Dr Nicki Explains

EP8: Concussion

Episode Summary

In this month's episode, Dr Nicki and Sarah discuss concussion with Dylan who was an ex semi-professional rugby player and suffered from persistent concussion symptoms after a relatively minor head injury. His 5 year journey has led him to discover research and exciting possibilities in the field of rehabilitation and recovery which he shares with us.

Episode Notes

DR NICKI EXPLAINS

Episode 8 - Concussion

Episode Overview

In this episode of Dr. Nicki Explains, GP Dr. Nicki  and her friend Sarah delve into the critical topic of head injuries and concussions. Joined by guest speaker Dylan, who shares his personal experiences with concussion from his rugby days, they explore how to recognise when you need help for a head injury and what steps to take if long-term effects occur.

Key Points Discussed

Understanding Concussions

Recognising & Managing Head Injuries

Personal Story: Dylan's Experience

Dylan recounts multiple concussions during his rugby career:

  1. First significant knock at age six leading to hospitalisation but seemingly quick recovery.
  2. Later incidents showed delayed symptoms like disorientation only hours later.
  3. Major incident at university led him through months-long recovery due to not taking initial signs seriously enough.

Recovery Protocols

Initial Steps Post-Injury:

  1. Rest completely for first few days (48–72 hours).
  2. Gradually return to normal activities while avoiding further head impacts.

Ongoing Management:

Importance of Professional Assessment:

Even without visible damage on scans like MRI/CTs—concussions can have serious implications requiring professional evaluation especially in sports contexts where repeated knocks are common risks.

Takeaway Message

Concussions should never be underestimated as their effects might not show immediately but could develop into severe health concerns over time if ignored initially—especially important within high-risk groups such as athletes involved in contact sports like rugby or football where awareness around protocols ("recognise-remove-recover-return") becomes crucially protective against prolonged harm following traumatic events impacting one's cognitive wellbeing overall!

 

LINKS:

Headway - The Brain Injury Association: https://www.headway.org.uk/

 

Complete Concussions (website with lots of articles all things brain injury backed up by research):

https://completeconcussions.com/

Some useful articles and videos:

 

What is concussion? 

https://www.youtube.com/watch?v=QWVwAuqO2DM

https://completeconcussions.com/concussion/pathophysiology-of-concussion/


What to do after getting concussed?

https://www.youtube.com/watch?v=xXal3VPNjEo


Return to Work

https://completeconcussions.com/concussion-tips-information/returning-to-work-how-long-do-concussion-symptoms-last/


Recovery Time and Return to Sport

https://completeconcussions.com/concussion-tips-information/how-long-do-concussion-symptoms-last-sports/


PCS Causes:

https://www.youtube.com/watch?v=oW2SF8hnWGg


The Neck:

https://www.youtube.com/watch?v=9IMDNlAknMk


Find a Concussion Clinic:

https://clinics.completeconcussions.com/?lat=53.031540&lng=-3.281585&z=7


Cognitive FX (another useful site with PCS info):

https://www.cognitivefxusa.com/blog


Studies:

Diet and gut: https://pubmed.ncbi.nlm.nih.gov/28526435/


Return to Work: https://pubmed.ncbi.nlm.nih.gov/24581906/

Concussion in Children: https://pubmed.ncbi.nlm.nih.gov/26954410/    https://pubmed.ncbi.nlm.nih.gov/27079963/

Screen Time: https://pubmed.ncbi.nlm.nih.gov/36250231/

5-10% concussions have intracranial bleeding: https://pubmed.ncbi.nlm.nih.gov/33133823/

Importance of early stage exercise: https://pubmed.ncbi.nlm.nih.gov/37316185/


Buffalo Treadmill Test: https://completeconcussions.com/concussion-treatment/how-to-perform-a-buffalo-concussion-treadmill-test/

https://cdn-links.lww.com/permalink/jsm/a/jsm_2020_01_28_haider_19-313_sdc1.pdf


Vision Therapy: https://kpe.utoronto.ca/sport-medicinerehab-protocols/concussion-vision-therapy-and-oculomotor-rehab

https://chadwickoptical.com/resources/resource-articles/concussion-ophthalmic-solutions/eye-exercises-for-concussions/

https://torontoconcussion.ca/vision-exercises-videos/


Concussion Therapy at Home: https://neuraleffects.com/blog/concussion-therapy-exercises/