Financial Burden After A Concussion
Traumatic head injuries, including concussions, can have profound physical effects that may prevent a victim from being able to workboth in the short term, and possibly even longer. That, in turn, can significantly impact the personal finances of the individual and/or their family. Concussions can generate huge medical bills, a loss of current and future wages, reduced earning potential, emotional trauma, a diminished quality of life, and more. By working with an experienced concussion injury lawyer, who will carefully investigate your claim, you can ensure that the responsible party will be held accountable.
Can A Concussion Cause Jaw Pain
Yes. Head injuries and concussion can cause pain in your jaw as well as in the bones and muscles of your head, neck and shoulders. Temporomandibular joint disorder is a specific condition that can sometimes happen after hitting your head. Also, the main symptom of concussion headache can be the result of spasms and inflammation in your jaw muscles following a blow to the jaw.
What To Do If Youve Suffered A Concussion From An Accident That Was Not Your Fault
Fortunately, most concussions resolve on their own in a short amount of time, leaving no lasting symptoms or issues. However, some people do experience long-lasting symptoms that affect their ability to function and/or their quality of life, and someresearch shows that just a single concussion can cause permanent changes to the brains structure.
People whose lives have been negatively affected by a concussion that resulted from an accident that wasnt their fault may be able to sue. A personal injury lawsuit brought against the party at fault could lead to compensation for medical bills, pain and suffering, and more.
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What To Do The First 24 To 48 Hours
Complex Concussion Clinic
The Complex Concussion Clinic at Nationwide Children’s Hospital helps children with concussions that take longer than usual to heal.
- Let your child take rests and naps as needed during the day. You do not need to wake them up or check on them. This advice is outdated.
- Encourage your child to get a good nights sleep. Avoid things that might keep them awake longer, such as screen time and loud music. Avoid snacks and drinks with caffeine close to bedtime.
- For a mild to moderate headache, you may give the over-the-counter pain medicine acetaminophen . Do not give ibuprofen until the doctor says it is OK. Read the label to know the right dose for the age of your child.
- Use ice packs on the head or neck to ease pain.
- At the doctors appointment, let the doctor know if your child is having trouble doing things they were able to do before the head injury, including schoolwork.
- Tell your childs teachers and coaches that they have had a head injury so teachers can allow for changes in behavior and ability to concentrate, if needed.
Prevention Efforts And Technologies
There have been numerous attempts at preventing concussions, such as the establishment of the PACE program, which works with the imPACT system, which is currently used by every NFL and some NHL teams. In 2008, the tested an created by called the “Shockometer”, which is a triangular device attached to the back of that has a light on the device that turns red when a concussion occurs. has also created the Head Impact Telemetry System and Sideline Response System to record the frequency and severity of player hits during practices and games. On every helmet with the system, MX Encoders are implemented, which can automatically record every hit. Eight NFL teams had originally planned to use the system in the season, but the ultimately blocked its use. Other impact-detection devices include CheckLight, by and MC10., and the online test providers ImPACT Test, BrainCheck, and XLNTbrain which establish cognitive function baselines against which the athlete is monitored over time. The CCAT online tool developed by is another test to assist doctors in assessing concussion.
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National Basketball Association’s Concussion Policy
On December 12, 2011, the announced that the establishment of a concussions policy for league. The players and staff are required annual education on topics surrounding concussion during play, including mechanisms of injury, signs, symptoms and interventions. The policies surrounding concussion management in are as follows:
- If concussion is suspected, the injured player is removed from the game immediately and monitored to ensure safety. At this time, a neurological exam is conducted by the team’s physician or athletic trainer.
- For the following 24 hours after the primary evaluation, the player is monitored closely by the team’s medical staff, so long as they are not diagnosed with a concussion. The player must complete at least one other evaluation before the following game or practice .
- If the player is diagnosed with a concussion, they are prohibited from participating and must undergo the requried return-to-participation protocol.
- The player, under direction of the team’s medical staff, must avoid physical exertion and exposure to electronic devices, so as not to aggravate symptoms. Physical activity must be reintroduced gradually according to the medical staff’s discretion.
- A physician must provide an impression regarding the presence or absence of concussion within 24 hours of the incident. In addition, the Director of the NBA Concussion Program must be informed about the concussion evaluation.
Concussion Treatment And Home Remedies
If you donât need hospitalization, the doctor will give you instructions to follow. Experts recommend follow-up medical attention within 24 to 72 hours if symptoms worsen. To recover at home, you should:
- Take a break. If your concussion was sustained during athletic activity, stop play and sit it out. Your brain needs time to properly heal, so rest is key. Definitely do not resume play the same day. Athletes and children should be closely monitored by coaches upon resuming play. If you resume play too soon, you risk a greater chance of having a second concussion, which can compound the damage. The American Academy of Neurology has issued guidelines about resuming activities after a concussion.
- Guard against repeat concussions. Repeat concussions cause cumulative effects on the brain. Successive concussions can have devastating consequences, including brain swelling, permanent brain damage, long-term disabilities, or even death. Don’t return to normal activities if you still have symptoms. Get a doctor’s clearance so you can return to work or play with confidence.
- Treat pain with aspirin-free medications. Your doctor will prescribe a medication to relieve pain or recommend an over-the-counter option.
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Motorist And Cyclist Education
Various jurisdictions include recommending the in materials, to prevent . For drivers and passengers exiting the left side of the vehicle, this involves opening the left-hand door with the right hand, forcing the person to both open the door more slowly and to turn so that bicycles approaching from behind the car are visible.
The , known for its “Arrive Alive” campaign for motorists in the 1970s, has since expanded into programs such as their recent “Alert Today, Alive Tomorrow” and “Put it Down” campaigns for pedestrians and cyclists. Additionally, FDOT also supports statewide educational programs offering educational materials and , such as the Florida PedBike Resource Center, and the University of Miami BikeSafe Program.
In April 2016, became the first U.S. state to add questions about bicycle and pedestrian safety to the state driver’s license exam and educational materials. The revised exam includes a bank of 11 unique questions, of which a minimum of two are automatically generated within every 40-question DMV test.
Microglia: Cells That Support And Nourish
Microglia are tiny immune cells in the brain and body that make up one-tenth of all brain cells. They maintain the brain, repair neurons, defend the brain, but can also cause great havoc. These cells have arms that monitor neurons and the blood-brain barrier, and these arms can stretch and shrink, depending on what they sense and what they decide to do. Microglial bodies can also change shape from small to elongated or to round, big, and fat or to other shapes.
Microglia grow new neuron appendages they provide nourishment for neurons they eat proteins that if left to accumulate would lead to the plaques of Alzheimers.
Microglia also eat synapses they see as inactive or lazy in a process called phagocytosis. This process enhances the brains efficiency and energy use.
In the video below, microglia in green eats a neuron in red as seen in the far-right merge movie:
Synapses are the spaces between neurons through which neurochemicals flow to transmit messages from one neuron to its neighbour.
Microglia promote repair, but they also cause inflammation.
Microglia are ramified cells. They have a central body or soma with complicated arms or processes coming out of them. De-ramification would mean that they lose that complex network of arms. Essentially, they go from small body with lots of arms to fat or elongated bodies with few arms .
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A Concussion Is A Brain Injury That Is A Fact
The message for Brain Injury Awareness Month 2015 powered by Saskatchewan Blue Cross is to get the rest of the facts about concussion, including the symptoms and best practices to follow when an incident occurs. This year’s poster encourages athletes to check it out when they take a hit or a fall rather than to tough it out as too many do to their own detriment.
“It’s a great fit for us to partner with the Saskatchewan Brain Injury Association to build public awareness of brain injury,” says Gladys Neufeld, Marketing Coordinator at Saskatchewan Blue Cross. “Our company has a strong mandate to support the improved health and wellness of Saskatchewan residents. Talking about brain injury and checking it out whenever a brain injury is implicated will make a big difference in our communities.”
Studies indicate that less than half of the young athletes studied report an injury – most because they do not think it is serious enough to warrant attention, but almost as many fail to report because they don’t want to be withheld from competition or because they dont know the signs of concussion.
For more information visit www.sbia.ca, email , or contact Glenda James at 306-692-7242, 306-373-1555 or 1-888-373-1555
Jamie Heward can be reached at 306-570-7025 or
The Saskatchewan Brain Injury Association strives to prevent brain injuries and to improve the lives of survivors and their families.
Key Aspects Of The Physical Processes Underlying Brain Injury
There may be one event, but its a time-delayed cascading injury involving the immune system. Keep this in mind as you read below what brain injury actually is. Different causes will add their own unique factors to this, for example, stroke would add bleeding into the brain.
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Are Mild Concussions Serious
Even if youve been told that youve only experienced a mild concussion, all concussions should be considered serious events. In most cases its true that a single concussion is unlikely to cause permanent brain damage. However, even having a mild concussion puts you at an increased risk of another concussion. In addition, if you were to experience another concussion before your concussion symptoms have fully gone away, you could be at greater risk of permanent damage or even death if you have another concussion.
How Many Concussions Are Too Many When Should An Athlete Retire From Their Sport
There is no general agreement on when to retire from sports due to head injuries. There are many factors to consider including:
- Number of head injuries/concussions.
- How long it took to fully recover from each concussion.
- How close together, in time, each concussion occurred.
Each concussion ups the odds of having another concussion. Each concussion is different. Each persons reaction and ability to recover is different. You and your healthcare provider should discuss your history of concussions and be able to decide what is in you or your loved ones best interest.
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When Can A Student Athlete Return To Play After A Concussion
Student athletes are ready to return to play when they are:
- 100% symptom free at rest.
- 100% symptom free with normal mental activity.
- 100% symptom free with exercise.
- No longer taking any medications for concussion symptoms.
- Fully back to school and able to tolerate school work.
- Have a post-concussion neurocognitive test score that is at least as good as the pre-concussion score or pass certain criteria set by the school or athletic board.
- Have a physical exam and balance test that are within normal limits.
- Have been cleared for play by a healthcare provider trained in evaluating and managing concussions.
The thinking used to be that the student athlete needed to be symptom free for 24 hours before starting the multiphase process of physical activity toward the goal of returning to play. However, research has now shown that if the patients concussion symptoms are improving each day and they are able to attend a full school day with a few breaks for symptoms, they can begin to add very low level cardiovascular activities. These activities should consist of walking or biking on a stationary bike at an intensity that doesnt make symptoms worse.
Following this approach, most student athletes are able to return to play within about three weeks after their symptoms began.
What Are The Different Types Of Tbi
Brain injury may happen in one of two ways:
Closed brain injury. Closed brain injuries happen when there is a nonpenetrating injury to the brain with no break in the skull. A closed brain injury is caused by a rapid forward or backward movement and shaking of the brain inside the bony skull that results in bruising and tearing of brain tissue and blood vessels. Closed brain injuries are usually caused by car accidents, falls, and increasingly, in sports. Shaking a baby can also result in this type of injury .
Penetrating brain injury. Penetrating, or open head injuries happen when there is a break in the skull, such as when a bullet pierces the brain.
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What Can Happen If An Athlete Who Had A Concussion Returns To Competition Too Soon
Returning to competition too soon could put you at risk for a second concussion. A repeat concussion that occurs before your brain has recovered from a first one is called second impact syndrome.
Second impact syndrome can:
- Make your symptoms last longer than they would have if you rested and fully recovered.
- Slow your overall recovery.
- Increase the chances for long-lasting or permanent problems.
Long-lasting problems include difficulties with concentration and memory, headaches, and sometimes physical skills like maintaining your balance. Although this is rare, returning to competition without being fully recovered and getting hit again could result in a brain hemorrhage or even death. Never return to competition until ALL your symptoms are gone and you feel you are 100% back to your normal self.
Acquiring A Concussion As A Senior
Whether you have an existing concussion/brain injury or not, the risk of acquiring a brain injury goes up as you age. According to data from the Canadian Institute for Health Information, older adults account for 29% of all head injury hospitalizations in Canada . A population study showed that the rate of traumatic and non-traumatic brain injury increases in older age groups, with the highest rates being in the 85 years and older range . These numbers are the same for both males and females.
Some of the leading causes of concussion in seniors include falls and motor vehicle accidents.
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What Brain Injury Is Not
On 29 April 2013, Thomas Insel, then the Director of the National Institute of Mental Health in the USA, declared that the NIMH will be reorienting away from the traditional Diagnostic and Statistical Manual of Mental Disorders . The NIMH essentially declared the categories of symptoms for brain issues no longer useful nor wanted. As Insel wrote, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have understood that symptoms alone rarely indicate the best choice of treatment.
Patients with mental disorders deserve better.
Thomas Insel. Transforming Diagnosis. 29 April 2013
Of all the brain issues aka mental disorders, brain injury is the most obvious one that should not be seen as categories of symptoms. It should be seen as physical damage at both the brain and cellular levels that requires treatments in the same way damaged hearts or broken bones are treated.
What Are The Symptoms Of A Concussion
The most common symptoms of concussion include:
- Nausea or vomiting.
- Will not eat or nurse.
- Change in sleep pattern, sleepy at unusual times.
- More fussy than usual, wont stop crying despite being comforted.
- Blank stare.
Its always best to call your pediatrician if your child experiences a bump to their head. In fact, the American Academy of Pediatrics recommends you call your doctor for anything more than a mild head bump.
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When Can Teens Go Back To Sports After A Concussion
Student athletes must wait until their health care provider says it’s safe before returning to sports. This means that they:
- have had a physical exam
- are back in school
- aren’t taking any medicines for concussion symptoms
- are back to their baseline results on physical and cognitive testing
Hurrying back to sports and other physical activities puts teens at risk for second-impact syndrome. This is when someone gets another head injury before the concussion has healed. Although very rare, second-impact syndrome can cause lasting brain damage and even death. Almost every state has rules about when teens with concussions can start playing sports again.