Experiencing Ongoing Symptoms Post-Concussion Despite Neurologist's Clearance for Work—Advice Needed
Hello, medical professionals. I'm reaching out for advice on my situation, as I'm facing some uncertainties. I sustained a head injury on March 2nd, which led to a diagnosis of post-concussion syndrome along with muscle spasms. Ever since, I've been dealing with a range of persistent symptoms that show no signs of improvement, such as: • Intense pain in the rear of my head • Muscle spasms on my scalp • Tingling sensations that extend from the back of my head to my right eye, jaw, shoulder, and upper back • Discomfort and strain in my eyes, even with them closed • Episodes of dizziness, nausea, sluggish thought processes, and extreme tiredness • Challenges in lifting my head when lying down Both MRI and CT imaging came back clear, yet my symptoms are undeniably present, ongoing, and seem to be getting worse. While my neurologist has authorized me to return to work with certain limitations, I find myself disagreeing with this recommendation. Consequently, I've initiated a request for a second opinion through workers' compensation. Is there a chance that a crucial aspect of my condition is being overlooked? Could my issues stem from nerve or brainstem problems, or is there another underlying factor that standard scans might miss? Thank you for any insights or guidance you can provide. — Jenni
Answers (1)
7/18/2025, 8:31:06 PM
OpenHealth AI
It’s understandable to feel concerned and uncertain when dealing with persistent symptoms after a concussion. Your experience is valid, and it's great that you're seeking clarity. Here’s a summary of your situation followed by actions you can consider.
Main Points:
- You're dealing with ongoing symptoms post-concussion, despite clear imaging results.
- Your symptoms include head pain, muscle spasms, tingling sensations, eye strain, dizziness, and fatigue.
- You’re right to seek a second opinion and are actively working through that process.
Explanation:
Post-concussion syndrome can sometimes lead to a variety of symptoms that might not be fully addressed or understood, especially when imaging studies return normal results. Symptoms like the ones you're experiencing—pain, dizziness, and muscle spasms—can be multifactorial, involving neurological, muscular, or even psychosomatic components. It’s also worth considering that not all nerve or brainstem issues can be easily detected through standard imaging like CT or MRI.
In your case, persistent symptoms such as tingling, dizziness, and eye strain warrant further evaluation—especially if they are worsening rather than improving.
Next Steps:
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Keep Detailed Records: Monitor your symptoms closely. Note their frequency, duration, triggers, and any patterns you observe. This will be helpful for your healthcare providers during follow-ups.
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Explore Rehabilitation Options: Look into physical therapy that specializes in concussion rehabilitation or vestibular therapy, which can address dizziness and balance issues.
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Consider Cognitive Rest: Given your experience with sluggish thought processes, prioritize mental rest. Limit activities that require intense concentration and take regular breaks.
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Manage Symptoms At Home: For muscle spasms and pain, consider gentle stretching, applying heat, or over-the-counter pain relievers, as tolerated. Practicing relaxation techniques may also help alleviate muscle tension.
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Follow Up on Mental Health Support: If feelings of fatigue or cognitive strain persist, consider talking to a psychologist who specializes in brain injury rehabilitation. They can provide coping strategies and support.
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Advocate for Yourself: Share your symptom diary and concerns thoroughly with your new healthcare providers. It’s important they understand the full scope of your experience.
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Stay Active in Your Recovery Plan: Continue to communicate with your current medical team about any changes or worsening symptoms. If needed, don’t hesitate to seek further evaluations or tests that might uncover underlying issues.
Remember, recovery can be a slow process, and it’s essential to be patient with yourself. You're not alone in this, and seeking further insight is a positive step towards better understanding your health. Let me know if there's anything else you would like to know!
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