Lingering Headaches Postconcussion

scenario 3 Weeks Post-Concussion a Child Comes Into Your office complaining of a Lingering Headache she is still unable to participate in normal activities Headaches sometimes do Carry on our other Symptoms as well Some of the more common Lingering Symptoms are often Concentration Attention or Sleep difficulties I Think that Pediatricians can Usually reassure the Families by explaining That Concussion is not something That Resolves Overnight It Takes Days and Even sometimes Weeks But Generally Looking for improvement Over time and so if the examinations are Non-focal then That’s When They would Remain with the primary care physicians at That Point it’s probably appropriate to have and Refer to the neurologist and to see this patient with this lingering headache Either The Primary doctor Could Refer For neuroimaging Of Some sort Either as mri the Brain or ct in the interval before Actually making The Consultation or if They Haven’t had those Studies and They come and They’re Still having Those Symptoms? Then Probably Would be appropriate to go ahead and do That Kind of an imaging Analysis at That Point in time When the Concussion program Was developed it Was Actually Designed so that our colleagues in Primary Pediatrics Would Be Able to Use our Information and Handle The Patients in their office The Vast Majority The patients will Get Better as anticipated and As long As They do and you follow the Guidelines and Many of Them don’t have, to come to to a specialists Attention so for the Majority of them and They’re okay being Handled by the care doctor The pediatricians and The Family physicians When The Neurologist is needed or Somebody Like The neurosurgeon or sports medicine doctor Is more often those patients who have lingering problems Things That Carry on Over? time If a Primary care Physician Sees a Patient Who has any Kind of focal Abnormalities or even suspected focal Abnormalities They Should Get It and The Referral immediately Certainly Tylenols Fair Game i Mean That’s according to label directions i think That’s Good in the usual patient but The the the question of the ibuprofen in the common Non-Steroidal Use of analgesia i think there’s different apparent of differing opinions if The Child has Had Any Bleeding complications Usually They won’t be in their pediatricians office to begin With so It becomes more of a non-issue but if there is any Concerns That Would Be the situation where you wouldn’t want to use a non-steroidal drugs Like ibuprofen but in the Majority of Cases It Should Be okay – the key is balancing the analgesia Against other Symptoms Particularly in The Most Significant Would Be Sedation You don’t want. To sedate the child to the point that youR examination is Unreliable

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