Neck Pain After Concussion: Recovery Timeline and Concerns

Neck discomfort or soreness?

Hello, doctor.
About 50 days ago, I had a motorcycle accident and experienced a concussion at that time.
After more than 50 days, other injuries have lessened, and my dizziness has improved by about half.
However, I still have some soreness in the right back of my neck near the shoulder (it feels somewhat like a stiff neck).
Over these 50 days, I have been able to use both arms without any soreness or numbness, and I can also do push-ups.
How long might this soreness take to recover? Could it be a cervical spine injury? Thank you.

awe, 40~49 year old female. Ask Date: 2013/05/18

Dr. Ding Xianwei reply Neurosurgery

Since I have not personally treated you, I can only provide suggestions based on your information.
Approximately 15-17% of patients with head trauma may have cervical spine injuries, and sometimes symptoms may take about six weeks to three months to manifest.
Therefore, it is possible that you have a cervical spine injury, and I recommend that you come to our hospital for a thorough examination.

Reply Date: 2013/05/18

More Info

Neck pain following a concussion can be a common issue, especially when there has been trauma to the head and neck area. In your case, it has been over 50 days since your motorcycle accident, and while you report that other symptoms have improved, you are still experiencing discomfort in the right posterior neck area near the shoulder. This sensation resembles that of a muscle strain or "stiff neck," which is often referred to as a "wry neck" or torticollis.

The timeline for recovery from neck pain after a concussion can vary significantly from person to person. Factors influencing recovery include the severity of the concussion, the extent of any associated neck injuries, and individual healing responses. Generally, mild neck pain or stiffness can improve within a few weeks, but in some cases, it may take several months for full recovery, especially if there are underlying issues such as muscle strain, ligament sprain, or cervical spine involvement.

Given that you are able to perform push-ups and have not experienced numbness or tingling in your arms, it suggests that there may not be significant nerve involvement at this time. However, the persistent discomfort could indicate muscle tension or strain in the neck and shoulder region, which is not uncommon after a concussion due to the body's compensatory mechanisms and altered posture during recovery.

It is important to consider the possibility of cervical spine involvement, especially if the pain persists. While your symptoms may not currently suggest a serious injury, such as a fracture or dislocation, it would be prudent to consult with a healthcare professional who can perform a thorough examination. This may include physical assessments and possibly imaging studies like X-rays or MRI to rule out any structural issues in the cervical spine.

In the meantime, here are some recommendations that may help alleviate your neck pain:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that strengthen the neck muscles, improve flexibility, and promote proper posture.

2. Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief.

3. Gentle Stretching: Incorporating gentle neck stretches into your routine can help improve mobility and reduce stiffness. Be cautious not to overextend or strain the neck.

4. Posture Awareness: Pay attention to your posture, especially when sitting or using electronic devices. Maintaining a neutral spine position can help reduce strain on the neck.

5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage discomfort. However, consult with your healthcare provider before starting any medication.

6. Rest: Ensure you are getting adequate rest and not overexerting yourself, as fatigue can exacerbate pain.

If your symptoms do not improve or worsen, it is essential to follow up with your healthcare provider. They may recommend further evaluation or treatment options based on your specific condition. Remember, recovery from a concussion and associated neck pain can take time, and it is important to be patient with your healing process.

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