Can Telemedicine Treat Post-Concussion Symptoms - Triage?

Audience: adult

Post-concussion symptoms (PCS) can occur after a mild traumatic brain injury, such as a concussion. These symptoms may include headaches, dizziness, difficulty concentrating, fatigue, and mood changes. Telemedicine can be a helpful way to assess and provide guidance for adults experiencing PCS, especially when in-person visits are difficult. Through video or phone consultations, healthcare providers can evaluate symptoms, offer advice on symptom management, and determine if further in-person care is needed. However, telemedicine has limits and cannot replace a full neurological exam or imaging when serious issues are suspected. If symptoms worsen or new concerning signs appear, urgent in-person evaluation is essential. This guide explains what telemedicine can and cannot do for PCS, how to prepare for a tele-visit, and when to seek emergency care.

Red flags — go in person / ER

• Severe or worsening headache that does not improve with rest or medication — seek emergency care immediately.
• Repeated vomiting or nausea — urgent in-person evaluation needed.
• Loss of consciousness, confusion, difficulty waking, or weakness/numbness in limbs — call emergency services right away.

What telemedicine can do

• Initial symptom assessment and history taking
• Providing advice on symptom management and rest
• Monitoring symptom progression through follow-up visits
• Determining need for in-person evaluation or imaging

What telemedicine cannot do

• Performing detailed neurological examinations
• Ordering or interpreting imaging tests like CT or MRI
• Managing emergencies or severe complications
• Providing physical therapies requiring hands-on treatment

What Are Post-Concussion Symptoms?

Post-concussion symptoms are physical, cognitive, and emotional problems that may follow a concussion or mild brain injury. Common symptoms include:

These symptoms often improve over days to weeks but can sometimes last longer and affect daily life.

How Telemedicine Can Help with PCS

Telemedicine allows healthcare providers to:

This approach is convenient and can reduce delays in getting support.

Limitations of Telemedicine for PCS

Telemedicine cannot:

If your symptoms suggest a more serious injury, you will need to be seen in person promptly.

Preparing for Your Telemedicine Visit

To get the most from your tele-visit:

Being prepared helps your provider understand your condition better.

After Your Telemedicine Visit

After the consultation, you may be advised to:

Keep track of any changes and communicate with your provider as recommended.

How to prepare for your tele-visit

• Ensure a stable internet or phone connection in a quiet, private space.
• Prepare a list of your symptoms, including when they started and how they have changed.
• Have information about any past head injuries or medical conditions ready.
• List current medications and any treatments you have tried.
• Consider having a family member or friend nearby to assist if needed.

After your tele-visit

• Follow the provider's advice on rest and gradual return to activities.
• Monitor your symptoms daily and note any changes or new symptoms.
• Schedule any recommended follow-up telemedicine or in-person visits.
• Seek immediate emergency care if red flags develop.
• Keep a symptom diary to share with your healthcare provider during follow-ups.

FAQs

Can telemedicine diagnose a concussion?

Telemedicine can help assess symptoms and guide you on whether you might have a concussion, but it cannot replace a full physical examination needed for a definitive diagnosis.

What should I do if my symptoms get worse after the tele-visit?

If symptoms worsen, especially if you experience severe headache, repeated vomiting, confusion, or weakness, seek emergency in-person care immediately.

How long do post-concussion symptoms usually last?

Many people recover within days to weeks, but some may experience symptoms for months. Follow your healthcare provider’s guidance and report any persistent issues.

Can I use telemedicine for follow-up care after a concussion?

Yes, telemedicine is often suitable for follow-up visits to monitor symptoms and adjust care plans, unless in-person evaluation is needed.

Are there treatments for post-concussion symptoms available through telemedicine?

Providers can offer advice on symptom management, such as rest, gradual activity, and coping strategies, but some treatments may require in-person care.

Sources

1. Concussion and Mild Traumatic Brain Injury — MedlinePlus, U.S. National Library of Medicine.
2. Post-Concussion Syndrome — Centers for Disease Control and Prevention (CDC).
3. Concussion — Mayo Clinic.
4. Post-Concussion Syndrome — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have concerns about your health or experience emergency symptoms, seek immediate medical attention.