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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes headaches and neck pain?

I have been having read bad head ache neck pain mostly the left side it effects my arms I get pain into my left elbow I had a mri I have c4 bulging disk with a spur my head aches are worse I feel nauseated and i have had so many injections in my left shoulder that are not working I am on codine 7 which I do not feel is helping I get tingling down both arms in my front and back of my neck and in my back when this happens which is often I get some red like skin rash but its not a rash there is like spots I have seem 8 doctors all say different I am not getting answers. I am tired of hurting not feeling my self.. I was in a bad head on car accident in 1993 I had bad whiplash and I have meneriers and vertigo but its not like the episodes I have with it.. I did see a doctor that told me it was the bulge disk and neck spur causing it .. I had anything doctor tell me its not bad enough to cause it ,,, now I am told they want to put a simulator in for my pain .. I have seen doctors in omaha ne denison IA sioux city Iowa and COAS in Dakota dunes I am frustrated! I have been on medication and I get hives and ill from them some I have gotten the blister looking hives I need HELP! anyone give me any advice I went had acupuncture thrusday and it made it worse!
Tue, 5 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

Sorry to hear about the trouble you been facing since long years.

As per the history what I see is this is all the issue which began with the whiplash injury. Due to the whiplash injury there is multiple injuries to the spinal column. What I suspect is that there is a microtrauma to the fibres of the spinal cord. On top of it you have a bulging disc at the C4 levels. The scene is working in and around the cervical region. now since you been taking the injection in the shoulder which I suspect to be a steroid dose to reduce the symptoms is now got assorted to body and there is not much the medicine can do at this stage. Here medicine I am talking about is the injection as human body has a tendency to become resistant to the chemicals if overused. What I even noticed in the history is that you never mentioned anything about physical therapy or exercises. Well this could have played some role if the physical therapist was competitive enough to help you out. Coming to acupuncture which wasn't helpful I will say to avoid it. As the basic principle of acupuncture cannot be applied to your case.

Now coming down to the solution as per my experience of 12 years I can guide you something and I hope it will work on you.

The first foremost thing you should do is take a cervical collar and stabilize the neck. Take the soft collar and not the hard one. Next you need to use hot water fermentation. This should follow for over a week. Post which you can start taking TENS therapy and ultrasound therapy for which will work in two ways - one it will reduce the inflammation and two it will reduce the pain to certain level.

The next call you should coming all of the above with addition of cervical spinal muscle strengthening exercises. As this will help to keep the cervical vertebrae at a distance where it doesn't apply weight to the disc and so will avoid entrapment of the nerve root. The exercise should even focus over the shoulder joint too.

Also, you need to have an MRI which can make us understand that it is only the bulging disc or any other stuff leading to symptoms by touching the cord. As the spinal cord is the one which carries the nerves and the nerve has got dual functions - one is the motor and two is the sensory. Focussing on what level the functions are getting disturbed will guide the therapy to began.

In my practice I have seen cases with injuries you have and the only way to workout is to go slow but go precise. Every single bit of information needs to be collected and also documented. On and off a reassessment and examination helps to decide the future course of the action.

In a recent case I met at my clinic has similar complains , like headache, neck pain , tingling, numbness etc. After a thorough examination, assessment and MRI scan a treatment plan was made. The patient is doing better with 15 days of treatment plan. I wish you find some good therapist or a physician Who puts interest in your case and help you to the maximum.

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

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What causes headaches and neck pain?

Hello, Sorry to hear about the trouble you been facing since long years. As per the history what I see is this is all the issue which began with the whiplash injury. Due to the whiplash injury there is multiple injuries to the spinal column. What I suspect is that there is a microtrauma to the fibres of the spinal cord. On top of it you have a bulging disc at the C4 levels. The scene is working in and around the cervical region. now since you been taking the injection in the shoulder which I suspect to be a steroid dose to reduce the symptoms is now got assorted to body and there is not much the medicine can do at this stage. Here medicine I am talking about is the injection as human body has a tendency to become resistant to the chemicals if overused. What I even noticed in the history is that you never mentioned anything about physical therapy or exercises. Well this could have played some role if the physical therapist was competitive enough to help you out. Coming to acupuncture which wasn t helpful I will say to avoid it. As the basic principle of acupuncture cannot be applied to your case. Now coming down to the solution as per my experience of 12 years I can guide you something and I hope it will work on you. The first foremost thing you should do is take a cervical collar and stabilize the neck. Take the soft collar and not the hard one. Next you need to use hot water fermentation. This should follow for over a week. Post which you can start taking TENS therapy and ultrasound therapy for which will work in two ways - one it will reduce the inflammation and two it will reduce the pain to certain level. The next call you should coming all of the above with addition of cervical spinal muscle strengthening exercises. As this will help to keep the cervical vertebrae at a distance where it doesn t apply weight to the disc and so will avoid entrapment of the nerve root. The exercise should even focus over the shoulder joint too. Also, you need to have an MRI which can make us understand that it is only the bulging disc or any other stuff leading to symptoms by touching the cord. As the spinal cord is the one which carries the nerves and the nerve has got dual functions - one is the motor and two is the sensory. Focussing on what level the functions are getting disturbed will guide the therapy to began. In my practice I have seen cases with injuries you have and the only way to workout is to go slow but go precise. Every single bit of information needs to be collected and also documented. On and off a reassessment and examination helps to decide the future course of the action. In a recent case I met at my clinic has similar complains , like headache, neck pain , tingling, numbness etc. After a thorough examination, assessment and MRI scan a treatment plan was made. The patient is doing better with 15 days of treatment plan. I wish you find some good therapist or a physician Who puts interest in your case and help you to the maximum. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist