Can You Scrub Your Scalp After a Concussion? Expert Insights - Neurosurgery

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Is it safe to massage the scalp after a concussion?


Hello, doctor.
I would like to ask if my colleague mentioned that she had a concussion a long time ago (it should have been several years ago), and now she cannot scrub her scalp while washing her hair, which has resulted in a strong scalp odor.
Could this have any effects? Thank you.

M, 20~29 year old female. Ask Date: 2021/07/06

Dr. Zhang Junwei reply Neurosurgery


No impact.

Reply Date: 2021/07/06

More Info


When it comes to managing scalp hygiene after experiencing a concussion, it is essential to understand the nature of concussions and their potential effects on the body, particularly the head and scalp. A concussion is a type of traumatic brain injury that occurs when the brain is jolted or shaken inside the skull, often due to a blow to the head. While concussions can lead to various symptoms such as headaches, dizziness, and cognitive difficulties, they do not typically affect the scalp's ability to be cleaned or scrubbed.

Your colleague's belief that she cannot scrub her scalp after a concussion may stem from a misunderstanding of the injury's implications. Generally, there are no specific medical restrictions on washing or scrubbing the scalp following a concussion, provided that the individual is feeling well enough to do so. In fact, maintaining proper scalp hygiene is crucial for overall health and can help prevent issues such as dandruff or scalp odor, which can arise from inadequate cleaning.

However, it is important to consider a few factors:
1. Symptoms of Concussion: If your colleague is still experiencing significant symptoms from her concussion, such as severe headaches, dizziness, or sensitivity to light or sound, she may find it uncomfortable to engage in activities that require physical movement, including washing her hair. In such cases, it may be more about her comfort level than a medical restriction.

2. Gentle Care: If someone has recently suffered a concussion, it might be advisable to approach hair washing with gentleness. This means using a mild shampoo and avoiding vigorous scrubbing, which could exacerbate any discomfort. Instead, a gentle massage of the scalp with fingertips can be effective without causing strain.

3. Consulting a Healthcare Professional: If there are lingering concerns about the effects of a past concussion on daily activities, it is always best to consult with a healthcare professional. They can provide personalized advice based on the individual's medical history and current health status.

4. Psychological Factors: Sometimes, individuals may develop certain beliefs or fears about their health after experiencing an injury. If your colleague feels anxious about washing her hair due to her past concussion, it might be beneficial for her to speak with a mental health professional. They can help address any underlying fears or anxieties related to her concussion experience.

In conclusion, there is no medical reason to avoid scrubbing the scalp after a concussion, as long as the individual feels comfortable doing so. Maintaining good hygiene is important, and if there are any specific concerns or symptoms that persist, seeking advice from a healthcare provider is always a prudent step.

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