A medical action plan for concussion management calls for a follow-up plan for symptomatic patients.
The doctor or clinician may decide to:
Monitor the patient in the office or
Refer the patient to a concussion specialist
Serial evaluation of the concussion is critical as symptoms may resolve, worsen, or ebb and flow depending upon many factors (e.g., cognitive/physical exertion, other medical conditions). Referral to a specialist can be particularly valuable to help manage certain aspects of the patient’s condition.
Physician/clinician serial monitoring – particularly appropriate if number and severity of symptoms are decreasing over time and/or fully resolve within 3-5 days. If steady reduction is not evident, referral to a concussion specialist is warranted. Use of the following evaluations is recommended:
Referral to a concussion specialist – appropriate if symptom reduction is not evident in 3-5 days, or sooner if symptom profile is concerning in type and/or severity.
Neuropsychological Testing – provides valuable information to help assess a patient’s cognitive, emotional and behavioral symptoms, and assist with treatment planning, such as return to play, school or work. To schedule appointments, call 502.585.3472.
Physician evaluation – particularly relevant for medical evaluation and management of concussion. It is also critical for evaluating and managing focal neurologic, sensory, vestibular and motor concerns. It may be useful for medication management (e.g., headaches, sleep disturbance, depression) if post-concussion problems persist.