3 Things Parents Should Know About ConcussionsConcussions are dangerous and something parents and coaches should be concerned about. On this Health Minute, neurosurgeon Dr. Greg Hawryluk offers three things parents and coaches should keep in…
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June 10, 2021 Interviewer: Are you struggling with the decision whether or not you should let your kids play sports because of the danger of concussion? Dr. Greg Hawryluk is a concussion expert and neurosurgeon. Give us your perspective. Dr. Hawryluk: The first point is that we don't want people to be overly concerned about concussion. There are so many benefits to sporting activities. We're seeing very high rates of childhood obesity. Sports are good for you. We don't want people being pulled out because of fear of concussion. The second point is that we really want to encourage players to respect their own bodies and the bodies of their competitors. We don't want them using their heads as a battering ram. They need to be using proper tackling technique. The third point is we really want the coaching staff to have the proper training and experience where they can recognize concussion, they understand the importance of it, and so they know how to take the right steps if concussion happens to one of their athletes.
Three things parents and coaches should keep in mind about concussions for youth playing sports. |
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What to Do If You Think You Might Have a ConcussionA concussion is not the type of injury you should just walk off. Unseen complications from a head injury could become dangerous and even fatal. On this Health Minute, Dr. Greg Hawryluk discusses why…
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June 21, 2021 Interviewer: You think you got a concussion? Go see a doctor, and here's why. Dr. Greg Hawryluk is a neurosurgeon and a concussion expert. Dr. Hawryluk: One of the big things that we need to do after a concussion is to make sure that it's not something more serious. A lot of times, we think that these are pretty minor injuries, but the reality is, and fortunately it's rare, but these can be sometimes very serious. Sometimes there can be bleeding in the head. Sometimes you need to see a neurosurgeon so we really want to make sure that you don't fall into that category. And the other thing is that there's this thing we call second impact syndrome. And this is more common in young patients, where they get a second injury a short time after the first one and it can lead to fatal brain swelling. Another major benefit of seeing a doctor is that we can help to guide you through a pretty well established six-step process that has been shown to really achieve symptom resolution and a return to normal activities as quickly as possible.
A concussion is not the type of injury you should just walk off. Unseen complications from a head injury could become dangerous and even fatal. Get to a doctor as soon as you suspect a concussion. |
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13-Greg Hawryluk: Challenging Fundamentals of NeurotraumaPresentation given by Gregory Hawryluk, MD, PhD, discussing "Challenging Fundamentals of Neurotrauma." Presentation was given at the Neurotrauma Masters conference on Wednesday, March 9,… |
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Concussion Recovery: A Six-Step ProcessHow do you recover from a concussion? There’s a process to follow. Not following doctors’ recommendations can lead to bigger problems in the future. Neurosurgeon Dr. Greg Hawryluk covers…
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December 30, 2015
Brain and Spine
Sports Medicine Interviewer: Recovering from a concussion, what you need to know is next on The Scope. Announcer: Medical news and research from University of Utah physicians and specialists you can use for a happier and healthier life. You're listening to The Scope. Interviewer: Dr. Greg Hawryluk is a neurosurgeon at University of Utah Health Care and a concussion expert. Help me understand what steps are involved for recovering from a concussion. Dr. Hawryluk: It's important to know that any concussion needs to be seen by a doctor. These days even if there is a suspicion that you may have had a concussion, it's important to see a doctor. Some people have trouble recognizing the signs. It can be things like headache, dizziness, confusion, blurred vision, and just feeling funny. Sometimes those symptoms aren't apparent until maybe the next day. That's the first step is making sure you see a physician. Interviewer: So don't self-treat. You wouldn't fix your broken arm. Don't try to fix a concussion. Dr. Hawryluk: That's right. Don't try and fix your brain yourself. Interviewer: Okay. Dr. Hawryluk: The biggest advance that we've had in concussion over the last 10 years or so has been the recognition of the need for a gradual return to normal activities and the importance of rest. That's both mental rest and physical rest. This is one of the rare times where we'll counsel young patients not to do homework. In fact, even things like video games, we think can be a little too taxing for a recovering brain. Interviewer: Really? When the brain is recovering it needs to rest like any other body part might to heal. Dr. Hawryluk: That's what we are starting to learn. Interviewer: Okay. Dr. Hawryluk: That's really step one, it is to get to a doctor and get started on this pathway of greater recovery. We do talk about six steps in terms of recovery and it's really tailored towards athletes. Again, we start with complete mental and physical rest, and then if that goes well you can basically progress through these steps at one step a day. It means the very fastest you're going to get back to your sporting event is going to be about a week. Interviewer: Let me back up. Step one, nothing, mental and physical rest. How many days is that? Dr. Hawryluk: For sure, one day. Interviewer: For sure, one. Dr. Hawryluk: Yeah, it's really based on the symptoms. Once the symptoms have resolved, or almost resolved. Interviewer: Then step two. Dr. Hawryluk: Then you're ready to try step two. Interviewer: Which is light activity, okay continue. Dr. Hawryluk: What's interesting about concussion is that symptoms can . . . even though at rest your symptoms are gone, once you push your body a little bit it actually can bring on the symptoms. Really the goal of step two is to see if you can do some light physical activity and see if any symptoms happen. If that goes well, we step it up. Step three would be a return to sports-specific activity. For instance, if you're a hockey player, well, we'd say okay, you can go back and skate at this point. We certainly wouldn't want you participating in regular drills. We wouldn't want you participating in body contact. Step three would be return to sports-specific sort of activities. Interviewer: At this point, could you start feeling those symptoms again? Dr. Hawryluk: What we want to see is if at any one of these stages, you do have a recurrence of symptoms. We say well, we need to back up. Some doctors would recommend starting back at square one. A lot of people like myself also advised just taking one step back and seeing where you can get to with no symptoms and eventually trying to work your way back up the six steps. Interviewer: This is very sports specific. What about someone that has suffered a concussion for some other reason that's not an athlete, and doesn't have practice. Do they go through the same steps? Dr. Hawryluk: They do. This six-stage process is really built for athletes that most of whom are really keen to get back to playing. It's designed to get people back as fast as we think is safe. We apply the same principle to people that aren't athletes. The principles of rest and greater return to normal activities has been associated with the most efficient recovery, the least chance of setbacks. We think it may be associated with a reduced chance of the so-called post-concussion syndrome. Interviewer: For an athlete, what is the danger of returning to full gameplay before you go through these steps? Dr. Hawryluk: To be totally blunt, one of the biggest things we worry about is death. I say that with a bit of drama on purpose because as physicians, that is the biggest thing we want to prevent in concussion. Some very sad occurrences over the years has taught us that players that return to the sport while they're still symptomatic, in fact, even players that return to the same game, you're at risk of for something called Second Impact Syndrome. We don't fully understand what that is. Fortunately, it's rare. But there's something about an injured brain that it's quicker to swell. We've seen patients that get hit a second time that have dramatic and fatal brain swelling and there have been a number of deaths Interviewer: When it comes to the recovery process, what is the most important piece of advice you would have for somebody? Dr. Hawryluk: What I often find is true both of athletes and people with jobs and things like that. People are dying to prove to themselves and they want to prove to other people that they are okay. They want to shake this off and they want to be normal. The challenge is that for a lot of patients, that's not a good approach because what happens is you find that you actually are having trouble. And getting back to your activities, if you do it too soon, it doesn't go very well. It kind of becomes a negative experience. Ultimately that can delay an ultimate successful return to what you're doing. The importance of going slow really is key here. Interviewer: TheScopeRadio.com is the University of Utah Health Sciences Radio. If you like what you heard, be sure to get our latest content by following us on Facebook. Just click on the Facebook icon at TheScopeRadio.com. |
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Concussions: What We Know and What We Don'tIt might surprise you, but doctors’ understanding of concussions is still in its infancy. In this podcast, we ask neurosurgeon Dr. Greg Hawryluk to bring us up to speed on what we know and what…
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December 22, 2015
Brain and Spine Interviewer: Are concussions more serious than people think? We'll find out next on The Scope. Announcer: Medical news and research from University of Utah physicians and specialists you can use for a happier and healthier life. You're listening to The Scope. Interviewer: Dr. Greg Hawryluk is a neurosurgeon at University of Utah Healthcare. It seems like there's a lot in the news and in popular culture about concussions nowadays, and we're starting to learn that maybe they're a little bit more serious than we first thought. It feels as though at one point, if you got a concussions somebody would go, "How many fingers am I holding up?" If you passed the test, great. You're okay. But it's a little bit more serious than that, we're starting to learn. Dr. Hawryluk: That's exactly the case. First off, what I can tell you is that it's probably an epidemic. There's probably way more concussion out there than we've ever really known. We're only now starting to see a lot of people coming to doctors with their concussion. Interviewer: So how serious is a concussion in terms of the damage caused to the brain? Dr. Hawryluk: The problem there is that we really don't know. We don't think that a concussion implies a structural injury to the brain. We still think that it's probably sort of a chemical imbalance. But there's no question that we do think it puts you at risk for ongoing damage to the brain, perhaps over the rest of your life. We are seeing something we call chronic traumatic encephalopathy, changes consistent with Alzheimer's disease in the brain. It really is suggesting that athletes need to be a lot more careful in terms of avoiding concussions and having them treated by a doctor, than has been the case in the past. Interviewer: So a concussion is when your brain actually hits your skull. Right? So it's not a physical bruise in terms of like what a muscle is. But it causes a chemical imbalance. Explain that. Dr. Hawryluk: Yeah. There's a few misconceptions about concussion. So one is that you don't actually have to hit your head to have a concussion, and you don't have to lose consciousness. Really, all that has to happen is your brain sloshes around inside your skull. The hallmark is that there's at least a temporary change in brain function. But in fact, we don't see bruising of the brain. We think that probably it's a chemical imbalance that leads to the brain dysfunction. If it gets to the point where there's actually bleeding in or around the brain that is an even more serious condition. Interviewer: What does that chemical imbalance look like? What's going on there? Dr. Hawryluk: It's something we really don't understand. It's something that's hard to study. What's really funny to me as both a neurosurgeon and as a scientist is that we haven't made more progress in this field. We can put people on the moon, but we really don't understand what's going on. In some senses, we're sort of at square one with concussion. The important thing is that we're recognizing the significance of it. But there's an awful lot more work to do to figure out what's going on and how to best treat these. Interviewer: If I understand correctly, a single incident can be bad, can cause symptoms and damage. But it's the multiple incidents without recovery time that you're really worried about. Dr. Hawryluk: Well, that's absolutely true. We're concerned about both cases. One concussion is certainly a concern and has to be appropriately treated. These days, we certainly advise that every concussion should be seen by a doctor. But our level of concern as physicians goes up quite a bit when we start to see multiple concussions. The worst case scenario that we worry about as doctors is basically a repeat head injury before the first concussion is fully resolved. Interviewer: Outside of football is that the case, say for example, I was skiing and took a hard hit and got a concussion. Could the same thing happen if I got a second concussion as a football player? Dr. Hawryluk: That's absolutely the case. One of the challenges with concussion is that a lot more things can cause concussion than I think a lot of people realize. Football is one that we would all think of. But I always tell people, I remember a time when I was younger and when I was on a roller-coaster, and I'm pretty sure I had a concussion on that roller-coaster. So, really anytime that you're jarring your head around that's a big issue. Interviewer: If I get that one-time concussion, whether I'm playing a sport or in an accident, or something like that, should I be super-concerned above and beyond seeing a doctor? Dr. Hawryluk: Well, the biggest thing is to see a doctor. The biggest change of concussion management over the last 10 years has been the idea of rest and graduated return to normal activities. We do think that we've learned that that leads to the best recovery from a concussion. After any sort of a concussion, the minimum amount of time it takes to fully get back to what you were doing before in terms of activities is about a week. Interviewer: Are there long-term repercussions to concussions then? Dr. Hawryluk: Well, there certainly can be. So we think that at some level there is a brain injury, and we certainly worry about the accumulative effects. We are starting to learn, again with these professional athletes that perhaps these seemingly minor blows to the head when they're accumulative can lead to depression and behavior change. In fact, we think that maybe even some suicides have been linked to this. Interviewer: Which comes back to that chemical imbalance [inaudible 00:06:16]. Dr. Hawryluk: That's exactly right. Interviewer: That makes total sense. Dr. Hawryluk: Yep. Interviewer: What's the future hold? What do you think we're going to find in the next 5, 10 years? You said it's in its infancy. Where are things going? Dr. Hawryluk: Yeah. It's a time where the concussion field is advancing in a lot of different directions. We're learning more and more about the basic science of the condition. We're learning more about how to treat these patients and how to manage them in terms of their sporting activities. Announcer: TheScopeRadio.com is University of Utah Health Sciences Radio. If you like what you heard, be sure to get our latest content by following us on Facebook. Just click on the Facebook icon at TheScopeRadio.com. |