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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done After An Injury On The Temple?

I was punched hard in my right temple and when it happened it knocked me out for a few seconds anyways... I saw white and all that then It felt like i was bleeding and i kept checking but there was no blood. So i went to lay down and i had to lay on my right side otherwise it hurt way too badly. Also if i even touched my temple area to the pillow it hurt too badly so i kinda propped my neck up to sleep. It was throbbing like so bad it felt like i was being punched still each time my heart beat. Its the next day now and its still throbs a little bit but it feels really tight. Like there is pressure under my skin almost. Also there are these numb sensations on that side of my face almost like cold water running along the contours of my face. When i open my jaw to talk or eat i can feel it in my temple, a throbbing dull pain. Kind of similar to the feeling that makes you pop your jaw, or knuckles. Should i go to the doctor or are these normal symptoms of a temple impact.
Wed, 9 Jul 2014
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Emergency Medicine Specialist 's  Response
Hi...
history of trauma with loss of consciousness looks more like a features of concussion.
Concussion occurs due to violent shaking of the head or a direct trauma to the head causing the brain fluid ( CSF) disturbances, this fluid imbalance causes secondary injury to the brain.
Throbbing pain post trauma is most commonly due to soft tissue injury and the cold sensation over the face is caused because of trauma to the terminal nerves/ nerve endings.
In your scenario it looks more like traumatic concussion with soft tissue injury. it is very unlikely that the temporal skull (temple bone) bone is fractured with blunt trauma and that to producing minimal symptoms like these.
Things to do-
1)Watch for signs of head injury like loss of consiousness, vomitng, giddiness, severe headache, ear/nasal bleed, seizures for next 48 hrs.
if it occurs report to the hospital for further investigations and management.
2) apply cold compression.
3) donot rub the region.
4) take pain killers- diclofenac 50mg twice a day.
5) Take serriopeptidase twice a day , this will reduce the swelling.
these symptoms will last for a minimum 3-5 days, if pan / swelling persists visit your physician.
Thank you
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What Should Be Done After An Injury On The Temple?

Hi... history of trauma with loss of consciousness looks more like a features of concussion. Concussion occurs due to violent shaking of the head or a direct trauma to the head causing the brain fluid ( CSF) disturbances, this fluid imbalance causes secondary injury to the brain. Throbbing pain post trauma is most commonly due to soft tissue injury and the cold sensation over the face is caused because of trauma to the terminal nerves/ nerve endings. In your scenario it looks more like traumatic concussion with soft tissue injury. it is very unlikely that the temporal skull (temple bone) bone is fractured with blunt trauma and that to producing minimal symptoms like these. Things to do- 1)Watch for signs of head injury like loss of consiousness, vomitng, giddiness, severe headache, ear/nasal bleed, seizures for next 48 hrs. if it occurs report to the hospital for further investigations and management. 2) apply cold compression. 3) donot rub the region. 4) take pain killers- diclofenac 50mg twice a day. 5) Take serriopeptidase twice a day , this will reduce the swelling. these symptoms will last for a minimum 3-5 days, if pan / swelling persists visit your physician. Thank you