Debunking Common Myths About Concussions and Concussion Treatment
By
Pat Stanziano, MPT, Hons BSc Kin
Registered Physiotherapist
Certified McKenzie MDT Provider (MICanada)
Diploma Sport Physiotherapy (Canada)
Registered Int’l Sport Physical Therapist (IFSPT)
Certified Strength and Conditioning Specialist (NSCA)
***Leaps and Bounds: Performance Rehabilitation is a certified Complete Concussions clinic
Concussions, often referred to as mild traumatic brain injuries (mTBI), have gained significant attention in recent years due to their potential long-term consequences and the need for proper management. Despite the growing awareness, several myths and misconceptions still persist when it comes to concussions and their treatment. In this article, we aim to debunk some of the most common myths surrounding concussions and provide accurate information to help individuals make informed decisions about their care.
If you are in the Oakville, ON, or surrounding areas and you are looking to speak to an expert in concussion management and treatment, feel free to give us a call at Leaps and Bounds: Performance Rehabilitation.
Myth 1: You Must Lose Consciousness to Have a Concussion
One of the most pervasive misconceptions about concussions is that they only occur when someone loses consciousness. In reality, losing consciousness is not a prerequisite for a concussion. A concussion can result from any sudden blow or jolt to the head or body that causes the brain to move within the skull. Symptoms can range from mild to severe, and they may not always be immediately apparent.
Myth 2: Imaging of the Head is Best to Diagnose a Concussion
Imaging is not required to diagnose a concussion. Unlike other traumatic brain injuries where imaging techniques like CT scans or MRIs are essential to visualize structural damage, concussions primarily involve functional changes in the brain that often do not show up on standard imaging.
The diagnosis of a concussion relies on a thorough clinical evaluation by a healthcare professional, including a detailed assessment of symptoms, medical history, and a neurological examination.
While imaging may be used in some cases to rule out other injuries or complications, it is not the primary method for diagnosing a concussion. It’s important to understand that a concussion diagnosis is based on clinical judgment, making it possible to diagnose and manage this common injury without the need for imaging in most cases.
Myth 3: All Concussions Are the Same
Not all concussions are created equal. Concussions can vary in severity and presentation. Some individuals may experience mild symptoms that resolve within days, while others may suffer from more severe and prolonged effects. The effects of a concussion depend on factors such as the force of the injury, the individual’s age, and their prior medical history. It’s crucial to recognize that each concussion case is unique and may require different treatment approaches.
Myth 4: Rest Is Always the Best Treatment
Another common misconception is that complete rest is the only treatment for concussions. While rest is essential during the acute phase of a concussion to allow the brain to heal, it is not a one-size-fits-all solution. In fact, excessive rest can sometimes lead to deconditioning and other issues. Healthcare providers often recommend a quick, but gradual, return to normal activities, including physical and cognitive exertion, as part of the recovery process.
A Word About Dark Rooms
Staying in a dark room after a concussion is unnecessary and not recommended. While it’s essential to rest during the acute phase of a concussion to allow the brain to heal, staying in a dark room for an extended period is not a standard or evidence-based treatment.
In fact, excessive darkness and isolation can lead to feelings of depression and anxiety, which may exacerbate concussion symptoms.
Instead, healthcare providers typically recommend a balanced approach to recovery, which includes adequate rest combined with a gradual return to normal activities, both physical and cognitive, under the guidance of a healthcare professional. It’s crucial to strike the right balance between rest and activity to support the brain’s healing process and promote overall well-being during concussion recovery.
Myth 5: Helmets Prevent Concussions
Helmets are designed to protect the skull from fractures and more severe head injuries, but they cannot completely prevent concussions. Concussions result from the movement of the brain within the skull, which a helmet alone cannot mitigate. Helmets are essential for safety in activities like sports and cycling, but they should be viewed as a means to reduce the risk of more severe head injuries rather than a guarantee against concussions.
Myth 6: Over-the-Counter Pain Medication Cures Concussion Symptoms
Some people believe that over-the-counter pain medications, such as ibuprofen or acetaminophen, can cure concussion symptoms like headaches. However, these medications only provide temporary relief from pain and do not address the underlying brain injury. It’s crucial to consult a healthcare professional for guidance on managing symptoms and determining when it’s safe to resume normal activities.
Myth 7: All Concussion Symptoms Resolve Quickly
Another misconception is that concussion symptoms always resolve quickly, often within a few days. While some individuals do recover relatively quickly, others may experience symptoms for weeks or even months. Post-concussion symptoms can include headaches, memory problems, mood changes, and difficulty concentrating. Seeking appropriate medical care and following a structured recovery plan is essential for those with persistent symptoms.
Are You Good to Go Once the Symptoms Are Gone?
Even when concussion symptoms have abated, it’s crucial to recognize that a concussion is not fully resolved. The brain can remain vulnerable, and the underlying injury may persist even if symptoms have seemingly disappeared.
This is where exertional testing plays a vital role in the return-to-play process, especially for athletes. Exertional testing involves gradually increasing physical and cognitive demands to assess how the brain responds to stress. By closely monitoring an athlete’s reaction during these tests, healthcare professionals can determine if the brain can handle the rigors of competitive play without symptom recurrence or worsening of symptoms.
This step is essential in ensuring the athlete’s safety and minimizing the risk of further injury. It’s a critical component of the comprehensive evaluation process that should guide an athlete’s return to sports after a concussion, prioritizing both their health and performance.
Myth 8: Children Recover Faster from Concussions
It is not accurate to assume that children recover faster from concussions than adults. In fact, the developing brains of children and adolescents may be more susceptible to concussions, and recovery times can vary widely among individuals. Careful monitoring and appropriate management are crucial for young athletes and anyone who sustains a concussion.
Don’t Hesitate, Contact Us Today.
Leaps and Bounds: Performance Rehabilitation is a certified Complete Concussions clinic. As experts in the area, we understand that sustaining a concussion yourself, or managing the uncertainties around your concussed athlete, can be challenging. This is why you deserve accurate information and proper care that isn’t necessarily available at the doctor’s office or in the emergency room.
Consult with one of our healthcare professionals for a comprehensive evaluation and personalized guidance on the road to recovery. Education and awareness are key to ensuring that individuals receive the care they need to minimize the long-term effects of concussions. We stand by being the best at serving the concussion needs of our Oakville, ON community.