How long should one rest for a concussion?

Written by Gao Yi Shen
Neurosurgery
Updated on January 21, 2025
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Concussions generally require about one to two weeks of rest, depending mainly on the specific symptoms of the patient. If the symptoms are relatively mild and the injury was not particularly severe, then about a week of rest is usually sufficient for returning to normal work and study. In some cases, if the concussion was relatively severe at the time of injury and subsequent complications or sequelae occur, then the rest period may need to be appropriately extended, possibly to about a month, depending on the patient's specific symptoms. In the vast majority of cases, resting for two weeks is generally sufficient for returning to normal work and study without involving any special issues. As long as medical advice is followed and treatment is correctly administered, many concussions can heal completely.

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Written by Gao Yi Shen
Neurosurgery
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What are the dangers of a concussion?

In general, as long as one follows medical advice, recovery from a concussion is usually quite satisfactory, and it rarely leaves any long-term harm. Short-term harm can result in the patient experiencing some very painful symptoms such as headaches, dizziness, nausea, vomiting, etc. Such subjective experiences can comparatively make the patient suffer. For those who are emotionally excited or fragile, it may even lead to anxiety and depression, which are some of the recent damages. In the long term, some patients might experience a loss of memory, particularly short-term memory, which can also cause some inconvenience in their lives. However, overall, the damage from a concussion is very minimal, and as long as it is treated properly, there is generally no harm in the later stages.

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Written by Li Jin Quan
General Surgery
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How long does vomiting last with a mild concussion?

Patients with mild concussion typically exhibit brief disturbances in consciousness lasting from several seconds to several minutes after the injury, usually not exceeding half an hour, along with retrograde amnesia. Some patients may also experience varying degrees of headache, dizziness, nausea, vomiting, and other clinical symptoms. The vast majority of mild concussion patients can recover within five to seven days with rest and conditioning, meaning that mild concussion symptoms, including vomiting, can resolve within 5-7 days.

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Written by Gao Yi Shen
Neurosurgery
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Precursors of concussion

Concussions generally do not have precursors, as they occur immediately after the brain is injured and certain clinical symptoms manifest. There is no concept of a precursor with concussions. The clinical symptoms of a concussion primarily appear after a trauma and include headaches, dizziness, nausea, vomiting, retrograde amnesia, and brief periods of unconsciousness. These symptoms must all be present to classify as related to a concussion. If symptoms are present and a head CT scan shows no significant bleeding, a concussion can generally be diagnosed. Therefore, there is no such thing as precursors, only related clinical manifestations.

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Written by Jiang Fang Shuai
Neurosurgery
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How to administer first aid for a concussion

After a concussion occurs, the injured should be quickly moved from a dangerous environment to a safe area. The injured person should lie flat and rest quietly without sitting up or standing. The head can be appropriately cooled, and it is important to keep the body warm. For patients who are unconscious, it is necessary to keep the airway clear and closely observe their consciousness and pupils. If there are airway secretions or vomiting, they should be cleaned up promptly. If the patient has already experienced respiratory or circulatory problems, immediate cardiopulmonary resuscitation should be performed. After the aforementioned emergency treatment, the next step is to transport the patient to a nearby well-equipped hospital for further diagnosis and treatment.

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Written by Jiang Fang Shuai
Neurosurgery
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Is a concussion dangerous?

Concussion is not a severe brain injury and there is no need for excessive worry; symptomatic supportive treatment is usually sufficient. Typically, rest is advised, along with a light diet, regular living habits, and abstaining from smoking and alcohol. If necessary, treatment may include neuro-nutritive medications and drugs to improve microcirculation. Generally, symptoms should subside within one to two weeks. It is important to note that concussions occur after head trauma, and there is a certain likelihood of re-bleeding within the first three days following the trauma. After three days, the possibility of intracranial hemorrhage becomes very very low. Therefore, post-concussion there is still some risk, and it is necessary to closely monitor any changes in the condition, potentially requiring hospitalization for observation and treatment.