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: Football Continues to Thrive
September 25, 2019
By Karissa Niehoff
NFHS Executive Director
When the annual High School Athletics Participation Survey was released by the National Federation of State High School Associations (NFHS) in August, many headlines across the country focused on the drop in the number of boys playing 11-player football. After all, the report showed 30,829 fewer participants than the year before. However, perhaps the most important number was overlooked – 14,247.
Yes, 14,247, the number of high schools with 11-player football teams. While there was a slight decline in the number of participants in many states, the number of schools sponsoring the sport was the highest in five years. In fact, the number of schools last year with 11-player teams has only been topped twice in the survey’s history – 14,262 in 2013-14 and 14,279 in 2010-11.
In addition, smaller schools in some states have shifted to 6-player, 8-player and 9-player football and have had good responses. The survey indicates an additional 156 schools and 1,594 participants involved in these alternate forms of the sport; and, in the past 10 years, participation by girls in 11-player football has doubled, with more than 2,400 participants this past year.
These numbers express the desire by high schools to keep alive one of the oldest and most treasured traditions in our nation – Friday Night Football Under the Lights. Although there are many options today for the entertainment dollar, nothing surpasses supporting the local high school football team on Friday nights. The No. 1 fan base in America? The answer is that number again – 14,247.
In Week 2 of the National Football League season, just under 1.1 million fans attended the 16 games. While impressive, it doesn’t come close to the number of fans who watched high school football during the corresponding week. It’s all in that number – 14,247.
With approximately 7,123 games every Friday night (14,247 divided by 2), and with a conservative estimate of 1,000 fans per game, there are more than 7 million fans in high school football stadiums every week. An unofficial attendance survey conducted by the NFHS in 2011 indicated about 165 million fans attended high school football games during that season, which included up to five weeks of playoffs and a weekly average of 11 million fans. Either way, the number of fans at high school football games dwarfs the numbers attending professional football games.
Early season crowds have been strong in many areas of the country with terrific fall weather – filled by current and former students; parents, grandparents and friends of players on the team; and longtime fans and supporters in the community. Unlike crowds at the college and professional levels where fans have little, if any, identity with the players, there is a connection between the players and fans at the high school level.
With concussion protocols and laws in place in every state, with a reduction in contact levels before the season and during practices, and with teaching of proper tackling skills at lower levels, we believe people, including parents of high school student-athletes, are seeing and believing that the sport of football at the high school level is as safe as it ever has been.
We urge you to support your local high school football team this Friday night.
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.