Post-Traumatic Head Pain: Symptoms After a Car Accident

Q: Post-Traumatic Head Pain: Symptoms After a Car Accident

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In the past, I experienced pain from a head injury due to a car accident. When the wind blows on my head, I feel numb and dizzy?

Hello doctor, my boyfriend had a car accident five years ago, during which he was in a coma in the intensive care unit for several days, and he likely underwent brain surgery.
He now reports that whenever the weather changes, he feels pain at the site of his old injury; it hurts when touched, and he experiences dizziness and numbness when the wind blows on his head.
Recently, these sensations have intensified, and he sometimes feels pain all over his body, but he can't describe the type of pain.
What kind of examinations should he undergo? Which specialty should he consult?

Yue Er, 20~29 year old female. Ask Date: 2020/04/14

Dr. Hong Weibin reply Neurology

Hello: During the wound healing process, the epidermal nerves will regenerate and reconnect.
However, the reconnection may not be perfect, leading to subsequent symptoms such as itching or even pain at the wound site.
The scalp has a high density of nerves, which are also more sensitive, and these nerves can communicate with each other, often resulting in radiating pain.
This condition can be exacerbated by significant changes in temperature.
Symptoms can be alleviated by applying topical corticosteroid ointments.
Wishing your friend a speedy recovery.

Reply Date: 2020/04/14

More Info

Post-traumatic head pain can be a complex issue, especially after a significant injury such as a car accident. Your boyfriend's symptoms, which include pain at the site of his previous injury, sensitivity to changes in weather, and general discomfort, are not uncommon among individuals who have experienced traumatic brain injuries (TBI).
First, it's important to understand that the brain and surrounding tissues can be sensitive to various stimuli, including weather changes. Many people report that their headaches or pain intensifies with changes in atmospheric pressure, which can occur with incoming storms or shifts in temperature. This phenomenon is often referred to as "weather-related headaches."
The pain he feels at the site of the previous injury could be due to several factors. One possibility is that the area is still healing or has developed scar tissue, which can be sensitive to touch or pressure. Additionally, the brain's response to injury can lead to chronic pain syndromes, where the nervous system remains in a heightened state of sensitivity even after the initial injury has healed.
Given that your boyfriend has a history of significant head trauma, it is crucial for him to seek medical evaluation. The symptoms he describes, such as increased pain, sensitivity, and general discomfort, warrant a thorough examination. He should consider consulting a neurologist, who specializes in disorders of the nervous system, including the brain. A neurologist can conduct a comprehensive assessment, which may include a physical examination, a review of his medical history, and possibly imaging studies like an MRI or CT scan to evaluate any changes in the brain or surrounding tissues since his last evaluation.

In addition to seeing a neurologist, it may also be beneficial for him to consult with a pain management specialist. These professionals can offer various treatment options, including medication, physical therapy, and alternative therapies such as acupuncture or cognitive behavioral therapy, which can help manage chronic pain and improve quality of life.

Moreover, lifestyle modifications can also play a significant role in managing post-traumatic head pain. Encouraging your boyfriend to maintain a regular sleep schedule, manage stress through relaxation techniques, and stay hydrated can be beneficial. Regular physical activity, as tolerated, can also help improve overall well-being and reduce pain sensitivity.

In summary, your boyfriend's symptoms are concerning and should not be ignored. A thorough evaluation by a neurologist is essential to determine the underlying causes of his pain and to develop an appropriate treatment plan. With the right care and management strategies, it is possible to alleviate some of the discomfort he is experiencing and improve his overall quality of life.

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