Can Urgent Care Diagnose and Treat Concussions?

A concussion is a mild traumatic brain injury from a sudden jolt or blow to the head. This can temporarily disrupt normal brain function. Symptoms often include headaches, dizziness, and issues with concentration or memory. This article clarifies the role of urgent care centers in the initial evaluation and management of concussions.

Urgent Care’s Capabilities and Limitations for Concussions

Urgent care centers provide initial assessment and diagnosis of suspected concussions. A healthcare provider conducts a physical examination and neurological tests to evaluate vision, balance, coordination, and reflexes. They also gather information about the injury and symptom onset to determine potential severity.

Urgent care can rule out more severe head injuries, such as skull fractures or brain bleeds. Many centers can order or perform computed tomography (CT) scans to check for structural damage. After diagnosis, providers offer initial guidance on symptom management, emphasizing rest and temporary activity modification. They also recommend follow-up with specialists.

Urgent care centers have limitations in concussion management. They are designed for acute, episodic care and are not suited for long-term concussion treatment. These centers do not offer specialized neurocognitive testing or comprehensive rehabilitation programs. Urgent care clinics are also not the appropriate setting for severe, life-threatening head injuries requiring immediate advanced medical intervention.

When to Seek Emergency Care for a Head Injury

Certain “red flag” symptoms indicate a severe head injury requiring immediate emergency room (ER) attention. Individuals should go to the ER if they experience loss of consciousness, a severe or worsening headache despite pain relief, or repeated vomiting.

Other symptoms warranting emergency medical care include:
Seizures or convulsions.
Slurred speech, new weakness, or numbness in any limb.
Worsening confusion, disorientation, significant drowsiness, or difficulty waking.
Unequal pupil sizes.
Clear fluid or blood draining from the nose or ears.
If any of these symptoms are present, or if there is any doubt about the injury’s severity, calling 911 or proceeding directly to the nearest emergency room is crucial.

Next Steps After an Urgent Care Concussion Visit

Follow-up care is important for concussion recovery. A concussion requires physical and cognitive rest, followed by a gradual return to normal activities as symptoms improve. Symptoms can evolve or persist for weeks, requiring ongoing monitoring.

Patients should seek follow-up with a primary care physician, a neurologist, or a concussion specialist. These healthcare professionals can provide comprehensive management, monitor evolving symptoms, and guide the process for safely returning to school, work, or sports. Adhering to the specific instructions provided by the urgent care provider, including initial limitations on screen time and strenuous activities, is an important part of the healing process.