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.
NFHS Voice: Planning with Patience
May 30, 2020
By Karissa Niehoff
NFHS Executive Director
For several weeks, Americans have been awaiting answers to several questions. When will restaurants restart dine-in services? When will hair salons and gyms be open? When will people be able to congregate for worship services? And, of course, when will education-based sports and performing arts programs return?
And the answer to the all-important last question is the same as the first three – it varies from state to state.
If there was ever any doubt about the popularity and interest in high school sports and performing arts – and how much these programs have been missed during the past three months – it was erased last week as the NFHS released its Guidance for Opening Up High School Athletics and Activities document.
The response was non-stop through the mainstream media as well as our social media platforms as the first nationwide discussion about the return of high school sports and other activities was in full swing.
Since that disappointing week in mid-March when it seemed like all of life came to a halt, millions of people – from high school students, coaches, parents, administrators, officials and fans – have been looking forward to the return of school-based sports and other activity programs. And the guidance document offered some hope that soon the light at the end of tunnel will not be the oncoming train we have felt for many weeks.
Now, state high school associations are developing timetables and protocols for return of activities in their states. And those guidelines will be different from state to state. This is not a one-size-fits-all plan. Depending on the specific circumstances of a state with respect to the containment of the virus, its progression through the various phases of returning to activities could be much different than another state.
As the guidance document developed by the NFHS Sports Medicine Advisory Committee noted, our hope is that students can return to school-based athletics and activities in any and all situations where it can be done smartly. When it comes to education-based sports and performing arts within our nation’s schools, nothing is more important than the health and safety of the participants AND the individuals conducting those programs.
Some individuals have expressed concern that our guidance document is too cautious, noting that some non-school youth programs have already restarted in some areas.
In one state this past week, a non-school sports program was allowed to restart because the “data shows children are less affected by the coronavirus.” While the preponderance of evidence shows that to be true, plans in education-based activities will include also protection for adults who coach, officiate and administer those events, which may be seen as a more conservative approach.
Within high school sports, the drive of coaches and dreams of parents cannot run ahead of player safety. Last week, a successful high school football coach with three previous state titles was suspended for allegedly holding practices. And there have been reports of parents considering moving to another state with fewer COVID-19 cases to enhance the chance of their son playing football and earning a college scholarship.
The NFHS, through its Sports Medicine Advisory Committee, took action in developing its Guidance for Opening Up High School Athletics and Activities document. The various state high school associations are taking action in the coming weeks in developing plans for a return to activities at the state level.
Now, we would ask parents and other fans to take action – and that action is patience. The urge to return to normal is understandable, but the path back to where we were three months ago will take time, and that “time” will not happen at the expense of the safety and well-being of everyone involved in high school sports and performing arts programs.
Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.