I have severe post-concussion syndrome for almost 15 months now. Already had neck/back therapies post neck surgery & C6-7 fusion 7 years prior, which may be from car accident & TBI 15 years prior to that. Yes, loss of curvature normal kyphosis of neck is a problem that inhibits concussion recovery, as does lack of quality sleep for the brain to heal. Yes, gentle chirpractic has help for me, but stay away from "strengthening exercises" and overdoing physical therapy. Yes, concussion, neck problems & brain hypersensitivity causes headaches & migraines, as well as light & motion sensitivity, vision problems exacerbated if you try to focus or a number of other vision therapies elicit eye pain symptoms, headaches, dizziness. I'm blessed with an amazing physical therapist who is gentle, listens, helps me handle my whole person recovery. Before P-T, look up graston technique to "break up" stuck & stiffened muscles(you can use the straight edge of a butter knife to do this, it will feel like gristle, velcro, bubble wrap popping) otherwise it's useless, always don't push too far with any therapies, vision, vestibular, PT. After PT, ice. Both are important. Ice calms down the heat, swelling & symptoms aggravated by p-t (& most functions). All your nerves go through your neck can cause flair of symptoms ranging from headache, nausea, vision and vestibular problems & sensitivities. Look up Dysautonomia after head injury - basically, we need to employ every method possible to rest, relax, breath slow & deep, calm down anxiety & worry, try meditation & gentle (chair) yoga, epsom bath, aromatherapy, guided relaxation & sound or music therapy to sleep. As far as meds, l would be hesitant to take any - an SSRI or SNRI antidepressant- especially if you've never taken it before. I've had 20 years of trial and error of psych meds, migraine meds & mood stabilizers with bad results. I take tylenol er & Diclofenac 2x/d, zofran for nausea, rhizotriptan has worked wonders for my severe migraine attacks, but no luck with other migraine meds, except when l used to get botox. I also have ADHD, which was amplified again after recent head injury (rear-ended while stopped at red light at 60mph, then crush into two other cars) Getting back on 20mg extended release ritalin at 8am & 10mg regular ritalin at 3pm started to regulate my energy, sleep/wake cycle - and calmed me down form feeling like going full speed in every direction - an even keel. Try Zyflammend nighttime for sleep & natural pain releif. Ask doc amout meloxicam or Diclofenac- both better anti-inflammatories better & safer than naproxen ibuprofen. I know l threw a lot out there, but listen to your instincts- especially about side effects of prescriptions. Oh! Try Epsom salt rub if you can't or don't bath. Also, l'll alternately use diclofenac gel (Voltarin gel, otc or script) for deeper pain. The most functional muscle relaxant for me is baclofen b/c not drowsy, Robaxin is also good & zanaflex is a favorite of a couple healthcare workers l know. Drs. usually first prescribe Flexoril, but it totally puts me out - l also have opposite reactions to meds that are supposed to cause drowsiness but cause insomnia - like some pain meds, muscle relaxants, even klonapin & benadryl, so be careful with otc sleep meds. Ashwaganda root is calming & harmless, Rhodiola Rosea or melatonin might be a good idea, but Zyflammend works well for me. Also, curcumin (from turmeric) helps with inflammation. I mustn't forget to mention dry needling. My vestibular therapist does "cranial pathway" dry needling at the base of scull, also, neck, trap, shoulder, upper/liwer back & sacral - depending on time. It's not for everyone, but if ypu can stand it, it has been very helpful for me. Dry needing gets to the center of knots, trigger points in muscle, activates healing deep at the source, can feel like deep massage or sparkler tickle, just ask about it - it's a part of phtsical therapy. I don't know if l'll ever find my way back to this blog - it's the only time l ever responded, b/c l felt compelled by your story that l might be able to help. The sruggle is real, therapues are hard work, but find a balance; mindfulness is good, but over analyzing can get stressful. Atitude is everything, fear not, find peace & appreciate simple things. Do something you enjoy every day, distraction from the burden of coplex recovery is very helpful to healing. Best of luck to you! Blessings!