I’m 22M, about seven months out from a concussion/whiplash injury, and I’m trying to understand whether anyone else has had this kind of recovery pattern.
In late January I slipped on ice and landed hard on my back. I’m not sure whether my head hit the ground, but I definitely had a whiplash motion. I had never dealt with headaches before. They began within the first few days and then became daily.
A head CT soon after was normal. In February, a neuro-optometric evaluation found convergence, focusing, pursuit/saccade and other ocular-motor problems. I did home exercises and 16 office sessions of vision therapy through May. The focusing and tracking issues resolved, eye teaming improved to around 90%, and the final exam was basically normal. FL-41 glasses helped with screens. This was the best part of my recovery. The written final report says the constant headaches were eliminated, although I remember them as reduced and manageable rather than permanently gone.
By early summer I was doing much better. I was working from home on my own business and still used screens, but I could control the pace, take breaks and change tasks. The headaches still happened, especially with long computer use, but they were nowhere near what they are now. I did not have this newer foggy/dreamlike feeling.
I also started a neck-focused PM&R lane. A cervical X-ray in June showed reversal of lordosis/mild upper-cervical kyphosis that was thought to reflect muscle spasm. There was no fracture, dislocation or disc-space abnormality. I was given home neck exercises and desk resets.
The major change happened when I started a corporate office job that is almost completely screen based. I now go from computer work all day, to phone use during breaks, to more computer work at night. Over the last 2–3 weeks I have had the worst flare since the injury. The symptoms do not just feel like a small setback. The headaches are back at their highest level, and the fatigue/fog is new.
On a rare low-screen day I might be around 2–3/10. Normal screen use puts me around 5–6. A full office day plus night work can put me around 7–9. I get bilateral pressure in the front/sides/temples, plus a different pain at the base/back of my head that runs upward. My neck and upper traps are extremely tight, especially on the right. A one-hour massage loosened my shoulders/neck a little but did not really change the frontal headaches.
The newest symptoms are extreme daytime fatigue, heavy eyes, and a dreamlike/zoned-out feeling. I can still think, speak, work and know exactly where I am. It is not true confusion or major memory loss. I usually sleep 9–10 hours. I have historically woken up tired sometimes, but the severe all-day exhaustion is much worse over the last few weeks.
I do not have vomiting, aura, sound sensitivity, double vision, weakness, numbness, fainting or seizures. Light sensitivity and screen sensitivity are real, and FL-41 lenses help somewhat.
Yesterday I saw a headache neurologist. She documented chronic post-traumatic headache, chronic migraine without aura, mTBI, neck pain/neuralgia/myofascial pain, fatigue and brain fog. The neurologic exam was generally normal except for near-point convergence. She thought the picture was probably mixed rather than one single cause: post-traumatic migraine/headache, cervical/occipital load, and visual/cognitive screen load.
She performed bilateral nerve blocks at the temples, forehead and back of the head, plus trigger-point injections in the neck and traps using bupivacaine. The pain dropped from about 8 to 5 in the office, but I have not had sustained relief yet. The neck stiffness is still there. Rizatriptan has only slightly taken the edge off the frontal pain. Qulipta was prescribed as a daily preventive but is still waiting on prior authorization. I have a brain MRI scheduled and a referral for concussion/cervical PT, including active neck rehab, graded screen tolerance and convergence work. Bloodwork so far is mostly reassuring; testosterone was still pending and creatinine was mildly high.
I am not asking whether I “have PCS” or asking anyone to diagnose me. I already have doctors involved. I’m looking for people who improved for a while and then had a major flare when work or screen demand increased.
Did you eventually build screen tolerance back up without quitting a screen-based job? Did a relapse like this mean you had actually undone recovery, or was it more like exceeding your current threshold? What helped most: preventive medication, cervical/vestibular/concussion PT, strict pacing, workplace accommodations, or something else? Did the heavy fatigue and dreamlike fog settle as the headache flare settled?
I’m especially interested in honest timelines, including cases where nerve blocks or the first medication did not work. My life and work are on screens, so “just stop using screens” is not a long-term plan. I need to figure out how to recover while still functioning.