Head Trauma: Symptoms, Treatment, and When to Get a CT Scan

Head trauma

Hello, doctor.
I was in a car accident last month and sustained a head injury.
There is swelling on the right side of my temple, and I was informed that my symptoms are suggestive of a mild concussion.
It has been a month since the incident, but the area around my temple is still sensitive to pressure; any touch causes head pain.
I would like to ask you, should I avoid massaging the swollen area? After initially applying ice, should I switch to heat therapy? Do I need to apply any topical ointments? Under what symptoms should I consider getting a CT scan? What is the natural mechanism for the swelling to subside? What should I continue to monitor moving forward?

H, 20~29 year old female. Ask Date: 2016/03/01

Dr. Zhang Junwei reply Neurosurgery

If you experience persistent and worsening headaches, dizziness, nausea, and vomiting, please schedule an appointment with a neurosurgery clinic for evaluation.

Reply Date: 2016/03/01

More Info

Head trauma can be a serious medical issue, and understanding the symptoms, treatment options, and when to seek further evaluation is crucial for recovery. In your case, having experienced a car accident with a noticeable swelling at the temple area, it is important to monitor your symptoms closely.

Symptoms of Head Trauma
After a head injury, symptoms can vary widely. Common symptoms include:
- Headaches
- Dizziness or lightheadedness
- Nausea or vomiting
- Swelling or tenderness at the injury site
- Confusion or difficulty concentrating
- Sensitivity to light or noise
In your situation, the persistent pain at the temple area, especially when pressure is applied, suggests that there may still be some underlying issues that need to be addressed. It is not uncommon for swelling to persist for weeks after a head injury, especially if there was significant trauma.

Treatment Options
Initially, the recommended treatment for head trauma includes:
- Rest: Allowing your brain to recover is essential. Avoid activities that require intense concentration or physical exertion.

- Ice Therapy: Applying ice packs to the swollen area can help reduce swelling and alleviate pain. This should be done for 15-20 minutes every hour as needed during the first 48 hours post-injury.

- Heat Therapy: After the initial swelling has decreased, heat can be applied to promote blood flow and healing. However, be cautious not to apply heat too soon, as it can exacerbate swelling.

- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be used to manage pain. However, avoid aspirin, as it can increase the risk of bleeding.

Regarding topical treatments, while some may find relief using ointments or creams, it is essential to consult with a healthcare provider before applying any medication to ensure it is safe and appropriate for your specific situation.

When to Get a CT Scan
A CT scan is typically indicated in the following scenarios:
- Worsening Symptoms: If you experience increased headache severity, persistent vomiting, confusion, or any new neurological symptoms (like weakness or numbness).

- Loss of Consciousness: If you lost consciousness at any point during the injury.

- Seizures: If you experience any seizures following the injury.

- Severe Swelling or Bruising: If the swelling worsens or if you notice significant bruising around the eyes or ears, which may indicate a more serious injury.

Natural Resolution of Swelling
Swelling after a head injury is part of the body's natural healing process. The body sends fluids to the injured area to promote healing, which can cause noticeable swelling. Over time, as the body repairs itself, this swelling should gradually decrease. Factors that can influence the resolution of swelling include:
- Rest and Recovery: Adequate rest is crucial for healing.

- Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support recovery.

- Avoiding Strain: Limiting activities that could exacerbate symptoms is important.

Ongoing Monitoring
After a head injury, it is essential to continue monitoring your symptoms. Keep track of any changes, and do not hesitate to seek medical attention if you notice worsening symptoms or new issues arise. Regular follow-ups with a healthcare provider, particularly a neurologist or a specialist in head injuries, can help ensure that you are recovering appropriately.

In conclusion, while many head injuries can resolve with conservative management, it is vital to remain vigilant about your symptoms and seek further evaluation if necessary. Your health and safety should always be the priority.

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