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.

Century of School Sports: We Recognize Those Who Make Our Games Go

By Geoff Kimmerly
MHSAA.com senior editor

February 11, 2025

A long-held and common philosophy among those serving in educational athletics is that celebrations of achievement should be focused primarily on the student-athletes who participate in MHSAA sports.

But those making those activities possible also realize more than most how much is accomplished behind the scenes – and the MHSAA annually recognizes those contributors as well.

Every school year, the MHSAA presents a series of service awards, voted upon by its Representative Council. Nominations are due by Nov. 1, and awards are then presented over the following months.

Below are brief descriptions of the MHSAA’s awards, and more information including all past honorees is available on the Awards page.

Winners of the 2024-25 Women in Sports Leadership, Nate Hampton Champion of Progress in Athletics and Charles E. Forsythe Lifetime Achievement awards will be announced later this month. This school’s year’s Vern L. Norris Leadership in Officiating Award honoree will be announced in April, and Allen W. Bush Meritorious Service Award winners will be announced later this spring.

Women In Sports Leadership Award: The MHSAA has honored 38 leaders since 1990 with this award, which is presented either during the every-other-year Women in Sports Leadership Conference or during MHSAA Finals in years between conferences. The WISL Award recognizes the impacts of women coaches, officials and athletic administrators.

Nate Hampton Champion of Progress in Athletics Award: The newest addition to the MHSAA’s annual honors was presented in 2024 for the first time and recognizes leaders who promote the advancement of opportunities for women, minorities and other underrepresented groups within interscholastic athletics, while serving as an administrator, coach, official, educator or school sports leader. Hampton served as an MHSAA assistant director for 32 years, retiring in 2021.

Charles E. Forsythe Lifetime Achievement Award: Since 1978, the Forsythe Award has honored 74 individuals who epitomize excellence and service throughout the interscholastic community based on outstanding contributions at the local, regional and statewide levels. Forsythe was the first fulltime executive director of the MHSAA, serving from 1931-68.

Vern L. Norris Leadership in Officiating Award: A total of 34 officials have been recognized with this award since 1992 for their participation in local officials associations, mentoring of other officials and involvement in officials education. Candidates all have been registered with the MHSAA for 20 or more years at the high school level. Norris served as the MHSAA’s executive director from 1978-86 and on staff for 23 years total, and also was a highly-respected game official.

Allen W. Bush Meritorious Service Award: Beginning in 1992, the Council has honored 108 individuals for their contributions in a number of roles including coach, administrator, game official, trainer, doctor or member of the media – focusing on candidates who have served without receiving much attention for their difference-making work. Bush was the MHSAA’s second fulltime executive director and served from 1968-78.

Previous "Century of School Sports" Spotlights

Feb. 4: WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28:
Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21:
Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14:
Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9:
MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: 
State's Storytellers Share Winter Memories - Read
Dec. 17: 
MHSAA Over Time - Read
Dec. 10:
On This Day, December 13, We Will Celebrate - Read
Dec. 3:
MHSAA Work Guided by Representative Council - Read
Nov. 26: 
Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19:
Connection at Heart of Coaches Advancement Program - Read
Nov. 12:
Good Sports are Winners Then, Now & Always - Read
Nov. 5:
MHSAA's Home Sweet Home - Read
Oct. 29:
MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23:
Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15:
State's Storytellers Share Fall Memories - Read
Oct. 8:
Guided by 4 S's of Educational Athletics - Read
Oct. 1:
Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18:
Why Does the MHSAA Have These Rules? - Read
Sept. 10: 
Special Medals, Patches to Commemorate Special Year - Read
Sept. 4:
Fall to Finish with 50th Football Championships - Read
Aug. 28:
Let the Celebration Begin - Read

(MHSAA file photos.)