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Dyson Pediatrics | Tucson, Arizona

Concussion Care and Return to Play Guidance

Dyson Pediatrics helps Tucson families recognize concussion symptoms, understand when a child or teen should be removed from sports, and follow a safe recovery plan for school, activity, and return to play.

Suspect a Concussion?

Remove the athlete from play right away

Same-Day Return?

No return to sports the same day

Back to Play

Only after symptoms resolve and progression is completed

What Is a Concussion?

A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head or body that causes the brain to move rapidly back and forth. Even what seems like a mild hit can be serious. The concussion sheet you uploaded explains that symptoms may appear right away or may not be noticed until hours or days later. 

Most concussions happen without a child being knocked out. HealthyChildren also notes that many athletes with concussions never lose consciousness, which is one reason these injuries can be missed at first. 

Common Signs and Symptoms of a Concussion

The uploaded Parent/Athlete Concussion Information Sheet lists both signs others may notice and symptoms the athlete may report. Page 1 includes signs such as appearing dazed or stunned, confusion, forgetting instructions, moving clumsily, answering questions slowly, brief loss of consciousness, mood or personality changes, and not remembering events before or after the hit. It also lists symptoms such as headache, nausea or vomiting, dizziness, blurry vision, sensitivity to light or noise, feeling foggy or groggy, concentration problems, confusion, and just not feeling right. 

What Parents, Coaches, or Teachers May Notice

  • appears dazed or stunned
  • confused about the game, score, or assignment
  • forgets instructions
  • moves clumsily
  • answers questions slowly
  • seems different in mood, behavior, or personality
  • cannot recall events before or after the hit

What the Child or Teen May Report

  • headache or pressure in the head
  • nausea or vomiting
  • balance problems or dizziness
  • double or blurry vision
  • sensitivity to light or noise
  • feeling sluggish, hazy, foggy, or groggy
  • trouble concentrating or remembering
  • just not feeling right

Danger Signs That Need Urgent Medical Attention

Page 2 of the uploaded concussion sheet lists red-flag symptoms that need immediate medical attention. 

  • one pupil larger than the other
  • is very drowsy, cannot be awakened, or cannot stay awake
  • headache that gets worse and does not go away
  • weakness, numbness, or decreased coordination
  • repeated vomiting or repeated nausea
  • slurred speech
  • convulsions or seizures
  • cannot recognize people or places
  • increasing confusion, restlessness, agitation, or unusual behavior
  • loss of consciousness, even briefly

What Should You Do If You Think Your Child Has a Concussion?

The uploaded handout says that if you suspect a concussion, the athlete should be removed from play and kept out for the rest of the day until a health care professional says the athlete is symptom-free and safe to return. :contentReference[oaicite:7]{index=7}

  1. Remove your child from sports or physical activity right away.
  2. Do not let them return the same day.
  3. Watch closely for worsening symptoms or danger signs.
  4. Have them evaluated by a medical provider experienced in concussion care.
  5. Follow a gradual plan for school, exercise, and return to sports.

CDC guidance matches this closely and says that children with suspected concussion should be removed from play immediately and not return to sports the same day. 

Concussion Recovery, Return to School, and Return to Play

Page 3 of the uploaded PDF includes a return-to-play progression that starts with full physical and cognitive rest until symptoms are gone for at least 24 hours, then moves step by step from light aerobic exercise to moderate exercise, non-contact exercise, practice, and finally play. It also says athletes should only move to the next step if they remain symptom-free, and if symptoms return they should stop, rest again, and restart at the previous symptom-free level. :contentReference[oaicite:9]{index=9}

Current guidance is a little more updated than the older sheet. AAP recommendations now favor avoiding prolonged strict rest and instead using a gradual return to light activity as tolerated. HealthyChildren also says most children can usually return to school within 2 to 3 days with supports once light thinking and physical activity are tolerated for 30 to 45 minutes. 

Return to School

  • most children should not stay home from school too long
  • return is often possible within a few days with accommodations
  • supports may include rest breaks, reduced workload, and limited screen exposure
  • symptoms should guide the pace

Return to Play

  • no same-day return to sports
  • begin only after symptoms improve and a provider approves progression
  • each step usually takes at least 24 hours
  • if symptoms come back, stop and go back to the previous level

When to Call Dyson Pediatrics

  • your child has ongoing headache, dizziness, nausea, or light sensitivity
  • symptoms are not improving over the next few days
  • your child is struggling to return to school
  • you need sports clearance or return-to-play guidance
  • your child has had more than one concussion
  • you are not sure whether symptoms are concussion-related

Need Concussion Guidance for Your Child or Teen?

Dyson Pediatrics helps Tucson families with concussion evaluation guidance, recovery planning, return-to-school support, and return-to-play follow-up.

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For non-urgent questions and requests, use the form below. If you have MyChart account, it’s often the quickest way to message us, manage appointments, and take care of forms.

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