Traumas to the head are among the most serious injuries in sports; they can cause permanent symptoms and even fatality. Head injuries include concussion, contusion, hemorrhage, and skull fracture. Major signs and symptoms of these injuries include loss of consciousness, confusion, amnesia, and shock. All these injuries necessitate immediate medical attention.
Rehabilitation from head injuries varies widely, depending on the nature and extent of the injury. According to the author's experience, patients with a mild concussion may need months and sometimes years to recover from postconcussion syndrome.
The prognosis of head injuries may not be known for months or, in some patients, years. Patients may experience postconcussion symptoms, including headache, dizziness, amnesia, and musculoskeletal imbalance.
Dry needling acupuncture is a very helpful modality during rehabilitation for treating conditions caused by head injury. The treatment protocol consists of two parts: specific treatment, which focuses on the patient's complaint of local symptoms (e.g., stiff neck, nausea, tension in the trape-zius and levator scapulae regions), and nonspecific treatment, in which the primary homeostatic acu-reflex points (ARPs) are needled for systemic symptoms such as headache, dizziness, or amnesia. Treatments should be provided twice per week for the first few weeks and then once per week until the patient feels maximal or complete recovery.
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