How Long Should You Wait to Fly After a Concussion?

A concussion is a mild traumatic brain injury that temporarily affects brain function. It results from a jolt or blow to the head or body, causing the brain to move rapidly within the skull and leading to chemical changes. While generally not life-threatening, concussions can cause various symptoms, leading to concerns about air travel during recovery. Seeking professional medical advice before planning any air travel after a concussion is important.

Why Flying Poses a Risk

Flying after a concussion can present challenges due to the unique environment of an airplane cabin. Commercial aircraft cabins are pressurized to simulate altitudes between 6,000 and 8,000 feet above sea level. This change in atmospheric pressure, combined with reduced oxygen levels (hypoxia), can strain a recovering brain. The lower oxygen availability can be harmful to healing brain tissue and may worsen existing symptoms. Passengers may experience exacerbated headaches, increased dizziness, nausea, and cognitive fog, potentially prolonging recovery time.

When It Is Safe to Fly

Determining the safe time to fly after a concussion requires personalized medical evaluation, as there is no universal timeline. A medical professional, such as a doctor or neurologist, must provide clearance for air travel. Many experts suggest waiting at least 7 to 14 days, or until symptoms have significantly improved or completely resolved. It is important to be symptom-free for a specific period before considering travel. A thorough medical assessment should also rule out more serious complications, such as brain bleeding or a skull fracture, which would necessitate avoiding air travel.

Factors Influencing Your Wait Time

Several factors influence how long someone should wait before flying after a concussion. The severity of the initial injury plays a significant role, with more severe concussions often requiring extended recovery periods. The presence and persistence of symptoms, such as severe headaches, cognitive difficulties, balance problems, or heightened sensitivity to light and noise, also affect the waiting period. An individual’s unique recovery rate can vary widely, with some experiencing quick resolution of symptoms and others facing a more prolonged course. A history of previous concussions or any existing medical conditions can further complicate recovery, potentially lengthening the required wait time.

Tips for Flying After Concussion Clearance

Once medical clearance is obtained, specific precautions can help ensure a more comfortable and safe flight experience.
Stay well-hydrated by drinking plenty of water, and avoid alcohol and caffeine before and during the flight.
Rest as much as possible during the journey.
Use noise-canceling headphones or earplugs to reduce sensory overload from cabin noise.
Wear sunglasses or an eye mask to help with light sensitivity.
Carry any doctor-approved pain medication and avoid strenuous activity before or after the flight.
Inform the cabin crew about your recent concussion in case symptoms unexpectedly recur or worsen.
Travel with a companion who can offer assistance.