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.

Ultimate Teammate, Ultimate Captain

October 1, 2012

By Jed Blanton
MSU Institute for the Study of Youth Sports

What does it mean to be a team captain?

When I was in high school, our team captain was the best runner. There was no vote, no question. The best runner after the team time trial took over for the year. They led stretches, told the freshmen what to do, and did their best to stay in front of the pack.

And that’s what I did when I emerged first in our time trial. It was my team and my season now. The position was a status, a marker of my dominance, and a free pass to be a jerk. And I did it well.

When I went to college on a cross country scholarship, I was at the bottom of the totem pole again, and was nervous about how my captains would treat me and what a year it would be adjusting to college training and racing … while carrying the water and catering to our top runners. I wanted to be the fastest, so that it would be my team.

But in college, the team voted for our captains, and along with our coaches’ consensus, a leader was chosen. It wasn’t the best runner. Our team time trial had nothing to do with it. In fact, our women’s team captain didn’t even score for our team.

I asked one of the seniors, and one of the fastest runners, why these people had been chosen when there were several people faster. They answered simply, “They earned it, I respect them, and don’t mind being told what to do by them.”

I learned throughout the course of the year that the captain of this team had a lot to do, far more than I had ever done in high school ... when I thought I knew how to be a great captain.

When I earned the captain’s position on my college team my senior year, after a less-motivated try at captaincy my junior year, I had a completely different outlook on what needed to happen. For one, I wasn’t the fastest on the team anymore. An injury had prevented me from a successful offseason training regimen. But it was a new role and new challenge that I decided to have some fun and make my senior year memorable. But how could I make my team successful, even if it wasn’t by running fast?

That year I spent more time with the freshmen than I ever had, even more than when I was a freshman myself. I went to the dining halls, and invited them to my house for dinner. I went running with them on the weekends, and didn’t mind not being with the fastest guys on the team. I took an interest in our women’s team and how its training and experience was going. I went to study hall, which was an enforced weekly gathering for freshmen and anyone with lower than a 3.0 grade-point average, although I was about to graduate with honors and had twice been named “major of the year” in my department. I learned that being a captain was not a prize reserved for one person to selfishly hold. Being a captain meant being the ultimate teammate.

Since my college cross country days, I’ve spent the last six years in graduate school, researching and studying team captains. I’ve learned more about the position than I ever thought possible, but nothing I’ve read or discovered has been as powerful as seeing what it’s like to be respected as a captain. I keep in touch with far more teammates from my senior season than I do with anyone who graduated before me. Being a captain is far more than a title; it’s a calling. I whole-heartedly believe that anyone can become a great captain. They are made, not born. The difference is those who want it and those who don’t. Earning the captaincy position is not a status symbol, it’s not a recognition; it’s a job with a long task list.

The best captains I’ve met are the most organized, and also the most caring teammates. Placing the team before themselves is not the cliché; it is expected. And while I never was busier as an athlete than my senior year of college, I’ve never appreciated any other athletic achievement more than the friendships I made and the experiences I had leading my team through our season.

Blanton is a doctoral candidate at Michigan State University in the department of Kinesiology, specializing in the PsychoSocial Aspects of Sport and Physical Activity, and a research assistant for MSU's Institute for the Study of Youth Sports. He has served as a facilitator at MHSAA Captains Clinics the last three years and currently is assisting the association with its student leadership programs.