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.
Coaches Must Set the Example
October 15, 2012
By Scott Westfall
MSU Institute for the Study of Youth Sports
NOTE: This is part one of a two-part viewpoint explaining the importance of coaches and parents setting proper examples for young athletes in their treatment of game officials.
In light of the recent uproar over NFL replacement officials, it seems that never before has it been so common and socially accepted to yell disgust at referees.
While this trend is prevalent in both professional and college football, it has unfortunately trickled down into the high school ranks. What is actually accomplished when a coach or fan yells at an official? Do people really believe that if they become irate, a ‘bad call’ will be erased? In all of my years watching, playing, and coaching athletics, not once have I seen a referee change his or her ruling because a coach or a fan yelled at him or her.
When adults lose control and scream at referees, who does this bad behavior really affect? Since youth learn their emotional control from adult leaders, I believe the true damage is done to the young minds that are witnessing their mentors lose their cool. After their display of anger, how can these same adults hope for kids to stay calm when things do not go their way in life? It is pure hypocrisy to expect otherwise.
Whether we like it or not, referees are the absolute authority in athletic contests; they control the game from start to finish, make the tough calls on the playing surface, and even decide who gets to stay and who is sent to the locker room. Yet, it is baffling how often their authority is disrespected.
It is the coach’s responsibility to establish his or her program as one that respects authority. Since players watch all of the moves their coaches make, it is imperative that coaches respect the officials – especially when the calls do not go their way. If a player sees his or her coach going berserk due to a ‘bad call,’ the same player will think it is OK to act like this down the road when upset or faced with adversity. Even more detrimental to these kids is hearing their coach preach a message but contradict it by not backing it up with actions.
Great high school coaches will use the playing surface as an extension of their classroom. In my years as a head coach, I tried my hardest to set a good example for my players and told them to never question, back-talk, or disrespect an official. However, I made the mistake of breaking my own rule on one occasion by questioning the referee’s judgment.
When I was a younger coach, I may have attributed my actions to the heat of the moment, or defended myself on the criteria that I was trying to stick up for my team. However, being a veteran leader who wanted to practice what I preached, I saw my mistake as a teaching moment.
The next practice, when we conducted team discipline conditioning, “Reminders” (usually reserved for players with unacceptable school behavior or poor grades), I asked my players what I had taught them about respecting authority and if I had broken my own rule. The players agreed that I had broken my rule and had not respected the referee.
I let them know that this rule applied to me as much as them. I then lined-up on the goal line and ran my own set of wind sprints as the players, assistant coaches, and managers watched in disbelief. Afterward, to even my surprise, several players thanked me for holding myself accountable.
One kid even had tears in his eyes, and said that after watching my self-imposed discipline, he wanted more than ever to be a man of his word and do the right thing.
Scott Westfall has spent the last 10 years as a teacher, coach, and athletic director in Fort Collins, Colo. He currently is working on his Doctorate at Michigan State University, with an emphasis in Sport Psychology and Athletic Administration, and assisting the MHSAA with its student leadership programs. Westfall is a former athlete who participated in football, wrestling, tennis and cross country at the high school level, and rugby at the collegiate level. He can be reached at [email protected].

PHOTO: Scott Westfall celebrates with his football team while serving as a coach at Boltz Middle School in Fort Collins, Colo.