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.
Commentary: Flag Football First
October 29, 2014
By Chris Ervin
St. Johns Athletic Director
Throughout my career I have always argued that most schools/youth programs start tackle football too early. Most are putting young children in full pads and letting them have full contact as early as third or fourth grade. At this stage in life I don’t believe that children are physically prepared for that type of contact. At this age many of these kids are too big to touch the ball on offense. What fun is that?
But I understand why it is, what it is. Every football program feels the need to do the same, if not more, than our competition. Every program feels it must do what our neighbors are doing to remain competitive. In today’s society everyone believes that our programs must start early, practice often and hit hard, to win championships.
In today’s society we have more science than ever before. We know more about concussions, knee injuries, heat stress, etc. If the NFL, college football, and high school football are making changes as a result of these concerns, why should we not look at current practices of youth football?
I believe that if there was a study conducted with high school football coaches, most would prefer more flag than tackle football for younger children. I believe that most coaches would buy into starting tackle football later in life. But I also believe that coaches will not change unless change occurs across the board, in every community, in every program, to ensure an equal playing field.
Legendary Fowler Football Coach Steve Spicer won championships. He experienced great success even though Fowler started tackle football in the ninth grade for many years. Coach Spicer was able to coach athletes his way. He taught them proper tackling techniques and all of the necessary football skills in merely four years. And for that his teams won championships and were feared as one of the greatest small school football programs in Michigan.
So why flag football instead of tackle football? My take on this is that we start tackle football too early in life. Kids figure out quickly that hitting or getting hit hurts. They do this for six or seven years and then arrive in our high schools. Many of these kids have had enough of getting hit at this point and then hang up their cleats for another activity, work, girlfriend, etc. Some stay with football and enjoy the next four years, but too many go in a different direction due to burn out.
I keep hearing a common theme in Michigan and I suspect this is the case throughout the entire country. Football participation numbers are plummeting! Is this a result of kids having so many opportunities these days, starting school after Labor Day (football practice takes away their August vacation time), or the almost daily coverage by the media about the impact of concussions? All of these are factors.
So what is the solution to saving tackle football? I view this as an easy answer; Flag Football! We need to rally the troops (ADs, Football Coaches Associations, youth football programs, legislatures, parents, children) to take a philosophical stance that supports flag football across the board until at least middle school, and then transition into tackle football for the following years. We all talk about this, but we need action! Maybe a social media campaign is how we get the ball rolling.
Flag football is fun for kids! Flag football provides an opportunity for kids to learn the necessary skills so that later in life they are physically able to handle tackle football. And maybe they will enjoy the football experience so much that they will stick around and be part of our high school program!
Ervin is in his 21st school year as an athletic director, with nine at St. Johns, eight at Carson City-Crystal and four at Webberville. He also coached boys basketball at Webberville for six seasons.