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: 'Commit' is Verb, not Noun
January 13, 2020
By Karissa Niehoff
NFHS Executive Director
When is “commit” not a verb? According to Webster’s never – that is, unless the reference is to where the high school’s star quarterback is headed to college.
Even in game stories, the “top” players on high school teams are often referred to as a “(name of college) commit.” It seems innocent enough, but the continual focus on a player’s advancement to the next level is concerning given the current – and future – landscape of college sports.
With the NCAA’s recent decision to allow athletes to earn compensation for their name, image and likeness, high school sports governed by the NFHS and its member state associations will be the last bastion of pure amateur competition in the nation. And it must remain that way.
The focus on the individual rather than the team that often grabs the headlines in college basketball and football cannot become a part of high school sports. In college basketball, there is constant discussion about who the “one and done” players will be. At the end of the season in college football, the talk is about which juniors are turning pro and which players are sitting out bowl games to guard against injury.
Although we recognize that this decision by the NCAA was perhaps inevitable as a result of the earlier “Fair Pay to Play Act” by California Governor Gavin Newsom, we are concerned that it will further erode the concept of amateurism in the United States.
While only about one percent of high school boys basketball players and about 2.8 percent of high school 11-player football players will play at the NCAA Division I level, the perks offered to attend certain colleges will be enhanced and recruiting battles could escalate. Current issues with parents pushing their kids into specialization in the fight for scholarships could intensify as they consider the “best offer” from colleges.
This weakening of the amateur concept at the college level must not affect the team-based concept in education-based high school sports. The age-old plan of colleges relying on high schools for their players will continue; however, high school coaches and administrators must guard against an individual’s pursuit of a college scholarship overriding the team’s goals.
As the new model develops at the college level, the education-based nature of high school sports must be preserved. These programs cannot become a training ground or feeder program for college sports.
Instead, the focus should be on the millions of high school student-athletes who commit (an action verb) to being a part of a team and gain untold benefits throughout their high school days. Some of these individuals will play sports at the college level and move on to their chosen careers; others will take those values of teamwork, discipline and self-confidence from the playing field directly into their future careers.
There is nothing more sacred and fundamental to the past – and future – history of high school sports in the United States than the concept of amateurism. It is up to the NFHS and its member state associations to ensure that education remains the tenet of 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.