Mild Concussions: Symptoms, Recovery, and When to Seek Help - Neurology

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Head trauma


I recently got hit in the head by a basketball.
At first, I didn't feel much, but two days later, I suddenly felt a lot of pain and dizziness.
It lasted for half a day, and after a good night's sleep, I woke up with only mild pain and dizziness.
I visited a doctor today, who prescribed me medication and advised me to rest at home, telling me to return if necessary, as it is a mild concussion.

1.
I want to ask if further examination is needed, such as a CT scan.
2.
How long should I continue self-monitoring to consider myself recovered?
3.
I previously read medical articles online stating that mild concussions typically heal with self-rest and require about two weeks.
Is this correct?
4.
Will medication help with a mild concussion?

ANDY, 20~29 year old female. Ask Date: 2004/03/02

Dr. Ye Boshou reply Neurology


1.
If there are no other neurological symptoms, a CT scan is not necessary.
2.
In cases of severe brain injury, such as subdural hematoma, symptoms typically appear within 48 hours at the latest.
3.
Mild pain and dizziness should recover quickly, so there is no need for concern.

Reply Date: 2004/03/02

More Info


Mild concussions, often referred to as mild traumatic brain injuries (mTBI), can occur from various impacts, such as being hit by a basketball, as you described. Understanding the symptoms, recovery process, and when to seek further medical help is crucial for ensuring your health and well-being.

1. Further Testing: After a concussion, the need for further imaging, such as a CT scan, depends on the symptoms you present. If you experience severe headaches, repeated vomiting, confusion, seizures, or any worsening of symptoms, it is essential to seek immediate medical attention. In your case, since you initially felt fine but later developed symptoms, it’s good that you consulted a doctor. They likely assessed your condition and determined that a CT scan was unnecessary at that time. However, if your symptoms worsen or new symptoms arise, you should return to the doctor for further evaluation.

2. Self-Monitoring and Recovery Duration: The recovery period for a mild concussion can vary significantly from person to person. Generally, symptoms can improve within a few days to a couple of weeks. During this time, it’s important to monitor your symptoms closely. You should keep track of any changes in your condition, such as increased headaches, dizziness, or cognitive difficulties. If symptoms persist beyond two weeks or worsen, it would be prudent to follow up with your healthcare provider for further assessment.

3. Rest and Recovery: The recommendation of resting for about two weeks is consistent with many medical guidelines for mild concussions. Rest is crucial as it allows your brain to heal. This includes both physical and cognitive rest, meaning you should avoid strenuous activities and limit tasks that require concentration, such as reading, using a computer, or playing video games. Gradually, as you start feeling better, you can slowly reintroduce these activities, but it’s essential to listen to your body and not rush the process.

4. Medication and Recovery: Medications prescribed by your doctor can help alleviate symptoms such as headaches or nausea. However, they do not directly speed up the healing process of the concussion itself. The primary treatment for a concussion is rest and gradual return to normal activities. Over-the-counter pain relievers like acetaminophen can be used for headaches, but it’s best to avoid NSAIDs (like ibuprofen or aspirin) immediately after a concussion, as they can increase the risk of bleeding.

In summary, while mild concussions typically resolve with proper care and rest, it’s important to remain vigilant about your symptoms. If you notice any concerning changes, don’t hesitate to seek medical advice. Always prioritize your health and well-being, and remember that recovery is a personal journey that can take time. If you have any lingering doubts or concerns, consider discussing them with your healthcare provider for tailored advice and reassurance.

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