Concussion management

We help people overcome concussion injuries

We help people with their concussion management so they can get back on the park quickly and safely

What you need to know about concussions

An educational handbook brought to you by Complete Concussion Management

Problems we solve

We help our clients achieve the following goals

Sports concussions

Sports concussions are unfortunately commonplace and for many the advice is often rest.

With the current evidence we are able to get people moving faster and back on the park quickly and safely.

Workplace concussions

Workplace concussions can be complicated and can leave you frustrated.

By being able to manage everything from early diagnosis, acute management, ongoing management, correspondence to your workplace and being able to provide clearance to return to work, we are able to make the recovery as smooth as possible.

Children and school related concussions

One of the most common clients we see regarding concussions are from children.
By understanding recovery and ongoing management we are able to provide the most up to date evidence based management to get your child back at school and play as quickly and safely as possible.

Daily living concussions

oncussions can be part of life, often you are told to just rest. Fortunately today we are able to do much more to help speed up your recovery process.

plus more!

Our 3 core pillars

The method we use to help you achieve your goals in the quickest time possible

Correct diagnosis

We have certified concussion management practitioners who have undertaken extra study to be able to give you the most accurate diagnosis possible

Recovery

Through using the latest evidence and using the CCMI guidelines, we are able to provide acute management to help speed up your recovery

Return to sport/play

Utilising the most up to date guidelines and tests we are able to clear you to return to play

Our Process

Ready to get started?
Step 1

Initial Consultation

-We listen to YOU and YOUR story
-Genuinely care about you as person and your injury

Step 2

Accurate diagnosis

We conduct a thorough assessment using the latest technology to gain a better understanding of your condition and path forward

Step 3

Develop a
step by step plan

Recover
-Relieve pain and dysfunction fast
Build a base
-Lay the foundations
Condition
-Get you fit and strong

Step 4

Measure and progress

Utilizing the latest technology we are able to get real data to track your progress and make sure we are getting the results YOU are after

FAQ

A mild form of brain injury that causes a temporary disturbance in cells caused by acceleration or deceleration of the brain within the skull.
You should see a certified complete concussion practitioner immediately after injury. Early intervention can significantly improve recovery following concussion.

Rest is no longer the only approach to concussion management. It is recommended to rest from activity no more than 24-48 hours after injury.

No. Research shows that helmets cannot effectively prevent concussions, but they can play an important role in protecting the skull from fractures.

Most concussions happen when a player isn’t ready for the impeding impact, so game awareness may allow the player brace before contact occurs.

  • Loss of consciousness (more than 90% of concussions do not result in loss of consciousness)
  • Headache or pressure in the head
  • Neck pain or whiplash
  • Dizziness or vertigo
  • Nausea and/or vomiting
  • Blurred or distorted vision
  • Balance problems
  • Feeling tired, fatigue, slowed down, drowsy or having no energy
  • Feeling “foggy” or not thinking clearly
  • Not feeling right or feeling off
  • More emotional
  • Feeling sad, upset or angry
  • Nervousness or anxiety
  • Sensitivity to light or noise
  • Difficulty concentrating
  • Difficulty reading or working at a computer
  • Difficulty remembering or concentrating
  • Confusion
  • Difficulty falling asleep
  • Sleeping more or sleeping less
  • Irritability

Visual signs of a concussion may include:

  • Loss of consciousness
  • Lying motionless on the field or ice
  • Disorientation or inability to respond to questions
  • Blank or vacant stare
  • Balance, slowed movement, stumbling or incoordination
  • Clutching head
  • Slow to get up after a hit to the head or body

If you experience any one of these symptoms following a significant impact to the head or body, then you should have a high suspicion of concussion.

  • Always tell a parent, teacher, coach and/or friend, if you, a teammate or even an opposing team member may have suffered a concussion. When in doubt, sit them out!

    The first 24-48 hours following a concussion are critical due to the potential for a more serious injury that may require immediate medical attention such as a bleed or swelling in the brain. Following the injury, the patient should be monitored for at least 3 hours for any worsening of their condition as this may indicate bleeding or swelling in the brain.

    Immediately go to the nearest emergency department if any of the following signs or symptoms are present. These are known as red flags.

    • Very drowsy or cannot be woken up
    • Vomiting
    • Drug or alcohol intoxication at time of injury
    • Short-term memory deficits
    • Seizure
    • Decreasing level of consciousness or awareness
    • Fluid or blood coming from the ears, nose, mouth or eyes
    • Bruising behind the ears, black eyes or very tender points on the face
    • Inability to remember 30 minutes before or after injury
    • Unsteadiness standing or walking
    • Dangerous mechanism of injury (e.g., struck by a car or falling down stairs)
    • Slurring speech
    • Weakness or numbness in the arms or legs
    It is important that patients receive a proper neurological evaluation and management advice as soon as possible following a concussion as this can significantly impact recovery.

A concussion cannot be detected by MRI or other brain scans, and symptoms often resolve before full recovery of the brain. This is why baseline testing done prior to injury can assist us in making an accurate diagnosis and a safer return to activity/sport plan. 

Healthcare practitioners and everyone involved in concussion care should err on the side of caution. IF there is a significant impact and at least one concussion symptom, the athlete should be removed from play and assessed by a licensed healthcare practitioner with training in concussion management. When in doubt, sit them out!

Again, each case is different and there are no magic numbers on recovery. Symptoms commonly resolve within 7-10 days, however, resolution of symptoms does not mean the brain is fully recovered. It is during this time (between symptoms resolving and brain recovery) that is known as the ‘danger zone’ where a second concussion in this time is much more dangerous and has a lot more chance of creating permanent damage in the brain. If managed correctly, full recovery can take between 22-45 days. Having baseline tests prior to injury makes return to activity/sport a lot safer and easier to manage.

We use a range of modalities to assess and manage acute concussion, as well as post-concussion syndrome. These modalities include: 

  • Exercise therapy 
  • Manual therapy
  • Visual/vestibular therapy
  • Education 
  • Diet/nutrition intervention

Rest is no longer considered the only approach in concussion care. Early intervention of various therapies can significantly improve recovery following a concussion. Through a thorough assessment and the right treatment approach, trained healthcare practitioners can help you safely return to learn, work and play.

Up to 90% of concussion injuries can resolve symptomatically within 7-10 days; however, in some cases, concussion injuries have longer lasting symptoms. If you experience symptoms beyond 4 weeks, this is known as post-concussion syndrome.

Very little is known about what causes post-concussion syndrome. It is currently believed to be due to continued blood flow abnormalities in the brain, continued energy deficits in the brain, psychosomatic disorders, vestibular/ocular issues (integration between visual and balance systems) and/or potential dysfunction in the muscles and joints of your neck that occurred because of the impact.

Risks for prolonged recovery and post-concussion syndrome include:

  • History of concussions
  • Multiple injuries in close time proximity
  • Pre-existing depression or anxiety
  • Family or life stressors
  • Age (younger children and adolescents generally take longer to recover)
  • Misinformation regarding concussions
  • Improper management

A concussion itself is not a fatal injury. The concern in the initial few hours to days is not the concussion, but that there may be a more sever injury such as a bleed or skull fracture. There have also been cases where individuals have died from secondary concussions that occurred before full recovery of the first concussion – this is known as second impact syndrome.

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