5 Concussion Myths Debunked
November 8, 2022
Awareness about the dangers of concussions is at an all-time high. In response, athletic organizations — from Pop Warner football (a nonprofit program for kids 5 to 16) to USA Hockey — have safe-play protocols in place. But misconceptions about injury — prevention, management and return to play — are still all too common.
"It's great that parents, coaches and athletes are focused on the potential for concussions, but they also need to be aware of the complexities involved in evaluating, diagnosing and managing concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
The best way to get the knowledge you need? Learn how to separate fact from fiction.
Separating Concussion Fact From Fiction
Here’s the truth behind five common concussion myths:
Myth #1: Concussions are only caused by blows to the head.
Concussions happen in response to force. While they often result from a blow to the head, they can also occur after a hit to the neck, shoulders or anywhere else on the body. To cause brain injury, the force of the impact only needs to cause the head to move rapidly back and forth (think whiplash from a car crash or a spill down the stairs).
Myth #2: Concussions always involve a loss of consciousness.
A very small percentage of all concussions, 10 percent or less, result in a loss of consciousness. For the remaining injuries, parents, coaches and medical providers should watch for additional symptoms such as:
· Confusion
· Balance problems
· Slurred speech
· Physical complaints including headache, nausea and vomiting.
Myth #3: You should keep a person awake overnight after a concussion has occurred.
It's important to observe and interact with a recently concussed person for the first few hours to recognize the potential signs of a more serious injury. However, if they are interacting normally after four hours, it’s okay to let them sleep. If you have any doubts or questions, always err on the side of caution and seek medical attention.
Myth #4: After a concussion, kids should avoid digital media until they feel better.
Unless digital activities or screen time significantly worsen symptoms, there's no reason to avoid them. "You shouldn't force people who have suffered a concussion to rest too much — or deprive them of sensory input — if they are comfortable engaging in activity," Dr. Kutcher says. What’s more, taking away activities that bring a person joy or keep them socially connected could end up prolonging their recovery by creating additional symptoms.
Myth #5: All physical activity should be avoided after a concussion.
It’s important to rest for the first two to three days after a concussion. However, you need to be careful not to rest too much or avoid all activity for too long.
Engaging in physical, mental and social activities can be beneficial. But knowing how much to do and when to take it easy can be difficult. If you have any questions, consult a sports neurologist for specific recommendations.
Ground Rules for Concussion Prevention and Management
When it comes to preventing concussion, common sense offers the greatest impact, Dr. Kutcher notes. He recommends starting with these four tenets:
- Whenever possible, limit the amount of contact in practices and games.
- Wear proper fitting and certified helmets or other head protection whenever appropriate.
- Spread contact drills out over time as much as possible.
- Practice good technique and play by the rules.
Athletes — especially those who play contact sports — should undergo an annual neurological evaluation that includes a comprehensive, focused neurological history and examination. This information provides a critical point of reference for medical professionals.
Knowing the truth about concussions — including what to watch for and what to do if one occurs — is really the best game plan.
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
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.
Why Spring Sports Injuries Are Common & How To Prevent Them
April 11, 2023
When spring is in the air, athletes of all ages head outdoors to play their favorite sports, including softball, baseball, tennis, lacrosse and track & field.
Unfortunately, the change of season also ushers in injuries, says Joseph Medellin, M.D., a primary care sports medicine doctor at Henry Ford Medical Center-Jackson. A variety of factors can cause spring sports injuries, including:
► Too much or too little winter activity: With shorter days and colder temperatures, some athletes aren’t as active in winter. Even if you are going to the gym regularly, sport-specific muscles – like muscles in the chest and shoulder that help you throw a baseball – may weaken.
At the start of a new sports season, a sudden increase in the demand on these muscles can lead to injury. Taking steps to get ready for spring sports before the season starts can lower this risk. It’s also not uncommon for multi-sport athletes to have games and practices year-round with multiple practices in one day. Not allowing yourself enough downtime can lead to overuse injuries, including strains and sprains.
► Transitioning outdoors: Winter sports often take place on hard surfaces, like wood basketball courts, gyms and treadmills. These surfaces are flat, making it easier to maintain your footing. Spring sports involve soft running surfaces like grass and turf that are uneven. They can also be wet, muddy or icy due to spring weather. All these circumstances increase the risk of injury due to falls.
Cold weather can also be a factor. Early spring temperatures can still be quite cold. It takes longer for muscles to warm up, and they might not work as efficiently. This can be especially troublesome with sports like softball where there are lulls in activity between innings. Playing with cold muscles can increase the risk of sprains and strains.
► Sport-specific movements: Throwing, sprinting and kicking are moves that most people don’t do on a daily basis. They require powerful motions that can stress unconditioned muscles and joints. This is especially true if you haven’t been cross-training to strengthen supporting muscles or haven’t gradually increased your intensity.
A sprinter may experience hip pain from running at full speed around the curve of a track. Rotator cuff injuries can occur in sports that involve throwing, like the javelin, shot put, and baseball and softball. Soccer players can pull their groin from repeatedly taking long kicks.
If You Suspect A Sports Injury, Don’t Put Off Care
A doctor’s office is often the last place eager athletes want to be at the start of the season. But pain should not be a regular part of your training program. If you think you’ve sustained an injury, trying to push through often makes it worse.
Making time to see the doctor can be challenging, especially if you have to miss a practice or game for your appointment. But it’s worth it. “The sooner you get evaluated, the sooner we can get you on the path to recovery,” Dr. Medellin says.
The opposite can be said when treatments are delayed. “The longer you’ve had an injury, the longer it may take to heal,” explains Dr. Medellin. “And first-line treatments aren’t as likely to be successful, which can mean more time away from your sport.”
Sports Injury Treatments That Keep You In The Game
Seeing a doctor doesn’t always mean you’ll have to sit out the season. Treatment may include intermittent rest, as long as you don’t have a severe injury like a stress fracture or tendon tear. “We may recommend a return to sport at a lower intensity or with additional rest days to see if the pain goes away,” says Dr. Medellin.
Patients with minor injuries might also benefit from physical therapy between practices. Physical therapists can correct poor form. They can also help you safely stretch and strengthen injured muscles to promote healing. Conditioning through Henry Ford Health's sports performance program can also speed recovery and prevent injury.
“A sports medicine doctor’s goal is to keep athletes active and involved in the sport they love,” says Dr. Medellin. “That’s what I want for my patients.”
To find a sports medicine provider at Henry Ford Health, visit henryford.com/sportsmedicine or call 313-651-1969.
Joseph Medellin, M.D., is a primary care sports medicine doctor at Henry Ford Medical Center-Jackson.