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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Concussions. Having Headaches During Physical Activity. Having Braces, Metal Springs In Mouth. Solution For Headcache?

Hello, my 16 year old son had 3 concussions last year (in 3 1/2 month span). He suffered headaches while working out and somethimes walking for almost 3 months. The specialist released him for summer baseball and he did well. Then he released him fully for football and wrestling. He has been fine up until this past weekend. He suffered a headache and dizziness after getting hit at practice and then yesterday he had another headache that went away after he took medicine. He told me today that he had a headache after weightlifting and I let him miss football practice. He has braces and on Friday had metal springs and heavy wires put in his mouth to help correct his bite. Ever since he has gotten headaches during physical activity. Should I take him to be checked out by a doctor? He seems fine and has no other symptoms than a headache.
Mon, 25 Nov 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Your son had apparently had repeated concussions of the brain. At times, effects of concussion last for a weeks or even months. Further, associated contusion of scalp muscles leads to their going into spasm, which manifests as post-exercise headaches. A 5-7 days' course of a combination of anti-inflammatory pain-killers and muscle relaxants will relieve muscle spasm.

YES. it can also be exercise-induced migraine attacks, though less likely in your son's case. If he has headaches lasting for more than 4 hours, with associated nausea, vomiting or sensitivity to light, then it could be exercise-induced migraines.

Lastly, sometimes, mild concussion of the brain may be associated with either, a minor fracture of the skull bone; or, a mild bleeding (subdural hemorrhage) which too would manifest as exercise induced headaches. A CT Scan is therefore recommended to rule out/detect these possibilities.

Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries.

Fond regards and have a nice day

Dr. Rakesh Karanwal
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Had Concussions. Having Headaches During Physical Activity. Having Braces, Metal Springs In Mouth. Solution For Headcache?

Hi there, Thanks for your query. Your son had apparently had repeated concussions of the brain. At times, effects of concussion last for a weeks or even months. Further, associated contusion of scalp muscles leads to their going into spasm, which manifests as post-exercise headaches. A 5-7 days course of a combination of anti-inflammatory pain-killers and muscle relaxants will relieve muscle spasm. YES. it can also be exercise-induced migraine attacks, though less likely in your son s case. If he has headaches lasting for more than 4 hours, with associated nausea, vomiting or sensitivity to light, then it could be exercise-induced migraines. Lastly, sometimes, mild concussion of the brain may be associated with either, a minor fracture of the skull bone; or, a mild bleeding (subdural hemorrhage) which too would manifest as exercise induced headaches. A CT Scan is therefore recommended to rule out/detect these possibilities. Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal