Participating in contact sports after a concussion can be safe, but it requires careful management and adherence to recommended guidelines. Concussions render the brain temporarily vulnerable, and returning to contact sports prematurely heightens the risk of sustaining another concussion.
Here are key considerations for returning to contact sports post-concussion:
Complete Recovery: Before resuming any sports, it’s vital that all concussion symptoms have completely resolved, both at rest and during physical exertion.
Medical Clearance: An individual should only return to contact sports after receiving clearance from a healthcare professional experienced in managing concussions.
Gradual Return: Many professionals recommend a stepwise return-to-play protocol. This involves progressively increasing levels of exertion and only advancing to the next stage if no symptoms return at the current level.
Continuous Monitoring: Even after returning to play, individuals should be continuously monitored for any recurrence of symptoms. Quick recognition and removal from play at the onset of new symptoms are crucial.
Education: Athletes, coaches, and trainers should be well-informed about concussion signs, risks, and management protocols to ensure safety.
Protective Gear: While no equipment can prevent concussions entirely, using well-fitted helmets and protective gear can mitigate the risk of severe head injuries.
In essence, while it’s possible to return to contact sports after a concussion, it’s crucial to prioritize safety, follow professional guidelines, and adopt a cautious, informed approach.
Repeated concussions can potentially lead to a condition called chronic traumatic encephalopathy (CTE), which is associated with long-term neurological problems like memory loss, confusion, personality changes, and problems with speech and gait. It’s also linked to an increased risk of other neurological disorders, like Parkinson’s disease. That said, most single concussions do not cause permanent brain damage if properly managed and enough recovery time is allowed before returning to high-risk activities.
A baseline concussion assessment is a pre-season examination that gauges an athlete’s normal brain function before participation in sports. It is conducted by a trained health professional and includes tests that assess cognitive abilities, balance, and brain function. The results provide a “baseline” against which post-injury assessments can be compared in the event of a concussion. This comparison aids in diagnosing the severity of the concussion and informing treatment decisions. The goal is to ensure safe return-to-play decisions for athletes after a head injury.
Diagnosing a concussion involves a combination of clinical evaluation, symptom assessment, and, in some cases, imaging.
Clinical Evaluation: The first step is usually a thorough medical examination. A healthcare provider will ask about the nature of the injury and the symptoms experienced. They might check the patient’s vision, hearing, strength, balance, coordination, and reflexes.
Symptom Assessment: The individual might be asked to answer questions or fill out a questionnaire about their symptoms. This can help determine the concussion’s severity and impact on daily activities.
Neurocognitive Testing: Some healthcare providers use computerized or paper-and-pencil tests to assess memory, concentration, and problem-solving skills. Baseline and post-injury scores can be compared (especially relevant for athletes who undergo baseline testing before sports seasons).
Imaging: While standard imaging tests, like CT scans or MRIs, often appear normal in people with concussions, they can be used to rule out more severe injuries like brain bleeding or swelling. However, these tests are typically reserved for cases where more severe brain injury is suspected due to severe symptoms or specific risk factors.
Observation: In some cases, individuals might be observed in a hospital overnight. This is especially common if symptoms are worsening or if there’s a concern about potential complications.
Physiotherapist Evaluation: If post-concussion symptoms persist and involve issues like dizziness or balance problems, a physiotherapist might conduct specialized evaluations to address these concerns and recommend therapeutic interventions.
It’s essential to note that a concussion diagnosis primarily relies on the assessment of symptoms and clinical examination since there isn’t a definitive “test” for it. Therefore, honest and accurate reporting of symptoms by the injured person is crucial.
While concussions can happen at any age, older adults may be at higher risk due to factors such as decreased balance and age-related changes in brain structure. Falls prevention strategies, maintaining a safe environment, and regular exercise to improve strength and balance can help reduce the risk of concussions in older adults.
Yes, you can definitely have a concussion without losing consciousness. In fact, most concussions do not involve a loss of consciousness. A common misconception is that a person must be “knocked out” to have sustained a concussion, but that’s not the case. Symptoms of a concussion can range from mild to severe and can include headaches, dizziness, confusion, memory issues, balance problems, and more. It’s essential to recognize that even if someone remains conscious after a blow to the head or body, they might still have suffered a concussion, and they should be evaluated by a healthcare professional.
After a concussion, individuals might be tempted to take over-the-counter (OTC) pain medications to alleviate symptoms like headaches. While some OTC medications can be safe, it’s crucial to approach their use with caution.
Acetaminophen (commonly known as Tylenol) is generally considered safe for addressing pain following a concussion. It doesn’t increase the risk of bleeding, a critical factor given the potential for brain injuries to be associated with bleeding.
However, non-teroidal anti-inflammatory Drugs (NSAIDs), such as ibuprofen (Advil, Motrin) or naproxen (Aleve), are approached with more caution. While they are effective for pain and inflammation, they can increase the risk of bleeding. Given the potential, albeit rare, for bleeding within the brain after a concussion, many healthcare providers recommend avoiding NSAIDs immediately after the injury.
That said, it’s paramount to consult with a healthcare professional before taking any medication following a head injury. Factors like the concussion’s severity, associated symptoms, other medications, and pre-existing health conditions can all influence which pain relief options are most appropriate. Always prioritize professional guidance over self-medication to ensure safety and proper recovery.
If you suspect that you’ve had a concussion, the most important first step is to stop whatever activity you’re doing, especially if it’s a sport or physical activity. Continuing to participate can put you at risk for a more serious brain injury. Next, you should seek immediate medical attention. A healthcare professional can assess your symptoms and provide guidance on necessary rest and recovery strategies. Remember, not all symptoms appear immediately and can develop over the next hours or days, so continued monitoring is essential.
A concussion is a type of mild traumatic brain injury (TBI). The term “TBI” covers brain injuries of varying severity, from mild to severe. Concussions are at the mild end of the spectrum and are characterized by a temporary alteration in brain function caused by an external force. Although most people recover fully from a concussion, the brain is vulnerable to further injury during the recovery period. Severe THIs can involve prolonged unconsciousness or amnesia after the injury, and they often have more significant and long-lasting effects on cognitive, physical, and emotional function.
On arrival, one of our expert staff members will help assess your health and history. We work together with you to determine the best treatment schedule.
Yes, concussions can occur in various non-athletic settings such as motor vehicle accidents, falls, workplace incidents, or recreational activities.
