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.
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.