What happens if my concussion symptoms worsen and I need long‑term treatment?
Short answer: If you settle a personal injury claim too soon and your concussion symptoms later worsen or require long‑term care, you may lose the right to recover additional money unless your settlement preserves those future claims. Proper documentation, medical experts, future‑care estimates, and carefully drafted settlement language are the key ways to protect your financial recovery.
Detailed answer — how this works under New Mexico law
This answer explains how settlements, releases, and future medical needs typically operate in New Mexico personal injury cases. It assumes you were injured in an accident (for example, a fall or car crash) and sustained a concussion. The core legal issues are (1) what damages you can recover, (2) how insurers and defendants evaluate future injuries, and (3) what happens if you accept a settlement and your condition later gets worse.
1. Damages you can recover
In New Mexico you can generally recover damages that compensate you for losses caused by the defendant’s negligence. Common categories include:
- Past medical expenses (what you already paid or became legally obligated to pay).
- Future medical expenses (reasonable and necessary anticipated care you will need because of the injury).
- Past and future loss of earnings or earning capacity.
- Pain and suffering and other non‑economic losses.
For future medical expenses, New Mexico courts and insurance adjusters expect reliable documentation: medical records, treating‑provider opinions, prognosis, and expert life‑care plans when long‑term treatment is likely.
2. How insurers and defendants value long‑term concussion care
Concussions can be unpredictable. Some people recover quickly; others develop persistent post‑concussive symptoms (headaches, cognitive issues, mood changes, sleep problems) that require ongoing therapy, specialist visits, cognitive rehabilitation, or vocational services.
To value future care, defenders and insurers usually rely on:
- Medical prognosis from treating physicians and neuropsychologists.
- Life‑care plans prepared by rehabilitation specialists that estimate the type, frequency, and cost of future treatment.
- Evidence of current functional limitations (work restrictions, cognitive testing, therapist notes).
3. What happens if you settle now and your symptoms later worsen?
Most personal injury settlements include a release that resolves the claimant’s present and future claims arising from the accident. If you sign a broad full‑release without reserving future claims, you generally waive the right to ask for more money later even if your condition worsens.
Key practical consequences:
- If you accept a full release and your concussion later requires new or more expensive long‑term treatment, you typically cannot reopen the settled claim or demand additional payment.
- If you, your attorney, and the insurer identify a credible risk of significant future needs, the settlement should reflect those future costs (through lump‑sum money, structured settlement payments, or a set‑aside for future care).
- Some settlements include a “re‑opener” or “future‑medical” clause that lets the injured person recover limited additional amounts if certain conditions occur; these must be negotiated and written clearly into the agreement.
- If the insurer or defendant concealed material facts or misrepresented the scope of past medical records, there may be narrow remedies, but these are fact‑specific and often hard to prove.
4. Ways to protect your recovery if long‑term concussion care is possible
Before you settle, consider the following protective steps:
- Delay settlement until your medical condition stabilizes if possible. If recovery is still evolving, an early settlement increases the risk of underestimating future costs.
- Obtain expert opinions (neurologist, neuropsychologist, rehabilitation specialist) about prognosis and likely future treatment. A life‑care plan gives a dollar estimate for future medical needs.
- Ask for a settlement that pays for anticipated future medical care or use a structured settlement to provide periodic payments for long‑term services.
- Negotiate reservation or re‑opener language that limits settlement of future medical claims — for example, a limited period during which you may present new claims for specified treatments, or a carve‑out for objectively documented catastrophic worsening.
- Keep detailed medical records and document all functional limitations (work records, daily activity journals, therapist notes). These records support future‑care needs if re‑opener language applies or if claims are disputed.
5. Timing, statute of limitations, and legal claims in New Mexico
Settling typically bars further claims related to the same injury. If you do not settle and plan to file a lawsuit later, you must be mindful of New Mexico’s time limits for bringing personal injury claims. New Mexico’s statutes set deadlines for filing claims after an injury — it is critical to know and preserve those deadlines so you do not lose the right to sue. For official statute text and deadlines, consult state statute resources or an attorney.
New Mexico also applies comparative fault principles when multiple parties or the injured person share responsibility. Under comparative negligence rules, a court or jury can reduce your award by your percentage of fault, but you can still recover even if partially at fault. (See the New Mexico statutory scheme on comparative negligence.)
6. If you already settled and symptoms worsen — what can you do?
If you already signed a full release and now need more care, options are limited:
- Review the settlement agreement carefully. Look for any reservation of rights, re‑opener clause, or carve‑outs that might allow additional recovery.
- If the defendant or insurer fraudulently induced the settlement by hiding medical evidence or misrepresenting coverage, there may be narrow legal avenues to challenge the release. These claims are fact‑specific and time‑sensitive; speak with an attorney promptly.
- If the settlement preserved the right to future medicals (rare without explicit language), follow the procedural steps in the agreement to present new claims with supporting medical proof.
- If no contractual avenue exists, you may need to explore public benefits, workers’ compensation (if the injury was work related), private disability insurance, or other payment sources for ongoing care.
7. Practical example (hypothetical)
Hypothetical: You are in a car crash and sustain a concussion. After six months, you still experience headaches and memory problems. Your medical team warns you might need multi‑year cognitive therapy and periodic specialist visits.
Approach: Do not accept a quick lowball full release. Obtain a neuropsychological evaluation and a life‑care plan estimating 3–7 years of therapy costs. Negotiate a settlement that (a) pays the present value of that expected care, (b) provides a structured payment stream for long‑term needs, or (c) includes a narrowly tailored re‑opener if objective testing shows progressive decline. This protects you if symptoms persist or worsen.
Important New Mexico legal references
Relevant New Mexico statutes and rules that commonly apply in personal injury cases include the state’s rules on comparative negligence and general civil procedural deadlines. For official statute language and to confirm deadlines or procedural rules, consult the New Mexico Compilation Commission or the New Mexico Legislature online:
- New Mexico Compilation Commission, New Mexico Statutes Annotated (searchable): https://www.nmcompcomm.us/
- New Mexico Legislature: https://www.nmlegis.gov/
- New Mexico Courts (civil procedure resources and self‑help): https://www.nmcourts.gov/
If you need specific statutory citations and their current text (for example, the comparative negligence statute and filing deadlines), a licensed New Mexico attorney or an official state statute search will give authoritative wording and current citation numbers.
Bottom line
A worsening concussion and long‑term treatment needs can dramatically affect the value of a personal injury claim. Settling too early or signing a broad release can prevent you from obtaining later compensation for new or worsening needs. Take steps to document prognosis, get experts, and negotiate settlement language that protects against likely future care. If you already settled and have new needs, consult a New Mexico attorney promptly to review the release and any limited remedies that might exist.
Disclaimer: This article is for informational purposes only and is not legal advice. It does not create an attorney‑client relationship. Laws change and every case turns on its facts. Consult a licensed New Mexico attorney to get advice about your specific situation.
Helpful Hints
- Before you accept any settlement offer, ask, “What if my condition gets worse?” and get that question answered in writing.
- Request and keep copies of all medical records, imaging, and neuropsychological testing—these are critical to prove future care needs.
- Get a life‑care plan if long‑term or expensive care is possible—insurers expect it and it supports a fair settlement figure.
- Consider a structured settlement or a lump sum that accounts for present value of future care—this reduces the chance you’ll run out of money if treatment continues.
- If you must settle early, negotiate a narrowly tailored re‑opener clause or carve‑out for objectively documented catastrophic worsening.
- Talk to a New Mexico personal injury attorney before signing a release—an attorney can explain the legal effect of settlement language and help protect your future needs.
- Keep a daily symptom and function journal—notes about headaches, sleep problems, memory lapses, and daily limitations are powerful evidence if you need to justify future care.