Experiencing Pain Four Years After Head Injury: Should You See a Doctor? - Neurosurgery

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About four years ago, I had a head injury, and now I experience sharp pain?


Hello, doctor.
About four years ago, I had a motorcycle accident and hit my head.
At that time, the doctor evaluated a CT scan and determined there were no issues.
However, in recent days, I have been experiencing occasional sharp pain in the area where I was injured.
Should I seek medical attention for this?

Lynn, 20~29 year old female. Ask Date: 2019/05/29

Dr. Zhang Junwei reply Neurosurgery


The issues from four years ago should theoretically not cause headaches now; however, if there is persistent headache, it is still advisable to seek medical evaluation.

Reply Date: 2019/05/29

More Info


Experiencing pain or discomfort in the area of a previous head injury, even years later, can be concerning and warrants careful consideration. In your case, since you sustained a head injury four years ago and are now experiencing a sharp, stabbing pain in the same area, it is advisable to seek medical attention, particularly from a neurologist or a specialist in neurosurgery.

While the initial CT scan indicated no significant issues, it is important to remember that some conditions may not be immediately apparent. For instance, post-traumatic headaches, which can manifest long after the initial injury, are a common occurrence. These headaches can be caused by various factors, including changes in the brain's structure or function, nerve damage, or even psychological factors stemming from the trauma.
Additionally, the sharp pain you are experiencing could be indicative of nerve-related issues, such as neuropathic pain, which can arise from injury to the nerves during the trauma. This type of pain is often described as burning, stabbing, or shooting and can be quite distressing. It is also possible that the pain could be related to muscle tension or other musculoskeletal issues that developed as a result of the injury.

Another important aspect to consider is the potential for late-onset complications from head injuries, such as post-concussion syndrome or chronic traumatic encephalopathy (CTE), especially if there were multiple head injuries over time. Symptoms of these conditions can include persistent headaches, dizziness, cognitive difficulties, and mood changes.
Given your symptoms, it is crucial to consult with a healthcare provider who can perform a thorough evaluation, which may include a physical examination, neurological assessment, and possibly imaging studies like an MRI to rule out any structural abnormalities or complications that may have developed since your initial injury.

In summary, while it may seem that four years is a long time to still be experiencing pain from a head injury, it is essential to take these symptoms seriously. Seeking medical advice can help ensure that any underlying issues are addressed and that you receive appropriate treatment to manage your pain and any associated symptoms. Don't hesitate to reach out to a healthcare professional to discuss your concerns and get the necessary evaluations. Your health and well-being are paramount, and early intervention can often lead to better outcomes.

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