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How long to take off after a (possible) concussion?

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How long to take off after a (possible) concussion?

Old 09-26-11, 12:07 PM
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sharpsandflatts
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How long to take off after a (possible) concussion?

So yesterday I took a spill down a slippery descent. Took a corner a bit too fast and had the bike go out from under me. I landed on my right hip and my head (with helmet) bounced off the pavement and I slid several feet along the road. Afterwards I was experiencing some off the symptoms of a concussion (dizziness, nausea, disorientation, drowsiness) but they subsided after a few hours so I elected not to go to the emergency room due to a lack of insurance. Today I feel ok other than some road rash on my hip and arm and some soreness in my neck from whiplash when my head hit the ground. Thankfully even my bike made it through relatively unscathed!

So my question is this: do I need to take any time off the bike? Since the risk of reinjury seems fairly low (I don't plan on crashing again) is it okay to just hop back on? Or is that a bad idea?

Go BF medical experts!
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Old 09-26-11, 12:09 PM
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Even with lack of insurance it's important to go to a doctor in case of a concussion.
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Old 09-26-11, 12:14 PM
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Doctor...not the 41. Get checked out.
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Old 09-26-11, 12:18 PM
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Saturday I bit it. Concussion, blacked out, taken by ambulance to emergercy room (was in the ambulance before I came to). Scraps, cuts, bruises, no broken bones. Back on the bike less than 2 days later. Not recommending you try the same without consulting a doctor.
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Old 09-26-11, 12:22 PM
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http://www.bikeforums.net/showthread...oncussion-Ride

I went back too soon and have to admit that it certainly set me back a bit. Not taking any time off of work is also setting me back too, though.
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Old 09-26-11, 12:28 PM
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How long to wait? What time yesterday did you get the concussion?

jk, see a doc.
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Old 09-26-11, 12:29 PM
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Symptoms can take awhile to manifest themselves. I got a good concussion once, and I was way worse 3 days after the fact than I was on the day of the accident.
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Old 09-26-11, 12:56 PM
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Look up second impact syndrome.

See a doctor.
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Old 09-26-11, 01:09 PM
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you have someone with you to make sure you wake up tonight and don't die?
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Old 09-26-11, 01:11 PM
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See a doctor.

I had a concussion last year and went to see my doctor (who's also a cyclist). He said that the concussion wasn't too bad but told me to stay off the bike for a week. I wasn't seriously injured and had ridden to work that day.

The reason he told me to stay off the bike was that while my concussion wasn't too severe, a 2nd concussion so soon after the first carries a very high risk of serious brain injury and possibly even death. It's just not worth the risk. The idea is that the brain needs time to heal. If the head takes another serious blow before it has healed, the consequences could be much more severe even if the actual hit isn't all that bad.
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Old 09-26-11, 02:21 PM
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+1 to all of the above advice. I'm not an MD, I don't play one on TV, and I didn't stay at Holiday Inn Express, but I know when it's time for expert medical advice. In your case, IT'S TIME!

SP
Bend, OR
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Old 09-26-11, 02:30 PM
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Second-impact syndrome is not something you want to mess around with.

It's your brain, it's not like a tweaked ankle or a broken finger, you can't walk it off or tough it out.

I'm pretty sure you didn't plan on crashing the first time, the risk was pretty low then too, and yet it still happened. Don't mess around with your future, it's not worth the risk.

And get a new helmet, if you hit hard enough to get symptoms, then your current one is done.
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Old 09-26-11, 02:34 PM
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Originally Posted by sharpsandflatts View Post
So yesterday I took a spill down a slippery descent. Took a corner a bit too fast and had the bike go out from under me. I landed on my right hip and my head (with helmet) bounced off the pavement and I slid several feet along the road. Afterwards I was experiencing some off the symptoms of a concussion (dizziness, nausea, disorientation, drowsiness) but they subsided after a few hours so I elected not to go to the emergency room due to a lack of insurance. Today I feel ok other than some road rash on my hip and arm and some soreness in my neck from whiplash when my head hit the ground. Thankfully even my bike made it through relatively unscathed!

So my question is this: do I need to take any time off the bike? Since the risk of reinjury seems fairly low (I don't plan on crashing again) is it okay to just hop back on? Or is that a bad idea?

Go BF medical experts!
That's just sad.



But it will be entertaining.
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Old 09-26-11, 03:01 PM
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Originally Posted by achoo View Post
That's just sad.



But it will be entertaining.
The law and medical expertise in the 41 is pure awesomeness!
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Old 09-26-11, 03:12 PM
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1 week after being completely symptom free you should be able to start easy. I would start on a trainer or exercise bike so that if you become dizzy or other symptoms you won't fall over or have to get yourself home.

this is our return to play protocol. we start this after they have passed their neurological tests

"
5-Step Graduated Exertional Return to Play Protocol

This exertional protocol allows a gradual increase in volume and intensity during the return to play process. The athlete is monitored for any concussion-like signs/symptoms during and after each exertional activity. The following steps are not ALL to be performed on the same day. In some cases, steps 1, 2, or 3(or even 4) may be completed on the same day, but typically will occur over multiple days. Steps 4 and 5 will each be performed on separate and subsequent days.

Step 1: 20 minute stationary bike ride
Step 2: Interval bike ride: 30 sec sprint/30 sec recovery x 10 and bodyweight
Circuit: Squats, push-ups, sit-ups.
Step 3: 60 yard shuttle run x 10 (40 sec rest); and plyometric workout: 10 yard bounding/10 medicine ball throws/10 vertical jumps x 3; and non-contact, sports-specific drills for approximately 15 minutes
Step 4: Limited, controlled return to full-contact
Step 5: Full sport participation in a practice."
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Old 09-26-11, 03:12 PM
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Originally Posted by tagaproject6 View Post
The law and medical expertise in the 41 is pure awesomeness!
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Old 09-26-11, 10:19 PM
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Originally Posted by sharpsandflatts View Post
So yesterday I took a spill down a slippery descent. Took a corner a bit too fast and had the bike go out from under me. I landed on my right hip and my head (with helmet) bounced off the pavement and I slid several feet along the road. Afterwards I was experiencing some off the symptoms of a concussion (dizziness, nausea, disorientation, drowsiness) but they subsided after a few hours so I elected not to go to the emergency room due to a lack of insurance. Today I feel ok other than some road rash on my hip and arm and some soreness in my neck from whiplash when my head hit the ground. Thankfully even my bike made it through relatively unscathed!

So my question is this: do I need to take any time off the bike? Since the risk of reinjury seems fairly low (I don't plan on crashing again) is it okay to just hop back on? Or is that a bad idea?

Go BF medical experts!
You don't plan on crashing again?

I don't think you planned on crashing the first time but it happened...

Take time off.
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Old 09-27-11, 11:43 AM
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Originally Posted by sharpsandflatts View Post
So yesterday I took a spill down a slippery descent. Took a corner a bit too fast and had the bike go out from under me. I landed on my right hip and my head (with helmet) bounced off the pavement and I slid several feet along the road. Afterwards I was experiencing some off the symptoms of a concussion (dizziness, nausea, disorientation, drowsiness) but they subsided after a few hours so I elected not to go to the emergency room due to a lack of insurance. Today I feel ok other than some road rash on my hip and arm and some soreness in my neck from whiplash when my head hit the ground. Thankfully even my bike made it through relatively unscathed!

So my question is this: do I need to take any time off the bike? Since the risk of reinjury seems fairly low (I don't plan on crashing again) is it okay to just hop back on? Or is that a bad idea?

Go BF medical experts!
Did you plan on having this crash?

edit: Didn't see above post.

Last edited by jwill87ta; 09-27-11 at 11:44 AM. Reason: redundancy
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Old 09-27-11, 12:29 PM
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Originally Posted by eippo1 View Post
http://www.bikeforums.net/showthread...oncussion-Ride

I went back too soon and have to admit that it certainly set me back a bit. Not taking any time off of work is also setting me back too, though.
Can you elaborate on your experience since it's so recent (and still ongoing) for you?

To the OP:
The thing with a concussion is that it's an injury to the most important tissues in your body and you can't see it to figure out if it's healed yet. Since you have some roadrash and presumably bruising from your crash, you have something to compare healing time to. You could assume that your brain isn't going to heal any faster than your roadrash. Wait until you're completely healed to risk going out again.

Further, "rest" for your brain is indicated. This includes keeping your heartrate low (no exercise) and limiting your mental exertion (no calculus or political debates). Spend as much time as you can in a relatively dim and quiet environment and rest both physically and mentally as much as is possible.
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Old 09-27-11, 01:49 PM
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Originally Posted by nhluhr View Post
Further, "rest" for your brain is indicated. This includes keeping your heartrate low (no exercise) and limiting your mental exertion (no calculus or political debates). Spend as much time as you can in a relatively dim and quiet environment and rest both physically and mentally as much as is possible.
That's what my neurologist told me after my latest concussion as well. She said to not even watch TV or spend time on the computer for a few days.
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Old 09-27-11, 02:29 PM
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OP here. Thanks for all of the extremely qualified medical advice. I didn't ride yesterday at all. Today I commuted to work slowly and carefully (it's only 3mi each way). I haven't experienced any symptoms since a slight dizziness yesterday morning. I plan on limiting myself to roller training for the next week or so before I resume my non-commuting riding.

Oh and I bought myself a snazzy new giro ionos and a set of pearl izumi bibs to replace the ones damaged in the crash!
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Old 09-27-11, 02:32 PM
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What are you training for?

I didn't take enough time off (read: any) after my concussion last year and I didn't do myself any favors in terms of fitness or healing by doing so.
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Old 09-27-11, 03:17 PM
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You can easily drop $150 on a helmet but can't afford health insurance?
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Old 09-27-11, 04:01 PM
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Originally Posted by sharpsandflatts View Post
OP here. Thanks for all of the extremely qualified medical advice. I didn't ride yesterday at all. Today I commuted to work slowly and carefully (it's only 3mi each way). I haven't experienced any symptoms since a slight dizziness yesterday morning. I plan on limiting myself to roller training for the next week or so before I resume my non-commuting riding.

Oh and I bought myself a snazzy new giro ionos and a set of pearl izumi bibs to replace the ones damaged in the crash!
I guess you missed the multiple memo's about resting for longer. enjoy your headaches.
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Old 09-27-11, 04:22 PM
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have you ever tried buying health insurance on your own? It's a lot less affordable than 1 helmet.
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