One of the most prominent symptoms of concussion is headache. After a concussive injury headaches are often the main symptom that impacts one’s daily functioning. One moment you might be effectively managing your pain and then the next thing you know you have a significant headache that causes you to stop what you are doing. Patients often remark, “It just came out of nowhere!”
I’m not as young as I used to be...How do I know if my symptoms are due to concussion or early dementia?
As a speech-language pathologist who has focused on treating adults with neurological deficits, I hear this question ALL. THE. TIME. It’s understandable that people become very concerned whenever they have changes in their memory. And unfortunately, there is no easy answer. But hopefully the information in this blog post will provide you with the information you need to help answer this question.
Unfortunately, many of the signs of early stage dementia are also symptoms of concussion. These common signs include forgetfulness, trouble concentrating as long as you used to, difficulty finding the right words, changes in behavior/mood, and difficulty completing daily tasks. Therefore, it can be very difficult to determine if you have dementia based solely on those symptoms. One of the biggest ways to differentiate between the two is that you can typically make progress and recover after a concussion, but dementia typically gets progressively worse over time. If you did not notice any difficulties prior to sustaining your concussion, and then acute changes occurred, that would lead me to believe that the issues are concussion related. It is also possible that you are experiencing some normal cognitive decline (we call that getting older).
“Jot That Down” - Thoughts about note-taking following a head injury
One of the things I hear frequently when I meet a new patient is, “All of a sudden I have to write everything down. I used to just remember things and now I’m totally overwhelmed. It’s SO frustrating!”
Let’s take a minute to analyze the situation and put things in perspective. Normally, you have a routine which may involve work, typical household chores, family obligations, etc. But now you’ve been hurt - maybe due to a fall, a sports injury, or a car crash. You’re not feeling like yourself, you’re tired and scared, and all of a sudden tasks are piling up. In addition to your usual responsibilities, you may be dealing with any or all of the following:
Physical symptoms: headaches, dizziness, nausea, sleep disturbance, etc.
Emotional symptoms: sadness, fear, anxiety, trauma, etc.
Medical appointments happening at different times on different days
Insurance companies
Work issues
Not having a car
Being unable to perform household chores
When we think of it that way, it’s a lot! You’ve had several things added to your plate, and it’s hard to juggle and remember everything that needs to be done.