Head Injuries: What to Do After a Slip and Fall - Neurosurgery

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Slipped in the bathroom and hit the right side of the head, at the location corresponding to the ear?


I slipped while coming down from a half-meter high step because one of my feet was too wet, and I hit the right side of my head.
At the time, I was fully conscious and aware that it was a superficial injury; I only felt pain.
I then sat up, and after a while, there was a slight swelling that felt soft to the touch.
I applied some topical ointment and ice.
The next day, I went to see a neurosurgeon, but the doctor only examined my head briefly and said there was nothing serious, advising me that I didn't need any medication and could go home, assuring me that it would heal naturally.
However, after more than half a month, I suddenly experienced a slight sharp pain in my head that seemed to move around, occurring intermittently, followed by similar sharp pains in other areas.
What could be the cause of this? Is it due to poor rest? I already have poor sleep quality, often going to bed late and having to wake up early, or could it be due to other reasons?

Mr. Huang, 30~39 year old female. Ask Date: 2021/08/15

Dr. Zhao Shaoqing reply Neurosurgery


Hello: Your symptoms suggest a concussion, including headaches and dizziness.
It is important to rest and avoid staying up late or staring at screens for extended periods.
If you experience excessive sleepiness, weakness, or persistent vomiting, you need to complete your outpatient appointments for further examination.
The Changhua Hospital of the Ministry of Health and Welfare is concerned about your well-being.

Reply Date: 2021/08/15

More Info


Understanding head injuries, especially after a slip and fall incident, is crucial for ensuring proper recovery and addressing any potential complications. In your case, you experienced a fall from a height of about half a meter, which resulted in a direct impact to the right side of your head. Initially, you were aware of the injury and recognized it as a superficial wound, but subsequent symptoms such as localized swelling and intermittent sharp pains have raised concerns.

When you sustain a head injury, even if it seems minor at first, there are several factors to consider. The symptoms you described, including the initial swelling and the later onset of sharp, jumping pains, could be indicative of a few different issues. Firstly, the soft tissue around the impact site may have sustained a contusion or bruise, which can take time to heal. The brain itself is well-protected by the skull, but even minor impacts can lead to temporary disturbances in brain function, which might explain the intermittent pain you are experiencing.

The sharp pains you mentioned could be related to nerve irritation or inflammation in the area surrounding the injury. This is not uncommon after a head trauma, as the nerves can become sensitive following an impact. Additionally, if you are experiencing poor sleep quality, this could exacerbate your perception of pain and discomfort. Sleep is vital for recovery, as it allows the body to heal and regenerate. Chronic sleep deprivation can lead to increased sensitivity to pain and a lower threshold for discomfort.

It is also worth noting that psychological factors can play a significant role in how we perceive pain after an injury. Anxiety or stress about the injury can lead to heightened awareness of bodily sensations, which may manifest as sharp pains or discomfort in various areas. If you find yourself preoccupied with thoughts about the injury or experiencing anxiety about potential complications, it may be beneficial to address these feelings, possibly with the help of a mental health professional.

In terms of management, it is essential to prioritize rest and recovery. Avoiding strenuous activities and giving your body time to heal is crucial. If the pain persists or worsens, or if you develop new symptoms such as dizziness, nausea, or changes in vision, it is important to seek further medical evaluation. A follow-up with a neurologist or a specialist in head injuries may be warranted to rule out any underlying issues that were not apparent during your initial examination.

In summary, while your initial assessment indicated no significant damage, the subsequent symptoms you are experiencing warrant attention. Focus on getting adequate rest, managing stress, and monitoring your symptoms. If you have concerns about your recovery or if the pain continues, do not hesitate to seek further medical advice. Your health and well-being are paramount, and addressing these issues early can help prevent long-term complications.

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