Injury from carriage and car accidents has shaped medicine for centuries. Historical records describe treatments for “railway spine” in the 19th century, when train accidents caused sudden trauma resembling modern whiplash. With the rise of automobiles in the 20th century, car accidents became a common cause of chronic back and neck complaints. Early responses included immobilization and traction, but later research revealed the benefits of movement, exercise, and manual care. Today, conservative accident recovery may involve chiropractic, rehabilitation, and pain management. Modern programs emphasize not just physical recovery but also restoring confidence in driving, working, and returning to daily life without fear of relapse.