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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Pain In The Neck And Headache Due To A Fall?

I fell off a ladder jan 4, 2014 about 30 off the ground and slammed my tailbone low back and head . I have received epidurals on my tailbone ,low back and my neck. I have a high pitch ringing in my head that has not gone away and I am having headaches and pain in my neck still . My Dr. has put me on cymbalta , tramadol, somas, gabapetin. I m seeing a shrink now. My ent says I have tinnitus, I am looking for a second opinion on what is going on with me.
Tue, 31 Oct 2017
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Addiction Medicine Specialist 's  Response
Ok, first, there is no reason to take a medicine in this context if it does not help the symptoms as none of them change the underlying disease.

Those would be most of the drugs that damp down nerve and spine irritation. Seroid injection has likely already been tried and amitryptiline probably HAS NOT.

Anti-epileptics would be another group of drugs to try. Several of the medicines are already more or less in this categorey (gabapentin. soma).

Certainly imaging studies such as MRI or ct with contrast would have likely been the first thing done in concussion, or back pain or tinnitus. but if it was not done it should be.
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What To Do For Pain In The Neck And Headache Due To A Fall?

Ok, first, there is no reason to take a medicine in this context if it does not help the symptoms as none of them change the underlying disease. Those would be most of the drugs that damp down nerve and spine irritation. Seroid injection has likely already been tried and amitryptiline probably HAS NOT. Anti-epileptics would be another group of drugs to try. Several of the medicines are already more or less in this categorey (gabapentin. soma). Certainly imaging studies such as MRI or ct with contrast would have likely been the first thing done in concussion, or back pain or tinnitus. but if it was not done it should be.