Suggest Treatment For Back And Neck Pain Caused By An Injury

Posted on Wed, 13 Aug 2014

Question: hi I hit the back of my head swimming and it still hurts and so does my neck. I am on blood thinner and really don't want to go to the ER if I don't have to.

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

I understand your concern. However in order to help you better I need to clarify a few more things

1. Why are you on a blood thinner? What drug are you taking and what dosage? If it is Warfarin then what was your previous INR?
2. When did you hit your head and how bad was the hit? Did you become unconscious or drowsy?
3. When you say your head hurts, is the place where you have hit your head or do you have a headache?

Please get back to me, I am awaiting your reply

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (2 hours later)

Protein C Deficiency Warfarin 5 Mg Once A Day Previous INR 1.0 Range 2.0-3.0
I Hit My Head Kinda Hard At Around Noon 7/16/14 I Was Swimming And Hit The Back Of My Head On The Wall
IWent Home Fell Asleep For A While I Felt Really Tired
Both A Headache And Where I Hit It

Answered by Dr. Rakesh Madhyastha (14 hours later)

Brief Answer:
CT Brain

Detailed Answer:
Hello

Thanks for the reply

Patients on Warfarin are more likely to bleed than patients on other blood thinners like Aspirin or clopidogrel.
Since you have headache and tenderness at the site of injury I strongly suggest you to get a CT brain done. If there is a bleed you might have to stop taking Warfarin for a while. Usually head injuries cause sub dural hematoma which does not require any intervention. Please do not ignore this matter any further

I wish you good health

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar