, before insurance companies argue otherwise
- Soft tissue injuries (whiplash, disc bulges, strained ligaments) take 24 to 72 hours to fully present — early documentation captures them
- Treatment started early prevents acute injuries from becoming chronic
- Your insurance — auto MedPay, PIP, or the at-fault driver’s liability — typically requires “reasonable promptness” in seeking care
Citrin Chiropractic Center offers same-day appointments specifically for accident patients. We bill your auto insurance directly (MedPay, PIP, or at-fault liability) so you have no out-of-pocket cost.
Hours 24–72: Symptom Watch and Follow-Up Care
This is the danger window when delayed-onset symptoms typically appear:
- Neck pain or stiffness — almost always whiplash, even in low-impact crashes
- Headache, especially at the base of the skull — often points to cervicogenic origin or concussion
- Numbness, tingling, or weakness — possible nerve compression from a disc injury
- Lower back pain — frequent in rear-end crashes, often delayed by 1–3 days
- Difficulty sleeping or concentrating — may indicate concussion or whiplash-associated symptoms
- Mood changes, irritability, anxiety — common after any significant accident, take them seriously
If any of these appear, return for a follow-up evaluation. Do not assume “it will pass” — symptoms appearing late are not minor; they are simply delayed.
Insurance and Legal Steps in the First Week
- Do not give a recorded statement to the other driver’s insurance company until you have spoken with your own insurer or an attorney
- Do not sign a settlement — these are often offered fast, before you know the full extent of your injuries
- Consider an attorney consultation if injuries are significant. Most personal injury attorneys offer free initial consultations
- Keep a written log of pain levels, missed work, and how injuries affect daily activities
Why Even Minor Crashes Need Documentation
It is a common myth that “minor” crashes do not cause real injuries. In our 50 years of clinical experience, we have treated patients with confirmed disc herniations from low-speed parking-lot collisions. The forces involved in even a 10 mph rear-end crash can equal multiple Gs of acceleration on the cervical spine. Document the injury early; you cannot retroactively prove an injury six months later.
When to Get Evaluated
Anytime you have been in a collision — even one that seems minor — get evaluated within 72 hours. The medical and legal value of an early visit far outweighs the inconvenience. Same-day appointments are available at Citrin throughout the week.
Ready for relief? Call Citrin Chiropractic Center at (314) 890-2400 or request your appointment online. We offer same-day appointments, accept all major auto insurance, and provide free transportation if needed. Two doctors with 35+ years of experience, bilingual care (English/Spanish), serving St. Louis since 1977.

