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Concussions

  • Contact and high-speed sports (e.g., football, hockey, soccer) carry a high risk of concussions from collisions, falls, and rapid head movements.

  • Symptoms include headaches, dizziness, memory problems, and slow recovery.

  • Key risk factors: prior concussions, poor technique (e.g., tackling), and inadequate protective gear.

  • Prevention includes proper technique training, rule enforcement, and education on symptom recognition.

  • Concussions account for 15–20% of all sports-related injuries, with 1 in 5 high school athletes reporting at least one concussion.

  • Tools like smart helmets and biomarker testing improve early detection and safer return-to-play decisions.

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Signs and Symptoms

Immediate Care

  • Rest: Physical & mental rest (limit screen time, reading, and strenuous activities)

  • Ice: Apply a cold pack to any external bumps to reduce swelling

  • Hydration & Nutrition: Stay hydrated and eat a balanced diet to aid recovery

  • Pain Relief: Acetaminophen (Tylenol) is preferred; avoid NSAIDs (ibuprofen, naproxen) due to bleeding risk

  • Gradual Return to Activity: Resume daily activities slowly, following medical guidance

When to see a Doctor

  • Loss of consciousness, even briefly

  • Persistent or worsening headache

  • Repeated vomiting or nausea

  • Slurred speech, confusion, or behavioral changes

  • Seizures or convulsions

  • Weakness, numbness, or coordination issues

Professional Treatement

Non Surgical:

Physical therapy (stretching & strengthening)
Heel lifts or orthotic inserts for support
Eccentric strengthening exercises

Surgical:

Surgical tendon repair
Post-op immobilization (cast or boot)
Long-term rehab (6–12 months)

Prevention Strategies

  1. Strength Training:

    • Calf raises, eccentric heel drops

    • Resistance band exercises for ankle stability

  2. Flexibility & Warm-ups:

    • Stretch calves and Achilles tendon daily

    • Gradually increase workout intensity

  3. Gear Recommendations:

    • Supportive footwear with proper heel cushioning

    • Orthotic inserts for foot alignment correction

Latest Research

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Blood biomarkers may offer a more accurate way to diagnose concussions, according to a study by Meier et al. in Annals of Neurology. These markers can detect brain injury soon after impact, providing an objective tool to support traditional assessments and improve return-to-play decisions.

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