Guidance on Managing Concussion Symptoms
Hello, I'm a 32-year-old woman currently taking propranolol for postural orthostatic tachycardia syndrome (POTS). I also have Hashimoto's thyroiditis and am a smoker. Eight days ago, I experienced a head injury while driving my car. Approximately twelve hours later, I began to suffer from headaches alongside symptoms resembling the flu, including dizziness and nausea. Four days post-injury, I began to notice swelling in my face, which appeared similar to Bell's palsy. After a visit to the emergency room, I was informed that I have Bell's palsy, but a CT scan revealed no abnormalities. Since that time, my condition has deteriorated. While my headaches have been persistent, they are now more severe than they were initially. I was diagnosed with post-concussion syndrome, and the headaches are characterized by intense pressure. I also feel pressure in my temples, cheeks, and jaw. During a recent neuro examination in the ER, results were normal, but I was advised to increase my use of over-the-counter medications. Unfortunately, these do not seem effective and may even exacerbate my symptoms. I am experiencing significant anxiety, especially since I was reassured that it is not Bell's palsy. The continuing pressure in my face and temples and the relentless headache are quite frightening. Is it typical to experience a worsening of symptoms around the eighth day? How long might it take before I start to feel relief? Additionally, what strategies can I employ to manage the overwhelming sensations as if my head might burst? Thank you for your help.
Answers (1)
7/6/2025, 11:30:51 PM
OpenHealth AI
Main Points: Your symptoms of worsening headaches and pressure after a concussion, alongside anxiety about these changes, are concerning but can be addressed with specific strategies. It's common for post-concussion symptoms, like headaches and pressure, to fluctuate over the first few weeks. Relief is possible with the right management techniques.
Explanation: After a head injury, some people experience a range of symptoms, including headaches and feelings of pressure, which can sometimes worsen over several days. Post-concussion syndrome can lead to headaches that feel intense and disabling, often affecting everyday life. In your case, the pressure in your face, along with dizziness and nausea, reflects how your body is responding to the injury.
It’s good that your CT scan showed no major abnormalities since that rules out serious complications. However, ongoing symptoms mean that management strategies are crucial. Your anxiety about the situation is understandable, as head injuries can be quite alarming.
Next Steps to Manage Symptoms:
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Pain Management:
- Medication: Since over-the-counter medications have not been effective, consider discussing alternative pain relief options with your healthcare provider. Prescription options may include triptans or preventive medications.
- Ice/Heat Therapy: Apply a cold pack to your forehead for 15-20 minutes to numb pain, or use heat to relax tense muscles, particularly in your neck and shoulders.
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Neuromuscular Techniques:
- Gentle Massage: Consider gentle self-massage on your temples, cheeks, and jaw to relieve tension. Alternatively, you could explore visiting a licensed massage therapist experienced with concussion recovery.
- Relaxation Exercises: Engage in deep breathing exercises, meditation, or gentle yoga to calm your mind and reduce anxiety.
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Hydration and Nutrition:
- Ensure you are drinking plenty of water and eating balanced meals rich in nutrients that support brain health (like omega-3 fatty acids from fish, antioxidants from fruits and vegetables).
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Lifestyle Adjustments:
- Limit Screen Time: Reduce exposure to screens, which can exacerbate headaches.
- Sleep Hygiene: Maintain a regular sleep schedule, and create a calming bedtime routine to improve sleep quality, as rest is crucial for recovery.
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Monitor Symptoms:
- Keep a diary of your symptoms, noting the severity and any triggers you identify. This information will be helpful if you need to revisit your healthcare provider for advanced treatment plans.
If symptoms do not improve or become more severe, please revisit your healthcare provider to explore additional treatment methods, such as physical therapy or referral to a headache specialist. It’s important to acknowledge that recovery can take time, and reaching out for support can make a significant difference. You're not alone in this process, and there are effective strategies to help manage and reduce your symptoms.
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