Many times after a car accident people will have initial neck pain, are seen in the emergency room and treated. If the injuries are not life threatening they are sent home with some medication and told to rest. Unfortunately, many will start to have headaches, even if they have never had headaches before. Those with a history of headaches will find their headaches are getting worse. Most of the time the headache will dissipate over a week or two and everything will be fine.
But what if the headaches don't go away? What happens and what do people do if the headache gets worse? Post traumatic headaches that get better in four to six weeks are considered acute headaches, but those that stay at the same pain level, start to get worse, or go beyond six weeks are more concerning. The headaches may be all over the head and moderate in pain with breakthrough stabbing, throbbing pain on one side. This more severe form of headache is associated with migraine symptoms and indeed is a migraine.
At this point most people will reach for the over the counter medications such as Excedrin or Tylenol. Failing that, they may try the medication the doctor in the emergency room gave them and most of the time these treatments are quite successful. However, there is a certain percentage of people who will not respond to this treatment and as a result will start taking more and more medication. The headaches will begin to get worse for two reasons.
First of all, the medication will start enhancing the headaches and cause a condition known as analgesic rebound headache syndrome. In this case, the headache pain goes up and the person grabs the Excedrin which brings the headache down a bit. But, as the medication wears off, the headache starts getting bad again. More medication, more bouncing up and down in pain levels. Eventually, the medication stops working but the person still keeps taking it in desperation because they don't know what else to do. They might got to their doctor and get stronger drugs, such as Lortab but this only makes the situation worse.
Secondly, the medication used at this point is all wrong. Post traumatic headaches respond best to low doses of tri-cyclic anti-depressants such as Elavil or Pamelor. Elavil is generally accepted as being the best medication, but most doctors make the mistake of using migraine doses (10-50mg). Unfortunately, post-traumatic headaches do not respond to this dose but most people do respond when the dose is slowly titrated up to 75-150 mg. Fortunately, this medication is also excellent for any associated neck pain and spasms!
The breakthrough migraines are treated just like that..like migraines. A small dose of an anti-seizure drug may also be necessary with triptans (Imitrex or Maxalt) for when the pain is bad.
Don't forget, like all other headache syndromes, lifestyle is very important. Regular sleep cycles, good diet and exercise as tolerated will all help the headaches get better. In this particular case, however, the vitamins and herbs used to successfully treat migraines do not have much of an effect on post traumatic headaches. None the less, many people do want to try them to help the migraine component.
The key to post traumatic headache syndrome is to find a headache specialist and be patient. If the headaches are severe, chances are that it will take several months for any one treatment to have an effect. Most people are not aware of this fact in headache treatment, so they tend to start and stop treatments after a few days or weeks and become discouraged. The longer the brain has the treatments on board, the greater the chance it will heal.
Claim After Car Accident
Mistake 1. After an accident most people call the local police or highway patrol. Invariably you will be asked if you are injured. If it is not a severe injury you will likely say that you are not injured. If you say you are not injured, then there is a good chance no one will come to the accident scene.
When the highway patrol or police officer does come to the accident scene they will ask if you are injured. Once again if it is not a severe injury and the law enforcement officer gets to the accident scene quickly, you will more likely than not say no. The reason is that most car accident injuries are whiplash injuries, or soft tissue injuries which generally do not appear until sever hours after the fact.
The problem with this type of response is that you don't know. The best approach is to say that you do not know, but that you will go see your doctor. If you say no, the law enforcement officer will record your answer and insurance adjusters will use this against you, and if the case goes to trial the insurance company's attorney will use it against you as well.
The fact is that you don't know, because no medical professional has examined you and in the vast majority of soft tissue injury cases you will not know if you are injured until several hours later after the fact. Once you go home and relax you will start feeling pain and tightening of your neck and the following day you may extreme difficulty getting up because of the soreness and pain throughout your body. So, if you are involved in an accident and you are asked if you are injured the answer is you don't know, but you will go see a doctor to get checked out. Give yourself at least 24 hours to find out.
Mistake No. 2. Failure to mitigate your damages. What this means is that if you suffer an accident, you are not suppose to wait around and do nothing. If you suffer an accident and know you are injured or have reason to believe you are injured, go see a medical doctor right away. If you like chiropractors better than medical doctors, go see the medical doctor first, then see a chiropractor. The reason is that insurance companies use computer software to evaluate claims and failure to act on your injury and take precautions to minimize your pain will reduce the value of the case according to the computer software.
Another problem with failure to act quickly is that if you take too long and the case goes to trial, a jury may believe the injuries were caused by something else. If you take three months to undergo medical treatment, who is to know what caused the injuries you complained off. If you take three days to seek medical treatment, it is more likely than not reasonable. The same software also allocates great value if you first see a medical doctor instead of a chiropractor.
Failure to mitigate damages pertains to all your damages, which also includes damage to your property, and lost earnings. If your car is damaged and inoperable you need to move to a safe location, you cannot leave it abandoned where it may be towed and impounded. If you cannot return to your full duties at work or on a full time basis, you must look to returning as soon as possible or on a limited basis. You must also have a doctor's order stating you need to refrain from your work activities, and your doctor must specify the number of days you are required to take off.
Mistake No. 3. Trusting the insurance adjuster. Many insurance adjusters mislead accident victims into believing they are going to help. I have had clients come to me three months after the fact, stating they were waiting for the insurance company of the tortfeasor to send them to a doctor. It is not going to happen. Insurance adjusters have a job, their job is to fulfill their duties according the terms of on the insurance policy at absolute minimum cost. Insurance companies are in the business of making money. They are not charities, or good guys, or neighbors helping neighbors, they are concerned with one thing and one thing only -profits. If you suffered an injury call an attorney right away. Not every case merits representation, but speaking with an attorney is often the best thing you can do to help yourself.
Mistake No. 4. Not following your attorney's advise or your doctor's advise. Your attorney and your doctor have an interest in protecting you, that is their job. Remember, you pay them for their expertise, not every case is a million dollar case and not every ailment is related to the accident and not every ailment requires extensive treatment.
Mistake No. 5. Lying. Sometimes personal injury claimants think they can obtain a better result by lying. They exaggerate their injuries and their symptoms. What they donnot know is that personal injury attorneys and medical doctors know when the claimant is lying. Often an MRI is done to see if the alleged severe low back injury is real. The MRI is very expensive, but accurate which often results in a loss for the claimant, because the procedure was not necessary. Sometimes claimants claimed preexisting medical problems on the accident, but an examination of the medical history shows there is no new injury. More often than not lying backfires and it is discovered, which results in complete loss of credibility for the claimant.
Mistake No. 6. Permitting an insurance adjuster to take your declaration and record it. If an insurance adjuster calls you and asks to take your declaration, it is for the purpose of denying your claim. It is not for the purpose of helping you. They are hoping you make an error, sometimes they will call you within hours after the accident, because in a soft tissue injury they know you will not be hurting for several hours.
Both Mary Betz & Arnold Hernandez are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Mary Betz has sinced written about articles on various topics from Car Accidents, Migraine Headaches and Baby Shower. Mary K. Betz MS RPA-C is a practicing Physician Assistant in neurology and specializes in headache medicine. For more information visit . Mary Betz's top article generates over 18100 views. to your Favourites.
Arnold Hernandez has sinced written about articles on various topics from Car Accidents, Employment Law and Anger Control. Arnold Hernandez, represents clients primarily in San Marcos, Escondido, Vista, Oceanside, and throughout the Counties of San Diego, Imperial, Riverside, Los Angeles, and Orange in overtime clams, car accidents, dog bites, and truck accidents. Arnold Hernandez's top article generates over 14800 views. to your Favourites.
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