As part of the concussion assessment I will take a full medical and concussion history, examine the patient’s neurological and vestibular system, use tools such as SCAT 5 and formulate a graduated return to play schedule tailored for the individual. This includes patients with "post concussional syndrome" or prolonged symptoms post concussion.
SUBTYPE DIAGNOSIS AND POST CONCUSSION TREATMENT
1) Cervical (neck pain)
2) Vestibular (balance problems)
3) Occular (eye problems)
Each subtype has its own unique picture, treatment and return to learn/work/play advice.
RETURN TO LEARN AND PLAY
Perhaps the most difficult aspect of care for complicated or repeat concussions is deciding the "down time" before restarting contact and tailoring a return to play schedule that fits with the individual. I have experience at guiding many school age through to professional players through a return to play schedule and back to full health. As an Emergency Medicine Consultant in the local Trauma Centre i also have a wealth of experience of assessing a large variety of head injuries from not just sport but RTCs and personal injury.