A concussion—often considered mild traumatic brain injury—occurs when a blow to the head or force causes the brain to jolt within the skull. This damage doesn’t always show on imaging, but symptoms like headaches, dizziness, blurred vision, confusion, or memory problems make the injury real and concerning.
Why Concussion Management Matters
Proper concussion management protects your brain from further harm. Returning to intense activity too soon can increase the risk of second-impact syndrome, a rare but life-threatening condition where rapid brain swelling follows a second head injury before full recovery. Additionally, up to one-third of people may experience post-concussion syndrome—persistent symptoms lasting weeks or months after the initial injury.
Early Phase: Relative Rest, Not Isolation
Long ago, complete rest—sometimes called “cocooning”—was recommended after a concussion. But modern guidelines say otherwise. Instead, you should follow a period of relative rest for about 24–48 hours.
- During this time, avoid bright screens and heavy tasks. But you can carry out light daily activities like walking, preparing meals, or quiet socializing—so long as symptoms don’t worsen.
- Light-intensity activities such as easy walking are actually encouraged early on. Research shows that gently moving soon after injury can lower the risk of prolonged symptoms.
- Limit screen time to reduce cognitive load—keeping it under about 65 minutes per day during this rest phase can accelerate recovery.
- And yes, contrary to common myths, you don’t need to wake someone repeatedly to ensure they’re safe—sleep is important for healing.
Step-by-Step Return to Daily Activities (School, Work)
After the initial rest, a gradual return to cognitive activities like school or work is recommended — but always proceed only if symptoms remain stable.
- This staggered return to learn approach helps avoid mental overload and deterioration of symptoms.
- For students, returning to school within 1–2 days may be possible with accommodations like reduced hours or extended deadlines.
- It’s essential to monitor symptoms closely: headaches, memory, and concentration issues may flare, so adjustments must be responsive and flexible.
Returning to Sports: A Safe, Step-Wise Path
For athletes, safely returning to play is critical. The CDC’s HEADS UP program advises a 6-step protocol, each lasting at least 24 hours. Advancement only occurs if no new—or returning—symptoms appear. Separate guidelines also strongly discourage returning to play on the same day as the injury.
In Australia, stricter return-to-play timelines urge that athletes be symptom-free for at least 10 days before resuming contact training, and 21 days before restarting community sport activities. While those rules remain regional, they reflect a growing cautious approach—highlighting the principle: “If in doubt, sit them out.”
Persistent Symptoms: Rehabilitation and Recovery Strategies
If concussion symptoms linger beyond a few weeks, targeted rehabilitation becomes key.
- For symptoms like dizziness or impaired balance, physiotherapy offers guided interventions—such as vestibular and balance training.
- Aerobic exercise, gradually increased and carefully monitored, aids recovery and reduces the risk of long-term symptoms.
- For emotional or sleep disturbances, counseling, cognitive behavioural therapy, or medications (prescribed cautiously) may be helpful—especially when psychological factors complicate recovery.
- Education and reassurance—understanding that symptoms are often a normal part of healing—can relieve anxiety and support functional return to life.
Prevention: Prepare for the Unthinkable
While managing concussion is critical, preventing it is even better.
- Use proper protective gear—like helmets and mouthguards—for sports when appropriate, though evidence varies in effect.
- Follow safe play rules, such as body-checking guidelines or wearing safety gear in high-impact sports.
- Engage in neuromuscular training—like dynamic warm-ups—in sports such as football or soccer, to reduce injury risk.
Summary Table: Concussion Management at a Glance
| Phase | Recommended Action |
|---|---|
| First 24–48 Hours | Relative rest, reduced screen time, light movement |
| After Initial Rest | Gradual return to school/work with accommodations |
| Return to Sport | Use 6-step protocol; no same-day return; clearance needed |
| Persistent Symptoms (>2–4 wks) | Physiotherapy, aerobic rehab, psychological support, education |
| Prevention | Gear, rules, training, awareness |
Why Following These Guidelines Matters
- Better outcomes and quicker recoveries: Active recovery and return-to-activity strategies reduce symptom duration and improve mental health.
- Avoid long-term risk: Rushing back increases the chance of second-impact syndrome or persistent symptoms.
- Holistic healing: Addressing physical, cognitive, and emotional needs supports full rehabilitation.
- Safeguard long-term brain health: Management today preserves memory, mood, and function tomorrow.
In Closing
Concussion recovery isn’t about staying in bed forever—it’s about smart, compassionate, step-by-step care. Here’s what to remember:
- Start with relative rest—short, gentle activity is okay.
- Return to school or work gradually, with accommodations.
- Use a step-wise sports protocol, only advancing symptom-free.
- If symptoms linger, seek rehab (physio, exercise, counseling).
- Focus on prevention—gear, safe play, training.
If you or a loved one needs expert help in South Surrey, Langley, or greater Surrey, Renew Physiotherapy stands ready. As a leading provider in concussion management, we guide you through safe recovery and offer personalized rehab to get you back to life with confidence.
— Renew Physiotherapy, serving Surrey, South Surrey, and Langley with trusted concussion care.