Posts Tagged ‘child concussions’

Concussions in Young Athletes Live Chat Takeaways

concussion260x200Concussions in young athletes are a hot topic as the fall sports season begins again. Concussion rates are rising sharply among U.S. kids and teens, researchers report, and concussion diagnoses more than doubled between 2007 and 2014. According to the CDC, more than 248,000 U.S. children and teens land in the emergency room each year because of a concussion sustained in sports or recreational activities, such as bicycling, football, basketball, soccer and from playground injuries.

We hosted a live chat on Tuesday, August 9th with Dr. Jeffrey Webb, pediatric sports medicine physician at Emory Sports Medicine Center to address this important topic. Thanks to such a great turnout, we were able to answer quite a few questions that were submitted both prior to and during the chat. Below are some highlights from the live chat. View the full chat transcript here.

 

Question:What are the treatments for a concussion?

Dr. Webb: The most important treatment initially is rest and avoidance of anything that worsens symptoms or contact to the brain. Healthy habits such as eating right and drinking a lot of fluids also seem to be helpful. Sometimes physical therapy and vestibular therapy can help speed up recovery.

Question: Is imaging needed to confirm a concussion?

Dr. Webb: No, imaging is not needed to confirm a concussion. A CT scan and/or MRI does not show a concussion. It is more of a functional disturbance than structural problem. An athlete only needs these scans if there is concern for a more serious injury, like a skull fracture or brain bleed.

Question: It’s really good to hear you say that plenty of sleep will help in the recovery process. I’ve heard in the past that when a child receive an impact, that we may suspect is a concussion, that the 1st thing to do is to not allow them to fall asleep, if they feel the certain urge to. Is the “urge to fall asleep” a common side affect of a concussion, and if so, should we prevent a player from doing so?

Dr. Webb: This is something that has changed in the last 10- 20 years with management of concussions. We used to tell parents to wake their child up frequently the night of a concussion. We now know that sleep is important for recovery, and it is important to let them sleep. The only exception would be if someone had a skull fracture or bleed in the brain, in which case they would probably be admitted to the hospital and have much more serious symptoms than a standard concussion.

 

Thanks again to everyone who joined us for this live chat. You can find the full chat transcript here and learn more about concussions by clicking below.

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Governor Deal Signs New Youth Concussion Bill

Governor Nathan Deal signed a youth concussion bill on Tuesday called the “Return to Play Act”.  This bill will place restrictions on when a young athlete can return to their sport after suffering a  head injury.  Emory Sports Medicine physician, Ken Mautner, MD was highly involved in helping to get the new legislation passed and was at the signing of the bill with Governor Deal.  Dr. Mautner is an expert in the area of sports concussions and is Co-chairman of the Georgia Concussion Coalition, a group whose sole intent is to promote education and awareness of youth concussion across Georgia.

This bill will help coaches, parents and players make the right decisions for their athletes.  The bill requires public and private schools to provide information to parents on concussions and establish certain policies for dealing with student head injuries. Under the law, any youth athlete who is suspected of having a concussions must be removed from play.  The athlete must then receive medical clearance from a health care provider trained in concussion management before he or she can return to play.

The Return to Play Act was written in such a way to implement basic protections and give schools flexibility to build their own programs depending on how much funding they can commit. Georgia joins 43 states with similar laws. Government estimates show hospitals treat some 173,000 traumatic brain injuries among youth that are connected to sports and recreation activities each year.

About Ken Mautner, MD
Ken Mautner, MD is an assistant professor n the Department of Physical Medicine and Rehabilitation and the Department of Orthopedic Surgery. Dr. Mautner started practicing at Emory in 2004 after completing a fellowship in Primary Care Sports Medicine at the American Sports Medicine Institute in Birmingham, Alabama. He is board certified in PM&R with a subspecialty certification in Sports Medicine. Dr. Mautner currently serves as head team physician for Agnes Scott College and St. Pius High School and a team physician for Emory University Athletics. He is also a consulting physician for Georgia Tech Athletics, Neuro Tour, and several local high schools. He has focused his clinical interest on sports concussions, where he is regarded as a local and regional expert in the field. In 2005, he became one of the first doctors in Georgia to use office based neuropsychological testing to help determine return to play recommendations for athletes. He also is an expert in diagnostic and interventional musculoskeletal ultrasound and teaches both regional and national courses on how to perform office based ultrasound. He regularly performs Platelet Rich Plasma (PRP) injections for patients with chronic tendinopathy. Dr. Mautner also specializes in the care of athletes with spine problems as well as hip and groin injuries.

About Emory Sports Medicine Center
The Emory Sports Medicine Center is a leader in advanced treatments for patients with orthopedic and sports-related injuries. From surgical sports medicine expertise to innovative therapy and athletic injury rehabilitation, our sports medicine physicians and specialists provide the most comprehensive treatment for athletic injuries in Atlanta and the state of Georgia. Constantly conducting research and developing new techniques, Emory sports medicine specialists are experienced in diagnosing and treating the full spectrum of sports injuries.

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