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: Viewership Continues to Climb
February 28, 2020
By Karissa Niehoff
NFHS Executive Director
Often, the public’s concept of high school sports is a football or basketball game televised on a national cable channel between highly-ranked prep teams from different parts of the country – or the game-by-game tracking of “star” players like LeBron James or Zion Williamson by national media sources.
And why not? That is the way we follow college and professional sports. While there are certainly fans with loyalties to hometown teams, most viewers want to watch the best teams. When it comes to prime-time games, the networks are only going to feature the top teams and players.
The answer to the above question, very simply, is that high school sports are different. While there are about three percent of the almost eight million participants in high school sports who may play in those marquee college or professional games on television, the true stories of education-based athletics reside with the other 97 percent.
As the national leader and advocate for high school sports and performing arts programs in the United States, the NFHS is always looking for ways to showcase education-based activities in our nation’s schools and to demonstrate the accomplishments of the millions of participants in all sports.
And for the past seven years through the NFHS Network, we have been doing just that. In addition to the estimated 350 million fans who attend high school games annually, the NFHS has added opportunities for millions of others to watch high school sports through the streaming of more than 100,000 events last year at www.NFHSNetwork.com.
While viewers – and there were more than 14 million visits to the site last year – may be able to watch future college and pro players on the NFHS Network, that’s not the focus of those watching games on their phones, tablets or computers. Instead, the Network provides an opportunity for individuals to support their high school teams – perhaps in another part of the country years after graduating from high school. With the 100,000-plus events last year featuring numerous sports and events and divided 50-50 between girls and boys sports, the Network also offers parents or grandparents the chance to watch their kids’ and grandkids’ games when distances prevent attending games.
Although there was concern by some when we started this venture that streaming high school games on the Internet would adversely affect in-stadium attendance, such has not been the case. About 70 percent of NFHS Network subscribers watch games from beyond a drivable distance.
And the best stories are when the driving distances are REALLY not favorable – as in some other parts of the world. Easily the most heartwarming aspect of the NFHS Network has been the opportunity for men and women overseas in the military to watch their sons and daughters play high school sports. These are truly priceless moments.
While there is still nothing like actually watching a high school game in person, we recognize that technology has provided options for people in all areas of daily life. So, the opportunity to bring high school sports right into the home through the NFHS Network has been a dream come true.
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.