To treat a concussion effectively, the key steps involve a combination of rest, gradual return to activity, symptom management, and medical supervision:
Initial Treatment and Rest
- Begin with a brief period of rest, avoiding physical exertion and activities that worsen symptoms, including sports and vigorous movements
- Avoid screen time and cognitive strain for the first 24-48 hours to reduce symptom exacerbation
- Use acetaminophen (Tylenol) for headache relief during the first 24 hours; avoid aspirin, ibuprofen, or other NSAIDs initially due to bleeding risk
- Ensure plenty of restful sleep and naps as needed, since sleep supports brain healing
Gradual Return to Activity
- After the initial rest, gradually increase physical and cognitive activities as tolerated without worsening symptoms
- Follow a graduated return-to-activity protocol that slowly reintroduces exercise, schoolwork, and daily tasks, monitoring for symptom recurrence
- Avoid any activities that risk another head injury until fully recovered and cleared by a healthcare provider
Symptom Management and Follow-up
- If symptoms persist beyond a few days or worsen, seek evaluation by a healthcare provider experienced in concussion management
- Treatment may include targeted therapies such as vestibular therapy, vision therapy, or exertion therapy depending on specific deficits
- Medications for persistent headaches or nausea may be prescribed but should be used cautiously to avoid rebound headaches
Summary
- Rest initially, with acetaminophen for pain relief.
- Avoid activities that increase symptoms or risk further injury.
- Gradually resume normal activities under medical guidance.
- Seek specialized care if symptoms persist or worsen.
Most people recover within 2 to 3 weeks with proper management, but recovery time can vary
. This approach balances rest and active rehabilitation to promote optimal recovery from concussion
