[29F] With eye pain and symptoms post-concussion

Patient Description

A 29-year-old female is experiencing constant dull eye pain for one day, following a concussion sustained last week. The pain is somewhat relieved by a warm compress. She also reports nausea, severe headaches different from her usual ones, sensitivity to light and sound, and difficulty concentrating or memory problems. There are no changes in vision. Her medical history includes past concussions in 2009 and 2017, and anxiety diagnosed in 2013. Current medications are Auvelity 100 mg once daily and Prozac 10 mg once daily, with no over-the-counter medications or supplements. She has no known medication allergies.

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Arora's Assessment

What might be happening

Based on your symptoms and recent concussion, here are some possibilities:

  • Post-Concussion Syndrome: This can occur after a concussion and includes symptoms like headaches, nausea, sensitivity to light and sound, and difficulty concentrating. Eye pain can also be a part of this syndrome.

    • Treatment typically involves rest and managing symptoms. A healthcare provider may recommend medications for headaches and nausea.
  • Eye Strain or Tension: This can result from stress or prolonged focus, especially after a head injury.

    • Resting your eyes and using warm compresses can help alleviate discomfort.

What you can do

  1. Rest: Ensure you get plenty of rest and avoid activities that strain your eyes or brain.
  2. Manage Symptoms: Continue using warm compresses for eye pain relief. Over-the-counter pain relievers may help with headaches, but consult your doctor first.
  3. Monitor Symptoms: Keep track of your symptoms using MDandMe to journal your progress and share insights with your healthcare provider.
  4. Limit Screen Time: Reduce exposure to screens and bright lights to help with sensitivity.

What you should look out for

Seek medical attention if you experience:

  • Worsening headaches or eye pain
  • Vision changes
  • Increased nausea or vomiting
  • Any new or worsening symptoms

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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People Also Ask


What is post-concussion syndrome and how long does it last?

Post-concussion syndrome is a complex disorder with symptoms like headaches, dizziness, and cognitive difficulties that persist after a concussion. It can last for weeks to months, and treatment focuses on symptom management and rest.


Can eye pain be related to a concussion, and how can it be managed?

Yes, eye pain can be related to a concussion due to strain or tension. Management includes rest, warm compresses, and avoiding activities that strain the eyes. Consult a healthcare provider for persistent pain.


What are some effective ways to manage sensitivity to light and sound after a concussion?

To manage sensitivity to light and sound, reduce screen time, use sunglasses or earplugs, and rest in a dark, quiet room. Gradually reintroduce stimuli as tolerated and consult a healthcare provider for persistent issues.


How can I differentiate between normal post-concussion symptoms and signs that require medical attention?

Normal post-concussion symptoms include headaches, nausea, and difficulty concentrating. Seek medical attention if you experience worsening headaches, vision changes, increased nausea or vomiting, or any new or worsening symptoms.


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