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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain Post Injury

I fell this evening in my home from top of stairs down 20 steps and landed on my head right side and right shoulder I didn t break anything I m in a lot of pain especially my neck and shoulder. when I landed I blacked out seemed like seconds. I laid on floor for a while then I got up. ache a lot took 3 500 mg of Tylenol. it now feels like a very stick neck. I do go to the Chiro for adjustments. I m calling in the morning should I make an appt. for CT scan of the head and neck?
Mon, 11 Mar 2019
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Physical Therapist or Physiotherapist,  's  Response
Hello,

With history, it doesn't seem that you may have TBI (Traumatic Brain Injury).

Maybe due to the concussion injury to the brain, there will be a Stiff neck. Also, excessive dosage of Tylenol is not advised without having any examination as it can cause a fatal reaction.

I will advise for MRI brain and Cervical spine. Also, check for your GCS score (Glasgow Coma Score) so you will be able to figure out better whether its a TBI or not.

Stiff can be due to injury to the cervical spine which is common. As mentioned earlier, does not look like you will have a TBI, but MRI is guided to rule out any kind of soft tissue injury if any present.

Kindly avoid chiro for time being, as in acute stages this might interfere with the healing process of the body. Wait for MRI and take up the next call for neck and shoulder.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Suggest Treatment For Severe Shoulder Pain Post Injury

Hello, With history, it doesn t seem that you may have TBI (Traumatic Brain Injury). Maybe due to the concussion injury to the brain, there will be a Stiff neck. Also, excessive dosage of Tylenol is not advised without having any examination as it can cause a fatal reaction. I will advise for MRI brain and Cervical spine. Also, check for your GCS score (Glasgow Coma Score) so you will be able to figure out better whether its a TBI or not. Stiff can be due to injury to the cervical spine which is common. As mentioned earlier, does not look like you will have a TBI, but MRI is guided to rule out any kind of soft tissue injury if any present. Kindly avoid chiro for time being, as in acute stages this might interfere with the healing process of the body. Wait for MRI and take up the next call for neck and shoulder. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist