07/17/2025
What is something you address as an Athletic Therapist? Concussions!
I hate it when people bury the lead in their posts, so right on top, when you have a suspected concussion, when should you seek medical help (no if, and’s, buts or maybes about it – this is when you NEED to go to the ER).
Red Flags for concussions (pulled from the SCAT6):
1) Neck pain or tenderness
2) Seizure or convulsion
3) Double vision
4) Loss of consciousness
5) Weakness or tingling/burning in more than 1 arm or in the legs
6) Deteriorating conscious state
7) Vomiting
8,) Severe or increasing headache
9) Increasingly restless, agitated or combative
10) Visible deformity to the skull
Hope that didn’t scare you! It’s really important to know that. Might save a life. Want to stop there? Alright. Want to know a bit more about concussion? Read on!
Fact or fiction – you must pass out to have a concussion? Fiction! You’ve probably had a few concussions in your life, and just didn’t realize that that’s what is was. I know once I’d learned more I’ve reflected on a few situations and realized that that was what a concussion felt like.
What is a concussion? It’s like a bruise on your brain. Imagine your brain is like jello in a bowl. If the bowl is shaken the jello will move in the bowl, the harder you shake the more the jello moves. As the jello moves and squishes to the sides of the bowl – that’s where the injury occurs. If you add a twisting motion to the shaking you can see the jello separate.
Or if you prefer the more scientific way of saying things: A concussion is a type of traumatic brain injury (TBI) that occurs when a blow or jolt to the head or body causes the brain to move rapidly back and forth inside the skull.
I think the analogy makes the science speak make more sense personally.
What happens when you get a concussion? It can cause chemical changes in the brain, sometimes damaging brain cells. Your body is pretty good at repairing itself, people used to think that your brain stopped growing once you reached maturity. It’s now been proven that your brain continues to adapt throughout your lifetime.
What can cause a concussion? A fall, hitting your head (I leaned forward to pick something up, almost smacked my head onto the shelf above – nearly concussed myself then! Or the time I opened my car door into my face. Don’t do that for those who’ve not had the experience), blows to the chest or torso (think a soccer ball hit, or furniture whacking you in the chest as you try to move it), and then the obvious ones – sports, car/vehicle accidents, explosions etc.
What do concussions feel like? Ok, now you’ve reflected and realized you’ve had a concussion – you know what to look out for in the future now, right? Sorry, each concussion can be completely different. Different symptoms, and different severities.
There’s a whole list of things that you may or may not feel. I might have a mild headache, but the world might be spinning like a top (the time I got double-bounced on the trampoline into someone’s knee) and I feel like I never want to eat again (nausea), or I might have a headache and be rather irritable (the time I picked up a 50lb box and stood up into the strut supporting the shelf above me).
Some of the potential symptoms include: headache, nausea (not wanting to eat, upset stomach), vomiting (if you hit your head and vomit go to the ER), dizziness or balance problems, sensitivity to light and noise, and blurred vision.
But wait! Those are all physical symptoms. There’s also mental symptoms: fatigue, feeling off (like something isn’t right, but can’t say what), feeling slowed down, like you have been separated from the world by a layer of cotton batting, confusion, and trouble concentrating or remembering.
Emotional symptoms include things like irritability, mood swings, anxiety and depression. You may find that you have trouble falling sleeping, or have trouble waking up. Or that the hours you sleep have changed.
Remember, concussions are actually more commonplace than you think, and are usually not life-threatening. The effects of some concussions can be serious. Even a mild concussion can have impact on function, memory, mood or concentration.