Itoledo,

Welcome to NeuroTalk.

Nortriptyline and amitriptyline are commonly prescribed for PCS headaches and insomnia. They are usually prescribed at small doses, much less than would be prescribed for anti-depressant action.

As Jbuckl said, neck injuries often contribute to head aches. I call these subtle neck injuries because they rarely show any symptoms other than the headache. A sure sign would be tenderness at the bony part behind the ears but that is not a way to rule out an upper neck injury.

Bed rest can be problematic because it can lead to poor head and neck posture exacerbating the subtle neck injury. She needs to be disciplined about good straight head and neck posture.

Some find benefit from Upper Cervical Chiropractic therapy or some osteopathic cervical manipulation or gentle Physical therapy (traction and gentle mobilization, not range of motion work.)

You don't mention her other symptoms. I bet she has plenty.

The Vitamins sticky at the top has good information to consider.

Please feel free to tell us anything. We have heard it all and understand what she is going through.

My best to you both.