Hi my 17 year old daughter fell off her horse onto her back and hit the back of her head about 18 hours ago. Right after the event  she had little head ache and felt kind of out of it - but seemed fine coherent could follow conversations etc. She has no bump on her head.  This morning she woke up and said her neck hurts and she feels tired.  Do you think I need to take her to the ER?
Headache following head injury indicates to visit a doctor. Neck pain may be due to spasm which will subside.but still u need to rule out cervical spine injury.