Traumatic brain injuries are the injuries people around you notice before you do. You went back to work. You told everyone you were fine. Then you started losing words in the middle of sentences, sleeping badly, snapping at your kids over nothing. Meanwhile the emergency room discharged you the same night with a clean scan and a pamphlet, and the insurance adjuster has that discharge paperwork in front of them.
That gap, between what the paperwork says and what your life actually looks like now, is the whole fight in a brain injury case.
A Clean Scan Does Not Mean an Uninjured Brain
This is the single most common misunderstanding we see, and insurers rely on it. A CT scan in the emergency room is looking for bleeding, swelling, and fractures, the things that could kill you that night. It is very good at that job. It is not designed to detect the microscopic, diffuse damage that produces most concussions and mild traumatic brain injuries.
So a normal scan is genuinely good news. It is not a finding that your brain is undamaged, and it should never be the reason you talk yourself out of getting evaluated properly.
“Mild” Is a Medical Word, Not a Description of Your Life
A mild traumatic brain injury is a clinical classification based on things like how long you lost consciousness. It says almost nothing about how the injury will affect you. People with a mild TBI lose careers over it. The word does real damage in these cases, because an adjuster will quote it back to you as though it settles the question.
How Insurers Undervalue These Claims
There is a familiar playbook, and it is worth knowing before it is used on you:
- The invisible-injury argument. No cast, no scar, no abnormal imaging, therefore no real harm.
- Gaps in treatment. If you waited two weeks to see anyone, that delay gets reframed as proof you were not really hurt, rather than as a symptom of an injury that affects judgment and follow-through.
- Pre-existing everything. Any prior headache, anxiety, or bad week in your medical history becomes the supposed real cause.
- The early offer. A quick settlement arrives while you still believe you are fine, and before anyone has measured what changed.
Proving What Changed
Because the injury is invisible on film, these cases are built on a comparison: who you were before, and who you are now. That evidence comes from a few places.
- A consistent medical record. Report every symptom, including the embarrassing ones. What is not written down is treated as though it did not happen.
- Neuropsychological testing where it is appropriate, which can measure deficits an ordinary exam will miss.
- The people who knew you. A spouse, a supervisor, a longtime friend describing specific changes is often the most persuasive evidence in the entire file, precisely because they have nothing to prove.
- Work and school records showing performance before and after.
Deadlines and Shared Fault
Montana's injury-claim deadline is generally three years from the date of injury (MCA § 27-2-204). If the insurer argues you were partly responsible, Montana's modified comparative negligence rule (§ 27-1-702) allows recovery as long as you were 50% or less at fault, with the award reduced by your share.
Talk to Someone Before You Sign Anything
If you took a blow to the head in a Montana crash, fall, or workplace incident and something has felt off since, that is worth a conversation, even if you are not sure it rises to the level of a case. We handle personal injury matters on a contingency basis, so there is no upfront cost and no fee unless we recover for you. Call 406-830-3060.
