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.
O-K Red Tennis Rivals Team Up to Promote Mental Health Awareness
By
Jon Ross
MHSAA Director of Broadcast Properties
October 7, 2022
The Ottawa-Kent Conference Red boys tennis championship was decided Saturday, but all eight teams also teamed up for something bigger.
All participants from league members Caledonia, East Kentwood, Grand Haven, Grandville, Hudsonville, Jenison, Rockford, and Holland West Ottawa warmed up together, wearing special “be nice.” shirts in their respective school colors.
The Mental Health Foundation of West Michigan provides the be nice. program, with its mission to promote mental health awareness and prevent suicide through education with a four-step action plan (Notice, Invite, Challenge, Empower). Additionally, be nice. provides mental health awareness training to all head coaches of MHSAA-sponsored sport teams.
“Over the past four years, coaches have received mental health and suicide prevention education by learning the be nice. action plan through annual rules meetings. Now these coaches are bringing it to their athletes and parents,” said Christy Buck, executive director of the Mental Health Foundation of West Michigan. “To see these coaches recognize the importance of having mental health discussions on their teams with their athletes gives me the chills. For the entire O-K Red, 140 coaches and athletes, to then take it a step further and bring awareness to their community is incredible. The information people received that day, without a doubt, started important conversations that will be life-changing for someone who was struggling, and that's what we're trying to do. The be nice. team program is simple, accessible, and it's going to save lives."
Leading up to the competition, every team had access to a be nice. team training that taught them to recognize the signs and symptoms of a mental illness and how to take action when they notice these changes. This program is a simple and effective way to empower coaches and athletes with a game plan for mental health concerns. Parents and spectators also were briefed on the be nice. action plan before the tournament began.
“Tennis is competitive and intense in the Red, but for the players and coaches, we see tennis as an extension of something bigger. It's about life, friendships, camaraderie, learning how to deal with adversity, learning how to lose, learning how to win, coming together as a family and creating collective goals,” said Rockford varsity tennis coach Tom Huizing. “Every day we try to live the be nice. way. Not only within our teams or within our conference, but within our lives outside of tennis.
“We've had many be nice. matches within the O-K Red, but now we wanted to set the standard as a conference and let everyone know that we are in this life together. We will notice, invite, challenge, and empower. All of us, not just one player or one coach or one team. Every player, every coach, every team. We want to walk the walk, not just talk the talk. So that's what we're doing on the biggest stage for our tennis conference. We are coming together at the O-K Red Conference finals and we are making a pact as an entire conference to be nice.”
Hudsonville and West Ottawa ended the season as co-champions of the O-K Red.
PHOTO The O-K Red brought together 140 athletes and coaches for its boys tennis championship tournament and also in an effort to bring awareness through the be nice. program. The entire group is pictured above, and the coaches below. (Photo courtesy of be nice.)