Understanding Concussions in Young Athletes

As we enter the fall sports season, many families are focused on practices, games, and keeping athletes safe on the field. One of the most important safety concerns for young athletes is concussions. Concussions are mild traumatic brain injuries caused by a bump, blow, or jolt to the head or body that disrupts normal brain function. This kind of impact can change how the brain functions, affecting how one thinks or acts.
While they are common, concussions should never be taken lightly. According to the Centers for Disease Control and Prevention, an estimated 1.7 to 3 million sports- and recreation-related concussions occur each year in the U.S., with children and teens at higher risk due to their developing brains. The good news is that with awareness, prompt care, and proper recovery, most young athletes can return safely to the sports they love.
Recognizing the Signs of a Concussion
Concussion symptoms may appear immediately or develop hours after an injury. It’s important for parents, coaches, and athletes to know what to look for. Common signs include:
- Headache or pressure in the head
- Dizziness or balance problems
- Sensitivity to light or noise
- Nausea or vomiting
- Trouble concentrating or remembering
- Confusion or appearing dazed
- Changes in mood, behavior, or sleep patterns
If your child reports “just not feeling right” after a hit or fall, take it seriously. When in doubt, always err on the side of caution.
What to Do if Your Child Has a Concussion
If you suspect your child has a concussion, remove them from play immediately and notify the coach or athletic trainer. Do not allow your child to return to practice or competition until evaluated by a healthcare provider trained in concussion care.
The brain needs time to heal, and rushing back into activities too soon can worsen symptoms or lead to longer recovery times. During recovery, your child may need:
- Rest from physical activity – Avoid sports, gym class, or any activity that risks another head injury until cleared.
- Modified schoolwork – Temporary adjustments like reduced homework, extra time on assignments, or breaks from screen time can help.
- Good sleep habits – Quality rest is essential for brain healing. Encourage consistent bedtimes and naps if needed.
- Gradual return to activity – Once symptom-free, your child should follow a step-by-step plan guided by a healthcare professional. This usually starts with light activity (like walking) and builds up to full sports participation.
Remember: return to learn should come before return to play. Most children recover within two to four weeks, but every child and every concussion is different. Patience, monitoring, and follow-up with a medical professional are key.
When to Seek Emergency Care
Although most concussions are not life-threatening, certain symptoms require urgent medical attention. Seek emergency care if your child experiences:
- Repeated vomiting
- Severe or worsening headache
- Slurred speech
- Seizures
- Loss of consciousness
- Unequal pupil size or vision changes
Protecting Young Athletes
While not every concussion can be prevented, there are steps parents and coaches can take to reduce risk:
- Make sure athletes wear properly fitted helmets and protective gear.
- Teach safe playing techniques and emphasize good sportsmanship.
- Encourage athletes to report symptoms right away rather than hiding them.
- Support a culture of safety where health always comes before the game.
If you suspect your child has a concussion, schedule an appointment with his or her primary care provider right away. Early evaluation and the right recovery plan can make all the difference in protecting your young athlete’s long-term health.
Steven Rock, MD
Sports Medicine Department
Medical Associates Clinic
Sources:
https://www.cdc.gov