Returning to Work After Mild Brain Injury: Key Recovery Insights - Neurosurgery

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I would like to consult about issues related to brain injury?


Hello, Doctor! According to your response that "the most important thing for a concussion is rest, and it will naturally recover over time," I would like to ask how much longer it might take before I can return to work.
I have been on leave for about a month due to mild subarachnoid hemorrhage, and the doctor who examined me at that time said it would absorb on its own and that I wouldn't need another CT scan.
My job involves lifting heavy objects (approximately 20 kilograms in total for about 5 seconds) and running.
If I recover well, will lifting heavy objects affect the risk of re-bleeding? After such a type of brain injury, will I be able to return to my previous level of activity? Thank you for taking the time to answer my questions.

Yin ge, 30~39 year old female. Ask Date: 2023/11/21

Dr. Zhang Junwei reply Neurosurgery


Mild subarachnoid hemorrhage typically allows for a full recovery to previous levels of activity after a period of rest.

Reply Date: 2023/11/21

More Info


Returning to work after a mild brain injury, such as a mild subarachnoid hemorrhage, involves careful consideration of several factors, including the nature of the injury, the recovery process, and the demands of your job. Based on the information provided, it appears that you have been resting for about a month following your injury, and your doctor has indicated that the bleeding is expected to resolve on its own without the need for further imaging.
In general, the recovery timeline for mild brain injuries can vary significantly from person to person. Some individuals may feel ready to return to work within a few weeks, while others may require several months. The key is to listen to your body and follow your healthcare provider's recommendations. It is crucial to ensure that you are symptom-free and able to perform your job duties without risking further injury.

Regarding your specific job requirements, which include lifting heavy objects and running, it is essential to consider the potential risks involved. Engaging in strenuous activities too soon after a brain injury can increase the risk of re-injury or complications, such as re-bleeding. Therefore, it is advisable to gradually ease back into physical activities and monitor how your body responds. If you experience any symptoms such as headaches, dizziness, or cognitive difficulties, it may be a sign that you need more time to recover.

In terms of returning to your previous level of activity, many individuals with mild brain injuries can eventually resume their normal activities, including work. However, this depends on the severity of the injury, the effectiveness of rehabilitation, and individual factors such as age, overall health, and pre-existing conditions. It is also important to engage in cognitive and physical rehabilitation exercises to support your recovery.

To assess your readiness to return to work, consider the following steps:
1. Consult with Your Healthcare Provider: Before returning to work, have a thorough discussion with your doctor about your recovery progress and any lingering symptoms. They can provide guidance on whether you are fit to return to your job.

2. Gradual Return: If possible, consider a phased return to work. This could involve starting with part-time hours or lighter duties to gauge your ability to handle the demands of your job.

3. Monitor Symptoms: Keep track of any symptoms that arise when you resume work activities. If you notice any worsening of your condition, it may be necessary to take a step back and allow for further recovery.

4. Communicate with Your Employer: Inform your employer about your situation and discuss any necessary accommodations that may help you transition back to work safely.

5. Physical and Cognitive Rehabilitation: Engage in rehabilitation programs that focus on both physical and cognitive recovery. This can help improve your overall functioning and readiness to return to work.

In conclusion, while many individuals can return to their previous activities after a mild brain injury, it is vital to approach this process cautiously. Prioritize your health and recovery, and do not hesitate to seek professional guidance to ensure a safe return to work.

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