Accessibility View Close toolbar

Care of Concussions

Boy in football gear.

Concussions are becoming increasingly common, especially among school-age athletes. It has been estimated that there are up to 3.8 million sports-related concussions in the United States each year. Concussions are problematic as, by definition, a concussive injury involves some degree of trauma to the brain. A concussion injury literally jolts the brain, causing this precious organ to bounce against the bony walls of the skull. The violence of the blow directly determines the degree and extent of brain cell damage. Importantly, any person can experience a concussion from having sustained a blow to the head. Falls are commonly implicated in a concussion history, especially in those who run or walk for exercise and may trip over a crack in the sidewalk or a hidden tree root on a trail, as well as in the elderly.

In 2013, the American Academy of Neurology (AAN) issued its latest update on the Evaluation and Management of Concussion in Sports. The update, representing a summary of evidence-based guidelines, referenced several standardized symptom checklists including the Standardized Assessment of Concussion and the Post-Concussion Symptom Scale/Graded Symptom Checklist, both of which had moderate to high sensitivity and specificity in identifying sports-related concussions when administered soon after a suspected concussion. In 2013, the AAN also published Concussion During Sports Activities, a summary of evidence-based guidelines for patients and their families. The AAN documents note that concussion symptoms include headaches, dizziness, double vision, confusion, sensitivity to light or sound, and nausea and vomiting. Signs of a concussion that others can observe include slurred speech, changes in balance and coordination, a blank stare, and behavior and personality changes.

Concussion resolution may be evaluated by use of standardized checklists and return to age-matched normative values regarding cognitive performance and physiological function, as well as neurocognitive testing. An athlete who has sustained a concussion should not return to play/practice until her or his physician has assessed that the athlete is asymptomatic, the concussion has resolved, and the athlete is off medication.

Once a patient's concussion has resolved, chiropractic care can provide substantial assistance. A blow to the head necessarily involves trauma to the neck vertebras (cervical spine) and regional muscles, tendons, and ligaments. As well, an injury significant enough to cause a concussion can also cause damage to the spinal nerves in the neck. Such trauma can cause nerve irritation and interfere with the normal motion of the cervical spine. Spinal dysfunction and nerve irritation/interference can then cause a range of pain symptoms and altered physiological function, not only in the neck and shoulder region but also in other locations and other systems such as the gastrointestinal, immune, and endocrine systems.

By beginning or continuing regular chiropractic care once concussion symptoms have resolved, a post-concussion patient can obtain treatment that will help ensure that her or his spinal column and nerve system are functioning at peak capacity. In this way, regular chiropractic care helps post-concussion patients achieve and maintain optimal levels of health and well-being.

  1. Broglio SP, et al: National Athletic Trainers’ Association Position Statement: Management of Sport Concussion. J Athletic Train 49(2):245-265, 2014
  2. American Academy of Neurology: Update: Evaluation and Management of Concussion in Sports, 2013 — https://www.aan.com/Guidelines/Home/GetGuidelineContent/583
  3. American Academy of Neurology: Concussion During Sports Activities: Summary of Evidence-based Guidelines to Patients and Their Families, 2013 — https://www.aan.com/Guidelines/Home/GetGuidelineContent/586

First time patients receive $67 Exam and X-ray!

Complete the information below or call us at 586-949-9248 to take advantage of this exclusive offer.

Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

3:00 pm - 6:30 pm

Tuesday:

Closed

3:00 pm - 6:30 pm

Wednesday:

9:00 am - 12:00 pm

3:00 pm - 6:30 pm

Thursday:

Closed

3:00 pm - 6:30 pm

Friday:

9:00 am - 12:00 pm

3:00 pm - 6:30 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "I began coming to DiMartino Chiropractic due to lower back pain and occasional headaches. I used to take Motrin or Excedrin but I got off those pills - I know they're bad for you. Dr. Eric is awesome! His "Health & Wellness" workshop series changed our lives. He deserves an award for being a true "Health Healer""
    Melissa L. Chesterfield, MI

Featured Articles

Read about interesting topics

  • Chiropractic and Breech Babies During Pregnancy

    If you are experiencing back pain during your pregnancy or have a breech pregnancy, chiropractic can help. ...

    Read More
  • Natural Remedies for Sciatic Pain

    Do you experience sciatica pain? Both chiropractic care and at-home remedies can help alleviate that pain in a natural way. ...

    Read More
  • Chiropractic Care For Pets

    You know how chiropractic can help you, but what about your pets? ...

    Read More
  • Should I Use Heat or Ice for Pain?

    When you're feeling pain, sometimes it's difficult to determine if heat or ice will treat that pain best. This article will help you learn which is best for different types of injuries and pain. ...

    Read More
  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More

Newsletter Sign Up

Sign up for more articles