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.
Century of School Sports: On This Day, December 13, We Will Celebrate
By
Geoff Kimmerly
MHSAA.com senior editor
December 10, 2024
This Friday, December 13, 2024, the Michigan High School Athletic Association will commemorate its 100th anniversary, a special day selected from a milestone school year as the MHSAA continues to celebrate a “Century of School Sports.”
But why December 13?
Short answer: On that day, the first Representative Council of the newly-formed MHSAA met for the first time.
Longer explanation: The MHSAA’s predecessor – the Michigan Interscholastic Athletic Association – had provided oversight of school athletics from 1909-24, and adjourned its final annual meeting Dec. 5, 1924. The reasons for the end of the MIAA and formation of the MHSAA are fascinating on their own, and we’ll cover that at a later date.
But as for this important date we are discussing this week:
- At the end of the MIAA, all that remained was a committee elected to represent various sections of the state and various sizes and types of schools during the transition – a 12-member Representative Council.
- Prior to the MIAA’s conclusion, a basketball rules interpretation meeting had been scheduled and publicized for Saturday, Dec. 13, 1924, in Ann Arbor. Several athletic directors, basketball coaches and officials were expected to attend, and it was decided to also conduct the first meeting of the Representative Council that day as well.
- The Council meeting was held at the Michigan Union. Ten of 12 Council members were present, with the board including representatives from multiple regions and both peninsulas, schools large and small, public and nonpublic; junior high schools and the state department of education, and with expertise in physical education, administration and coaching – in essence, the same mix that makes up much of the Council a century later.
- Officers were elected, funds were transferred from the former MIAAA to the new MHSAA, a committee was appointed to begin discussing policies for junior high sports as they had begun to emerge, and the first Executive Committee – then known as the “Committee on Appeals” was formed to consider appeals of eligibility decisions made by the state director. The 1925 MHSAA Basketball Tournament was discussed and a committee formed to work toward those arrangements. Finally, a football eligibility situation was considered and a member school suspended, to be reinstated two months later after satisfying a series of conditions to make restitution for the use of ineligible players.
And the rest is history, with more made every year.
To commemorate this 100th anniversary, the MHSAA has received tributes from Gov. Gretchen Whitmer and Lt. Gov. Garlin Gilchrist II, and the Michigan Legislature signed as well by Sen. Sam Singh and Rep. Penelope Tsernoglou from the MHSAA office’s legislative districts.
The gubernatorial declaration states in part, “We honor the MHSAA’s rich legacy and the countless athletes, coaches, and volunteers who have contributed to the success of Michigan high school sports. The MHSAA’s commitment to enhancing the lives of student-athletes and strengthening communities across the state is truly remarkable.”
The legislature’s proclamation adds, “May this day serve as a testament to the MHSAA’s remarkable achievements and its enduring commitment to the advancement of high school athletics and the well-being of student-athletes across Michigan.”
Previous "Century of School Sports" Spotlights
Dec. 3: MHSAA Work Guided by Representative Council - Read
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read
PHOTOS At left, gubernatorial and legislative commemorations recognize the MHSAA's 100th anniversary. At middle, the book "Athletics in Michigan High Schools - The First Hundred Years" is opened to the chapter introducing the early days of the MHSAA.