Suggest treatment for pain and discomfort on the neck
Patient: my 80 yr old mother caught a crick in her neck this morning. she is diabetic, has high bp, and was given a 600 mg ibuprofen for the pain/discomfort in her neck. an hr in she started feeling loopy. 2 hrs later upon arriving home from an out of town trip, safer to be in ur own state if we had to take to the hospital, we checked her bP and bs. bp was over 200/109. we started out for the urgent care unit and she seemed to begin feeling some better. we decided to bring her back home and monitor her, hydrate her and have her rest. recent checks of bp still shows elevation. the latest, 191/90 pulse 93. should we take her to the urgent care unit... Doctor: Here I suggest for blood pressure you talk to your doctor and take some extra medication for lowering it. Ideal is 120-130/70-80.  As per her age and recent fall. If she is able to maintain it after taking some rest and next dose of medication for BP then its okey. No need to take her to urgent care.Now for her neck pain I suggest to give her hot pack frequently for 15 minute each time with light heat. And post use of hot pack apply some pain relieving ointment. If this together give her relief then its fine. If not then you need to visit a orthopedic or physiotherapist take x ray and see there is nothing wrong. Here the doctor will guide you further for medication for pain and inflammation and will also suggest for physiotherapy treatment. Physiotherapy treatment will help to give relaxing and healing effect in soft tissue and will help further for pain relief.At any time if she complains of headache and not having control on hand or leg with high blood pressure then I suggest to shift her for emergency care unit at hospital. Till then nothing to worry take care.