Post-Impact Symptoms: Dizziness, Fatigue, and Neck Weakness After Sports Injury

I hit my temple while playing ball and now I feel dizzy, very tired, and want to sleep. My neck also feels a bit weak?

Hello Doctor, I am currently studying in the United States.
On June 25th (Thursday) evening, I was playing basketball and got hit above my right temple by someone’s elbow.
At that moment, it was very painful, and I rubbed it a bit.
When I got home, I noticed a bump, but since it was late, I went straight to bed.
The next day, June 26th (Friday), I went to the school health center for an examination.
The doctor there only performed some basic checks to see if I had any weakness in my limbs and used an instrument to check my pupils, which were all fine.
However, after leaving the health center, I felt a significant sense of fatigue, a strong desire to sleep, and a bit of dizziness.
Additionally, my neck felt somewhat weak and heavy.
This condition persisted until June 29th (Monday) when I returned for a follow-up.
The follow-up results showed that the doctor still said everything was normal and that I could exercise normally.
I would like to ask the doctor:
1.
What could be causing these symptoms, and what are the possible solutions?
2.
Is there a need for a CT scan or any X-ray examinations, or should I just continue to observe? If observation is recommended, how long should the observation period last?
3.
If I later notice any symptoms, can I immediately fly back to Taiwan for treatment? Would flying pose any danger to a brain injury?
4.
During this period, can I continue to exercise normally?
I really appreciate your help, Doctor.
Thank you.

Eric, 20~29 year old female. Ask Date: 2015/07/01

Dr. Lan Shengxing reply Neurology

Dear Eric,
The medical standards in the United States are comparable to those in our country, and in many areas, they are even slightly ahead.
Therefore, seeking medical care in the U.S.
should not be an issue.
In terms of timeliness and capability, it far surpasses the option of immediately flying back home.
Additionally, if any problems arise, you already have access to immediate medical care and should seek professional consultation and further management nearby to avoid delays in receiving treatment.
After all, a flight takes a whole day, and if there is indeed an issue, that would result in an unnecessary delay of one day.
The medical regulations in the U.S.
are strict, so there should not be any delays in receiving care.
Lastly, the brain is sensitive to pressure, and without appropriate examinations and given the recent head trauma, flying could pose a risk due to the lack of comprehensive equipment.
Regarding the related questions you asked, such as the cause, treatment plan, and subsequent exercise, since there is already a physician at your school who has seen you, my response based solely on your email description would likely not be better than theirs.
You should trust the local physician's diagnosis and recommendations.
Best regards,
Lan Shengxing

Reply Date: 2015/07/01

More Info

Based on your description of the symptoms following your basketball injury, it seems you may be experiencing post-concussion symptoms, which can include dizziness, fatigue, and neck weakness. These symptoms can arise after a head injury, even if you did not lose consciousness or experience severe symptoms immediately after the impact.
1. Causes and Solutions: The symptoms you are experiencing could be due to a mild concussion or a contusion (bruise) in the area where you were struck. The brain can be affected by sudden movements or impacts, leading to a variety of symptoms. The heaviness in your neck and the fatigue could be related to muscle strain from the impact or tension due to discomfort. To alleviate these symptoms, it is essential to rest both physically and mentally. Avoid activities that require intense concentration or physical exertion, as these can exacerbate your symptoms. Gentle neck stretches and applying heat to the neck area may help relieve some tension. Staying hydrated and ensuring you get adequate sleep are also crucial for recovery.

2. Need for Imaging: Given that you have persistent symptoms, it may be prudent to consider further imaging, such as a CT scan or X-rays, especially if your symptoms do not improve or worsen. These imaging studies can help rule out any serious injuries, such as fractures or bleeding in the brain. It is generally recommended to follow up with a healthcare provider who specializes in sports medicine or neurology for a thorough evaluation.

3. Travel Considerations: If you notice any worsening of your symptoms, such as increased dizziness, severe headaches, or changes in vision, it would be wise to seek immediate medical attention before considering travel. Flying after a head injury can be safe for many individuals, but if you have any concerns about your condition, it is best to consult with a healthcare professional before making travel plans. They can provide personalized advice based on your specific situation.

4. Exercise During Recovery: While it is essential to remain active, you should avoid any strenuous activities or sports until you are cleared by a healthcare professional. Light activities, such as walking, may be acceptable if they do not exacerbate your symptoms. However, listen to your body and prioritize rest. Engaging in activities that require quick movements or involve risk of further injury should be avoided until you have fully recovered.

In summary, your symptoms following the impact may indicate a mild concussion or related injury. It is crucial to monitor your symptoms closely and seek further evaluation if they persist or worsen. Rest, hydration, and gentle care for your neck are essential during this recovery period. If you have any doubts about your condition or travel plans, do not hesitate to consult a medical professional for guidance.

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