Concussion Care

Posted on 
June 26, 2025
  • Concussions are common sports-related injuries, but they can occur off the field as well. Signs of a concussion include confusion, awkward movement, and dazed behavior. Our concussion management physicians have years of experience in properly diagnosing and treating sport-related concussions. 

What is a Concussion? 

  • A concussion is a mild traumatic brain injury caused by biomechanical forces transmitted to the brain due to a direct blow to the head, neck, or body that transmits forces to the brain.  

How is a Concussion Diagnosed? 

  • Concussions are diagnosed through clinical evaluation by a licensed healthcare provider trained in concussion management. The assessment includes a thorough history, symptom checklist, cognitive evaluation, balance assessments, and a neurological examination.  

Why is it Dangerous to Play Sports with a Concussion? 

  • Continuing to participate in sports while experiencing concussion symptoms increases the risk of sustaining another concussion, which can lead to more severe and prolonged symptoms, delayed recovery, and, in rare cases, catastrophic outcomes like second impact syndrome.  

How Long Should I Rest After a Concussion? 

  • Strict rest, often described as sitting in a dark room, until symptoms resolve after a concussion is no longer recommended. Relative rest for the first 24-48 hours is now recommended. Relative rest allows and encourages activities of daily living while not exacerbating symptoms.  

Should I Limit My Screen Time? 

  • The current recommendations are to reduce screen time for the first 48 hours after sustaining a concussion. A gradual reintroduction of screen time is advised based on individual tolerance.  

What is the Average Return to School After a Concussion? 

  • We encourage students to return to school 1-3 days after a concussion. A gradual return-to-learn strategy is recommended, starting with partial attendance or reduced cognitive load and progressively increasing as tolerated.  

What is the Average Return to Sport After a Concussion? 

  • The return-to-sports (RTS) guideline is highly variable and will depend on each individual’s response to treatment. The average return to sport after recovering from a concussion is approximately 20 days. The initial symptom score is the strongest predictor of the duration of symptoms.  

Is it Safe to Take OTC Medications for Symptoms? 

  • Over-the-counter medications such as acetaminophen, naproxen, or ibuprofen can help with symptom management  

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