I was in a car accident on 8/3. I went to the hospital because of neck pain, I was also nausea's at the time and was frustrated because I felt I could not clearly articulate what I was thinking, basically I now know, my thought process was delayed. The doctor at the hospital only ordered an x-ray. My chiropractor feels I had a concussion. My question is: Should I still have an MRI? My primary care physician has ordered one, but by the time I was called for scheduling, I was on vacation. It has been two weeks since the accident and I wonder if I should follow through with the MRI. Will it be beneficial at this point?
Thank you for your time.
Hi there, Michelle here...
First, sorry to hear you were in an accident that resulted in a concussion. It is not unusual to have the ER miss this, as often they are only looking for a concussion if you hit your head. We know that concussions are common from car accidents and happen without the person having to have hit their head.
I always feel that a non-invasive test such as an MRI is a worthy test if you have symptoms. Your primary care physician and your chiropractor are evaluating you and both feel something has happened worthy of further investigation. If the MRI was invasive, (you had to ingest something harmful, or you had to endure pain to have the image, etc) then I would advise you to do this as a last resort.
I recognize a bit of time has passed, but again your own doctor has a better sense of the appropriateness of this than I do for your particular case, and I think it is prudent to proceed. The brain will begin to heal on its own, eating well and resting frequently will be the two important choices you can make for yourself during this process.
Finally, and this is a bit odd, but if you were injured by another driver, documentation of your injury status is an important component for you if you need to make a financial settlement in the future. Documentation (x-rays, MRI’s and other diagnostic measures) are more significant during settlement negotiations than subjective reports of having difficulty articulating your thoughts.
I hope this helps you make a decision about the MRI.
Best Regards, M.