When can one get involved in sports after a concussion?

Question

Hello doctor,

My 7-year-old son fell out of a top bunk and as he was bleeding from his ear we took him by ambulance to the hospital where he was diagnosed with a major concussion and possible non-displaced skull fracture. He was discharged the next day, but we were told that as he had been bleeding from his ear there was a possibility of bacterial meningitis, as there was a trail from the outside into his brain.

So, we have been keeping him quiet, but I have a couple of questions. How long before he can go swimming? He goes back to school next week, what about running around in the playground? He goes to rugby training, how long before he should return to that? What about tennis coaching? I would really appreciate knowing how long I should be a fussy mother.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern for your son, I hope he is fine. Since then, if he has no further bleeding and no seizure episodes, and is fine with no complaints he can attend the school and participate in sports and other activities. I would suggest to avoid swimming for at least four weeks and use ear buds while swimming after that. Even rugby would be risky, so try to postpone rugby training for at least four weeks to prevent any further head injury which would complicate the previous injury. The rest activities are fine.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.