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

### input:
Hi, I suffered a supposedly MTBI several years ago and was diagnosed with post concussion syndrome, I suffer persistent headaches that come on with any mental effort and cognitive effort i.e. concentration, conversation, especially multiple conversations and sensory overload. I have trouble concentrating and taking in too much information etc. I am hypersensitive to noise, bright lights, visual moving stimulus and touch. I get fatigued very easily. After a year after my head injury I got sent down the wrong track that my headaches may be coming from my neck. I was sent to an osteopath who initially treated me with scaral/cranial osteopathy - he promised his treatments would be very gentle, which at the first few treatments they were. When my headahces didn t improve he stretched all the ligaments downwards on my neck which left a pain in my mid back, about the bra area. Tragically I went back to him to report this and he folded me up in a horseshoe type position and used a violent HVT manipulation techiquen down my entire thoracic spine. I felt and hear each vetrare click. This immediatedly set off intense burning throughtout my entire spine - I struggled to drive the short distance home and lay on the floor , I was in that much pain. Over the next week or so this burning nerve pain , along with violent muscle spasms became widespread throughout my body, the spasms pulling several ribs out of alignment. that happened 12 years ago and I am still in severe constant pain with repeated and multiple rib dysfunctions where my ribs get stuck or dislocated setting off excruciating stabbing pains in and twisting my torso around, when I reach out, up, over, under, behind. I still suffer from my original brain injury symptoms and I am really struggling to cope with the constant fibromyalgic like pain and chronic rib dysfunctions. I am very debilitated, feel trapped and just want to be the high functioning, healthy, independent, athletic woman I used to be . I am also a wife, mother and now a grandmother who struggles with too much conversation, noise, and movement in a simple family get-together. I still need to sleep most afternoons due to headache and fatigue. I am very sensitive to medications and have tried, the gabapentin s, opiates, anti- seizures meds and so forth. I am unable to tolerate anything for my pain........................... please help. I am constantly (having to be driven to a musculoskeletal Dr who uses very subtle, gentle, muscle relaxations to MOBILISE my ribs. MANIPULATIVE TREATMENTS LIKE CRACKING OR CRUNCHING OR FORCING ANY BONES BACK IN PLACE, SHOULD BE BANNED!!!! HVT MANIUPLATION has completely taken my life away.......... I can t even reach into a cupboard, drawer, or make the bed without my ribs getting stuck!!

### output:

Hi, Concussion is a mild traumatic brain injury. It presents with loss of consciousness which is temporary and last for less than 1 minute and amnesia. Headache may happen in any head trauma even without concussion but if this is severe or associated with nausea, vomiting and dizziness then you need to visit ER and do head scan to rule out more serious injuries. It occurs post an impact to the head or after a type of whiplash injury that causes the head and brain to shake quickly back and forth. If the concussion is causing headaches, we recommend over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol). Also, you need to avoid lights, noise and smoky areas for several days. If there is no improvement you can see doctor but in most cases this is not required. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. 