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: Fall Fridays for HS Football
October 28, 2019
By Karissa Niehoff
NFHS Executive Director
Some of the top football matchups featuring Ohio teams Friday, Oct. 18, were Mentor vs. Shaker Heights, Cleveland St. Ignatius vs. Cincinnati Archbishop Moeller, Cincinnati St. Xavier vs. Massillon Washington and Northwestern vs. Ohio State.
That’s correct, Northwestern University vs. Ohio State University, on Friday night. While the game was in Evanston, Illinois, and not Columbus, it was televised on the Big Ten Network. Ohio State, one of the nation’s top-ranked college teams with one of the strongest fan bases, played on Friday night in direct competition with the several hundred high school games across the state.
And that wasn’t the only college football game on Friday night. There were three other FBS (I-A) matchups, including an Atlantic Coast Conference game between Pittsburgh and Syracuse. Through the first eight weeks of the season, there have been about 25 major college football games on Friday night.
A number of high schools in Ohio moved their games earlier in the hope of finishing before the start of the Ohio State-Northwestern game. Others moved their games to Thursday or Saturday. At least one school – Ursuline Academy in greater Cincinnati – urged its fans to not watch the Ohio State game:
“Please make a statement to Ohio State by NOT watching their Friday night game this week. Friday nights are for HS football. Let’s keep it that way. Support your local team. We play Boardman, and would love to have you in our stands, but that’s not the point. Support HS football.”
High schools should not have to adjust their schedules to accommodate colleges playing on Friday nights. High school coaches, administrators and fans are opposed to colleges playing on Friday nights. The NFHS and its member state associations are opposed. Even leaders in the Ohio State administration did not initially support the idea of the Buckeyes playing on Friday night. Friday nights are for high school football and should remain that way.
Two years ago, the NFHS membership adopted the following resolution:
“Be it RESOLVED that every Friday night during the fall in America is ‘High School Football Night.’
“Be it FURTHER RESOLVED that college and professional football teams should refrain from scheduling contests on Friday nights. Such restraint would be an investment in their own future success. It would also demonstrate that high school football has value well beyond the field of play. Schools, communities and scholastic teams for girls and boys all benefit when football is strong.
“THEREFORE, the National Federation of State High School Associations urges all parties to observe the central premise of this resolution.”
In addition to the Big Ten Conference, teams in the Pac-12, Mountain West, Atlantic Coast and American conferences, as well as Conference USA, have played on Friday nights. When these current television contracts expire, it is the desire of everyone within the high school community that new deals would preserve Friday nights for high school football.
Friday nights offer communities a traditional time and place to congregate and support their students. As was the case last week in Ohio, a college game on Friday night impacts interest and attendance at high school games.
Let’s maintain Friday nights in the fall for high school football. It is a win-win for everyone.
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.