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Suggest Remedy For Soreness On Head After A Concussion

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Posted on Wed, 25 Feb 2015
Question: I am here with my friend who suffered a concussion 2 1/2 weeks ago. She is still recovering and now her head where she hit it (the contusion) is getting very sore to touch. It went away a few days after the injury, but now it hurts as bad as it did when she hit it. Is this normal?
doctor
Answered by Dr. Vivek Chail (31 minutes later)
Brief Answer:
Please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
A person who suffers concussion injury might report many of the symptoms which are frequently come across in patients having such an injury. This kind of injury considered a mild form of brain injury.

If she has headaches which are rooted inside the head then having that is usual. Studies have shown that very often, patients have more than one type of headache (considering the nature and features of headaches) after a concussion.

If she is having a scalp swelling and that hurts then a clinical examination might be required to know if there is any infection in the scalp swelling. This occurs when there is slight blood collection below the scalp skin and if it develops a small infection over time. This can also cause mild fever as one of its symptoms along with the pain.

People having a concussion might experience headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration and memory, and noise sensitivity most commonly. These usually get better in 3 months.

Less common symptoms include ringing in the ears, hearing loss, blurred vision, light and noise sensitivity, decreased smell and taste, depression, personality change, post-traumatic stress disorder, decreased sex drive, and nausea and sometimes vomiting.

In conclusion, I would like to confirm that if the pain your friend experiences is related to any scalp swelling at the location of injury and the pain is worsening with or without fever then an infection must be ruled out and a doctor is to be consulted for medication.

If the pain is coming from within the brain and not associated with any swelling then most likely it is a post concussion symptom. Headaches in post concussion can appear even 2 1/2 weeks after the injury.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (14 minutes later)
This is saturday night, should we wait until monday morning to call the neurologist about the pain on the scalp? Or should this be seen immediately? Her scalp is very tender to touch at the location of the contusion. It was sore at first, which is normal, but now the scalp is even more tender... and she has trouble laying back and resting her head on the area. She has to turn her head to one side or the other because it hurts too much to put pressure on it. Anyway, just wanted to know if it needs to be addressed immediately or can it wait until Monday morning.
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Is tenderness present only on applying pressure, pls send pic if possbile

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Since you have written that the scalp in the area of injury has become even more tender, it is important to know if the tenderness is present at all times or only when there is pressure on the area as when lying down or touching the scalp intentionally.

Would it be possible for you to attach a picture of the scalp area (by parting the hair as much possible) so that I can get an idea about the size, extent of the swelling and its appearance.

I shall reply back as soon as I get an update from you on the above information.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (14 hours later)
I don't think the picture will show anything. It is not red or anything but it does feel a little puffy. I can tell you that the area is in the middle of the back of the head. It starts just below the crown of the head and it is about 5 inches in diameter. This is the area that she hit when she fell back on the tile floor.
doctor
Answered by Dr. Vivek Chail (5 hours later)
Brief Answer:
She can wait till monday morning to see the doctor

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Since it is not red or showing signs of infection, your friend can wait until monday morning to see her doctor.

Wishing her a quick recovery.

Regards,
Dr.Vivek
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Suggest Remedy For Soreness On Head After A Concussion

Brief Answer: Please find details below Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. A person who suffers concussion injury might report many of the symptoms which are frequently come across in patients having such an injury. This kind of injury considered a mild form of brain injury. If she has headaches which are rooted inside the head then having that is usual. Studies have shown that very often, patients have more than one type of headache (considering the nature and features of headaches) after a concussion. If she is having a scalp swelling and that hurts then a clinical examination might be required to know if there is any infection in the scalp swelling. This occurs when there is slight blood collection below the scalp skin and if it develops a small infection over time. This can also cause mild fever as one of its symptoms along with the pain. People having a concussion might experience headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration and memory, and noise sensitivity most commonly. These usually get better in 3 months. Less common symptoms include ringing in the ears, hearing loss, blurred vision, light and noise sensitivity, decreased smell and taste, depression, personality change, post-traumatic stress disorder, decreased sex drive, and nausea and sometimes vomiting. In conclusion, I would like to confirm that if the pain your friend experiences is related to any scalp swelling at the location of injury and the pain is worsening with or without fever then an infection must be ruled out and a doctor is to be consulted for medication. If the pain is coming from within the brain and not associated with any swelling then most likely it is a post concussion symptom. Headaches in post concussion can appear even 2 1/2 weeks after the injury. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek