
Headache After Car Accident: Legal Insights to Brain Injury Claims
October 08, 2025
If you’re dealing with a headache after a car accident, you’re not alone, and it’s not something to ignore.
Even if the crash felt minor, your body may have absorbed a lot more force than you realize. Headaches after a collision can point to real injuries, including concussions, neck strain, or nerve damage, and symptoms don’t always show up right away.
This guide covers what can cause post-accident headaches, how doctors treat them, what red flags to look for, and how your legal rights might come into play if someone else caused the crash.
What Causes Headaches After a Car Accident?
If you’ve developed a headache after a car accident, you might be wondering what’s going on. It could be stress, but more often, there’s a physical reason. Different types of injuries can cause different types of headaches, and understanding the cause is the first step toward getting the right treatment. Here are the most common causes of headaches after a crash, plus what each one feels like and when to take action.1. Whiplash
What it is: Whiplash happens when your head is suddenly forced forward and backward, a common result in rear-end or side-impact collisions. The motion can stretch or tear soft tissues in your neck, including muscles, tendons, and ligaments. Why it causes headaches: The strain and inflammation in your neck and upper spine can irritate nearby nerves and muscles, leading to tension headaches. These often start at the base of your skull and spread upward. What it feels like:- A dull, throbbing ache that begins in your neck or upper back
- Pain that gets worse when turning or tilting your head
- Stiffness or tightness in the neck and shoulders
2. Concussion or Mild Traumatic Brain Injury (TBI)
What it is: A concussion is a type of brain injury caused by a sudden jolt or bump that causes your brain to move inside your skull. You do not have to hit your head for a concussion to happen, the force of the crash alone can be enough. Why it causes headaches: The brain’s movement can lead to swelling or chemical changes that disrupt how nerves communicate, resulting in pain and other symptoms. Signs to look for:- Headaches that feel like deep pressure or a constant pulse
- Trouble focusing or remembering things
- Sensitivity to light or sound
- Feeling dizzy, foggy, or off-balance
- Nausea, especially when moving or looking at screens
3. Occipital Neuralgia
What it is: Occipital neuralgia is a type of nerve pain that happens when the occipital nerves, which run from the top of the spine through the scalp, get compressed, inflamed, or pinched. Why it causes headaches: The trauma from a crash (especially whiplash) can put pressure on these nerves, leading to sharp, shooting headaches in specific parts of the head. Symptoms include:- Sudden, stabbing pain at the back of the head or upper neck
- Pain behind one or both eyes
- Scalp sensitivity, even light touch may hurt
- Pain that increases with neck movement
4. Skull Fracture or Brain Bleed (Severe Cases)
What it is: In high-impact crashes, there’s a small but serious risk of a skull fracture or internal bleeding inside the brain. These injuries are rare but life-threatening and require immediate emergency care. Why it causes headaches: Bleeding, swelling, or pressure inside the skull creates intense pain as it puts pressure on the brain tissue. This is not the kind of headache you wait to treat, it needs emergency attention. Red flags to watch for:- A sudden, intense headache that comes out of nowhere
- Vomiting, especially more than once
- Loss of consciousness, even if only for a second
- Uneven pupils or blurry/double vision
- Seizures or twitching
- Trouble speaking or slurred words
When Should You See a Doctor for a Post-Accident Headache?
If you’ve been in a car accident and start experiencing headaches, don’t assume it’s minor. Some symptoms may take time to appear, but early treatment can prevent complications and help you recover faster. You should see a doctor right away if:- Your headache started within hours or days of the accident
- The pain keeps getting worse or doesn’t go away with rest
- You’re sensitive to light or sound
- You feel dizzy, nauseated, or disoriented
- You lost consciousness or felt “out of it” after the crash
- You have ringing in your ears or blurry vision
- You’re having trouble sleeping, thinking clearly, or staying focused
Treatment Options for Headaches After a Car Accident
Headaches after a car crash can have different causes, and there’s no one-size-fits-all solution. Some people feel better in a few days, while others need weeks or months of care. What matters most is getting the right diagnosis and a treatment plan that’s tailored to your specific injury. Once a doctor figures out what’s behind your headache, whether it’s whiplash, a concussion, nerve irritation, or muscle strain, they may recommend one or more of the following treatments.1. Medication
For many accident-related headaches, medication is the first step in managing the pain. Depending on what’s causing your symptoms, a doctor may suggest:- Anti-inflammatory drugs (like ibuprofen) to reduce swelling in muscles or joints
- Migraine medications if your headache includes light sensitivity, nausea, or throbbing pain
- Muscle relaxers if neck or shoulder tension is part of the problem
- Prescription pain relievers in more severe cases, though these are typically short-term
2. Imaging and Neurological Testing
If your symptoms are ongoing, intense, or unusual, your doctor may want to rule out more serious issues. This could involve:- CT scans or MRIs to check for internal bleeding, swelling, or signs of a concussion
- Neurological exams to assess how your brain and nerves are functioning
- Balance and reflex tests if you're feeling dizzy or foggy
3. Physical Therapy
If your headache is connected to a neck injury like whiplash, physical therapy can be very effective. A physical therapist can work with you on:- Stretching exercises to reduce muscle tightness
- Postural training to relieve strain on your neck and spine
- Strength-building to support healing and prevent future injuries
4. Chiropractic Care
Some patients find relief through chiropractic adjustments, especially if there’s a spinal misalignment or nerve compression involved. Chiropractors focus on the connection between your spine and nervous system. When your spine is aligned properly, it can take pressure off the nerves and help reduce tension-related headaches. Always speak with your primary doctor before beginning chiropractic care to make sure it’s appropriate for your condition.5. Rest and Lifestyle Adjustments
If you’ve been diagnosed with a concussion or mild traumatic brain injury, rest is just as important as medication or therapy. You may need to limit activities like:- Using phones, computers, or TVs (screen time can make symptoms worse)
- Driving or operating machinery
- Going to work or school until symptoms improve
- Participating in intense physical activity
Can You Get a Headache Without Hitting Your Head?
Yes, and it happens more often than people think. Many car accident headaches are caused by the motion of the crash, not a direct hit to the head. When your body is suddenly thrown forward or backward, your neck, spine, and brain all move quickly too. That force alone can:- Stretch or tear soft tissues in the neck (causing whiplash)
- Jolt the brain (leading to a concussion)
- Irritate the nerves that connect your neck and scalp
What Are Your Legal Rights If a Headache Was Caused by a Crash?
If another driver caused the accident that led to your injury, you may be able to recover compensation for the impact it’s had on your life. This can include things like:- Medical bills (hospital visits, imaging, prescriptions, etc.)
- Follow-up care such as therapy or chiropractic appointments
- Time missed from work during recovery
- Ongoing pain, discomfort, or difficulty with everyday tasks
How Casas Law Can Help
Casas Law, P.A. has decades of experience helping car accident victims in West Palm Beach. If you’re dealing with headaches after a crash, they can help you:- Gather and organize your medical records
- Work with healthcare providers to support your case
- Handle all communication with insurance companies
- Make sure your legal rights are protected from the start