• Recurrent HAs may indicate overexertion during recovery
• If migraine history, concussion may trigger migraine HA
• Promote sleep; it helps recovery
• Cognitive recovery may be longer than physical recovery
• Refer for symptoms lasting beyond 21 days OR escalating symptoms after injury OR multiple
concussions - ✔✔Concussion may?
• When able to focus for 30-45 mins at a time
• May need accommodations to school day or workday Back-to-Sports Prerequisites
• Return-to-school success
• Symptom free, no meds
• Normal neuro exam Back to Sports
• Asymptomatic with: Light aerobic exercise (increase HR) Sports-specific exercises (add movement)
Noncontact participation (coordination, increased thinking) Full contact practice (assess status)
Normal game/physical activity - ✔✔When Back to School/Work?
Primary headaches: migraine, tension, cluster
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