Concussion Care: Signs & Symptoms to Watch

October 27, 2020

Henry Ford Health System

When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.

Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.

"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."

Signs of Concussion

The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.

"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."

Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:

Physical Concussion Symptoms

  • Changes in sleep patterns
  • Difficulty with balance
  • Dizziness or lightheadedness
  • Fatigue
  • Headache
  • Light sensitivity
  • Nausea
  • Numbness or tingling
  • Sensitivity to sound
  • Visual problems
  • Vomiting

Emotional Concussion Symptoms

  • Anxiety
  • Depression
  • Irritability
  • Mood swings

Cognitive Concussion Symptoms

  • Confusion
  • Difficulty concentrating
  • Feeling "slow" or "foggy"
  • Memory problems

Diagnosing Concussion: Getting It Right

One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.

"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.

People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:

  • Difficulty walking
  • Weakness on one or both sides
  • Not waking up
  • Repeated vomiting
  • Persistent confusion
  • Seizures
  • Unconsciousness

No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.

"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.

Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.

Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.

Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.

Lifelong Hawkeye: Joostberns Continues Legacy of Service in Hamilton

By Zach Harig
Hamilton Community Schools

September 19, 2025

For nearly half a century, the voice behind Friday night football games in Hamilton has belonged to one man: Loren Joostberns.

A 1970 graduate of Hamilton High School, Joostberns has worn many hats in his hometown – teacher, coach, announcer, scorekeeper, school board member – but all of them share a common thread: a deep commitment to giving back to the community that raised him.

“This is my 45th year of announcing football games for Hamilton,” Joostberns said proudly, his voice carrying the same warmth that has welcomed fans to Hawkeye Stadium for decades. “I’ve done some volleyball, a lot of wrestling, occasionally some basketball, but mostly the scorebook in basketball for 44 years, and I do announce baseball in the spring now, which has been fun.”

With so much experience and history from the community, Joostberns is regularly asked to serve as the voice of many school district and community videos. His voice is arguably the most recognizable in town. From morning coffee at the round table at the local restaurant in town, to school board meetings, to microphones all around the district, Joostberns is seen and heard no matter where he goes around Hamilton.

Building a life in Hamilton

Not many can claim that they have been involved in a school district before it was even a school district.

However, Joostberns can make that claim as he was in kindergarten in 1957-58, with Hamilton becoming its own school district on June 23, 1958. He then continued in the school district as a student through graduation.

Joostberns has served the district in several roles over the years, including as a member of the school board.After graduating from Hamilton and then Hope College, Joostberns returned to the district as a teacher. He taught for 30 years, then continued his connection to the classroom as a substitute teacher for another nine. Today, he remains an active part of Hamilton Community Schools as Board of Education secretary, now in his 13th year of service.

Through it all, he has found joy in staying close to athletics. Since announcing his first football game in 1981, he’s become a fixture at sporting events year-round. His passion is not about statistics or wins and losses – it’s about making sure young athletes have the best possible experiences.

“I think one thing is, what can you do to contribute to kids having good experiences?” he said. “That’s one thing I always keep in the back of my mind. You want to do what you can to help kids have positive experiences, and if that contributes in a small way, then it’s worth it.”

Of course, Joostberns admits there’s a little fun in the job, too. “You’re in the center of the action. I’ve got the best seat in the house for football, and for basketball you’re at center court. You get to know the officials, get to know people from other schools, and it’s a good way to be involved.”

Memories from the press box

The Hamilton facilities Joostberns works in today look nothing like what he started with in the early 1980s. He chuckled as he recalled the first press box from which he worked.

“In football, if you would have seen what we had in Hamilton back in 1981 and 1982 compared to what we have now in terms of facilities, it’s incredible,” he said. “The press box was a little green building basically on stilts that swayed with heavy winds, and it held six people – two coaches from each team on either side and an announcer and timer in the middle. You were elbow to elbow and you felt in a precarious position because you didn’t know if the press box was going to stand up or not.”

Joostberns takes a moment for a photo  while behind the microphone.That humble start makes him especially proud to see how the district has grown its athletic facilities and opportunities for students.

While Joostberns has devoted his life to Hamilton, he also holds a special passion for the University of Michigan. He has been a season ticket holder for 51 years, attending countless games at “The Big House” in Ann Arbor. The dual loyalties complement one another: Hamilton football on Fridays and Michigan football on Saturdays.

But no matter how big the stage gets, his heart always comes back to Hamilton. “At Hamilton, we have always prided ourselves in trying our best to do the best we can for kids, to do things the right way,” Joostberns said. “That’s why I’ve stayed involved for so long.”

Lasting Legacy

Few communities can point to someone who has continuously served across so many different roles for more than four decades.

Joostberns’ contributions can’t be measured in titles or statistics, but rather in the memories he has helped shape – whether it’s an athlete hearing his name announced before a big play, a student remembering him as a teacher, or a fellow community member working alongside him on the school board. Numerous times a year, veteran opposing coaches greet Joostberns before the game to say hi because he is such a staple of the community and school district. His warm and friendly demeanor is appreciated by all, both on the home and opposing sidelines.

Hamilton’s athletic director and coaches often describe him as the kind of person every school hopes to have: reliable, passionate, and selfless. He doesn’t do it for recognition, but for the chance to leave things a little better than he found them.

For Joostberns, the motivation is simple: “It’s about helping kids, and being part of something bigger than yourself.”

And for Hamilton, the community is grateful that one of its own has been willing to give back for so many years. As recognition for his countless years of service in and out of the classroom, “Mr. Hamilton” was honored with the high school basketball court being renamed the Loren Joostberns Court in 2021.

From the rickety old press box of 1981 to the modern facilities of today, from chalkboards in the classroom to discussions in the boardroom, Joostberns has remained a steady, positive presence. His story is a reminder of how one person’s steady commitment over a lifetime can shape a school and community for generations.

Not all lessons or legacies are cemented in the classrooms or fields, but some are passed on from behind the mic and echoed over the airwaves for all to hear and cherish.

PHOTOS (Top) Hamilton’s Loren Joostberns poses for a photo in front of the high school stadium this fall. (Middle) Joostberns has served the district in several roles over the years, including as a member of the school board. (Below) Joostberns takes a moment for a photo  while behind the microphone. (Photos courtesy of Hamilton Community Schools.)