Post Concussion Syndrome - Oren Zarif - Post Concussion Syndrome
- Oren Zarif
- May 9, 2022
- 3 min read
Some people experience persistent symptoms after a concussion, known as post concussion syndrome. These symptoms often mimic those of post-traumatic stress disorder and depression. While the cause of these symptoms is not fully understood, they are linked to both physical damage to the brain and the psychological responses to the trauma. People who experience persistent symptoms are more likely to have a history of depression or significant life stressors. Additionally, they are more likely to lack the coping skills necessary to overcome these symptoms.
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There is currently no cure for post concussion syndrome. Treatment is focused on alleviating specific symptoms. In general, doctors recommend slowing down physical activity, avoiding heavy lifting and sitting for prolonged periods, and getting enough sleep. Medications may also be prescribed for pain or nausea. An antidepressant can help with depression symptoms. However, it is important to consult a neurologist or doctor who specializes in treating this condition.
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Most cases of post concussion syndrome are treatable with the right therapy. Some cases are difficult to treat, however, and many patients may require multiple sessions to fully recover. Sometimes, additional problems with the cervical spine contribute to the long-term effects of concussion. In such cases, treatment is key to avoid the possibility of relapse. Further, if treatment is not successful, the condition may become permanent.
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In a study by Dikmen and colleagues, the postconcussive syndrome is characterized by persistent symptoms. The symptoms of postconcussion syndrome persist for a year or longer, and shift from purely somatic to psychological vegetative. There are some factors associated with persistent postconcussive symptoms, but no single factor has been found to be an absolute predictor. This means that the best way to treat post concussion syndrome is to treat all aspects of the condition.
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If the symptoms persist, the diagnosis of post concussion syndrome is difficult. The condition is often misdiagnosed as a simple head injury. This is a misnomer - a post concussion syndrome diagnosis is based on three or more symptoms, and should be sought immediately. Patients with post concussion syndrome should not participate in sports or heavy physical activities until their symptoms have gone away. In some cases, they may need more than a month to fully recover from their concussion.
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In addition to seeking medical attention immediately after a concussion, people with persistent PCS should also be monitored for a year. Treatment plans will vary based on the severity of symptoms, but in the majority of cases, the condition will subside with time. In the meantime, the symptoms should not interfere with your daily life. A team of healthcare professionals will help you deal with your symptoms and monitor your progress. Despite the persistent nature of post-concussion syndrome, the condition is not a degenerative disease.
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In cases where symptoms persist even months after a concussion, the first step to recovery is treatment for neck pain and cervical instability. Neck pain, dizziness, and neck range of motion are often difficult to attribute to neck instability. In addition to these, people with symptoms of post-concussion syndrome may experience other disorders, including depression, anxiety, and a number of other conditions. For young concussion patients, neck treatment may be an important component of recovery.
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To tackle the challenges of post-concussion symptoms, large multidimensional prospective longitudinal studies should be conducted. Multidimensional studies need several measurement points in order to allow for stratified subgroup analysis and early personalized treatment. Further, studies should be designed with a control group to help in understanding spontaneous recovery and injury severity, frequency, intensity, and trauma controls. The goal should be to improve quality of life and reduce substantial socioeconomic burden.
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The resulting symptoms are more likely to be permanent than the ones caused by direct impact, although a few people may experience milder symptoms for a period of time. In some cases, concussions can occur as the result of repetitive motion, or from a lack of proper management of the initial injury. A recent study found that 84% of concussion patients experience post concussion syndrome within seven to ten days of the event.
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People who suffer from PCS should see a healthcare professional as early as possible to treat the symptoms and manage their life afterward. Some people may need to consult a social worker as they might need extra strategies for dealing with the symptoms. A doctor may also recommend cognitive behavioral therapy or medication to treat the symptoms. A patient's physical and psychological condition should also be discussed. If the symptoms persist longer than the normal time, he or she may prescribe medications.
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