What is a concussion?
A type of injury to the brain that is caused by trauma. Cerebral spinal fluid surrounds the brain inside the skull, this provides protection and nutrients to the brain. If the head is impacted enough for the brain to move rapidly inside the skull this will cause a concussion. This may damage delicate neural pathways which will cause neurological disturbances. More serious brain injuries can cause loss of consciousness.
What should I do if I suspect a concussion?
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Do not continue activity.
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Get scheduled with a concussion specialist prior to returning to play
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REST
What's the big deal?
Concussions can be very serious injuries to the brain. If an athlete returns to sports before full recovery and suffers a second brain injury the consequences can be very severe. Second-Impact syndrome is rare but when it happens is very serious. This can result in permanent brain damage and sometimes even death.
What signs and symptoms would I expect to see from someone suffering from a concussion?
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Symptoms may be non-specific and subtle
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Concussion symptoms may manifest immediately or have a delayed-onset and can vary from athlete to athlete
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Headache
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Nausea or vomiting
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Sensitivity to light
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Feeling tired or sluggish
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Confusion
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Mood, behavior or personality changes
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Difficulty with memory
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Balance problems or dizziness
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Loss of consciousness
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How do we diagnose concussions?
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A physical and cognitive exam done by an experienced healthcare provider
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Athletes may require additional testing such as a CT or MRI
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Pre injury and post injury Comprehensive neuropsychological testing (IMPACT testing)
How do we manage athletes with concussions?
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Serial evaluations of the athlete to monitor for improvement or deterioration
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REST
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Avoid prolonged time in front of the television, computer, tablet or telephone
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Avoid anything that may cause a second injury to the head (ie, sports, playground, roller coasters, etc)
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Avoid activities that require a lot of concentration or are physically demanding
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Athletes may need to stay home from school or go back to school for shorter days
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When is an athlete ready to return to activity?
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The timeline is unpredictable from athlete to athlete
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Athletes must return to baseline on neuropsychological testing
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Asymptomatic with activity and cleared by a physician
If you suspect a concussion call our office to get scheduled with a concussion specialist!
