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follow-up. For athletes who experience persistent
difficulties after a concussion, such as
headaches, difficulty concentrating, irritability,
sleep disturbances, or dropping grades, an effective
treatment plan will often combine education,
cognitive rehabilitation, psychological
support and, in some cases, medication.
Getting back into the game too soon puts
you at risk for another concussion. If you suffer
a repeat concussion before your first concussion
has healed, it may take much longer
for your symptoms to resolve and you may
have long-term problems, such as learning
difficulties or chronic headaches. Although it
rarely happens, repeat concussion can cause
permanent brain damage and even death.
In 2010, the American Academy of Pediatrics
recommended that young athletes with
concussions be evaluated and cleared by a
doctor before returning to sports. The American
Academy of Neurology issued a similar
statement and stressed that doctors who clear
athletes for return to sports should be trained
in managing and assessing sports concussions.
Although injury prevention begins with
proper equipment, there is no such thing as
a concussion-proof helmet or mouthguard.
Young athletes must be trained in safe sports
technique and to follow the rules of the
game. In addition, rule changes should be
considered in sports where force is delivered
head first. This not only promotes fair play,
but also protects both participants.
In order to get back into the game, most
athletes will downplay their symptoms. Understanding
the long lasting consequences of
repeat concussion is an important part of prevention.
Several medical and sports organizations
have recently developed concussion
awareness programs for athletes, coaches
and parents. These educational programs
play a critical role in helping to recognize
concussions and prevent repeat injury.
Dr. Michael Gross, the founder and director
of Active Orthopedic and Sports Medicine,
is the section chief of sports medicine
and the orthopedic director of the Center for
Sports Medicine at Hackensack University
Medical Center, as well as medical director
of Active Center for Health and Wellness.
county
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