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The Wild World of Concussions

  • May 2, 2024
  • Kyle Wells

Don't f*ck with a head knock!

 

Today we’ll be diving into the world of concussions…

Well help answer for you

  • What is a concussion?
  • What happens to the brain when you have a concussion?
  • How to treat a concussion!
 

So what is a concussion?

Scarily, a Concussion is a form of traumatic brain injury. You may have seen it called a mild traumatic brain injury (mTBI). These terms are often used interchangeably.

 

Despite previous belief, a concussion is not a bruise to the brain. But rather a trauma involving the cells of the brain and their normal physiological processes.

 

A concussion is a mild traumatic brain injury that can result from ANY HEAD TRAUMA!

Common head injuries that leads to concussion:

  • a sporting head injury or “head nock”
  • a car traffic accident often accompanied by whiplash
  • victim of violence
  • fall/tumble down the stairs, off a ladder or a slip and hit of the head
  • a motorcycle crash where the helmet hits the ground

 

What happens to the brain when you get a concussion?

Currently, there is a great deal of effort going into concussion research, and its effects on the brain from a microscopic level – all the way through to a post injury symptom and the long standing effects of poor concussion management. 

 

And this is what we know so far in very simple terms:

  • When there is a sufficient trauma to the brain, the walls of the affected nerve cells are moved (by force) causing a disruptions in the elements within the cells needed for normal function

  • This is why some experience flashes of light or ringing in the ears immediately after an event, depending on where the brain has been affected.

  • The body temporarily increases blood flow to the brain along with normal inflammation processes and can activate a defence mechanism to prevent further injury to affected brain cells.

  • This is why confusion, memory loss or loss of consciousness can result within hours post head injury.

  • The brain then goes into repair mode, It typically takes up to 10 days for the brain to restore the normal functional processes within its cells, with most occurring in the first 2-4 days post injury.


This is why the acute management of concussion is so important and even a mild one needs to not be overlooked in the first few days!

Signs and symptoms of a concussion

Concussion signs and symptoms are wide and varied depending on how the injury occurred. They can be experienced immediately or delayed by days, weeks or even months.

Early signs can include:

  • Memory loss around the event
  • A period of unconsciousness
  • Confusion
  • Dizziness or “seeing stars”
  • Headache
  • Ringing in ears
  • Slurred speech
  • Nausea or sickness feelings
  • Heavy or pressure feelings in the head
  • Vomiting

Delayed signs can include:

  • Car sickness
  • Difficulty concentrating
  • Forgetfulness
  • Tiredness or alertness
  • Difficulty with balance
  • Increased irritability
  • Sensitivity to light or sound
  • Sensitivity to busy environments
  • Increase in anxiousness
  • Low energy or motivation
  • Blurred vision when reading or watching tv
  • Headache when scrolling through phone or looking at screens

It’s important to note that you don’t have to go unconscious for a concussion to occur. 

Sometimes the only symptoms that are experienced are delayed, which can be a big problem in the sporting world.

Why are symptoms so varied?

Concussion symptoms are varied due to the location of the force or injury within the brain. 

 

Some impacts are more likely to cause immediate symptoms whereas others occur in an area which won’t affect you immediately but affect your ability to concentrate or multitask days later.

 

A more severe concussion will have immediate symptoms. where a more mild concussion will display subtle signs that aren’t noticed until they become more pounced.

Concussive symptoms can even come and go as the brain heals and depending on the activity you are engaged in at the time.

 

How long do symptoms last?

As a very general rule most mild concussion symptoms should resolve in approximately 2 weeks. It’s very common for symptoms to be ongoing for up to 3 months, which can be a challenge for sportspeople and everyday individuals.

 

This holds true for most of the population there is a part of the population that can have ongoing concussion symptoms.

 

Additionally, recovery time isn’t correlated with the initial injury from a concussion post car accident and can take the same amount of time as a sporting concussion.

It’s always best practice to see a healthcare professional if you’ve sustained a suspected concussion. Particularly due to the wide range of effects that can occur post injury.

In my next concussion blog, I’ll be diving into the different aspects of concussion symptoms and how we asses them here at Fighting Fit Physiotherapy!

Kyle Wells

Kyle Wells is a Physiotherapist at Fighting Fit Physio.

He has a special interest in arthritis, neck pain and tendinopathy. Just to name a few.

Kyle loves cross fit and has an exceptional eye for technique and performing exercise correctly.

He use exercise to improve patient results and get them moving better for the long term.

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At Fighting Fit Physiotherapy, we recognise the impacts that pain and dysfunction can have on one’s personal and professional life. We are committed as primary healthcare professionals to help our clients resume their lifelong pursuit of health and well-being.

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