Concussion Care: Signs & Symptoms to Watch
November 1, 2022
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.
5 Ways Acupuncture Can Enhance Athletic Performance
May 9, 2023
In the ancient Chinese medicine of acupuncture, thin needles are gently inserted into specific areas of the body, stimulating blood flow to speed the recovery of certain ailments.
It can be used as a treatment for everything from headaches and unbalanced hormones to joint pain and weakened immune systems. Acupuncture is also popular among athletes, as many of them incorporate it into their wellness regimens to stay in peak physical condition.
“Back in the day, athletes ate steak, smoked cigars and drank whiskey during the week and then played football on Sunday,” says Thomas Betts, a sports medicine acupuncturist with Henry Ford Health System. “But today, to improve their performance, athletes are attacking the body from every angle possible with diet, lifestyle and exercise. NBA players, for example, have talked about how acupuncture keeps them feeling their best.”
But you don’t have to be an NBA star to reap the benefits of acupuncture. Whether you’re a professional or student athlete, or you exercise and play sports for fun or to challenge yourself, here are ways acupuncture can boost your game:
- Acupuncture can help you recover more quickly from an injury. “If a muscle is torn, acupuncture won’t put it back together, but for sprains and strains, muscle soreness and tendonitis, acupuncture can decrease inflammation and speed the healing process,” says Betts.
- Acupuncture can reduce the need for “rest days.” If you just had an intense workout and your muscles are sore, getting acupuncture afterward can loosen the muscles and decrease soreness so you don’t have to take a day off to recuperate before training again.
- Acupuncture can improve flexibility, decrease muscle tension and increase muscle activation. “This is done with motor point acupuncture,” says Betts. “The motor point is where the brain attaches to the muscle via the motor nerve. By using needles to stimulate a motor point, it is like rebooting a phone or computer that isn’t working well: Motor point acupuncture is autoregulating, in that it can deactivate a tight muscle or reactivate an inhibited or weak muscle.”
- Acupuncture can provide immediate pain relief. “Some studies show that acupuncture can provide as much as, if not more pain relief than medication,” Betts says. “It differs for everyone, and it depends on what is being treated, but some people say they feel a difference right after a session, and others say they feel better about 20 to 30 minutes later.” Pain relief can last from a few hours to a few days.
- Acupuncture can help prevent injury. Because acupuncture can reactivate weak muscles and decrease muscle tension, it can also be used as a preventative measure against injury, Betts says. But you should always still stretch before and after exercising!
Learn more about acupuncture and other integrative medicine services at Henry Ford. To make an appointment, you can request one online or by calling 1-833-246-4347.
Thomas Betts, DOAM, RAc, is a certified sports acupuncturist with Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit.