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Suggest treatment for migraines, back and neck pain after car accidents

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Posted on Mon, 15 Dec 2014
Question: My pain management doc that I've seen for years closed w NO warning...100's of patients and employees on the street? I am hurting so bad I can't put into words...can't sleep...can't eat..very miserable. The local ER's and urgent care treat everybody like druggies and shrug u off? Since so many patients needing treatment there are NO appts open til March? I'm stressing my wife bad and its the holiday season? I almost keep think in its a dream...can't keep this up,any advice would be great! Thx for your time
doctor
Answered by Dr. Divakara (39 minutes later)
Brief Answer:
Need more information.

Detailed Answer:
HI

Greeting from Dr. Divakara.P
First of all thanks for choosing Healthcaremagic for posting your query.

At the onset I would like to know more about your condition . Where you are getting the pain ?
Since how long it's been there ?
Is the pain intermittent or continuous ?
What is the nature of pain ? Burning or Pricking or Squeezing ?
What diagnosis was made?
What medicines you have been on till now ?

Kindly revert back with details asked .

Regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (12 minutes later)
since a teen I had a few car accidents..serious ones...I used to race motocross...my back and neck pain is pretty much constant..I have some spine alignment prob...my neck pain I've been told pinched and damaged nerves.....I have had severe migraines since a child,which got worse as I got the other issues. For migraines I have been go in back and forth w imitrex and fro a...I was taking oxycodone 7.5/325. 3x daily.....as years went on and injuries increased and tolerance eventually started taking morphine er 45mg. 3x daily....gabapentin. 500mg twice daily...trokendi once daily...me s were work in really well finally and soon as I made real consistent progress...my doc disapears?
doctor
Answered by Dr. Divakara (36 minutes later)
Brief Answer:
Use Sibelium for Migraine.

Detailed Answer:
HI

Thanks for clarifications.

For your migraine I advise you to take Tablet Sibelium every night till further advise . With that , in few days your Migraine pain will come to control .

For acute Migrainous attack you can use a medication called Zolmitriptan which comes as a nasal spray and gives immediate relief from Migraine.

Coming to your Spine Problem I want to know the exact diagnosis , whether an MRI scan was done or not , if done kindly let me know the scan report.

You can try Physiotherapy of your neck which with time will give you significant relief.

Also I advise you to start Pregabalin instead of Gabapentin and use it daily .

You can consult any doctor ( not necessarily Pain specialist ) and ask for the above mentioned medications . These medications will give you lot of relief.

Also learn Yoga from a teacher and start doing it , you shall notice a tremendous improvement in your health.

Hope this information was useful to you.
Any clarifications feel free to ask .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (8 minutes later)
Yes...I have used those in the past with at most minor relief for a month or so also have had countless "cervical injections...trigger point" injections....over the years 5 MRI's...CAT etc etc. Thanks for your words...have a great holiday sir
doctor
Answered by Dr. Divakara (8 minutes later)
Brief Answer:
Use Sibelium for 6 months atleast.

Detailed Answer:
HI

The medicine Sibelium has to be used for atleast 6 months for a better response. Kindly do use it and you shall see the effect.

Any further clarifications feel free to ask .

If none kindly close the discussion and rate my answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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Suggest treatment for migraines, back and neck pain after car accidents

Brief Answer: Need more information. Detailed Answer: HI Greeting from Dr. Divakara.P First of all thanks for choosing Healthcaremagic for posting your query. At the onset I would like to know more about your condition . Where you are getting the pain ? Since how long it's been there ? Is the pain intermittent or continuous ? What is the nature of pain ? Burning or Pricking or Squeezing ? What diagnosis was made? What medicines you have been on till now ? Kindly revert back with details asked . Regards.