Category: Orthopedics
Keywords: head injury, concussion, return to play (PubMed Search)
Posted: 2/9/2013 by Brian Corwell, MD
(Updated: 11/22/2024)
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Estimated 3.8 million sport-related concussions per year (likely significantly higher due to underreporting)
Most patients recover within a 7-10 day period
** Children and teenagers require more time than college and professional athletes
This "accepted" time for recovery is not scientifically established and there is a large degree of variability based on multiple factors including age (as above), sex & history of prior concussions
Approximately 10% of athletes have persistent signs and symptoms beyond 2 weeks (which may represent a prolonged concussion or the development of post-concussion syndrome)
During this time the patient should have complete rest from all athletic activities, close follow-up with PCP and be educated re concussions.
If practical, "cognitive rest" should also be prescribed. This is one of the most frequently neglected aspects of post-concussion care and will be discussed in a future pearl.