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: 'New Normal' Sportsmanship

May 20, 2020

By Karissa Niehoff
NFHS Executive Director

The “new normal” is one of the many terms we hear repeatedly as the country begins its return to normal activities from the COVID-19 pandemic. Keeping six feet apart from other people, wearing a mask and frequent washing of hands are three of those important warnings.

And then there is the new “no-no” that cuts at the heart of high school sports – the handshake. Shaking hands has been a part of our culture for centuries and a mainstream of high school sports forever. It is hard to imagine high school sports without handshakes.

In addition to emotional displays among team members involving handshakes, high-fives and hugs, the handshake has been a way of demonstrating good sportsmanship toward the opponent.

In wrestling, for instance, shaking hands before a match is actually a part of the rules, which, of course, will have to be relaxed for the coming season. There are handshakes at the coin toss in football and before the opening jump ball in basketball.

After a hard-fought, back-and-forth tennis match, players meet at the net to shake hands – congratulating each other for their efforts. The actions are the same after golfers battle each other for 18 holes – removing the cap and shaking hands. 

These age-old practices demonstrate respect for the opponent, and in the case of post-game handshakes, graciousness in victory or defeat. 

The emotions in high school sports are often off the chart, with end-of-game celebrations by players, coaches and fans involving handshakes, high-fives and hugs. So, as the early phases of return to sports occur this fall, how do we meet social distance guidelines and continue to exhibit emotions and emphasize sportsmanship, which typically have involved touching between individuals?

While the social-distancing and no-contact guidelines are necessary – at least for the short term – to diminish the spread of the virus, they should not dampen the enthusiasm and emotion by everyone involved with high school sports. We hope these types of restrictions will be lifted at some point down the road, but for now, this is our “new normal.” 

The absence of these time-honored ways to express respect for the opponent does not diminish the importance of displaying sportsmanship in high school sports. In fact, we believe concern for fairness and displays of kindness, respect and graciousness will be more pronounced once high school sports resume; however, the methods of sharing these feelings will be different. 

Although perhaps not as endearing as a handshake, high-five or hug, there are other ways to express these feelings and emotions – for the opponent as well as teammates.

Some alternatives to consider are a slight bow with the palms pressed together, an air high-five, a smile and quick wave, a double-tap of the right hand across the heart and a wink with the thumbs up. Certainly, there are other possibilities – in fact, teams could develop their own methods for demonstrating sportsmanship to their opponents and celebrating big plays or victories with teammates. Through their resilience and great spirit, we look forward to how the millions of participants in high school sports and activities will accept this challenge.

There will be many concessions necessary to resume athletic competition, and shaking hands is one that must cease – at least for now. However, let’s view this change as an opportunity to find new ways to showcase sportsmanship in high school sports.

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.