Temple Pain: When to Seek Medical Attention - Neurosurgery

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Temporalis pain


A few days ago, I accidentally hit my temple against a hard hat.
After that, I experienced a headache and nausea.
Although it improved after a few hours, I've been feeling pain in my temple for the past few days.
Should I see a doctor, or will it heal on its own? Thank you.

Cai, 20~29 year old female. Ask Date: 2016/12/23

Dr. Zhang Junwei reply Neurosurgery


If it hasn't improved by today, you should schedule an appointment with the neurosurgery outpatient clinic!

Reply Date: 2016/12/23

More Info


When it comes to understanding temple pain, especially following a trauma like hitting your temple with a helmet, it’s essential to approach the situation with caution. The symptoms you describe—persistent temple pain and nausea—can be indicative of several underlying issues, some of which may require medical attention.

First and foremost, it's important to recognize that trauma to the head can lead to various injuries, including concussions, contusions, or even more severe conditions like intracranial hemorrhages. A concussion, for instance, is a type of traumatic brain injury that can occur even if there is no loss of consciousness. Symptoms can include headache, nausea, dizziness, and sensitivity to light or noise. Given that you experienced nausea along with the headache, this could be a sign of a concussion or other related injury.

The fact that your temple pain has persisted for several days after the incident is also a point of concern. While some minor headaches may resolve on their own, ongoing pain, especially following a head injury, warrants further evaluation. It’s crucial to monitor for any worsening symptoms, such as increased headache intensity, confusion, difficulty concentrating, balance issues, or changes in vision. If any of these symptoms occur, it is imperative to seek immediate medical attention.

In general, if you experience any of the following after a head injury, you should seek medical care:
1. Severe or worsening headache: If the headache becomes increasingly severe or does not improve with over-the-counter pain relief, it’s a sign that something may be wrong.


2. Nausea or vomiting: While nausea can be a common symptom after a head injury, persistent vomiting can indicate increased intracranial pressure or other serious conditions.

3. Confusion or disorientation: If you find it difficult to concentrate, feel confused, or have memory issues, these could be signs of a concussion or more severe brain injury.

4. Balance problems or dizziness: Difficulty walking or maintaining balance can indicate issues with the brain's ability to process information due to injury.

5. Changes in vision or hearing: Blurred vision, ringing in the ears, or other sensory changes should be evaluated by a healthcare professional.

6. Seizures: If you experience a seizure after a head injury, it is critical to seek emergency medical care.

Given your situation, I recommend that you consult with a healthcare provider, preferably a neurologist, who can perform a thorough examination and possibly imaging studies like a CT scan or MRI to rule out any serious injuries. They can assess your symptoms in the context of your recent trauma and provide appropriate treatment or recommendations.

In the meantime, ensure you rest and avoid activities that could risk further injury, such as sports or heavy physical exertion. Over-the-counter pain relievers like acetaminophen or ibuprofen may help alleviate some discomfort, but be cautious with their use, especially if you have any contraindications or are taking other medications.

In summary, while some minor head injuries may resolve on their own, persistent symptoms like temple pain and nausea following a head trauma should not be ignored. Seeking medical attention is the best course of action to ensure your health and safety.

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