I took a fall down the stairs today backwards. I was picking some things up and missed 3 stairs and landed on my back. I also hit my head and was pretty stunned for a few seconds. Also I urinated my pants. I am 60 years old with lupus, RA and fibromyalgia. I had immediate pain in my head and neck and was sick to my stomach. This is better now. This happened about 8 hours ago. I ve had severe pain between my shoulder blades for a while now, but since this happened I ve had no let up and have chest and front neck pain. My pain meds for my other illnesses has not effect on this pain. I may add I broke about 5 or 6 ribs about 6 months about from a fall due to my illnesses. Should I be concerned about this pain, because I usually don t rush to the doctor. Thank you