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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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