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Sports-related Concussions And Head Injuries

Head injuries and concussions can happen in contact sports such as basketball, football, rugby, netball, squash (or even in pure missteps or accidents), and they can be commonplace too.

A concussion usually happens with 

  1. two or more heads colliding
  2. a fall and hitting head against a surface, with or without a bounce

What happens is that as our human brain is suspended in our skull, covered with cerebro-spinal-fluid (CSF), the sudden quick deceleration of the head can cause the brain to move front and/or back and hit the skull. If the force or impact is strong enough, it may cause brain bruising, and that's what that leads to concussion.

Signs and Symptoms of a Concussion

The symptoms really depends on the severity of the head injury and concussion.

Mild concussion:

  • No loss of consciousness
  • Slight confusion (i.e. disorientated to either time, date, place)
  • Difficulty or inability recalling what just happened
  • Patient may report ringing in ears or slight difficulty hearing
  • Slight headache or nausea
  • Pain over area of contact/collision

Moderate concussion:

  • Loss of consciousness (blackout/faint) for less than 3 minutes
  • Confusion (commonly unable to recall date, time and place)
  • Confused as to what happened or what's happening
  • Difficulty or inability to track movement
  • Reports loud ringing in ear and/or difficulty hearing
  • Delayed vomiting ie vomits moments/hours later with nausea
  • Moderate headache
  • Pain over area of contact
  • Mild to moderate loss of balance

Severe concussion:

  • Loss of consciousness (blackout or fainting) for more than 3 mins
  • Confusion to time, place, date for more than 5 mins.
  • Loss of memory of events before incident
  • Immediate vomiting, severe headache and ringing in ear
  • Possible increase in heart rate and drop in blood pressure
  • Moderate to severe pain over area of contact
  • Severe loss of balance

For anyone who has had a concussion, we always recommend that they be monitored for the first 24-72 hours as concussion/head injuries symptoms may "take time to build up" so may only present after some time.

For safety reasons, if any athlete/sportsperson has 2-3 events of even mild to moderate concussions in a season, they can be and are normally advised to retire for the seasons...and sometimes to retire fully if they had experienced 2 moderate-severe concussions.

The reason for this is not that concussions and head injuries symptoms may persist for months and in some cases, years; but sometimes can present with more symptoms through the years.

Post-Concussion Syndrome

Post-concussion syndrome refers to symptoms that presents after a concussion.

They include but is not limited to:

  • nausea
  • disorientation/confusion
  • headaches
  • light sensitivity
  • sound sensitivity
  • memory loss
  • attention loss
  • anxiety
  • etc

For some, it may last for months and years.

Management of head injuries and Concussion

During the acute phase, patient is recommended for complete rest in bed for at least one (1) full week or more, and monitored during this time of rest for any neurological or post-concussion syndrome.

If the patient shows no signs of post-concussion syndrome or symptoms, then the patient may be allowed back to sports if the attending sports physician approves of it. Of course, return to sports need to be gradual and progressive, managed and supervised by a senior physiotherapist in collaboration with the sports physician.

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Phoenix Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations and custom made hand splints.


Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.



Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired , tight and tense muscles to accelerate recovery and shorten downtime. It also helps prevents muscles from scar tissue micro-tears (and future ruptures), and increases muscle performance. When done regularly it will keeps your muscles and you healthy and fit and have body/movement-confidence.


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You can expect better fat loss and muscle gain, have reduced risks of injury, establish effective exercise and health habits as well as overcome those annoying "flatline plateus" to breakthrough to your next level of fitness and weight loss.

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here by location and specialization.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session. 

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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