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.

History in the Making - New and Old

By Geoff Kimmerly
MHSAA.com senior editor

October 24, 2013

Last week’s MHSAA Lower Peninsula Girls Golf Finals marked the 42nd anniversary of the association’s sponsorship of the sport, and we've been researching some of the first and finest performances from the tournament's history – coincidentally, as a current player added a small touch with a big shot Saturday.

Read on to learn more about that feat and the first team to hoist an MHSAA girls golf championship trophy. And speaking of trophies, we've also got the story behind one of the oldest football traveling prizes still making the rounds in the Upper Peninsula.

An Ace Arrives

Fenton’s Madi Shegos finished her 2013 Finals by making history at Michigan State’s University’s Forest Akers East, a frequent MHSAA Finals site over the last two decades.

The course redesigned its 18th hole from a short par-4 to a par-3 this season. And Shegos became the first to score it a hole-in-one, doing so during the second round of the Division 2 Final.

Retired longtime East Lansing coach George Jones, also a longtime assistant at the Finals and the taker of the photo at right, added: “Madi Shegos did something almost every golfer around the world never gets a chance to do or if given the chance, doesn't do.

“Sure, every par three at Forest Akers and nearly every other par three around the world has had an ace, but on Friday Madi was the very first to accomplish this on the newly-constructed 18th hole on the East Course. No one else will ever be the first. This honor goes to Madi Shegos, a sophomore at Fenton High School.”

Shegos improved six strokes during her second round to shoot a 103 on Saturday as Fenton finished fifth in Division 2 for the second straight season.

First to Reign

Although Lower Peninsula girls golf was played during the spring for its first 35 years, and Upper Peninsula girls golf remains in the spring to this day, the first girls MHSAA championship tournament actually took place during the fall of the 1972-73 school year – with Pickford claiming the first title by winning the Upper Peninsula Final by three strokes over Escanaba on an October day at Lake Bluff Country Club.

Thanks to some quick work by Pickford athletic director Chuck Bennin and one of the four players on that championship team who now teaches at the high school, we'll soon be adding results of that tournament to our growing archives at MHSAA.com

Here's a quick flashback from that inaugural 9-hole event: The Panthers were led by Patsy Nayback’s 49, which was good for second place individually. Joni Hamilton and sisters Bonnie and Kathleen MacDonald rounded out the lineup and are pictured above. Ishpeming’s Marge Farley shot a 44 to finish as medalist.

Another fun fact from that October day: The Escanaba Daily Press reported that in the boys MHSAA Final, Pickford’s Kevin Hamilton recorded an eagle on the par-5, 472-yard third hole, with his second shot running through a sand trap, up the green and into the cup.

The Lower Peninsula Girls Finals teed off for the first time the following spring, with Bloomfield Hills Lahser defeating East Grand Rapids by a stroke at Grand Ledge’s Troy Hills Golf Course.

Wanted: More Finals Archives

For the majority of MHSAA sports, we’ve published on MHSAA.com results, box scores, etc., for most of our Finals dating to at least the late 1990s. For years prior, we've begun filling in with what we can gather from our formerly-published Books of Champions and MHSAA Bulletins. 

But realizing there are complete copies of results out there in scrap books, trophy cases, newspaper archives and the like, we’d love to gather as many as possible to add to the site.  

If you’ve got results from an MHSAA Finals in any sport that aren't showing at MHSAA.com or that can augment our current collection, please email me at [email protected].

First of many

Certainly the most prevalent prize awarded for winners of Michigan’s high school football trophy games is some version of a “little brown jug.” And this weekend, the oldest of the jugs will be on the line when Newberry faces Sault Ste. Marie.

They first played for the trophy in 1925, with the original jug replaced by the current version in 1934. Sault Ste. Marie leads the series 58-33-5 including 46-28-5 in games for the Jug.

Below is an excerpt from a brief history of the trophy researched by Ron Pesch:

In the state’s Upper Peninsula, Newberry High School first played Sault Ste. Marie on the gridiron in 1911 and, for the most part, they have squared off annually since 1923. To commemorate the battle between these schools, legend has it that in 1925, a Newberry druggist donated a Jug to serve as a trophy. The prize was to be retained by the winning team until the next meeting would determine ownership. The idea, of course, came from the Michigan-Minnesota rivalry.

In 1934, for reasons unknown, a new jug debuted. Fittingly, that game between the rivals ended in a 7-7 tie.

Over the years, the rivalry has generated many classic contests between the larger school from the Soo and the smaller Newberry district. The series was interrupted in 1940 and 1959, and then went on a five-year hiatus between 1999 and 2003. As school officials recognized the importance of the series to the residents of the area, the rivalry was resumed in 2004 when the Blue Devils joined Newberry in the Straits Area Conference.

PHOTOS: (Background) The members of the 1972 Pickford girls golf team, as they appeared in the January 1973 MHSAA Bulletin. (Foreground and below) Fenton’s Madi Shegos stands with the flag after drilling the first hole-in-one at the redesigned No. 18 at Forest Akers East during last weekend’s Lower Peninsula Division 2 Final.