Concussion Management
Concussions are a common injury in children and adults that affect each person differently. Some people may experience multiple symptoms that can last months, where other people only experience a few minor symptoms that resolve in 1–2 weeks. Concussion protocols have evolved greatly in recent years, which is why it is important to see a qualified health care professional who specializes in concussion management.
What is a concussion?
A concussion is an injury to the head that affects how the brain works. It can occur from a direct force to the head, but can also occur from an indirect force to the head (for example a blow to the body causing a whiplash injury where the force transfers to the brain). An athlete or individual does not have to lose consciousness to suffer a concussion. Our highly trained physical therapist at St. Francis Rehab & Sports Medicine will create a therapy treatment plan that is better for you.
What are the symptoms of a concussion?
A concussion can result in a variety of symptoms which could be physical (headache, dizziness, neck pain, vision problems, sensitivity to light/noise, sleep disturbances), emotional (irritable, sadness, anxiety), or cognitive (difficulty concentrating, memory issues, delayed processing).
Symptoms that may indicate a more significant brain injury (call 911 or go to the Hospital):
- Slurred speech
- Seizures
- Lack of coordination
- Weakness, numbness, or tingling in the arms/legs
- Deteriorating mental status
- Vomiting
- Significant behavioral change
What to do if diagnosed with a concussion:
Athletes must be cleared by a health care professional trained in concussion management prior to returning to their sport. Non-athletes should follow up with their primary care physician. Both athletes and non-athletes may require further treatment and rehabilitation. Early intervention of various therapies can improve recovery. Avoiding further injury while the brain goes through its healing process is crucial.
General guidelines when recovering from a concussion:
- Find ways to avoid or decrease your stress.
- Try to get at least 8 hours of sleep each night.
- Try to go to bed and wake up at the same time.
- Avoid long naps as this can affect the quality of your sleep at night.
- Do not skip meals.
- Drink lots of water to stay hydrated and avoid energy drinks.
- Light exercise can help with concussion recovery. Talk with your health care provider about what exercises are okay to do.
Returning to activity considerations:
The initial rest period (24–48 hours after a concussion) includes cognitive rest, physical rest, reducing screen time, and getting quality sleep. Complete rest for more than 48 hours after a concussion is generally not recommended. Following the initial rest period, an individual can then start trying light physical and cognitive activity under a qualified health care professional’s guidance. As long as symptoms are stable or improving, an individual can continue to gradually increase their activity level. The amount of time it takes to fully recover can be different for each individual.
Contact Us
Concussions are complex injuries that require appropriate care. Our experienced team at St. Francis Rehab can help adult and pediatric patients safely return to activity, sport, and daily life. Please contact us if you have any questions about our concussion program.
Authors: Sophie Moran — Shakopee CAPS student, St. Francis Rehab Intern and Tony Lane — Occupational Therapist, St. Francis Rehab Concussion Program Lead