Concussion Care: Signs & Symptoms to Watch
October 27, 2020
Henry Ford Health System
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.
Century of School Sports: Michigan Sends 10 to National Hall of Fame
By
Geoff Kimmerly
MHSAA.com senior editor
October 1, 2024
The campaign to promote Michigan’s all-time high school greats for National High School Hall of Fame recognition is advancing full-speed ahead.
Just this summer, past Dearborn Heights Robichaud three-sport star Tyrone Wheatley became the Hall of Fame’s 10th inductee from Michigan. With his addition, Michigan’s collection still ranks only 22nd nationally in terms of number of honorees – but his selection makes three over the last nine years as the MHSAA continues to make cases for more recognition from our state’s rich history.
Michigan’s contribution to the Hall of Fame includes five athletes, three coaches and two retired MHSAA executive directors who also had colossal impacts on school sports at the national level. Wheatley joined the MHSAA’s first full-time Executive Director Charles E. Forsythe (inducted 1983), River Rouge boys basketball coach Lofton Greene (1986), Warren Regina athletic director, softball and basketball coach Diane Laffey (2000); Fennville basketball and baseball standout Richie Jordan (2001), Grosse Pointe Woods University Liggett boys and girls tennis coach Bob Wood (2005), Bloomfield Hills Cranbrook hockey standout Jim Johnson (2007), Owosso football, basketball and baseball all-stater Brad Van Pelt (2011); Vermontville Maple Valley baseball national record holder Ken Beardslee (2016) and retired MHSAA Executive Director John E. “Jack” Roberts (2022).
In addition to his selection and induction this summer, Wheatley was selected to speak on behalf of the entire 2024 Hall of Fame class during the ceremony in Boston.
The National High School Hall of Fame was started in 1982 by the NFHS. Nominations are made through NFHS member associations, including the MHSAA. Hall of Fame inductees are chosen after a two-level selection process involving a screening committee composed of active high school state association administrators, coaches and officials, and a final selection committee composed of coaches, former athletes, state association officials, media representatives and educational leaders.
Of course, not everyone nominated is eventually selected. Candidates receive a three-year period of consideration, and the MHSAA unsuccessfully campaigned for a nominee as recently as 2017-19, although multiple times that candidate reached the second level of the selection process.
Criteria also must be followed; the MHSAA (like all state associations) is limited to one athletic inductee per year, and the NFHS requires inductees to attend the annual summer ceremony unless, of course, they are deceased.
Obviously, there are several Michigan standouts absent from the list above. But as noted, the work has ramped up to bring their accomplishments to the Hall of Fame stage.
Previous "Century of School Sports" Spotlights
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read
PHOTOS Clockwise from top left: Bob Wood, Lofton Greene (in suit) with his 1965 team, Diane Laffey, Charles E. Forsythe, Jim Johnson, Brad Van Pelt, Richie Jordan (shooting the basketball), Ken Beardslee, and Jack Roberts, surrounding Tyrone Wheatley (Robichaud) during a race. (MHSAA archives.)