Hello, I met with bike accident hiting a dog. I fell right after it. I don't remember how I fell, I just remember waking up myself and lifting off bike. I didn't have heache, nausea i had jaw hit and took medicines. I checked with neurologist after discussions it was said i had event amnesia and asked wait and watch. I faced some pain in right chest and checked there was no crack and no air from lungs. I had sharp pain. I approached cardiologist. For pain management he suggested to have pantop dsr and then tramodal. Shall we use tramodal now? i am not sure if it is a MTBI.