Concussions

Understanding Concussions 

A concussion is a type of traumatic brain injury that occurs after a blow or jolt to the head. The blow or jolt temporarily disrupts normal brain function and can happen in a variety of situations, including sports-related injuries, falls, car accidents, or other traumatic events. Depending on severity, a concussion may cause a brief loss of consciousness, though this is not always the case. 

While concussions are typically not life-threatening, they can lead to serious health concerns if left untreated. It’s important to seek medical evaluation following any head injury to ensure proper care and recovery. 

Signs and Symptoms of a Concussion 

Concussion symptoms can vary widely depending on the individual and the severity of the injury. People with a history of concussions or pre-existing health conditions may experience more pronounced effects. Regardless of whether there was a loss of consciousness, medical attention should be sought if any of the following symptoms are present: 

Physical Symptoms: 

• Headache 
• Dizziness or vertigo 
• Balance issues 
• Nausea or vomiting 
• Fatigue 
• Sensitivity to light or noise 
• Vision changes 
• Pain or numbness in the neck, shoulders, or arms, often accompanied by limited range of motion 

Cognitive Symptoms: 

• Confusion 
• Difficulty concentrating 
• Memory problems 
• Mental “fog” 
• Trouble organizing thoughts or finding the right words 

Emotional Symptoms: 

• Increased irritability 
• Sadness 
• Anxiety 
• Difficulty regulating emotions 

Sleep Disturbances: 

• Trouble falling asleep 
• Sleeping more or less than usual 
• Insomnia 

How is a Concussion Diagnosed? 

Diagnosis typically begins with a comprehensive evaluation by a healthcare provider, who will review symptoms and medical history—especially any previous concussions. To determine the extent of the injury, your care team may perform several assessments, including: 

• Imaging Tests – Such as a CT scan or MRI, particularly if there are ongoing symptoms like severe headaches, seizures, or vomiting, to check for internal bleeding or swelling in the brain. 
• Neurological Examination – To assess reflexes, balance, coordination, vision, hearing, and strength. 
• Cognitive Testing – To evaluate memory, attention span, and other mental functions. 
• Observation – In some cases, an overnight hospital stay may be recommended for monitoring. 

Who May Be Involved in Your Care? 

Concussion management often involves a team of professionals working together to ensure full recovery. Your care team may include: 

• Primary Care Physicians 
• Neurologists 
• Neuro-Ophthalmologists or Ophthalmologists 
• Physical Therapists 
• Speech-Language Pathologists 
• Occupational Therapists 
• Psychologists or Counselors 

Treatment and Recovery 

If you suspect you have a concussion, early treatment is key to a safe recovery. Recommended treatment approaches include: 

Rest and Recovery: 
During the first 1–2 days following a concussion, it’s important to allow the brain to rest. Limit physical exertion and reduce activities that require significant focus or visual stimulation. 

Gradual Return to Activities: 
The most recent research shows that early symptom limiting activities are keys to successful recovery.  Increasing activity levels gradually typically fall under specific Return  to Learn, Return to Play and Return to Work protocols under medical guidance. 

Pain Management: 
Headaches are a common post-concussion symptom. Your care team can recommend safe medications or other strategies for relief, avoiding anything that might worsen symptoms. 

Seeking Care 

If you or a loved one is experiencing symptoms of a concussion, prompt evaluation is essential. 

Big Stone Therapies offers comprehensive concussion care across Minnesota, North Dakota, South Dakota, and Michigan. Contact us today to schedule an appointment and begin your path to recovery.