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.
Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
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.