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: MLK Provides Reminder

January 22, 2020

By Karissa Niehoff
NFHS Executive Director

On Monday, the nation observed Martin Luther King Jr. Day for the 35th time. This annual remembrance of the civil rights leader and his remarkable efforts in the 1950s and 1960s to combat racism in the United States continues as one of the most significant days on the calendar every year.

King’s “I Have a Dream” speech in Washington, D.C. in 1963 – one of the most iconic speeches in history – was the defining moment of the civil rights movement and led to the Civil Rights Act of 1964, which made desegregation a prerequisite to school funding and further strengthened the Supreme Court’s 1954 ruling in Brown v. Board of Education of Topeka.  

As a result, separate schools for African Americans ended and King’s dream of equality for everyone began to occur.

Thanks, in part, to the efforts of King, who was a member of his school’s debate team at Booker T. Washington High School in Atlanta, blacks and whites were assimilated in schools and in athletics and other activities such as speech and debate.

A few years later in the early 1970s with the passage of Title IX, girls – both white and black – were provided the opportunity to participate in high school sports. With this landmark legislation on the heels of the civil rights movement, high school sports and activities were for EVERYONE.

Amazingly, participation in high school sports increased from 3.9 million to 6.4 million in seven years between 1971-72 and 1977-78 – a jump of about 2.5 million. Why? The opportunity to participate was now available to all.

High school athletes – male and female, black and white and other races – began to work together and excel both individually and as teams. Many have seized these opportunities and had a profound impact within their communities and nationally.

In the past five classes of the NFHS National High School Hall of Fame, 13 of the 22 athletes were minority males and females, including the likes of Derrick Brooks, Dusty Baker, Seimone Augustus, Nicole Powell, Lisa Fernandez, Nikki McCray and Marlin Briscoe. Other females were Tracey Fuchs, Carrie Tollefson, Missy West, Joni Huntley, Jackie Stiles and Cindy Brogdon. 

In previous classes, there were Ozzie Newsome, Chauncey Billups, Kevin Johnson, Janet Evans, Sean Elliott, Cheryl Miller, Archie Griffin, Jackie Joyner-Kersee and Kim Mulkey.

Can you imagine the storied history of high school sports without these individuals?

Thanks to the efforts of many people in the 1960s and 1970s, there are more women and minorities in leadership positions today. Nine of our member state high school associations are led by minorities, including three females – Que Tucker of North Carolina, Sally Marquez of New Mexico and Rhonda Blanford-Green of Colorado.

Despite these advances in opportunities the past 50-plus years, the late Dr. King would be disappointed to hear about some of the disrespectful behavior in and around high school sports the past few years. Since our column in late October, we have heard of other racially-related incidents. Indeed, pain still occurs.

As we reflect on the tremendous efforts of Dr. Martin Luther King Jr. to bring everyone together, let it be a further reminder that all student activity participants – regardless of race, religion, political views or gender identity – should be treated with respect.

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.