Talbot Trail Physiotherapy

Concussion Treatment

What is a Concussion?

  1. Concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an ‘impulsive’ force transmitted to the head.
  2. Concussion typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously.
  3. Concussion may result in neuropathological changes but the acute clinical symptoms largely reflect a functional disturbance rather than structural injury.
  4. Concussion results in a graded set of clinical syndromes that may or may not involve loss of consciousness. Resolution of the clinical and cognitive symptoms typically follows a sequential course.
  5. Concussion is typically associated with normal neuroimaging studies such as MRI or CT scans.

It should be recognized that the reporting of symptoms may not be entirely reliable. This may be due to the effects of a concussion or because the athlete’s passionate desire to return to competition outweighs their natural inclination to give an honest response. Remember, concussion should be suspected in the presence of ANY ONE or more of the following:


  • Appears dazed/stunned
  • Confused about assignment or position
  • Forgets sports plays/tasks
  • Is unsure of game, score, or opponent
  • Moves clumsily
  • Answers questions slowly
  • Loses consciousness (even briefly)
  • Shows behavior or personality changes
  • Can’t recall events prior to or after incident


  • Headache or “pressure” in head
  • Nausea or vomiting
  • Balance problems/dizziness
  • Double/blurry vision
  • Sensitivity to light and noise
  • Feeling sluggish, hazy, foggy, or groggy
  • Concentration/memory problems
  • Confusion/Does not “feel right”

It is important to know that concussions don’t just happen on the sports field. For example they can happen with a slip and fall, work injury, motor vehicle accident or many other daily activities.

If you or your child has suffered a concussion, please contact us and we can assess and treat your individual concussion symptoms.

Concussion Questions

My son suffered a concussion on Wednesday; will he be able to play in Friday’s football game?

It is recommended that an athlete should not return to competitive sports until they are symptom free, both at rest and with exercise and their neuro-cognitive function returns to normal. Return to play should only occur with permission from your Physician.

Can I give my son/daughter any pain medications?

We do not recommend that the athlete take medicine without your physician’s permission. Aspirin, Non-Steroidal Anti Inflammatory Drugs (Advil, Ibuprofen, Aleve), blood thinners and drugs that cause drowsiness should be avoided.

Headache intensity may worsen with too much activity; therefore, rest instead of medicines should be the first choice for treatment. Alcohol use should also be avoided.

Can my child participate in school, work or other activities?

Returning to school or work activities will be at the discretion of the Physician. Some school and work activities may need to be monitored, for example: the athlete may need to participate in only ½ days of school with frequent break periods, homework may need to be monitored, and he or she may need to avoid loud music and video games. Academic tests and written papers may also need to be postponed.

What are the long-term effects?

It is the opinion of experts that if concussions are properly treated, there are no long-term effects for the vast majority of people.

My daughter’s teammate just suffered a concussion and she was allowed to return to play sooner than my daughter, why is that?

Each concussion should be treated individually. Concussion symptoms and severity are different for each head injury and the return to play decisions vary based on the individual.

What happens if my child returns too soon?

If you child returns to activity too soon, there is the risk of further injury/symptoms relating to their concussion. It is best to have them assessed, and be provided a specialized return to school/sport treatment plan by a physiotherapist

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