Concussion: what is it and what is the best thing to do?

What is a concussion?

A concussion (commotio cerebri) is caused by a blow to the head or a sudden shock, such as from a fall or whiplash. Due to the impact, the head moves rapidly back and forth, causing the brain to collide with the skull wall. As a result, brain cells and nerve connections are temporarily disrupted.

If you suspect a concussion or are unsure about the severity of your symptoms, it is advisable to contact Fysioplein for assessment and advice.

With a concussion, structural damage is usually not visible on an MRI or CT scan, but the brain temporarily functions less well. The balance of substances in the brain cells is disrupted, and the brain uses a lot of energy to restore this. As a result, symptoms may arise such as:

Headache
Dizziness
Nausea
Fatigue
Blurry sight
Memory problems
Concentration problems
Sensitivity to light and sound
Sleep problems
Confusion

Some symptoms appear immediately after the blow, while others may not become noticeable until hours or days later.

What is sensible to do until you have contact with Fysioplein?

With a concussion, it is important to find the right balance between rest and controlled activity. Overexertion can worsen symptoms and delay recovery.

Rest is important for body and mind during the first 24 to 72 hours. It is wise to:

to avoid intensive physical exertion
to limit screen usage
to take moments of rest
To limit stimuli such as bright light and loud noises
Gradually build up activities

Nowadays, prolonged complete rest is usually not recommended. After the first few days, a gradual increase in daily activities is actually encouraged, as long as the symptoms do not clearly worsen.

Listen carefully to your body. Stop or rest when symptoms worsen, such as:

Headache
Dizziness
Fatigue
Concentration problems

In addition, it is important:

Not to be alone for the first 24 hours
No alcohol to drink
Do not drive until symptoms have disappeared or a healthcare provider gives permission

To school or work or not?

After a concussion, a gradual recovery is important. Continuing fully with school or work can worsen symptoms.

At school or work, it is wise to:

To build up gradually
to limit screen time
To take regular breaks
To do one task at a time
to avoid overstimulation

Sometimes it may be necessary to temporarily work shorter days or adjust duties. Activities may cause mild symptoms, but symptoms must not clearly worsen.

When working at a computer, it is advised to start with short periods of approximately 10 to 15 minutes and gradually build this up.

When to seek medical help?

Contact a doctor or the hospital immediately if:

Severe or increasing headache
Repeated vomiting
Double vision
Loss of consciousness or increasing drowsiness
Tingling or loss of strength in arms or legs
Severe neck pain
Increasing confusion or behavioral changes
Convulsions

Appointment and guidance at Fysioplein

In the event of a (suspected) concussion, people can at Fysioplein schedule an appointment. We will assess the symptoms and can perform various tests to determine exactly what is going on.

Based on these findings, we create a personalized treatment and recovery plan. This plan focuses on safely building up daily activities, work, and sports, tailored to the symptoms and the recovery process.