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Writer's picturedrpettitt

Let's talk concussions

It's #football season and I #love watching our boys show off their skill (makes that 5 am practice through the ENTIRE summer somewhat worth it šŸ˜“) My son will be playing for the #miamivandals as a freshman this year ( Thank goodness he is #FAST bc I hate to see him tackled)

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Let's talk #concussions

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šŸˆ There is no such thing as a "concussion proof helmet" Those teaching this, clearly don't understand concussions.

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šŸˆ it is a BRAIN INJURY caused by a blow to the head

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šŸˆ It occurs when the #brain itself hits the inside of the skull. Think about an egg: you can place that egg inside of a padded, encased, protective layer, but if you shake that egg or kick that egg, the yolk inside breaks even tho the shell does not. There's not a helmet that can prevent that! The yolk, or the brain suffers neuronal damage, axonal damage that may be mild and completely resolve OR have lifelong effects

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šŸˆ There is a 6 step return to play (I will post the link in comments). And if NO other child complies, mine is. Because football is awesome FUN but it is not worth a lifetime of suffering.

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šŸˆ Symptoms of a concussion can be mild but include: headache, change in vision, slurred speech, blackout, fatigue, lack of coordination, sleepiness, disorientation, nausea, vomiting, ringing ears, confusion, light sensitivity, irritability and depression

~Dr. Michelle Pettitt




After a concussion, an athlete should only return to sports practices with the approval and under the supervision of their health care provider. When available, be sure to also work closely with your teamā€™s certified athletic trainer.

Below are six gradual steps that you, along with a health care provider, should follow to help safely return an athlete to play. Remember, this is a gradual process. These steps should not be completed in one day, but instead over days, weeks, or months.


6-Step Return to Play Progression

It is important for an athleteā€™s parent(s) and coach(es) to watch for concussion symptoms after each dayā€™s return to play progression activity. An athlete should only move to the next step if they do not have any new symptoms at the current step. If an athleteā€™s symptoms come back or if he or she gets new symptoms, this is a sign that the athlete is pushing too hard. The athlete should stop these activities and the athleteā€™s medical provider should be contacted. After more rest and no concussion symptoms, the athlete can start at the previous step.

Step 1: Back to regular activities (such as school) Athlete is back to their regular activities (such as school) and has the green-light from their healthcare provider to begin the return to play process. An athleteā€™s return to regular activities involves a stepwise process. It starts with a few days of rest (2-3 days) and is followed by light activity (such as short walks) and moderate activity (such as riding a stationary bike) that do not worsen symptoms. You can learn more about the steps to return to regular activities at: https://www.cdc.gov/headsup/basics/concussion_recovery.html.

Step 2: Light aerobic activity Begin with light aerobic exercise only to increase an athleteā€™s heart rate. This means about 5 to 10 minutes on an exercise bike, walking, or light jogging. No weight lifting at this point.

Step 3: Moderate activity Continue with activities to increase an athleteā€™s heart rate with body or head movement. This includes moderate jogging, brief running, moderate-intensity stationary biking, moderate-intensity weightlifting (less time and/or less weight from their typical routine).

Step 4: Heavy, non-contact activityĀ  Add heavy non-contact physical activity, such as sprinting/running, high-intensity stationary biking, regular weightlifting routine, non-contact sport-specific drills (in 3 planes of movement).

Step 5: Practice & full contactĀ  Young athlete may return to practice and full contact (if appropriate for the sport) in controlled practice.

Step 6: Competition Young athlete may return to competition.




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