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Back is seriously hurting now. I wonder why it's happening faster this time than last time ... maybe because I braced myself since I saw it coming? I dunno.

Greetings, Michele, my money is on muscle spasm and microtears due to the impact. Sometimes the worst takes up to 48-72 hours to develop but perhaps because you were bracing, the effects were both deeper and more immediate. Assuming no fractures, just muscle pain and stiffness, oftentimes a muscle relaxant like Valium or Flexeril can help in the early stages. Ibuprofen is your friend (it is not just for symptom management but is an actual therapeutic measure to keep down inflammation) and Vicodin or Percocet when trying to sleep can be beneficial also. I don't mean to be trying to prescribe over the Internet but for all my patients who show up to the office after MVA's, once there is no evidence for frank fracture, the measures above can be truly helpful. So can heating pads and specially designed cervical pillows like from Tempurpedic or HomeMedics. Hope you will feel well enough to post again soon.

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