Head-injury headaches

Head-injury headaches

Last Updated November 3rd, 2022

Yes, doctors advise a CT scan of the brain and other brain scans to diagnose the injury and headache.
Yes, getting enough sleep, rest, and avoiding certain foods that trigger headaches can help in the symptoms.
Yes, headaches are one of the most common symptoms a person experiences after a head injury.

Introduction

Headaches are one of the most common symptoms that are experienced by individuals who have suffered head injuries. This is also termed as “post-traumatic headache”. Such an injury can result from a violent blow to the head or a severe jolt to the upper body or the brain. In some cases, any foreign object or a shattered piece of the skull that penetrates the soft brain tissue can also result in a traumatic brain injury. While a mild injury can have a temporary effect on the brain cells, a serious traumatic brain injury can result in bruising, damaged tissues, internal bleeding, and other types of physical damage to the brain. Severe cases can result in death or develop long-term complications. In general, when a new headache appears for the first time, in close temporal relation to trauma or injury to the head or the neck, it is attributed to that injury.

Such headaches do not have any special features that can distinguish them from general headaches caused by stress or migraine. When a headache develops within 7 days following trauma or injury, it can be attributed to the same. An injury-related headache can be accompanied by other symptoms which may include dizziness, ringing in the ears, fatigue, reduced ability to concentrate, mild memory problems, insomnia, anxiety, personality changes, and irritability. In such a scenario, the patient is said to be undergoing post-concussion syndrome. These headaches can be long-lasting or may come and go at intervals. They make the daily life of the patient extremely difficult and can result in the inability to work efficiently along with difficulty in concentrating and retaining memory. At present, there is no specific medication that can alter the damages in the brain and reduce the headaches, and hence the treatment is symptomatic.

The major causes of head-injury headaches

Such a headache can be caused by various kinds of head injuries which can be classified as mild, moderate, or severe. Some such conditions are discussed below.

Skull fracture

A fracture is a crack or breaks in the bone structure of the skull. In case the skull gets dented, it is called a depressed skull fracture. In such a case, fragments of the bone can press against the brain tissue. In most cases, there is a bruise or contusion on the surface of the brain below the fracture.

Epidural hematoma

In this case, a blood vessel gets torn under the skull, resulting in bleeding. This can be accompanied by a fracture in the skull itself. The blood gets collected in the space between the skull and the outermost layer, called the dura, covering the brain. The collected blood increases the pressure inside the skull chamber and presses on the brain. This is a serious condition that can lead to death unless it is cleared.

Acute subdural hematoma

A subdural hematoma happens when blood accumulates between the outermost layer of the dura and the surface of the brain. It is generally caused by an assault, car accident, or fall that can result in a blow on the head or when the head is jerked violently. Such an injury is very severe in nature generally leads to unconsciousness and is fatal in 50% of the cases.

Intraparenchymal haemorrhages and contusions

This type of injury is caused when the brain gets bounced inside the skull due to the force of a heavy impact. The injury is caused not only on the surface of the brain directly below the impact but also on the other side which hits the skull. In this case, a pooling of blood occurs within the brain tissue and a contusion or swelling is visible through a CT scan.

Concussion

A concussion is generally associated with symptoms of confusion, memory loss, or temporary loss of consciousness. Additional symptoms resulting from such an injury include vomiting, dizziness, coordination problems, confusion, ringing in the ears, sleepiness, or seizures.

These injuries can lead to structural damage to the brain or disruption of the nerve arrangements leading to an effect on the messaging system. Some experts also believe that psychological factors resulting from these injuries also cause headaches. But it has not been determined how some people suffer from head injury-related headaches while others do not. Research studies show that these headaches can be related to factors like a history of anxiety, depression, PTSD (post-traumatic stress disorder), and a lack of social support.

Types of head injury-related headaches

headachesThe headaches resulting from traumatic head injuries can be a part of a complex array of symptoms called post-concussion syndrome. After an injury, headache symptoms may develop without any specific location, severity, and frequency. The exact nature of the headache can also change as time passes. While most headaches after an injury go away within the first three to six months, some can persist. In case the headache is accompanied by the following symptoms, it is necessary to visit a doctor.

  • The headache gets worse.
  • The patients is also experiencing nausea and/or vomiting.
  • An arm or leg weakness or problems speaking occurs along with the headache
  • In case there is an increasing sense of sleepiness along with the headache.

While there can be a variety of headaches, some of the major ones are listed below.

Migraine headaches

Such headaches occur because a particular area of the brain has become hypersensitive due to the injury. This area can send pain signals to the other parts of the brain and magnify the headache. In some cases, such a headache comes with warning signs like seeing spots or bright lights. Typical features include:

  • A dull, throbbing sensation, usually on one side of the head.
  • Nausea or vomiting.
  • Sensitivity to light and sound.
  • The pain level can be rated as moderate to severe.

Tension-type headaches

These headaches are associated with muscle tension or muscle spasms in the head area. Mental stress or anxiety can also play a role behind them. They usually have the following features:

  • A tight, squeezing sensation that is felt around the entire head or on both sides.
  • Pain levels can be from mild to moderate.
  • These headaches generally occur later in the day.

Cervicogenic headaches

The back of the head and the neck contain muscles and soft tissues along with numerous nerves. An injury to this area can be transmitted by the nerves that travel into the skull and result in a headache. This type of headache usually has the following features:

  • They generally start in the neck, shoulders, and back of the head, and can travel to the upper part of the head.
  • Any neck movement can worsen the pain.
  • These headaches can range from mild to severe and are usually not accompanied by nausea.

Rebound headaches

In some cases, the medication that is used to treat headaches can result in further headaches. When certain pain medications are consumed regularly, a failure to consume the daily dose can result in a headache. This is also seen with certain drinks like coffee or energy drinks that contain caffeine.

Diagnosis

Diagnosis for head-injury headachesThe first step that the doctors take is to perform a CT scan or an MRI of the brain to check if there is any internal bleeding resulting from an injury. Further brain scans can be conducted to determine the exact cause of the headaches. A detailed study of how the injury occurred, the symptoms, and past health problems are done. The symptoms of the patient are also observed and if needed, the patient is kept under observation in the hospital for a few days. In case there are associated memory-related problems, a range of memory tests, called neuropsychological tests are conducted.

Treatments

In most cases, good sleep, exercise to tolerance, relaxation and stress management, and regular healthy eating are recommended as the basic steps to cure headaches. In addition, reduced caffeine intake, and avoidance of overuse of pain medication are also advised for all kinds of headaches. There is also the use of physical therapy for relieving tension-type headaches which result from neck pain or injury. In some extreme cases, the condition is treated by an injection around the irritated nerve with a local anaesthetic which can be combined with steroid medication. Depending on the classification of the headache, migraine-specific therapies can be adapted to provide relief.

Two types of treatment approaches are used for migraine headaches. Acute or abortive therapy treats the headache when it occurs, while preventive therapy or prophylaxis is used on a daily basis when the attack frequency is high. In case such therapies do not work and headaches occur frequently, suppressive or prophylactic therapy is used by using specific medications. Antidepressants, particularly serotonin-norepinephrine reuptake inhibitors have also been used to reduce headaches resulting from traumatic head injuries. In many cases, non-drug therapies like biofeedback techniques and meditation are also useful in treating the conditions.

Prevention of head injury-related headaches

Head-injury headachesThe best way to prevent post-concussion syndrome is to avoid head injury in the first place by taking the necessary preventive measures.

The dos

Here are a few things that you need to do to avoid such injuries

  • It is important to fasten your seat belts while driving or being driven. It is best to keep children in the back seat of the car to keep them safer.
  • It is also important to keep the home environment safe and prevent the chances of a fall. Some steps that can be taken include the right use of rugs, improving lighting, and installing handrails.
  • It is important to get your vision checked at regular intervals. Poor vision can increase the chances of a fall, especially if your work environment involves operating in risky conditions.
  • Get enough rest and sleep to improve the overall rate of healing from the injury. Regular exercise, as advised by the doctor, can help in improving sleep and decreasing headaches in some cases.
  • For those who use blood-thinning medications, consume large volumes of alcohol or have a bleeding disorder, it is important to seek medical care immediately after a head injury, even if it appears to be less severe.

The don’ts

  • Do not ride a motorcycle or drive a car in a manner that jeopardises your safety. Never drive a car after consuming alcohol.
  • Do not underestimate the importance of a helmet. The use of helmets is very important during activities like riding a motorcycle, bicycling, roller-skating, skiing, snowboarding, playing cricket, or horseback riding. In case your profession demands the use of a helmet, make sure that you use it.
  • Avoid certain foods that can generate a headache. Such foods include red wine, monosodium glutamate (MSG), and a few types of cheese.
  • Avoid consuming pain medications on a regular basis without consulting the doctor.

Conclusion

While head injury-related headaches can be severe and painful they can be treated by taking the right measures. In many cases, certain lifestyle changes can deliver effective results. To know the exact reason behind these headaches and the clinical characteristics, more research is necessary. This type of problem is common in both military and their civilian population and recent statistics indicate that it is more prevalent than what was believed earlier. While repetitive minor head impacts can lead to headaches, some patients also develop headaches from very minor head trauma, the reasons behind which are not clear at this stage. These sorts of headaches are also reported in children, even though the frequency of such cases is less than that in adults.

While the disturbed structure and chemical functions in the brain are a major cause of these headaches, psychological factors are also taken into account. The friends and family members of the patient can play an important role in helping him or her in coping with the issue. The consultation with a psychologist can be effective in some cases. This is useful to learn pain managing techniques and treat psychological symptoms related to the post-traumatic syndrome. Educating the patient to choose the right therapy is also a part of the treatment. Many patients wait for the headache to worsen before seeking help and often take the help of over-the-counter medications. With the right steps, brain injury-related can be brought under control and a normal lifestyle resumed.

 

Yes, doctors advise a CT scan of the brain and other brain scans to diagnose the injury and headache.
Yes, getting enough sleep, rest, and avoiding certain foods that trigger headaches can help in the symptoms.
Yes, headaches are one of the most common symptoms a person experiences after a head injury.

 

Dos and Don'ts

Dos
  • Take adequate rest.
  • Immediately consult a medical practitioner.
  • Take some time out from your job and daily chores.
Don'ts
  • Avoid activities that are risky and may cause an injury.
  • Study or full-time work.
  • Drive or ride a bicycle or a bike.

 

 

 

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Ovulation – facts to know about ovulation Learn how and when ovulation occurs, demystify common misconceptions, identify symptoms, methods of detection and right period for…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are you too a…
xylitol gum
Xylitol : Is this the right sugar substitute for you? Discovered during World War 2 owing to sugar shortage, xylitol has become a common name in pharamaceutical industry.…
Juice Plus: Can you really replace actual fruits with pills?  Juice Plus supplements intend to fill nutritional gaps present in our daily diet. But how successful have they…
Did you know drinking alkaline water could be the healthier choice for you? Ever wondered how safe is your drinking water in terms of pH? Recent studies have revealed that Alkaline…
Goji berry: A traditional Chinese berry that packs the best of antioxidants Goji berry is an ancient berry that is considered to be power-packed with nutrients and antioxidants. Which means…
Ear pain model
Easy and safe tips for ear wax removal you can do at home Cerumen impaction generally occurs when an external object like cotton swabs are used to remove the ear wax.…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
blood ketone test
Blood Ketone (D3HB) Test The Blood Ketone Test measures and monitors the levels of ketone in the blood which is usually performed…
rosacea-treatment--before-_-after
The best and safest ways to treat rosacea Rosacea is a skin disease that is characterized by reddish hives and rashes on the face. Read more…
oral hygiene tips
6 shocking consequences of bad oral hygiene (and how to avoid them) Did you know bad breath is not just turning off, but also harms your body in ways you…
gallbladder diet tomato
Gallbladder surgery :Tips on post-operative care and diet What to eat post a gallbladder surgery? What are the key things to avoid if you had a…
black seed oil benefits
Black Seed Oil: What secret benefits could it bestow on your health? Black seeds or nigella seeds are tiny packets of health brimming with amazing benefits. Find out why should…
Shilajit: A miracle Himalayan herb for an active and happy life The Himalayas contain more wonders than you thought. Shilajit is a miracle herb that is widely used in…
GM Diet: The fastest way to lose weight or yet another hoax diet? General Motors started this trend of extreme dieting for 7 straight days to ensure its employees were able…
CLA: A breakthrough weight loss supplement with minimal side effects Tried every weight loss supplement in the market with no substantial gain? Why not try CLA supplements, derived…
Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
What to eat, what not to eat in the South Beach Diet? The South Beach Diet is one among the most popular weight loss programs that have been the talk…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
Bloodtestalbumin
Albumin Test Albumin test or blood serum test is a liver function test that measures the amount of the protein…
blood elements analysis
Blood Element Analysis Test A blood element analysis is a blood test performed to measure the level of toxic elements such as…
amylase test
Amylase Test Amylase test is done by checking the level of this protein in the blood sample and also in…
fructosamine test
Fructosamine Test A fructosamine test measures blood sugar glucose content. Fructosamine level can indicate blood sugar level in past 2-3…
Rubella IgM test
Rubella IgM Test The Rubella IgM test is a blood test that is performed to diagnose the presence of the rubella…
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
sodium blood test
Blood Sodium Test A blood sodium test measures the amount of sodium (an important electrolyte) in your body. It is also…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
Diabetes blood test
Diabetic Profile The diabetic profile is a set of tests used for testing and monitoring the various kinds of Diabetes…
Hymenoplasty
Hymenoplasty Read on to find out all about hymenoplasty, the procedure, post-surgery care, the risks, and the benefits.
Dragon Fruit – Blessing from Nature’s Basket Dragon fruit is packed with nutrients but low on calories. It is the dream food that can help…
How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging from diabetes cure…
How can Kegels help you overcome weak pelvic muscles & incontinence? Kegel exercises are pelvic floor strengthening exercises that can help you overcome incontinence issues that rise out of…
Urologist: When should you visit one and why? A urologist can treat not only genitourinary problems of both men and women but also can treat various…
The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
Quinine: How gin and tonic came to be known as a potent health elixir The discovery of quinine-containing tree bark is sometimes considered the most serendipitous medical discovery of the 17th century.
Inhale oxygen, exhale worries: The top breathing exercises and how to perform them Performing the breathing exercise is like becoming mindful of how you breathe.  Here is a list of breathing…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
malarial antigen test
Malaria Antigen Test A malaria antigen test is a rapid diagnostic test (RDT) that can detect malarial antigens (proteins) in your…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
Cayenne: The remarkable benefits of these red hot chili peppers These may make you rush for a glass of water, but cayenne pepper is actually a healthy additive…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
How seitan proved to be a blessing in disguise for vegans worldwide Can only meat-eaters enjoy delicious juicy steaks and burgers? With seitan, the best meat substitute available today,even vegans…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
What is the right way to take a pregnancy test? A pregnancy test is undertaken to determine if you have conceived. A home pregnancy test is the most…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
glucose-tolerance
Oral Glucose Tolerance Test – GTT Glucose tolerance test (or Oral GTT) is used to detect the onset of diabetes or prediabetes conditions. It…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
ASTtest-liver
AST- Aspartate Aminotransferase Test AST test is a blood test that is used to measure the level of a particular liver enzyme…
ANTIPHOSPHOLIPIDANTIBODY(APL)_IgG
Antiphospholipid (APL) antibody-IgG The Antiphospholipid Antibody testing is a blood test used to determine an autoimmune disorder called Antiphospholipid syndrome linked…
Strep throat pain
Anti-Streptolysin-O Test The ASO or Anti-Streptolysin-O is a blood test designed to check for the presence of streptococcus bacterial infection…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
Period sanitary napkin-menstruaion-blood-colors
Period blood – what it says about your health Your period blood color and consistency indicate what is happening in your body. Is your blood bright red…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
liver detox facts
7 liver detox facts and why ignoring these could kill you! Are you taking care of this organ that handles over 500 different vital functions in your body? Your…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
gout diet purines
Gout Diet : Get relief from painful joints by eating these foods Are you a victim of this painful condition? Are medications providing only short relief? Find a list of…
DHEA wrinkles
DHEA: Now get unbelievable age defiance with this wonder hormone! DHEA is known popularly as the age-defying hormone. This supplement is widely used to slow down aging and…
Oil of Oregano: The one-stop essential oil you’ve been looking for Are you plagued by a weak immune system? High body inflammation accompanied by pain and infections? Why not…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Mood swings
The real reasons for your mood swings and how to overcome them Are you prone to heated moods frequently? Do you also feel bouts of depressive feeling creeping up on…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…
hemoglobin variant analysis
Hemoglobin Variant Analysis Hemoglobin variant analysis is a blood test that is used to detect the presence of hemoglobin variants which…
cystatin C
Cystatin C Test Cystatin C is a specific single-chain protein that is found in body fluids and is a biomarker for…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula

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