Concussion is often a common and unrecognised injury
Concussions can occur in numerous contact and non-contact sports, and are a complex and evolving functional injury to the brain. Prompt assessment by a medical professional is mandatory, particularly prior to resuming sporting activities. This is to ensure there is no indication of structural or other significant concerns, and to safely guide your return to sport and a normal day-to-day life.
Although a concussion itself is a largely mild condition, that typically resolves completely within 7-10 days for the vast majority of individuals, there are several important factors to consider:
- Concussion can occur with a sudden impact to the body, not just to the head.
- Concussion often occurs without any loss of consciousness.
- Symptoms will progress over time, which may cause you to experience various symptoms at different times.
Our brain performs a range of different functions, and a concussion can impact any or all of these areas. Symptoms you may typically observe include:
- Headache
- Lethargy/sleep disturbances
- Balance difficulties
- Disorientation and concentration issues
- Temporary loss of memory
- Mood changes (e.g. being more irritable or emotional than usual)
- Blurred vision
Even when an athlete feels they have fully recovered, 30% of individuals with a concussion will experience ongoing symptoms. Because of this, it is crucial that you do not drive during the initial post-concussion period, as judgement and reflexes may be compromised. Obtaining medical clearance before returning to play is also vital – just because an athlete is “feeling back to normal” does not necessarily indicate complete recovery.
Early Management
- Rest – including both physical and mental aspects. Even activities like watching TV, reading, and computer games can exacerbate symptoms.
- Schedule a non-urgent follow-up with your GP or sports physician within 1-2 days following your concussion.
- If any concerns or abnormal behaviour is suspected, call emergency services.
Delayed Concussion
Although most concussions resolve rapidly, unfortunately some individuals may experience delayed and persistent symptoms. If your concussion symptoms are not resolving as expected, a review with a specialist is recommended. Integration with neurovestibular rehab and other interventions can aid in recovery, as can certain medications.