A concussion is a head injury caused by a bump or blow to the head. [1] Forceful impact causes the brain to hit the skull, leading to a contusion (or bruise) in the brain, which may cause headaches, balance issues, loss of memory, and/or irritability. If bad enough, this can also cause brain swelling. It is important to know how to prevent and minimize your risk of developing this traumatic brain injury in sports, around the house, and as you age. By using a helmet when needed and avoiding serious impacts in sports, you’ll be better able to prevent concussions.

Method 1
Method 1 of 3:

Playing Sports Safely

  1. In many contact and non-contact sports that carry a potential risk of head injury, helmets are encouraged or required. For instance, when riding a bike or playing football, helmets are used to protect the head, and can prevent concussions. [2]
    • Choose a helmet that fits. Depending on your age and the size of your head, your helmet will fit differently than your friend’s helmet. All helmets should fit snugly — but not tightly — with no spaces between the soft foam of the helmet and your head. [3]
    • Ensure the helmet you’re wearing is certified for use and worn appropriately. For instance, don’t wear a bike helmet when riding a motorcycle; instead, wear a motorcycle helmet. Similarly, wear your helmet with all straps and fasteners connected securely. [4]
    • Wear your helmet every time you engage in an activity that would require a helmet. Make it a part of your activity gear. For instance, when getting ready to play baseball, pack your bag, glove, baseball, and batting helmet.
  2. Ensure someone is present to monitor you and your team when playing a contact sport. [5] Your supervisor could be a coach, physical fitness instructor, doctor or another person. Whoever you have supervising your play, they should be properly trained and qualified to identify situations in which a concussion could occur. If the monitor sees that someone in the game is at risk for a concussion, they must take the necessary steps to prevent it.
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  3. Ask your coach to educate you and your teammates about concussions and their symptoms. [6] For example, they might tell you to watch for nausea, vomiting, slurred speech, confusion, and dizziness following a serious head injury. Concussions can also produce a variety of delayed symptoms such as disrupted sleep patterns, headache, memory problems, difficulty concentrating, and disorders in taste and smell.
    • Speak up if you have concussion symptoms. Accept the decision of your coach if they believe you are at risk for a concussion.
    • Help your friends and parents understand concussions as well. A culture in which everyone is alert to the dangers of concussions will help prevent them from occurring.
  4. [7] Athletes with strong neck muscles may be able minimize the high-speed impact of, for instance, a tackle on the football field. Exercises like moving the head up and down, with the chin touching the chest, can strengthen the neck. Moving your head from side to side so that you can look behind you and over your shoulder may also improve neck strength.
  5. Examine the playing field for holes or uneven terrain. No matter what sport you’re playing, you’re more likely to suffer a concussion if the terrain cannot be easily traversed. Check the field before playing to ensure it is free of holes and patchy areas. Insist that any holes are filled in before beginning play.
    • Ensure end posts and equipment are padded. End posts on a football field, or the sides of soccer goals, should be padded to ensure that players do not strike their heads against them accidentally. Sports padding is available from major sporting goods stores and manufacturers of sports equipment.
  6. Good sportsmanship means playing with honor, decency, and a respect for your teammates, yourself, and your opponents. If players are less aggressive on the playing field, they will be less likely to both inflict and suffer concussions.
    • Helping others up when they fall (even when they are not your teammates), apologizing and admitting to foul play, and shaking hands at the end of a game are all examples of how you can demonstrate good sportsmanship.
    • Do not play with others who will not play by the rules and demonstrate respect for others both on and off the field.
  7. [8] Children under the age of twelve should not be allowed to engage in full-contact sports such as football, hockey, rugby, boxing, and martial arts. Instead, focus on developing general fitness, agility, and hand-eye coordination in non-contact sports such as baseball, basketball, and golf.
  8. In a contact sport like football, using the proper technique to tackle is important in minimizing injuries. Coaches and parents should focus on teaching good technique. For instance, it is not acceptable to "spear," or lead with the head, when tackling. The head should never make contact first — shoulders should be used to hit, not helmets. [9]
    • Head-first contact can be observed in sports other than football. It is imperative you emphasize that this is not a safe technique and can lead not only to concussions but also serious neck and cervical-spine injuries.
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Method 2
Method 2 of 3:

Keeping Your Home Safe

  1. Your stairways should be clear of debris. [10] If you have young children, they might be in the bad habit of leaving their toys strewn about. This is especially dangerous near staircases, where the possibility that you trip or slip on a toy could lead to a tumble down the stairs and end up with a concussion or broken bones.
    • Use stair gates. [11] If you have little kids running about the house, they might not negotiate stairs as carefully as they should (or at all). Stair gates are low (about one meter high) gates that can extend up to two meters to corral an area off in order to keep pets and young children away. If you want to keep your kids or pets away from the stairs, place a stair gate in front of them in order to deprive them access to the stairs.
    • Adding carpet to the stairs to prevent slips.
    • Ensure handrails are present to steady yourself when using stairs.
  2. If your home is well-lit you will be more likely to see objects in front of you that could cause you to fall. Immediately replace any bulbs that blow, and ensure the lighting illuminates the floors all over the house.
    • Don’t get in the bad habit of walking about your home at night with the lights off when you wake to check on your child or go to the bathroom.
  3. [12] For instance, if you’re working on your roof, you should wear a helmet and slip-resistant boots. Always have a spotter hold the ladder steady when you’re climbing it. If you’re changing an overhead light, have a spotter and only stand on a step ladder or chair that doesn’t have wheels to minimize potential movement.
  4. [13] If the floor is wet or greasy, someone could step in the spill and slip, leading to a concussion. Avoid this by immediately cleaning up spills with paper towels or damp rags. This is especially common around the kitchen where drinks are most likely to be spilled.
    • Prevent spills by drinking out of water bottles and giving children spill-proof cups. Keep cups away from the edge of the table. Move cups and other dishes to the sink when not in use.
  5. [14] If you have a home playground set in your backyard, install woodchips or sand below it. Dirt and grass may seem soft when compared to, say, concrete, but a fall on either can still produce a concussion. The impact of a fall on woodchips or sand, however, is distributed far better than a similar fall on dirt or grass.
    • In addition to installing woodchips or sand beneath your own home playset, take your children only to playgrounds where the equipment is installed above soft terrain.
    • If your child attends a school where the playground is on dirt or grass, talk with the principal about having some woodchips or sand installed.
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Method 3
Method 3 of 3:

Preventing Concussions in Adults

  1. As you age, your ability to balance declines. Vertigo, unsteadiness, and light-headedness can cause you to feel less confident when walking and may lead to concussive falls. [15] Tai Chi, yoga, and dance are all forms of light exercise that can improve your sense of balance and smooth your movements. [16]
    • Try to get at least 30 minutes of exercise five days a week.
  2. Feeling dizzy or lightheaded could cause you to fall, which might result in a concussion. If you are experiencing dizziness, you need to see a doctor for evaluation. There are many potential causes of this that need to be worked up, for instance, heart arrhythmia, anemia, electrolyte imbalance, medication side effects, stroke, and many more.
    • Sit or lie down if you feel dizzy. [17] The easiest way to prevent a fall and subsequent concussion is to keep yourself out of situations that could lead to one. Don’t try to power through a vertigo episode or feeling of unsteadiness. This could lead to a head injury.
    • Additionally, don’t look at bright lights and TV for a while. Lie down and close your eyes when you feel yourself becoming lightheaded.
  3. . Some anxiety disorders, especially those that may cause panic attacks, may cause you to feel woozy or lightheaded. [18] Seek the help of a mental health professional to treat your anxiety.
    • Some ways to manage anxiety include deep breathing exercises, yoga, and meditation.
    • Taking care of yourself by eating healthy, exercising, and getting enough sleep can help you cope with anxiety. [19]
  4. If you are in an automobile accident, you might injure your head. To prevent a head injury and ensure the appropriate application of airbags, wear your seatbelt. [20]
    • In addition, always wear a motorcycle helmet when riding a motorcycle or scooter and a bicycle helmet when cycling. [21]
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Expert Q&A

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  • Question
    How can head injuries be prevented?
    Michael Lewis, MD, MPH, MBA, FACPM, FACN
    Board Certified Brain Health Physician
    Michael D. Lewis, MD, MPH, MBA, FACPM, FACN, is an expert on nutritional interventions for brain health, particularly the prevention and rehabilitation of brain injury. In 2012 upon retiring as a Colonel after 31 years in the U.S. Army, he founded the nonprofit Brain Health Education and Research Institute. He is in private practice in Potomac, Maryland, and is the author of "When Brains Collide: What every athlete and parent should know about the prevention and treatment of concussions and head injuries." He is a graduate of the U.S. Military Academy at West Point and Tulane University School of Medicine. He completed post-graduate training at Walter Reed Army Medical Center, Johns Hopkins University, and Walter Reed Army Institute of Research. Dr. Lewis is board certified and a Fellow of the American College of Preventive Medicine and American College of Nutrition.
    Board Certified Brain Health Physician
    Expert Answer
    There are different ways! To prevent concussion in sports, make sure all players wear appropriate safety gear, and be consistent about enforcing rules designed to decrease contact and collisions. Also, consider limiting contact in practice, and put limits on the amount of contact used by younger players.
  • Question
    How do you treat a concussion?
    Michael Lewis, MD, MPH, MBA, FACPM, FACN
    Board Certified Brain Health Physician
    Michael D. Lewis, MD, MPH, MBA, FACPM, FACN, is an expert on nutritional interventions for brain health, particularly the prevention and rehabilitation of brain injury. In 2012 upon retiring as a Colonel after 31 years in the U.S. Army, he founded the nonprofit Brain Health Education and Research Institute. He is in private practice in Potomac, Maryland, and is the author of "When Brains Collide: What every athlete and parent should know about the prevention and treatment of concussions and head injuries." He is a graduate of the U.S. Military Academy at West Point and Tulane University School of Medicine. He completed post-graduate training at Walter Reed Army Medical Center, Johns Hopkins University, and Walter Reed Army Institute of Research. Dr. Lewis is board certified and a Fellow of the American College of Preventive Medicine and American College of Nutrition.
    Board Certified Brain Health Physician
    Expert Answer
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      Article Summary X

      The best way to prevent a concussion is to follow safety precautions and protect your head in high-risk situations. One of the most common ways to get a concussion is while playing sports, so always wear a helmet and follow proper safety rules when you play. It’s also important to wear protective headgear during activities like riding a bike or doing construction work. Since concussions can happen due to falls, keep your home or play areas safe by picking up clutter that people could trip over and cleaning up slippery spills immediately. Keep your home well-lit to prevent accidents in the dark. In areas where kids play, such as playgrounds, put down soft surfaces such as sand or woodchips in case of falls. For expert advice on how to recognize the symptoms of a concussion, keep reading!

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