Understanding and Recovering from a Concussion: A Guide for Athletes

Written by: Dr. Christine Col

What is a Concussion?

A concussion is a mild traumatic brain injury (mTBI) that disrupts normal brain function. It’s usually caused by a sudden impact to the head, causing the brain to jolt against the skull. While often labeled as “mild,” concussions can significantly impact well-being and long-term health, especially if not properly managed. For athletes, in particular, understanding concussions is crucial to maintaining performance and, most importantly, health.

The Science Behind Concussions

The brain is cushioned by cerebrospinal fluid (CSF) inside the skull. This fluid helps absorb minor shocks, but severe impacts or rapid motions can cause the brain to collide with the skull, leading to a coup-contrecoup injury. This occurs when the brain hits the site of impact, then bounces back to hit the opposite side of the skull.

There’s another type of concussion mechanism known as a torque injury, which results from rapid rotation of the head and neck. This twisting motion stretches and strains the brain’s neurons, causing stress and potential damage. Both coup-contrecoup and torque injuries can lead to complex symptoms and require a careful approach to recovery.

Recognizing Concussion Symptoms

Concussion symptoms can vary widely and may not appear immediately after the injury. They typically fall into four main categories: physical, cognitive, emotional/behavioral, and sleep-related. Recognizing these symptoms early is essential for effective treatment and a safe return to normal activity.

1. Physical Symptoms:

• Headache: Often the most common symptom.

• Dizziness and Balance Issues: Feeling unsteady or “off.”

• Nausea or Vomiting: This can be immediate or delayed.

• Visual Changes: Blurred or double vision, and sensitivity to light.

• Hearing Changes: Ringing in the ears (tinnitus).

• Fatigue or Low Energy: Feeling unusually tired or lethargic.

• Neck Pain: Stiffness or soreness around the neck due to the impact.

2. Cognitive Symptoms:

• Brain Fog: A sensation of mental “heaviness” or confusion.

• Memory Issues: Trouble remembering details or recent events.

• Slower Reaction Time: Processing speed may decrease.

• Difficulty Concentrating: Easily distracted or unable to focus.

3. Emotional and Behavioural Symptoms:

• Mood Changes: Increased irritability or frustration.

• Emotional Sensitivity: Feeling more anxious, sad, or emotional.

• Nervousness: Experiencing heightened anxiety or stress.

4. Sleep-Related Symptoms:

• Insomnia: Difficulty falling asleep or staying asleep.

• Increased or Decreased Sleep: Needing more or less sleep than usual.

• Drowsiness: Feeling excessively sleepy during the day.

Red Flags for Concussion

While many symptoms can be managed with care, some require immediate medical attention. Red flag symptoms include:

• Loss of consciousness

• Repeated vomiting

• Severe headache that worsens

• Slurred speech or seizures

• Intense confusion or agitation

If you or someone you know experiences any of these symptoms, seek emergency medical attention immediately.

The Path to Recovery: Steps to Heal Safely

Recovery from a concussion is unique to each individual, and it’s crucial to work with a healthcare provider to develop a personalized plan. Concussion recovery isn’t about rushing; it’s about ensuring the brain heals fully before resuming regular activities. Here’s a general recovery timeline to guide you:

1. Initial 24-48 Hours: Prioritize Rest
The first 24-48 hours are all about rest. This means avoiding screens, reading, and any mental or physical activities that can strain the brain. Sleep, hydration, and quiet time are key.

2. Post-Rest Period: Gentle Reintroduction to Activity
Once symptoms have subsided slightly, you can start to reintroduce light activities, such as brief walks or gentle stretching, as long as these don’t aggravate symptoms. This stage involves “listening” to your body; if symptoms return, scale back.

3. Academic and Cognitive Tasks: Slow Re-entry
If you’re a student or work in a mentally demanding field, slowly reintroduce mental tasks. Take frequent breaks, and avoid pushing through symptoms. This reintroduction phase often requires patience to avoid overloading your brain.

4. Light Exercise: Gradual Return to Physical Activity
Only with healthcare guidance, start light exercises once you’re feeling stable and symptoms have improved. Activities like stationary biking or walking are usually safe starting points. Return to more strenuous activities and sports should only occur once you’re symptom-free, with a healthcare provider’s clearance.

Common Concussion Misconceptions

Understanding what not to do after a concussion can be just as important as knowing what to do. Here are a few common myths about concussions:

1. You Must Lose Consciousness to Have a Concussion:
Contrary to popular belief, loss of consciousness happens in only a minority of concussion cases. It’s entirely possible to sustain a concussion while fully conscious.

2. Symptoms Appear Right Away:
Some concussion symptoms appear immediately, but many don’t show up for hours or even days after the injury. This delay can make it challenging to identify a concussion initially, so monitoring symptoms over time is crucial.

3. Avoid All Physical and Mental Activity:
In the initial phase, rest is essential, but total avoidance of mental and physical activity for prolonged periods isn’t recommended. Once the initial phase has passed, gentle activity can support healing and promote a gradual return to normalcy.

Why is Concussion Management Important?

Without proper care, the effects of a concussion can linger for weeks, months, or even years. This is especially true for athletes who risk re-injury by returning to play too soon. Complications from an untreated or poorly managed concussion can include chronic headaches, memory issues, mood changes, and an increased risk of future concussions.

Recovering from a concussion requires a balance of rest, controlled activity, and professional oversight. Working with healthcare providers who understand concussion management is critical to a full recovery. That’s where Move RX comes in—our team is dedicated to supporting you through every stage of recovery, helping you return safely to the activities you love.

Move RX: Your Partner in Concussion Recovery

At Move RX, we take a comprehensive approach to concussion recovery. Our team of healthcare professionals specializes in individualized care that prioritizes long-term brain health and safe return-to-play protocols.

When you come to Move RX for concussion management, you’ll receive:

• Personalized Assessments: We assess your specific symptoms and create a tailored recovery plan.

• Gradual Return-to-Activity Guidance: We guide you through each stage, from initial rest to full activity.

• Cross-disciplinary Support: With experts in rehab chiropractic, physiotherapy, and more, our team can address all aspects of concussion recovery.

• Ongoing Monitoring: We track your progress and adjust your treatment as needed to ensure the safest recovery.

Take the Next Step in Your Concussion Recovery

If you or a loved one has experienced a concussion, it’s essential to get the proper care to promote full healing and avoid complications. At Move RX, we’re here to help you navigate your recovery safely and effectively. Don’t wait until symptoms worsen—early intervention is key.

Book an appointment with our team at Move RX today. Let’s work together to get you back to doing what you love, safely and symptom-free.