### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am looking for ways to treat migrains and nerve pain from an accident I was in which I hit my forhead in and compressed c5,6 and 7 in my neck as well as severe damage to my arm resulting in a total shoulder replacement and alot of muscle and nerve damage. The doctors want to prescribe medications that are in the psychiatric catagory and I am not comfortable with this because I am a mental health social worker and know these medication side effects well not to mention I don t need psych meds I am an injury patient not a mental health patient. What can I do?

### output:

Hello, Sorry to hear about the history. Coming straight to the point as what I understand is there is damage to the cervical region disc and doing impingement over the nerve as well as locking the facet joint.  Due to locking of the facet joints there is stress pull over the para spinal muscles and also the trapezius muscle leading to stiff neck.  Once the neck becomes stiff the muscles round and the other front muscles like the sternocleidomastoid muscle also gets spasm leading to disturbed vascular supply and the production of the headache.  For this, as mentioned by the neurologist or orthopedists is taking a painkiller. Now you need a competitive physical therapist who can release this spasm and allow the body to have good vascular supply.  Neck is due to the locking of the cervical spine facet joints there might be changes in the thoracic spine leading to trapezius muscle real spasm and restricted mobility of muscle and joints.  Releasing all such with MFR and IA STM and TENS therapy with Hot water fermentation should help to some extent to release the spasm and provide some ease.  Later stages some exercise too will be advised. I am not sure how far this has to be providing the effect but at least trying out this will be always better than psychosocial Chat Doctor.  As shoulder also got damaged with major muscles, nerves and arteries its needs a real tough hard word by the physical therapist and you to regain some relief. I would not say things aren't possible, but apart from psychological 