Managing Post-Concussion Symptoms: A Guide for Patients

Post-concussion syndrome

Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head.
At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began to experience discomfort in my head.
Later that month, I underwent a CT scan and MRI, and the doctors indicated that there were no significant issues.
However, I have continued to be troubled by headaches, dizziness, and discomfort around my eyes.
Recently, the area where I hit my head has been feeling uncomfortable, and I frequently experience headaches.
What should I do, Doctor?

Yan Sheng, 30~39 year old female. Ask Date: 2019/12/09

Dr. Jiang Junyi reply Neurology

Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but over time it can worsen and affect daily activities.
Some patients experience severe neck pain upon waking, accompanied by stiffness, tightness, and intolerable pain levels.
Occasionally, the myofascia may pull forward, affecting the forehead.
It is advisable to consult a neurologist or a rehabilitation physician to discuss examination and treatment options for the cervical spine.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Hospital cares about you.

Reply Date: 2019/12/09

More Info

Managing post-concussion symptoms can be a challenging journey, especially when symptoms persist long after the initial injury. It’s important to understand that concussions can lead to a variety of physical, cognitive, and emotional symptoms that may not resolve quickly. Here’s a comprehensive guide to help you navigate your recovery process.

Understanding Post-Concussion Symptoms
After a concussion, it’s common to experience symptoms such as headaches, dizziness, visual disturbances, and cognitive difficulties. These symptoms can arise from the injury itself, as well as from the body's response to the trauma. In your case, the persistent discomfort in your head and around your right eye, along with headaches, suggests that you may be experiencing post-concussion syndrome (PCS), which can occur when symptoms last for weeks or months after the injury.

Steps to Manage Symptoms
1. Consult a Specialist: Since you have already undergone CT and MRI scans that did not show significant issues, it may be beneficial to consult a neurologist or a concussion specialist. They can provide a more detailed assessment and tailor a management plan specific to your symptoms.

2. Symptom Diary: Keeping a diary of your symptoms can help identify triggers and patterns. Note when symptoms worsen, what activities you were doing, and how long they last. This information can be valuable for your healthcare provider.

3. Rest and Gradual Return to Activity: Initially, physical and cognitive rest is crucial. Avoid activities that exacerbate your symptoms, such as intense physical exercise, screen time, or tasks that require significant concentration. Gradually reintroduce activities as tolerated, monitoring your symptoms closely.

4. Physical Therapy: If you experience balance issues or neck pain, physical therapy may help. A physical therapist can design a program to improve your balance and strength, which can alleviate some of the dizziness and discomfort.

5. Cognitive Rehabilitation: If you are experiencing cognitive difficulties, such as trouble concentrating or memory issues, cognitive rehabilitation therapy may be beneficial. This therapy focuses on improving cognitive function through targeted exercises.

6. Medication Management: Over-the-counter pain relievers may help manage headaches, but consult your doctor before taking any medication. In some cases, prescription medications may be necessary to manage chronic headaches or other symptoms.

7. Lifestyle Modifications: Ensure you are getting adequate sleep, as sleep disturbances can exacerbate symptoms. A regular sleep schedule, a comfortable sleep environment, and relaxation techniques can improve sleep quality. Additionally, maintaining a balanced diet and staying hydrated can support overall recovery.

8. Mindfulness and Stress Management: Techniques such as mindfulness, meditation, or yoga can help manage stress and anxiety, which may contribute to your symptoms. These practices can promote relaxation and improve your overall well-being.

9. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to monitor your progress and adjust your treatment plan as needed. If symptoms persist or worsen, further evaluation may be necessary.

When to Seek Immediate Help
If you experience any new or worsening symptoms, such as severe headaches, repeated vomiting, seizures, or confusion, seek immediate medical attention. These could be signs of a more serious condition that requires urgent care.

Conclusion
Recovering from a concussion can take time, and it’s essential to be patient with yourself during this process. By following a structured approach to managing your symptoms and working closely with healthcare professionals, you can improve your chances of recovery. Remember, you are not alone in this journey, and support is available to help you navigate the challenges of post-concussion syndrome.

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