Red flags & when to go in person for Post-Concussion Symptoms - Triage

Audience: adult

Post-concussion symptoms can continue for days or weeks after a head injury. These symptoms often include headaches, dizziness, trouble concentrating, or feeling tired. Most people recover with rest and gradual return to activities. However, some signs may indicate a more serious problem needing in-person medical care. This guide helps adults understand when to seek urgent evaluation and when telemedicine can support monitoring and advice. It is important to watch for worsening or new symptoms, especially severe headache, repeated vomiting, confusion, or weakness. Telemedicine can be helpful for follow-up questions, symptom management, and guidance on recovery steps. Always prioritize safety and seek emergency care if you notice red flags. This information is educational and not a substitute for professional diagnosis or treatment.

Red flags — go in person / ER

• Severe or worsening headache — seek emergency care immediately.
• Repeated vomiting or inability to keep fluids down — go to urgent care or emergency room.
• Confusion, difficulty waking, weakness, numbness, or seizures — call emergency services or go to the hospital right away.

What telemedicine can do

• Discussing ongoing mild symptoms and recovery progress.
• Providing guidance on gradual return to daily activities.
• Answering questions about concussion care and symptom management.
• Helping decide if symptoms require in-person evaluation.

What telemedicine cannot do

• Performing physical neurological exams or imaging.
• Diagnosing serious brain injury or complications.
• Treating emergencies such as seizures or severe neurological deficits.
• Managing symptoms that suddenly worsen or new severe symptoms.

What Are Post-Concussion Symptoms?

After a concussion, you may experience symptoms like headache, dizziness, difficulty concentrating, memory problems, sensitivity to light or noise, fatigue, irritability, or sleep changes. These symptoms usually improve over days to weeks but can sometimes last longer. Knowing what to expect helps you manage recovery and recognize when to get more help.

When to Seek In-Person Medical Care

Certain signs after a concussion require prompt medical attention. These include worsening headache, repeated vomiting, confusion or difficulty waking, weakness or numbness in limbs, seizures, slurred speech, or unusual behavior. If you notice any of these, go to an emergency room or urgent care immediately. Early evaluation can prevent complications.

How Telemedicine Can Help

Telemedicine allows you to consult healthcare providers remotely. It can be useful for discussing ongoing symptoms, receiving advice on gradual return to activities, managing mild symptoms, and deciding if in-person care is needed. Your provider can guide you on symptom tracking and when to seek further evaluation.

Limitations of Telemedicine for Post-Concussion Care

Telemedicine cannot perform physical exams or imaging tests needed to rule out serious brain injury. It also cannot treat emergencies or severe symptoms. If you have red flag symptoms or sudden worsening, you should seek in-person care immediately rather than rely on telemedicine alone.

Tips for Recovery After a Concussion

Rest is important initially, but avoid complete inactivity for too long. Gradually return to normal activities as symptoms improve. Avoid alcohol and drugs, get enough sleep, and stay hydrated. Follow your healthcare provider’s recommendations and report any new or worsening symptoms promptly.

How to prepare for your tele-visit

• Have a list of your current symptoms and how they have changed over time.
• Prepare to describe the injury event and any treatments received so far.
• Note any medications or supplements you are taking.
• Be ready to discuss your daily activities and any difficulties you are experiencing.
• Ensure you have a quiet, private space with good internet connection for the tele-visit.

After your tele-visit

• Follow the healthcare provider’s advice on rest and gradual activity resumption.
• Monitor your symptoms daily and note any changes.
• Avoid alcohol, drugs, and activities that risk another head injury.
• Schedule follow-up appointments as recommended.
• Seek immediate in-person care if red flag symptoms develop or worsen.

FAQs

How long do post-concussion symptoms usually last?

Most symptoms improve within a few days to weeks. However, some people may experience symptoms for several months. Recovery times vary depending on the individual and injury severity.

Can I return to work or school after a concussion?

You can often return gradually as symptoms allow. It’s important to avoid activities that worsen symptoms. Talk to your healthcare provider about a safe plan for returning to work or school.

Is it safe to use telemedicine for concussion follow-up?

Yes, telemedicine can be a useful way to discuss symptoms and recovery progress. However, it cannot replace in-person exams when serious symptoms or complications are suspected.

What should I do if my symptoms suddenly get worse?

Seek emergency medical care immediately if you experience severe headache, repeated vomiting, confusion, weakness, seizures, or difficulty waking.

Are there any medications to treat post-concussion symptoms?

There is no specific medication to cure concussion symptoms. Over-the-counter pain relievers may help headaches, but always consult a healthcare provider before taking any medication.

Sources

1. Concussion — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Traumatic Brain Injury: Symptoms and Signs — Centers for Disease Control and Prevention (CDC).
3. Concussion: Symptoms and Diagnosis — Mayo Clinic.
4. Post-Concussion Syndrome — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience any red flag symptoms or worsening condition, seek emergency or urgent medical attention immediately.