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Concussion and whiplash injury in person with depression aggravating headache

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I am a 24 year old female with a history of depression and headaches.

in 2009 I was involved in an auto accident which resulted in whiplash and a concussion.

I see a primary doctor but he doesn't listen to me.

I have headaches 5 out of 7 days a week if not more. I am currently taking tramadol for them but they still come on a daily basis and only go away if taking 2 mg tramdol pills 3 times a day. Sometimes they are above my eyes but more often than not they are from the back of my head/upper neck. I'm not being a whimp, if not treated they bring me to tears and cause me to retreat to a dark quiet room and sleep. I cant concentrate, I cant talk to people, I cant drive, they are completely debilitating. I have always had very bad headaches but after the accident they are relentless and relief doesn't happen often.

This brings me to my neck.. I didnt have neck problems until the accident. Now my neck hurts on a daily basis, i get severe muscle spasms that bring me to tears and last hours. after these muscle spasms i feel tired and sore.. I take cyclobenzaprine 30 mg every night before bed and this seems to control my muscles spasms but i have a muscle in my right shoulder that will swell so that it is visible and causes a burning, tingling,numbing pain in the swollen muscle. This is gradual, when i wake up i'm okay.. but as the day goes on the pain worsens to the point at the end of the day im just ready to rip my shoulder off.

My next problem is "PMS". I understand regular PMS with irritability and sensitivity and so on.. I however could completely end my life while pmsing. for the three days prior to and the week of my period I cry, all the time.. about everything. i will cry 6-8 hours a day and nothing bad needs to happen to bring me to tears.. aside from that i want to fight with everyone about everything. I'm normally a very passive person but i get completely confrontational. I have to fight myself not to throw away my marriage and all the good things in my life. It is so bad that i actually would up and leave everything i have worked so hard for just because i cant control myself and the extreme feelings of sadness, self loathing, and anger that overcome me with my period.. i dont know what to do anymore.. i try so hard not to ruin my life, but they are the hardest feelings to overcome.. but i know its not me.. im not myself.

My doctor is not much help and I'm just wondering how you would treat these things.. or any insight. im basically try to gauge if i need to see a new doctor or not.

Category: Family Physician-GP

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Hello,

Thank you for asking your query at DoctorSpring.

I have asked for our Neurologist opinion on your case. Once I hear back from him, I will consolidate and reply. Meanwhile I would like to get some additional information from you.

1. Have you taken any medication for Migraine related headaches ? Was a diagnostic possibility of Migraine considered ?

2. Are you on treatment of the depression ? Are you taking any anti depressed medications ?

3. Was an MRI of head /neck done ?

You can reply as a followup

Thank you
Dr.DS


Dr.
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