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

### input:
on Saturday night I was rough housing on my bed with my cat. I started to slowly fall of my bed and I tried to stop but it didn t work. I ended up on my head on the floor and all my weight (I weigh at least 131 pounds) on my neck and my body went over my head and then my head popped up. So it was kind of like an extremely painful back flip or somersault, off my bed. The pain right now is probably a 15 on a scale of 1-10. I went and saw Ms. Will (the school nurse at my high school) about my neck and she said that in between my vertebrae was probably swollen and to go see a doctor if it gets worse. So anyway the pain was not that bad unless I tried to look up. At the end of the school day the pain got worse and I got a bad headache. ( I don t know if that has anything to do with my neck but in case it does there you go) My symptoms are: pain (really bad severe pain), swelling (in between vertebrae most likely) and reduced flexibility. What can I do for the pain? Ibuprofen doesn t seem to help because I tried and it helped my headache but not my neck. I take strattera for my adhd and I had a concussion in 2008. I am 14 years old and I am 5 feet 1 inch. I weigh about 131 lbs.

### output:

Hi, You have mentioned Severe pain in your neck region along with swelling and stiffness. All this actually points out to the pattern of Neck injury which you sustained which might have lead to all the three symptoms in your case. If you have localized Neck pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesia etc., then in my opinion you can start with following recommendations for initial period of 2 weeks: - To maintain proper posture of your Neck while working and sleeping - If pain is more as it is in your case, then you can take a short course of an anti-inflammatory medication like tab Diclofenac etc. along with a muscle relaxant for 5-7 days, you can add antacid if you have issues of acidity after NSAID intake - Physical therapy like use of some modalities etc. can be initiated, but no exercises till the pain subsides completely - Ice packs can apply 3-4 times in a day - Analgesic spray for local application can be used and is easily available - Avoid lifting heavyweight/ acute forward bending in mornings etc. We will observe you for next 2 weeks how you respond to this conservative management protocol, you can also use a soft cervical collar if movements in the neck region increase your pain, but from my side if you have no neurological symptoms, then we can follow this protocol for next 10-14 days. If you do not feel better in terms of pain, swelling and stiffness etc., then we will have to get some investigations like, dynamic x-rays of Neck and few blood tests for evaluation.  Just also keep me informed on what medications you are taking because unless you take proper pain management medications, your pain won't become better. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Hope I have answered your query. Let me know if I can assist you further. Take care 