Concussion Management
What Is a Concussion?
The general definition of concussion means the act of forcefully shaking or jarring. A sports concussion is a type of mild traumatic brain injury (mTBI) caused by shaking or jarring of the brain. A sports concussion can occur with a bump, blow or jolt to the head or the body which causes the brain to move within the skull. This movement causes the brain to hit the inside of the skull which can result in a change in brain cell chemistry and structural injury from cell stretching. This damage can result in a variety of signs and symptoms depending on the portion of the brain involved during a sports concussion.
Are concussions serious?
There is a dangerous trend of equating an injury with how visible the problem is. Of course, a broken bone or a torn ligament is going to create a scene, but this isn’t a failsafe way to judge an injury. When an athlete blows out their knee it becomes something that everyone can see, and the pain on the player’s face merely confirms what everyone else is already thinking: that injury is real, that injury is painful, that person is going to need medical attention.
Sports concussions are described as a “mild” traumatic brain injury because concussions are not usually life threatening. However, concussions are a brain injury and can lead to serious long-term consequences if not managed correctly by a qualified healthcare professional.
Head injuries aren’t typically as visible. When someone hits their head on TV, they may become unconscious for a moment or they may be able to stand up right away. They might look dazed or need a minute to regain their ability to think straight, but then they can walk off the field just fine. The injury doesn’t look as serious. And too often it isn’t treated as seriously.
Without therapeutic intervention, long-term symptoms can include:
- Chronic headaches
- Muscle weakness and spasms
- Fatigue
- Decreased libido
- Changes in weight
- Disrupted menstruation and infertility
- Sleep disorder
A broken bone may be visible, but a concussion is in many ways far more serious of a problem. A brain injury requires immediate and ongoing care to ensure that the brain can regain optimal functionality. On television, injuries that turn out to be “just a concussion” are often anti-climactic events that the audience is led to believe will be over in days, if not hours. In real life, however, these traumatic brain injuries — which usually stem from a fall, severe shaking, a car accident or a direct blow to the head — can severely impact a person’s quality of life for several months.
A cold is typically more obvious than a chronic disease, but that doesn’t make the chronic disease any less difficult to deal with. In fact, the chronic disease is typically significantly more serious and complicated than the typical cold. Similarly, concussions are not something that can be overlooked. Following brain injury, whether as a result of a sport incident, a car accident, trip and fall, or other event, concussion therapy is absolutely necessary to ensure that there is no lasting damage following the trauma.
Finding concussion therapy post-trauma
The severity of a traumatic brain injury can vary dramatically. While some concussions are indeed minor, and may not require long-term intervention, other brain injuries can have lifelong consequences.
In the immediate hours and days following a traumatic brain injury, the best treatment option is to take it easy. Resting your brain means really turning off everything that will stimulate your mind and to simply relax. This means avoiding television, not reading, avoiding intense music, conversation and too much movement. This may not sound like a very entertaining time, but this is what your brain needs to recover. Just like you’d put your feet up for a day or two after injuring your ankle, you need to give your brain time to rest and recover after an injury.
During this time, it isn’t likely that you’ll be referred to concussion therapy. The important thing is to check in with your doctor for treatment and to have your brain injury assessed, and then to follow post-concussion protocols to give your brain a chance to bounce back. During this time, rest is absolutely the best way to cope with the uncomfortable symptoms that happen with a concussion, which include vomiting, confusion, weakness and headaches.
After several days, if the symptoms of a brain injury have not subsided, then physiotherapy is recommended. Seeking out concussion therapy early on can prevent long-term issues and help you experience a quicker return to normalcy.
- Chronic headaches
- Muscle weakness and spasms
- Fatigue
- Decreased libido
- Changes in weight
- Disrupted menstruation and infertility
- Sleep disorder