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Treatment and medication for post sequel of the cervical strain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3512 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query

Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   I was injured about 2 mos ago, diagnosed with a cervical strain about 1 week ago devloped severe pain between shoulder blades, 2 drs. believe it is due to the injury. they have taken xrays and done a blood test 2 weeks ago. do you agree that it is injury related and should i be concerned.
Doctor :   could you tell be the blood test and the x-ray reports?
User :   xrays reports of upper neck had slight arthritis but no fractures, nothing significant for a 32 yr. old they said. blood work came back great. nothing
User :   are you there?
Doctor :  
yes i am very much there
User :   I hit the wrong button. sorry
Doctor :  
I was on a urgent call from another pateint
Doctor :  
if the x-ray reports are fine
Doctor :  
then what you are having is
Doctor :   the post sequel of the cervical strain

User :   what is the post sequelae of the cervical strain mean?
Doctor :  
it means that after cervical strain there are other symptoms that start
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like upper back pain between shoulders, headaches
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low back pain
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and dizzyness
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these symptoms can be treated with physiotherapy and chiropractic care
User :   so its not life threatening?
Doctor :  
no it should not be life threatening
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i recommend that you go for either a chiropractic or a orthopedic checkup again
Doctor :  
and ask your doctor to prescribe you physiotherapy or chirotherapy
User :   i have a dr appointment on tuesday do you think i should go before then? and how long do symptoms like this usually last?
Doctor :  
i guess it is better that you go before that as the pain needs to be controlled
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or else take OTC painkillers like Tylenol or Motrin till your appointment date
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if the symptoms are not treated soon and pproper care taken, they are known to last as long as 3-4 months also
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so the faster you initiate treatment, better releif you will have
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Is there any thing else I can help you with?
User :   they prescribed vicodin 5/500 , what is physiotherapy and chirotherapy, are there any home remedies you can do in the meantime?
Doctor :   no, they are not home remedies
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they are alternate branches of medicine that aim at pain releif and taking care of bone and joint issues
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continue taking the Vicodin 5/500 as ptescribed
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these modalities involve masage, ultrasonic massage, joint adjustments etc
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which cannot be done at home alone, you need a professional for this
Doctor :   Is there any thing else I can help you with?
User :   what about an osteopath?
Doctor :   osteopathy also can be tried, but usually these two are more helpful in post traumatic sequelae
Doctor :  
if these two modalities fail, then you can try for osteopathy, but the thing is your x-rays are normal
Doctor :  
so the strain and teh pain that you are feeling is not due to joint issue i feel
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they need addressal form physiotherapist or a chiropractor
Doctor :  
Is there any thing else I can help you with?
User :   should i be concerned about a bad disc and would that show up on an xray
Doctor :   no, usually discs do not show up on x-rays
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you will need to do a MRI scan if that is suspected
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and bad disc to cause pain will be with radiation of pain along the nerve distribution as the disc will be pressing on the nerve root
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get a repeat examination done, which will rule out the disc problem also
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and at the same time ask for physiotherapy/chiropractic referal
Doctor :  
from your treating doctor
User :   this is just a constant pain between the shoulder blades
Doctor :  
then the disc problem might not be there, and the pain can be resolved in few days of time with physiotherapy
Doctor :  
Is there any thing else I can help you with?
User :   could you explain physiotherapy ,
Doctor :   Please fill the feedback form, and the comment box, while i answer your next query, and say done when done.
Doctor :  
It is a health care profession which provides services to individuals in order to develop, maintain and restore maximum movement and functional ability throughout life.
User :   like a masseur?
Doctor :   It has many specialties including cardiopulmonary, geriatrics, neurologic, orthopaedic and pediatrics to name some of the more common areas where they work on.
Doctor :   a massuer will only do massage for the relief of pain
Doctor :  
this modality has different treatment modalities depending on your symtoms and investigation they wil decie what is best for you
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these can include, traction, short wave diathermy, wax bath, ultrasonic massage, interfrential therapy etc
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and all of these have special instrument and appliances that can be used for these
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have you followed what i have said?
Doctor :   in this, Orthopedic therapists are trained in the treatment of post-operative orthopedic procedures, fractures,
Doctor :  
acute sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions and amputations.
Doctor :   joint and spine mobilization/manipulation, therapeutic exercise, neuromuscular reeducation, hot/cold packs, and electrical muscle stimulation are the other modalities involved to treat orthopedic injuries and pain/strain.
User :   i tried to, i have just been stressed out about the pain because i;ve never been hurt before and wanted reassurance it is not life threatening
Doctor :  
it is not life threatening
Doctor :  
you need pain control and soothing treatment to allay the pain
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which can be done efffective by a physiotherapist
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so i suggest you to take consultaion from one of them soon
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and get the pain relieved and the injured region strengthened
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do not get stressed with the current situation, but take advise and follow on that to get relief rather than sitting and wondering what is going wrong
Doctor :   the faster you act and opt for the treatment modallities, the faster you will get releif from pain
Doctor :  
are you there?
User :   yes i'm here. sorry i was reading your answers
Doctor :  
no problem, as long as you understand what i am trying to say to help you out in pain releif
Doctor :   as the Vicodin5/500 is not giving you adequate relief it is beter to combine the medication and the therapy for better and effective pain control.
User :   i was thinking the only xrayed my upper and lower back, not the mid back. they only did my thoratic area and lower back. should i request another xray or just do what you have suggested which were helpful.
Doctor :   where was the injury?
User :   i was moving 3 stages of scaffolding and it got stuck so i just yanked/jerked on it to get it out and it felt funny up high and i got muscle spasms in my neck and upper back.
Doctor :  
the upper and lower back x-ray along with the thoracic x-ray is enough to visualise the entire back
Doctor :   ok
Doctor :  
so what you have suffered is a whiplash injury
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which is leading to the pain that you are having in between the shoulders
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when was the last x-rays taken? how many days back?
Doctor :  
if it is more than a month back, then you will need totake repeat x-rays
Doctor :  
before starting the physiotherapy
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   the last xrays were taken two days ago
Doctor :   ok
Doctor :  
so that is enough
Doctor :  
you can take the x-rays and directly meet a physiotherapist or ask your treating doctor to refer you
User :   lower back xrays were taken yesterday i didnt realize those xrays could show your whole back the neck xray was taken 3 weeks ago
Doctor :  
aws anytime thoracic x-ray taken?
Doctor :  
if the thoracic x-ray was taken
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then the neck, thoracic and lower back x-ray will show almost the whole back
User :   is thoracic when they make you open your mouth for the xray
Doctor :  
no, i cannot comment on that, did they ask you to open mouth and breathe in and hold your breath?
User :   yes
Doctor :  
ok
Doctor :  
then it might have been thoracic x-ray.
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what did the doctor say looking ay them?
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did he mention what all regions were x-rayed?
User :   everything looked normal for a 32 year old, some calcium deposits and small amount of arthritis. the lower back and he said cervical
Doctor :  
ok
Doctor :  
i think you are getting very much anxious regarding the pain that you are still having
Doctor :   what i suggest to is to relax
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this itself will help you
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as stress and anxiety are known to make pain getting worse
Doctor :   your next appointment with the doctor in on tuesday if i am right
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so if the pain is bothering you very much then there are 3 things that you can do instead of getting worried
User :   yes
Doctor :  
1) walk up to a emergency room and get adequate pain relief or change in pain medications
Doctor :   2) meet your doctor early and request him for changing medication or prescribing you a referal to physiotherapy and counselling
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3) go and meet a physiotherapist a with all your reports and start therapy for pain releif
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$) practice relaxation technues, have a hot water bath, sit in a hot water tub, listen to your favourite music, play with kids, spend time with freinds
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these will help you o ease out
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and help you with the pain also
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in the meantime continue taking the Vicodin5/500 tablet as prescribed to you
Doctor :  
have you followed what i have said?
User :   yes.
Doctor :  
Is there any thing else I can help you with?
Doctor :   do you have any further or other queries?
User :   no, i guess thats it. you have helped me a lot, i thank you very much.
Doctor :  
sure, we are there to help you 24/7
Doctor :  
kindly the suggestions for better pain releif and relaxation
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :  
kindly follow the suggestions for better pain relief and relaxation
Doctor :   hi
Doctor :  
are you back?
Doctor :  
are you there?
User :   just printing what you have suggested. sorry. thanks again.
Doctor :  
no problems
Doctor :  
you can get the chat history and all that you have discussed
Doctor :  
just go to your acounts and setting page
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and export the chat details to your mail id
Doctor :  
which will be helpful
Doctor :  
you wil see all details of the chats there in 'chat history'
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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