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Recognizing concussion symptoms

in children and young adults

by Alejandro Aponte, D.C., Faculty Clinician, Palmer Chiropractic Clinics

While most of the

population is aware of

concussions, not all know

how to recognize concussion

symptoms. As chiropractors, we

can often manage patients with

concussions and the associated

symptoms.

A concussion is

considered a mild traumatic brain

injury caused by an impact to

the head or neck, or a hit to the

body with enough force that the

brain can be affected. Due to

their developing brain, children

are more susceptible to having

persistent post-concussive

symptoms. Many of the

symptoms are difficult to detect.

Symptoms of a

concussion include unequal

pupil size (anisocoria), confusion,

moodiness, irritability, gaps in

memory, poor concentration,

behavior changes, difficulty falling

asleep, dizziness, abnormal

balance or gait, new persistent

headache especially when

accompanied by sensitivity to

light, nausea, vomiting and loss

of consciousness, though not all

symptoms needs to be present.

Concussion symptoms can last

for a couple of days, weeks,

months or longer.

It’s important to recognize

these symptoms and not allow

an athlete to return to play until

cleared by their treating physician

and all symptoms from the

concussion are resolved. If an

athlete returns to play before

the brain has recovered, a

concussion can become a more

serious traumatic brain injury

and turn into a serious medical

emergency like “Second Impact

Syndrome,” which can result in

permanent damage to the brain,

or even death. It’s important to

note that these conditions are

rare, but they can happen. Early

detection helps in the successful

management of a patient with

concussion symptoms.

At the Palmer Chiropractic

Clinics, our doctors of chiropractic

can help. After conducting a

thorough history and examination,

depending on the severity of the

symptoms, we make referrals

to the appropriate specialist or

emergency department. Our goal

is to help navigate the athlete

and his/her family through the

recovery process.

We’re trained to examine

concussion symptoms, help

with cognitive-training exercises,

balance-training exercises and

sport-specific exercises to help

athletes return to pre-concussion

status. We help manage all

the other symptoms that can

accompany the concussion such

as neck pain, headaches, muscle

spasms and back pain. It’s always

recommended that athletes

have a comprehensive sports

examination before the start of

the season to have a record of

the athlete’s pre-concussive

status. This information will help

determine what is normal for the

patient and what the treatment

goals should be if the athlete was

to suffer a concussion.

To make an appointment

at the Palmer Chiropractic Clinics,

call 386-763-2718 or visit https://

www.palmer.edu/clinics/ for more

information.

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