How To Be Proactive About Concussions In Student Athletes
December 5, 2023
Most people have seen the headlines about concussions as a common sports injury—and it's natural that parents of athletes may have concerns. A large misconception in sports is that previous concussions are to be blamed for ongoing headaches, blurred vision and memory loss, among other symptoms.
“It’s really important to think about concussions in tandem with overall brain health,” says Jake Carpenter-Thompson, M.D., Ph.D., a board-certified neurologist at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. “Concussions can be concerning, but they shouldn’t be looked at in a vacuum. It is important to understand an athlete’s overall brain health to help manage recovery after any impact.”
One way to do that is to consult with your child’s doctor or a sports neurologist for an annual evaluation. A sports neurologist focuses on managing sports-related brain and nervous system injuries and conditions in athletes, such as concussions, post-concussion syndrome, peripheral nerve injuries, migraines, epilepsy and more.
“Having an annual evaluation of your athlete’s brain health when they are at their baseline – and uninjured – can help diagnose and treat issues when they arise,” says Dr. Carpenter-Thompson.
A qualified healthcare professional can use the baseline evaluation results as an important comparison tool if an athlete develops a suspected concussion.
Best Practices For Keeping Athletes Safe
Dr. Carpenter-Thompson shares these tips to ensure you keep front of mind your child’s brain health and safety, not just their athletic performance:
- Get a brain health baseline test. This should include a personal and family neurological history, with a focus on current issues. It is important to note any neurological conditions that may influence concussion recovery, such as ADHD, depression, anxiety or migraine headaches.
- Encourage your children to listen to their body. There are risks to playing any sport. Encourage your child to listen to and be honest about how they’re feeling. It’s the best way to prevent and treat injuries.
- In the event of an injury, look for the signs. Within 24 hours after an injury, an athlete should be evaluated if they are experiencing: headaches, fatigue, dizziness and nausea, changes in sleep habits, trouble with memory, confusion, irritability and anxiety, or light sensitivity.
- Know that brain injuries don’t just occur with a blow to the head. They can also occur from falls, car accidents or even whiplash. If your child is experiencing any symptoms, consult your physician.
- Remember that brain health is more than just concussions. If your athlete is complaining of chronic headaches, migraines, dizziness, memory or mood issues, there may be an underlying issue.
“There is no magic number of concussions a brain can sustain. Each person is different,” says Dr. Carpenter-Thompson. “The severity of the impact and recovery time can vary greatly for numerous reasons. By getting a brain health assessment before the injury, we can provide more targeted care to improve an athlete's overall clinical course.”
To find a sports medicine doctor or athletic trainer at Henry Ford, visit henryford.com/athletes.
The Dangers of Returning to a Sport Too Soon After an Injury
September 12, 2023
When you've been hit with an injury, it's natural to want to get back to your regular activities as soon as possible. In fact, it's not uncommon for athletes to sidestep doctors' orders and return to the field or the court before an injury has healed.
"It doesn’t matter how much you train, or how much you prepare, injuries are going to happen, especially if you're an athlete," says Jamie Schwab, an athletic trainer at Henry Ford Health System. "But the real trouble arises when athletes try to play through their pain without allowing sufficient time for recovery."
Risks Of Returning Too Soon After Injury
If you sprain your ankle during a cross country run, it can be tempting to finish the race. Unfortunately, hiding your pain and powering through the activity can actually make matters worse.
"If you continue to work out after suffering from an injury, you run the risk of furthering that injury," Schwab says. So what began as a minor ankle sprain can evolve into a major sprain that sidelines you for weeks.
Returning to play after surgery demands extra precautions. "Athletes are a lot more susceptible to re-injury after returning from surgery, especially if they don't complete the entire 9-month or year-long rehabilitation protocol," Schwab says. In some cases, you can exacerbate an injury to such a degree that you'll never be able to participate in the same capacity.
A Safe Return To Play
The road back to play after an injury is a long and winding one. Before you can even consider returning to exercise, you need to reduce swelling, get pain under control and get your range of motion back to almost normal.
"The recovery process takes time," Schwab says. "But if you stick with it, and you take it seriously, it's going to be a whole lot easier for you to return to the playing field in a timely manner."
Once you get pain and swelling under control, you can focus on agility and weight exercises that will help you regain strength and slowly return to baseline. The key tenets for a safer return to play:
► Be honest about your abilities: "So many athletes are afraid to tell the truth," Schwab says. "But if you're hurting and you're not competing at your full potential, you're letting your team down and yourself down, too." Even worse, you could increase your risk of further injury.
► Focus on building strength: Strength training is critical. It can help you become faster, stronger and more agile on the field. It can also help you recover more quickly after an injury.
► Listen to your body: If something doesn't feel right, pay attention to it. Talk to your athletic trainer or a physical therapist to get to the bottom of what's bugging you and put a plan in place to address it.
Boosting Performance Over The Long Haul
Unfortunately, not every coach and athletic trainer stresses the importance of a maintenance program. In fact, focused training and maintenance exercises are key to preventing injuries in the first place.
"The rehabilitation exercises you begin doing on day one after injury need to be maintained at least three to four times each week, indefinitely," Schwab says. "If you follow that regimen, all of your muscular nagging strains will no longer be a problem because your body is constantly adapting to the stresses. It's conditioned, it's strong, it can withstand the constant changes in direction."
Most importantly, don't be afraid to try complementary strategies. Practice using a foam roller, try cupping to release tension in the muscles and enhance blood flow and consider getting a monthly massage.
Jamie Schwab, AT, ATC, SCAT, CSCS, is an athletic trainer with Henry Ford Sports Medicine and works with student athletes at Edsel Ford High School. She is a National Strength and Conditioning Association-certified strength and conditioning specialist.
To find a sports medicine doctor or athletic trainer at Henry Ford, visit henryford.com/sports.