Concussion: Adolescent & Pediatric

Concussion Epidemiology

  • 1.6 - 3.8 million sport-related TBIs occur in the US annually, the majority being mild TBI / Concussion.
  • 1 in every 220 pediatric patients seen in the ER is diagnosed with concussion. 
  • Almost 50% of youth sports-related concussions occur in children ages 12 to 15 years old.

Rose Red Neuro 2015 

Pinchefsky Neuro 2015 

Post Concussion Symptoms 

  • Migraine is most common - 49% patients reported 
  • Headache 
  • Fatigue
  • Dizziness
  • Taking longer to think 
  • Sleep Disturbance 
  • Frustration 
  • Forgetfulness
  • Light & Sound Sensitivity 
  • Nausea
  • Blurred Double Vission 

If a child is displaying symptoms of post-concussion syndrome in most cases, patients recover in 7 to 10 days with 85% to 95% recovering in 3 months. A small minority of patients will have a complicated recovery. When patients experience persistent symptoms, factors not related to the injury appear to play an increasingly significant role.

Often students can look and even feel normal, giving concussion the moniker invisible injury. In other cases, patients may experience severe head pain, nausea, vomiting, irritability, and loss of sleep. Many of these symptoms synonymously related to migraines which can be addressed naturally with HeadAid. Likewise, medical and neuropsychiatric testing may not show significant impairment. Many highly motivated adolescents, sometimes helped through peer pressure, expect themselves to “get over it” and “get back in the game.”

Certain groups of patients may have a more complicated or longer recovery following a concussion, such as patients with prior concussions; previous headache history, especially migraines; or prior psychiatric/developmental problems such as attention-deficit/hyperactivity disorder, depression, or mood disorders.

Risk Factors for Concussions

Youth are more susceptible to concussions due to 

  • Incomplete development of white matter 
  • A greater head to body ratio

Females have even higher rates of concussion than males

  • In sports that boys and girls both play, girls report a higher proportion of concussions among all injuries

Mayer J Neurosci 2012 

Concussion Managment 

  • Cognitive Testing 
  • Sleep 
  • Physical Rest
  • Biofeedback and Relaxation 
  • Physical therapies 
  • Medications - Consider prevention treatment if the patient is not doing better within month. IIn order to avoid side effects on the developing youth consider using an all natural treatment such as HeadAid for fast acting relief.