Should You See a Doctor After a Basketball Head Injury?

Hit the forehead while playing basketball?

Hello doctor, I would like to ask about something.
Yesterday, while playing basketball with my classmates, I was hit on the forehead above my right eyebrow.
Today, I have been feeling a bit unfocused and very tired.
The muscles on both sides of my neck and my shoulder muscles also feel a bit sore.
Although the area where I was hit doesn't seem to have any bruising, it does hurt a little when I press on it.
Should I see a doctor for this?

Aren, 10~19 year old female. Ask Date: 2020/08/26

Dr. Zhang Junwei reply Neurosurgery

It is likely just a simple head injury; observation is recommended.
If discomfort persists, it is advised to consult a neurosurgery outpatient clinic for evaluation.

Reply Date: 2020/08/26

More Info

After experiencing a head injury during a basketball game, it is crucial to assess your symptoms carefully and determine whether you should seek medical attention. Based on the details you've provided, including the impact location, persistent fatigue, difficulty concentrating, and muscle soreness in your neck and shoulders, it is advisable to consult a healthcare professional.

Head injuries can vary significantly in severity, and even seemingly minor impacts can lead to complications. Symptoms like difficulty concentrating and persistent fatigue may indicate a concussion or other forms of mild traumatic brain injury (TBI). Concussions can occur without loss of consciousness and can manifest with various symptoms, including headaches, dizziness, confusion, and changes in mood or cognitive function. The fact that you are experiencing pain at the impact site, even without visible bruising, is also a sign that warrants further evaluation.

Here are some key points to consider regarding your situation:
1. Symptoms Monitoring: It's essential to monitor your symptoms closely. If you experience worsening headaches, nausea, vomiting, increased confusion, or any new symptoms, you should seek immediate medical attention. These could be signs of a more serious injury.

2. Rest and Recovery: After a head injury, rest is crucial. Avoid strenuous activities, including sports, until you have been evaluated by a healthcare professional. Physical and cognitive rest can help your brain recover.

3. Medical Evaluation: Given your symptoms, it would be wise to see a doctor, preferably one who specializes in sports medicine or neurology. They can perform a thorough examination, which may include neurological assessments and possibly imaging studies like a CT scan if deemed necessary.

4. Potential for Concussion: If a concussion is diagnosed, the management typically involves a gradual return to normal activities, guided by a healthcare provider. This process can vary in duration depending on the severity of the injury and your recovery progress.

5. Neck and Shoulder Pain: The soreness in your neck and shoulders could be related to the head injury, especially if you tensed up during the impact or if there was a whiplash effect. Physical therapy may be beneficial if these symptoms persist.

6. Avoiding Further Injury: Until you have been cleared by a healthcare professional, refrain from participating in any activities that could risk another head injury. This includes basketball and other contact sports.

7. Follow-Up Care: If you do see a doctor, ensure you follow their recommendations closely. They may suggest follow-up appointments to monitor your recovery and adjust your activity levels accordingly.

In summary, given your symptoms and the nature of your injury, it is advisable to seek medical attention. A healthcare professional can provide a comprehensive evaluation and ensure that you receive the appropriate care to facilitate your recovery. Remember, it is always better to err on the side of caution when it comes to head injuries.

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