Ask the Doc: Can a Concussion Affect Hearing and Vision?

Image of Ask the Doc: Can a Concussion Affect Hearing and Vision?. Ask the Doc: Can a Concussion Affect Hearing and Vision?

Dear Doc: A few weeks ago, I fell and hit my head but didn't think much about it.

Afterwards, I started to get terrible headaches. Then, I started to have blurry vision and ringing in my ears.

When I finally went to the doctor, she told me I had a concussion.

I didn't know concussions could affect hearing and vision. Is it typical to have hearing and vision problems from a concussion?

Thanks in advance doc!

-Army Spc. Sandra Headstone


Illustration of a male face with the words "Ask the Doc"Dear My Head Hurts: First, let me say I feel your pain, no matter how you hit your head or were jolted.

Concussions can cause a variety of brain-related issues, including vision and hearing problems. They are classified as a mild Traumatic Brain Injury.

I found the perfect people to talk about this. I contacted Dr. Amy Boudin-George, an audiologist and acting section lead at the Hearing Center of Excellence's clinical care, rehabilitation, and restoration section. HCE also provided me with Dr. Karen Lambert, clinical physical therapist, HCE vestibular program manager.

I also contacted Dr. Felix Barker, the associate director for research at the Vision Center of Excellence. He is the director of rehabilitation and reintegration.

Here's what they said:


It is not uncommon to have hearing, vision, and balance related symptoms after a concussion.

Symptoms can vary during the acute phase (right after a concussion) from person to person.

The good news is that the typical headache and other symptoms from a concussion can resolve completely on their own over time.

Try to maintain an upbeat outlook and expect a full recovery from your concussion. Studies have shown those attitudes to be the greatest influences on positive outcomes.

If you feel you are not improving on a day-to-day basis, it might help to have your symptoms further evaluated by a provider who specializes in concussion assessment.

Sensitivity to light, blurry vision that comes and goes, double vision, and difficulty reading are post-concussion vision problems that can happen. Headaches with visual tasks, reduction or loss of visual field, and difficulties with eye movements also may happen.

If these seem to persist, you are very likely to benefit by seeing your optometrist or ophthalmologist for both immediate and longer term management of your vision problems.

The same is true for ringing in the ears.

You may have experienced damage to the structure and function of your ear, and you might have changes in the way your brain processes hearing. This depends on the nature of the injury.

If you have ringing in your ears that lasts longer than a few weeks and is constant, or you also seem to have some hearing loss, it is a good idea to see an audiologist for a hearing assessment.

If you are having problems with dizziness, get an examination by an audiologist, optometrist or physical therapist that specializes in assessment of the vestibular system (your inner ear's balance and gaze stability system). This may help you find your path to recovery.


Spc. Headstone, I hope you got some positive answers from our experts. Remember, for the most part, concussions get better on their own as long as you can stand the temporary side effects. But don't ignore those symptoms if they don't go away. Seek help from specialized health care professionals who have your hearing and vision at heart.

Also, be careful when outside and wear a helmet and other protective gear if it fits the activity. Concussions not only can happen at home from a fall or bump of the head, but also from sports and military training.

If you feel unwell after a fall or jolt, don't wait to get help.

Good luck my friend and as always…take care out there!

You also may be interested in...

Report
Jul 1, 2021

MSMR Vol. 28 No. 07 - July 2021

.PDF | 2.32 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Long-acting reversible contraceptive use, active component service women, U.S. Armed Forces, 2016–2020; Oral cavity and pharynx cancers, active component, U.S. Armed Forces, 2007–2019; The evolution of ...

Report
Jun 1, 2021

MSMR Vol. 28 No. 06 - June 2021

.PDF | 957.60 KB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: The cost of lower extremity fractures among active duty U.S. Army soldiers, 2017; Early identification of SARS-CoV-2 emergence in the Department of Defense via retrospective analysis of 2019–2020 upper ...

Report
May 1, 2021

MSMR Vol. 28 No. 05 - May 2021

.PDF | 3.01 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2020; Hospitalizations, active component, U.S. Armed Forces, 2020; Ambulatory ...

Fact Sheet
Apr 28, 2021

Help With Ongoing Symptoms Following Concussion/Mild TBI Fact Sheet

.PDF | 144.49 KB

Although the majority of service members recover from concussion with little to no intervention, some experience symptoms beyond the first three months after their initial injury. This fact sheet addresses why symptoms continue to persist in some patients and how they can cope or seek additional help.

Report
Apr 1, 2021

MSMR Vol. 28 No. 04 - April 2021

.PDF | 4.32 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Disparities in COVID-19 vaccine initiation and completion among active component service members and healthcare personnel, 11 December 2020–12 March 2021; Update: Heat illness, active component, U.S. Armed ...

Report
Mar 1, 2021

MSMR Vol. 28 No. 03 - March 2021

.PDF | 1.40 MB

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Influenza surveillance trends and influenza vaccine effectiveness among Department of Defense beneficiaries during the 2019–2020 influenza season; Influenza outbreak during Exercise Talisman Sabre, Queensland ...

Video
Feb 25, 2021

Progressive Return to Activity After Concussion Video

Progressive Return to Activity Provider Video

The PRA is an evidence-based, easy-to-use approach to help providers return service members with mild TBIs back to duty safely. TBICoE researchers have found that, if medical providers completed a two-hour, in-person training on the use of the PRA, their patients saw an overall reduction in symptoms after one week, one month, and three months, when ...

Refine your search