Concussion Concerns: Neck Tightness After Head Injury Explained - Neurology

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Concussion or Stroke!?


Hello, I bumped my head last week and saw a doctor who diagnosed me with a mild concussion.
However, after 8 days, I am experiencing tightness in the area just below my right earlobe, down to my chin and right cheek.
Is this normal? I'm concerned there might be an issue with my brain...

Mr. Li, 20~29 year old female. Ask Date: 2015/07/03

Dr. Gao Chunde reply Neurology


The area from the lower part of the right ear, extending to the neck and right cheek, is innervated by a peripheral nerve known as the greater auricular nerve.
This nerve branches from the cervical plexus and is responsible solely for sensation, lacking any motor function.
Occasionally, discomfort in this nerve may arise following a head impact, but it typically resolves on its own.
This condition is not closely related to concussions or strokes.

Reply Date: 2015/07/03

More Info


Hello! It sounds like you are experiencing some concerning symptoms following your recent head injury and concussion. First and foremost, it's important to understand that after a concussion, various physical and psychological symptoms can arise, and neck tightness is not uncommon.

When you sustain a head injury, especially one that results in a concussion, the body undergoes a series of physiological changes. These changes can lead to muscle tension, particularly in the neck and shoulders, as your body reacts to the trauma. The tightness you are feeling in your neck and jaw area could be a result of muscle strain or tension due to the injury, stress, or anxiety about your condition. This is often referred to as "muscle guarding," where your body instinctively tightens muscles to protect an injured area.

Additionally, the neck is closely connected to the head, and any trauma to the head can cause a ripple effect, leading to discomfort in the neck region. The muscles in the neck may become tense as they work to stabilize the head, especially if there is any lingering pain or discomfort from the concussion. This can also lead to headaches, which are a common symptom following a concussion.

It's crucial to monitor your symptoms closely. If the tightness in your neck persists or worsens, or if you experience additional symptoms such as severe headaches, dizziness, nausea, or changes in vision, you should seek medical attention promptly. These could be signs of complications that may require further evaluation.

In terms of management, here are some strategies that may help alleviate your neck tightness:
1. Rest and Recovery: Ensure you are giving your body adequate time to heal. Avoid activities that could exacerbate your symptoms, including strenuous exercise or activities that require intense concentration.

2. Gentle Stretching: Engage in gentle neck stretches to help relieve tension. Be cautious and avoid any movements that cause pain.

3. Heat Therapy: Applying a warm compress to the neck area can help relax tight muscles and improve blood flow.

4. Physical Therapy: If symptoms persist, consider consulting a physical therapist who specializes in concussion management. They can provide tailored exercises and treatments to help with recovery.

5. Stress Management: Since anxiety about your condition can contribute to muscle tension, practices such as mindfulness, meditation, or deep breathing exercises may help reduce stress levels.

6. Follow-Up Care: Keep in touch with your healthcare provider. Regular follow-ups can help monitor your recovery and address any new or worsening symptoms.

Lastly, while it's natural to worry about potential complications following a concussion, remember that many individuals recover fully with appropriate care and time. If you have any doubts or concerns about your symptoms, don't hesitate to reach out to your healthcare provider for further evaluation. They can provide reassurance and guidance tailored to your specific situation. Take care, and I hope you feel better soon!

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