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Concussion Management

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Dr. Zappala is a member of the National Concussion Registry and is uniquely qualified to diagnose and manage concussions both in the field and in office. He is also well versed in RTP (Return to play) protocols and can guide you back to sport safely and efficiently.

If you suspect that you have a concussion, pull yourself from the competition, seek medical attention and get evaluated. If it is determined that you have suffered a concussion, you should immediately practice cognitive rest. That means no cell phone, limit all screen time and no exercise for the first 48 hours.

What is a concussion?

A concussion is a brain injury altering brain functions typically for a temporary amount of time. 

How does a concussion occur?

A concussion can occur from any hit to the body or head. A concussion typically occurs when a forceful blow results in rapid head movement leading to brain function alterations.

Signs and Symptoms of a concussion can include (can occur immediately or hours later):

- Headache

- Dizziness, lightheaded

- Nausea, vomiting

- Dazed, glazed appearance

- Lack of coordination or balance

- Feeling of being in a fog

- Emotional changes (e.g., both happy and sad)

- Amnesia (memory loss either after the event and/or prior to the     event)

- Slowed response time (verbal or physical)

- Disorientation, confusion

- Altered vision (e.g., blurry vision or double vision)

- Dilated or unequal pupils

- Sensitivity to light

- Auditory changes (e.g., sensitivity to sound, ringing in the ears)

- Difficulty concentrating, recalling information

What should I do if I suspect I, or someone else, have sustained a concussion?

Stop activity, tell someone, and seek further medical attention.

When can I return to competition?

You may return to competition once you have provided a note from a physician clearing you for full participation.  It is your responsibility to provide this physician note from a MD, DO, or sports medicine chiropractor. Your Athletic Trainer cannot clear you for participation. If any symptoms return, it is important that you notify a health care professional for further care.

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