Neck Pain After Phone Slip: Should You Worry About Concussion? - Family Medicine

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Neck issues?


Hello, Dr.
Wu.
The day before yesterday, while lying on my side in bed and using my phone, my hand slipped, and in a moment of panic, I reflexively tilted my head back to avoid the fall.
Afterwards, I experienced some soreness and discomfort in my neck.
Is it possible that this could have caused a concussion, or do I need to go to the hospital for an examination?

Yu, 20~29 year old female. Ask Date: 2020/11/03

Dr. Wu Zongying reply Family Medicine


Hello: If the neck is excessively hyperextended, such as during a sudden stop, it can lead to serious issues, often accompanied by neurological symptoms (such as upper limb numbness), requiring further evaluation by a neurosurgeon.
If the symptoms are due to muscle strain from poor posture, then soreness may occur, which can be treated with localized physical therapy.

Reply Date: 2020/11/03

More Info


When it comes to neck pain following a sudden movement or impact, such as the scenario you described where your phone slipped and you instinctively jerked your head back, it is important to consider a few factors. While neck pain can be a common result of such an incident, the concern for a concussion largely depends on the specifics of the situation.

A concussion is a type of traumatic brain injury that occurs when the brain is jolted or shaken inside the skull. This can happen due to a direct blow to the head or a sudden movement that causes the brain to move rapidly back and forth. In your case, if you did not experience any direct impact to your head but rather a sudden movement of the neck, the risk of a concussion may be lower. However, it is still essential to be vigilant about any symptoms that may arise.

Symptoms of a concussion can include:
1. Headache: A persistent headache that may worsen with physical activity.

2. Confusion: Feeling dazed or confused, difficulty concentrating.

3. Dizziness: Feeling lightheaded or experiencing balance issues.

4. Nausea or Vomiting: Feeling sick to your stomach or actually vomiting.

5. Sensitivity to Light or Noise: Increased sensitivity to bright lights or loud sounds.

6. Sleep Disturbances: Trouble falling asleep or sleeping more than usual.

If you experience any of these symptoms, it is advisable to seek medical attention promptly. Additionally, neck pain itself can be a sign of a strain or sprain, which may not necessarily indicate a concussion but could still require evaluation.

In terms of neck pain, it is common to experience discomfort after a sudden movement, especially if the muscles or ligaments in the neck were strained. Here are some recommendations for managing neck pain:
1. Rest: Avoid activities that may exacerbate the pain.

2. Ice Application: Apply ice to the affected area for 15-20 minutes every few hours to reduce swelling and numb the pain.

3. Pain Relief: Over-the-counter pain medications such as ibuprofen or acetaminophen can help alleviate discomfort.

4. Gentle Stretching: Once the acute pain subsides, gentle neck stretches can help restore mobility.

5. Posture Awareness: Maintain good posture, especially when using your phone or computer, to prevent further strain on your neck.

If the pain persists for more than a few days, worsens, or if you develop any concerning symptoms such as those associated with a concussion, it is crucial to consult a healthcare professional. They may recommend imaging studies, such as X-rays or MRI, to rule out any serious injuries to the cervical spine.

In summary, while your situation may not immediately suggest a concussion, it is essential to monitor your symptoms closely. If you have any doubts or if your condition changes, do not hesitate to seek medical advice. Your health and safety should always come first.

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