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New Recommendations for Concussion Treatment

Woman with ice bag on head

Antonio Diaz from Getty Images/CanvaPro

The conventional treatment for concussions has been to rest in a dark room until symptoms go away. Research has consistently shown that strict rest is not beneficial and may significantly delay recovery, but the medical community has been slow to change its ways. Organizations like the Concussion Alliance are working to change that by educating patients and providers.

The Consensus Statement on Concussion in Sport, a report prepared by an international panel of experts, recommends active rehabilitation. Immediately following a concussion, the report recommends continuing daily living activities, sleeping as needed and reducing screen time for 48 hours. Patients can return to light-intensity activity such as walking during the initial 24 to 48 hours following a concussion, provided the activity does not more-than-mildly exacerbate symptoms. After the first 48-hour period, the intensity of physical activity can be increased, so long as symptom exacerbation remains mild.

In a concussion, the brain jiggles and twists, causing the neurons—long, cordlike cells that transmit signals—to stretch and fray. During recovery, the brain reroutes signals around the damaged neurons. The healing process may result in exhaustion, headaches, feeling emotionally drained and having trouble performing simple tasks. Physical activity aids the healing process.

In-Print National Content Global and Health Briefs Health Brief June 2024
Tick Talk

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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