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.
Timeout to Appreciate Officials
September 23, 2013
By Kevin Wolma
Hudsonville athletic director
Wolma is in his third school year as athletic director at Hudsonville and previously coached basketball and golf. Below is a recent “30-second timeout” he wrote for the Hudsonville district newsletter.
We were five seconds away from one of the greatest upsets in the history of Caledonia basketball.
During the regular season, South Christian had beaten us by more than 30 points on two different occasions. The District Finals became the site for the third contest between the two schools on a warm March day.
We were able to slow them down just enough to stay within striking distance until late in the fourth quarter, when we finally took the lead for the first time. South Christian had one last chance with seven seconds left on the clock. After a timeout, they in-bounded the ball from the sideline and their player forced up a shot. I could see it was going to be short from my viewpoint, and my heart began to race with adrenaline as I could sense the impossible was going to become possible.
What happened next has stuck with me for the rest of my life, as one of the South Christian players pushed one of our players in the back, grabbed the rebound, and put the ball in the basket with one second left.
Game over. South Christian wins the District championship.
For the next eight years as a varsity basketball coach, I held a grudge against officials for that one call. Twelve years later, after I was done coaching, I went back and watched the game over again for the first time. I almost turned the video off when they in-bounded the ball in those last seven seconds because I did not want to relive that moment and the ensuing emotions that took place.
While watching I discovered something.
The South Christian player did not shove my player as much as I thought, and our players did not box out like I had thought, which made it easier for them to get the rebound and score. Looking back, did I even tell my players to box out during that last timeout before the ball was in-bounded?
At that moment it became very clear to me that what we see during a game may be clouded because we want our team to gain every advantage and every call in order for them to be successful. Perception is not reality. Officials are human. They will make mistakes just like the coaches and players do during a game.
There still has never been a game that has been decided by an official. Some people will say that the Class B Semifinal boys basketball game (in 2010) was decided on an official’s call when they ruled one of Forest Hills Northern’s player's foot was on the line on his last-second shot when in reality his foot clearly was behind the line. That call cost them a chance to play in the (MHSAA) Finals.
Coach Steve Harvey was quoted in the paper as saying, "We had opportunities to take care of the game before it even came down to that shot.” In the moment it seemed like that one play cost Forest Hills Northern the game, but there were over 50 possessions on offense and defense that preceded the play and potential outcome.
Having the opportunity to spend time with officials inside the locker room has made it very evident they are serious about their jobs and calling the best game they can. I have had requests from officials to have a monitor available to break down film an hour and a half before their contest begins to see strengths and weaknesses in their placement and mechanics from prior contests. I have had officials upset at halftime or after a game because they realized they made a mistake. I have had officials contact me personally after a game to apologize for a call made during the contest.
In the business world and also in education we use the word collaboration a lot. Officials collaborate before, during, and after every contest to garner more knowledge so they can continue to improve.
This is not even their full time job. Officials do what they do because they love the game and want to give back to the sport that made an impact on them.
The next time we are at a game and we think the officials missed a call, let’s take a 30-second timeout to gather our emotions so we do not say anything we will regret later. Instead let’s spend our energy cheering on our teams to be the best they can be.