Understanding Concussion Symptoms: Recognizing the Invisible Injury

Concussion Symptoms
Dr. Garrett Stroup. Physical Therapist in Roseburg Area.


Dr. Garrett C. Stroup

DPT, VRC - Owner and Founder

We help athletes and active adults regain control of their injury without expensive surgeries or medications, so they can keep going.


Concussions, often referred to as mild traumatic brain injuries (mTBI), are a common and potentially serious health concern. They occur when a sudden impact or jolt to the head causes the brain to move inside the skull, resulting in various physiological and neurological changes. Concussions are particularly concerning due to their often invisible nature, making them challenging to diagnose and understand. In this blog post, we will delve into the world of concussion symptoms, exploring their causes, signs, complications, and management. Understanding these aspects is crucial in raising awareness and promoting proper care for individuals affected by concussions.

What Causes Concussions?

Concussions typically result from direct or indirect blows to the head during accidents, sports-related activities, falls, or assaults. Some common causes of concussions include:

  • Sports Injuries: Sports such as football, soccer, hockey, and basketball carry a higher risk of concussions due to the physical nature of the games.
  • Motor Vehicle Accidents: Car accidents, especially those involving sudden deceleration or impact, can cause the head to jerk violently, leading to concussions.
  • Falls: Falls are a significant cause of concussions, especially in children and the elderly.
  • Workplace Accidents: Certain occupations, such as construction and industrial jobs, expose workers to an increased risk of head injuries and concussions.

Recognizing Concussion Symptoms

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The symptoms of a concussion can vary depending on the severity of the injury and the individual’s age. Some of the common signs and symptoms include:

1- Physical Symptoms:

  • Headache or pressure in the head
  • Nausea or vomiting
  • Dizziness or loss of balance
  • Sensitivity to light and noise
  • Fatigue or drowsiness
  • Blurred or double vision
  • Slurred speech

2- Cognitive Symptoms:

  • Confusion or feeling “foggy”
  • Memory problems, including amnesia surrounding the event
  • Difficulty concentrating or making decisions

3- Emotional Symptoms:

  • Irritability or mood swings
  • Anxiety or depression
  • Apathy or lack of interest in activities

4- Sleep Disturbances:

  • Insomnia or difficulty falling asleep
  • Sleeping more than usual

It is important to note that not all symptoms may manifest immediately after the injury, and some may take hours or even days to become apparent.

The Complications of Concussions

While most concussions resolve within a few days to a few weeks with proper rest and care, some individuals may experience more prolonged symptoms or develop complications. These complications can include:

Post-Concussion Syndrome (PCS):

PCS is a condition where concussion symptoms persist for weeks, months, or even longer after the initial injury. This can significantly impact an individual’s quality of life, causing persistent headaches, dizziness, fatigue, and cognitive difficulties.

Second Impact Syndrome (SIS):

SIS is a rare but potentially life-threatening condition that occurs when an individual sustains a second concussion before fully recovering from the first one. It can lead to severe brain swelling and neurological damage.

Chronic Traumatic Encephalopathy (CTE):

CTE is a progressive and degenerative brain condition linked to repeated head trauma, including concussions. It is commonly associated with contact sports and can lead to memory loss, cognitive decline, mood changes, and other neurological issues.

The Importance of Seeking Medical Attention

a woman laying in bed with her hands on her head.


Concussions are often dismissed as minor injuries, but their potential long-term consequences should not be underestimated. Seeking immediate medical attention is crucial after experiencing a head injury, especially if any of the following red flags are present:

Loss of Consciousness:

Any loss of consciousness, no matter how brief, is a significant warning sign that requires medical evaluation.

Severe or Worsening Symptoms:

If concussion symptoms worsen or become severe, it may indicate more significant underlying issues that need urgent attention.

Neurological Deficits:

Weakness, numbness, or tingling in the extremities, difficulty speaking, or changes in vision are signs of potential neurological complications.


The occurrence of seizures following a head injury necessitates immediate medical attention.

Concussion Management and Recovery

The recovery process for concussions involves physical and cognitive rest to allow the brain sufficient time to heal. Here are some essential components of concussion management:


Physical and cognitive rest is crucial during the initial recovery period. This includes limiting physical activities, screen time, and mental exertion.

Gradual Return to Activity:

Once symptoms have resolved, a gradual return to daily activities and exercise can begin under the guidance of a healthcare professional.

Cognitive Rehabilitation:

For individuals experiencing persistent cognitive difficulties, cognitive rehabilitation may help improve memory, attention, and problem-solving skills.

Symptom Monitoring:

Continuously monitoring symptoms is essential to detect any changes or signs of complications.

Preventing Concussions

Prevention is the best approach to mitigate the risk of concussions. Several strategies can be implemented to reduce the incidence of head injuries:

Use Protective Gear:

Wearing appropriate helmets and other protective gear can significantly reduce the risk of head injuries during sports and recreational activities.

Safe Driving Practices:

Following traffic rules and wearing seat belts can minimize the risk of head injuries in motor vehicle accidents.

Fall Prevention:

Taking precautions to prevent falls, especially in older adults, can reduce the likelihood of concussions.

Sports Rule Changes:

Enforcing rules to discourage dangerous plays and reducing unnecessary physical contact in sports can lower the risk of concussions.


Concussions are complex injuries that demand careful attention and understanding. Timely recognition and proper management are crucial to facilitate a safe and successful recovery. By spreading awareness about concussion symptoms and their potential complications, we can work towards a safer environment and better support those affected by this invisible injury.

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