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Tips to Recover From Concussion

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Concussion recovery is important in sports medicine as athletes suffer from repeated concussions due to contact sports. Read the article to know more.

Medically reviewed by

Dr. Mrinal Kumar Acharya

Published At November 25, 2022
Reviewed AtFebruary 21, 2023

Introduction:

A concussion is an injury to the brain that causes temporary loss of brain function. Concussion recovery in sports medicine is the process of healing after a head injury. Most of the symptoms resolve within seven to ten days. Most athletes recover within a month after injury. Medically, it is characterized by immediate and transient loss of brain function (alteration of mental status or level of consciousness) due to trauma.

What Are the Causes?

  • Direct trauma to the head- falling, getting hit, and being in an accident.

  • Rapid acceleration or deceleration of the head-blast injuries.

What Are the Symptoms?

  • Loss of memory, judgment, reflexes, speech, balance, and muscle coordination.

  • Amnesia (a person cannot remember before and after the injury).

  • Confusion.

  • Headache.

  • Vision disturbances.

  • Dizziness or imbalance.

  • Nausea or vomiting.

  • Difficulty in concentrating.

  • Ringing ears.

  • Sensitivity to light.

When to Visit a Doctor?

  • The headache does not go away.

  • Slurred speech, weakness, numbness, and decreased coordination.

  • Nausea and repeated vomiting.

  • Seizures.

  • Loss of consciousness.

  • Unable to wake up.

  • Symptoms last after ten to 14 days.

  • Multiple concussions.

What Are the Steps to Follow if Someone Has a Concussion?

  • If someone is unconscious or has a head injury, call for an ambulance first. Give basic first aid.
  • Ensure the person is safe. Look for a response from the person. If there is no response, shift the person to the hospital.
  • Check for a patent airway (in case of the presence of foreign material, roll the patient to the side and clear the airway, in case of the absence of foreign material, gently tilt the person's head and lift the chin for a better airway).
  • Check for breathing (if the person is breathing, place them in a recovery position; if there is no breathing for ten seconds, then get emergency help).
  • Start cardiopulmonary resuscitation- 30 chest compressions followed by two breaths. As soon as possible, attach a defibrillator and follow the voice prompts.
  • If the person has a spine injury, do not move the person and move the person to the healthcare center nearby. If the person does not have a spine injury, place the person in a comfortable position.
  • Control the bleeding by applying pressure to the wound.
  • Do not allow the person immediately to return to activity even after they are well.
  • Consult with a physician.

How to Diagnose?

  • Physicians will question how the injury occurred, where on the head, and what symptoms are shown.

  • Computed tomography (CT) scan is useful in identifying any structural defects.

What Is the Treatment Plan?

Conservative Management:

  • Should take rest both mentally and physically.

  • Should not drive after drinking alcohol.

  • Should not take medications like Aspirin, sleeping pills, and sedative medicines.

  • Should return to work after forty-eight hours if the symptom does not get worse.

What Are the Tips to Recover From Concussion?

  1. Avoiding Triggers: Any activity that increases the symptoms is called a trigger. They vary from person to person. An important part of recovery is finding the trigger and avoiding them as it increases the symptoms. Avoiding triggers will reduce the symptoms and speed up recovery. When the brain becomes fatigued, it worsens the symptoms and prolongs recovery. Common triggers include- reading, studying, writing, taking notes, concentrating, noise, light, watching television, texting, working on a computer, and playing video games.

  2. Rest Breaks: Fatigue is more common while recovering from a concussion. People recovering from concussions will feel better in the morning after a night's sleep. The demands of the day cause more fatigue and difficulty in completing tasks. This leads to prolonged recovery from concussion. When the person feels fatigued from doing the activity, they should stop doing it and take a rest as needed. For school-going children, studying in small increments with frequent brain rest will be tolerable.

  3. Relative Rest: Rest is more important. However, there is a difference between resting and becoming sedentary. Doing light activity helps in faster recovery. A person should follow walking program guidelines for a speedy recovery.

  4. Get Enough Sleep: Usually, the brain needs a good night's sleep to recover from the day's activities. When recovering from a concussion, the brain needs even more rest. The person will sleep for a longer time during the first several days after injury. After that, they may notice difficulty in sleeping. This results in delayed recovery.

What Are the Tips to Sleep?

  • Avoid Napping: For the first three to five days after the injury, do not take a nap. Napping during day time affects nighttime sleep. For the first five days after the injury, they can take a nap for thirty to sixty minutes a day when they feel tired. But the nap should not extend beyond as it will affect the night's sleep.

  • Follow a Routine: Go to bed and get up at the same time every day.

  • Avoid Distractions: Minimize distractions like using phones, watching television, and working with computers two hours before going to sleep.

  • Drink Plenty of Water: It is necessary to drink more water and keep them hydrated than usual. The person should drink water equal to half of the ounces of their body weight.

  • Maintain a Balanced Diet: Maintaining a good diet plan will help them to recover faster. They should ensure that they get enough food and eat healthier. Diet should be enriched with more proteins and omega-three fatty acids. Should not consume alcohol as it delays recovery.

  • Avoid Driving: The person should not drive while having the symptoms. Driving is very stimulating and causes additional risks. Physicians will help them to get rid of the problems.

  • Staying in an Upright Position: It is important to sit in an upright position. The more a person lies down, the body gets accustomed to it, and it becomes difficult to resume normal activities.

  • Avoiding Unnecessary Movements of Head and Neck: Avoiding unnecessary movements helps the brain to recover faster.

  • Practicing Stress Management Protocol: As stress increases the symptoms, it is important to follow stress management techniques that help the brain to recover faster.

  • Stress Management Includes: Exercise, relaxing muscles, deep breathing, eating well, taking breaks, talking out the problems, taking things easily, and eliminating the triggers.

Conclusion:

It is important to take rest for at least two to four weeks after an injury and before starting physical activities. The person should follow the doctor's advice and should feel free to share all the symptoms and get treated in a better way. Athletes should not return to play when they experience any symptoms of concussion. Also, athletes who suffer repeated concussions should consider ending their participation in sports.

Frequently Asked Questions

1.

What Is the Duration of a Concussion?

Concussions can range in severity from mild to severe, but even moderate concussions need time to heal. The typical time to recover from a concussion is seven to ten days. However, this might vary from person to person, and one might still experience concussion symptoms after seven to ten days.

2.

Can Concussion Heal On its Own?

Yes, most concussions heal on their own, usually without any long-term consequences. However, some concussions can be associated with a more serious injury that requires treatment.

3.

Will a Concussion Heal If Left Untreated?

If a doctor's instruction on concussion management is not followed at home, it can lead to complications. Additionally, concussion symptoms may persist for a longer period of time if they are not properly managed. Additionally, untreated concussion patients are more likely to suffer another concussion, which can greatly worsen the severity and duration of their symptoms.

4.

How Is Concussion Treated?

Treatment for a concussion is determined by the severity of the symptoms. Most concussions can be treated conservatively in a doctor's office or home. A few days of physical and mental rest are all that is required to treat a concussion at home. Patients are advised to start gradually, reintroducing normal activity after the initial time of rest. However, the first 48 hours after a concussion requires observation and should never be spent alone. Apart from rest, patients are advised to avoid strenuous physical activities, stay hydrated, take painkillers for pain, avoid alcohol and refrain from driving vehicles right away. Surgery is advised if the doctor suspects any bleeding, swelling, or serious injury in the brain.

5.

How Can One Test Themselves For Concussion?

There is no test one can do to detect concussion. Individuals should pay attention to the symptoms and should seek medical help as soon as possible.

6.

Is It Necessary to Go to Hospital for a Concussion?

Yes, as it is related to the brain, it should not be ignored. One should immediately go to the hospital following a concussion. A medical checkup is needed to check for any brain injury. Treatment will be required if the affected person experiences head injury symptoms like vomiting, seizures, headache, numb arm and legs, and drowsiness.

7.

What Is the Best Concussion Medication?

There is no specific medication available for treating concussions. Most people do not require any medicines. The drugs that are used in concussions are used to relieve the concussion symptoms like headache, vomiting, pain, etc. Medication that can raise bleeding risk should be avoided during the first 24 hours. These include Naproxen sodium, Ibuprofen, and Aspirin. Acetaminophen can be used to relieve discomfort for the first 24 hours. Ibuprofen and naproxen sodium are generally safer and more effective painkillers after the first 24 hours. Prescription drugs can help some people who have nausea and vomiting.

8.

What Are the Different Stages of Concussion?

Concussion recovery is divided into two stages: acute symptomatic and recovery stage.
- Acute Stage: It includes the time from damage and the onset of maximum symptoms until the symptoms resolve. This stage usually lasts less than three days.
- Recovery Stage: Occurs when the patient experiences physical healing, such as headache relief. During this stage, the patient may gradually resume academic and athletic activities as guided by a health care practitioner.

9.

What Worsens a Concussion?

After a concussion, some people initially struggle to perform their regular tasks, perform their jobs, get along with their family members, or simply relax. Trying to "tough it out" or ignoring the symptoms frequently makes them worse. Additionally, screen time, strenuous physical activity, and alcohol can worsen them too.

10.

Can Someone Sleep With a Concussion?

Yes, it is absolutely safe to sleep with a concussion. Medical professionals now believe that staying awake after a concussion is not necessary. However, it is critical to check on a concussed individual every few hours to verify that they are not having any deteriorating symptoms.

11.

Can a Doctor Detect if Someone Has a Concussion?

A concussion cannot be diagnosed with a single test. If a concussion is suspected, the doctor may do a physical exam to assess strength, balance, coordination, and reflexes. Additionally, they will ask about the history of injury and associated symptoms like nausea, vomiting, dizziness, headache, etc. A computed tomography CT scan may be performed to check for any brain injury.

12.

What Are the Three R’s of Concussion Treatment?

An individual has the best chance of healing from a concussion and avoiding complications all of them, including students, parents, and schools, adhere to the three R's: recognize, report, and recover.
Dr. Mrinal Kumar Acharya
Dr. Mrinal Kumar Acharya

Neurology

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