Head Pain: Insights on Brain Injury and Recovery - Neurology

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The previous issue of experiencing headaches..?


Hello, doctor.
Previously, I mentioned that I experience pain when pressing on my head, and you indicated that it was due to damage to my right hemisphere, which caused weakness in my left limbs.
However, I was actually hit on the right side of my brain, resulting in weakness in my right limbs, while my left side is relatively fine.
Additionally, I recall that my left hemisphere did not sustain any severe injuries.
You also mentioned that if there were any hematomas, the brain would automatically break them down and absorb them.
It has been over a year, so there shouldn't be any hematomas remaining.
Should I no longer be concerned about the possibility of residual hematomas on the right side of my head? Lastly, regarding the pain I feel when pressing on the right side of my head, is it unnecessary for me to take medication or undergo further examination? The symptoms only occur when I apply pressure; otherwise, I do not experience any issues.

A Wei Ge, 10~19 year old female. Ask Date: 2010/05/07

Dr. Lin Zijing reply Neurology


If the right hemisphere of the brain is damaged, it may result in weakness of the left side of the body, but not weakness on the right side.
Therefore, your injury to the right hemisphere and the weakness on the right side of your body are not related.
There is no need to worry about the issue of bruising; if there are any blood clots, they will be absorbed over time.
The pain you feel in your head is likely caused by the nerves or muscles in the outer layer of the skull, and there will be no tenderness associated with lesions within the brain.

Reply Date: 2010/05/07

More Info


Understanding head pain, especially in the context of previous brain injuries, is crucial for effective recovery and management. Based on your description, it appears that you have experienced significant trauma to your brain, which can lead to various complications, including persistent headaches, neurological deficits, and other symptoms.

Firstly, it is important to clarify the relationship between brain injuries and the symptoms you are experiencing. You mentioned that you have right-sided head pain and weakness on the right side of your body, which can be indicative of damage to the left hemisphere of your brain. This is because the brain is organized such that each hemisphere controls the opposite side of the body. If your right side is affected, it suggests that the left side of your brain may have sustained some injury, even if it was not as severe as the injury to your right side.

Regarding your concerns about residual bleeding or hematomas, it is true that the brain has a remarkable ability to heal itself. In many cases, small hematomas can be reabsorbed by the body over time. However, if you are still experiencing pain or other neurological symptoms, it is essential to have a thorough evaluation. While it is possible that no significant bleeding remains, persistent symptoms could indicate other issues, such as post-concussion syndrome, tension-type headaches, or even migraines, which can occur after head trauma.

You mentioned that pressing on the right side of your head causes pain, but that you do not experience symptoms otherwise. This could suggest that there is an area of sensitivity or irritation in that region, possibly related to nerve endings or muscle tension. It is not uncommon for individuals who have experienced head trauma to develop trigger points or areas of heightened sensitivity that can lead to pain when pressure is applied.

In terms of treatment, it is essential to approach this holistically. While medication can help manage pain, it is also important to consider non-pharmacological interventions. These may include physical therapy, which can help strengthen muscles and improve function, as well as cognitive-behavioral therapy to address any psychological impacts of the injury. Additionally, lifestyle modifications such as regular exercise, adequate sleep, and stress management techniques can significantly improve overall well-being and potentially reduce headache frequency and intensity.

If your symptoms persist or worsen, it is advisable to seek further evaluation from a neurologist or a specialist in brain injuries. They may recommend imaging studies, such as an MRI or CT scan, to assess the current state of your brain and rule out any complications. Furthermore, they can provide tailored recommendations based on your specific symptoms and medical history.

In summary, while it is encouraging that you may not have residual bleeding, ongoing symptoms warrant further investigation. Understanding the nature of your pain and its triggers is crucial for effective management. A comprehensive approach that includes medical evaluation, physical rehabilitation, and lifestyle adjustments can help you achieve better outcomes and improve your quality of life. Always prioritize open communication with your healthcare provider to ensure that your concerns are addressed and that you receive the appropriate care.

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