Sleep behavior techniques may be helpful as is the use of certain medications. If getting to sleep or staying asleep is difficult, discuss this with your doctor for further recommendations. Restful sleep is important in all stages of recovery from concussion. In some patients, nausea and vomiting can be bothersome, and prescription medications can help. After the first 24 hours, ibuprofen (Advil) and naproxen sodium (Naprosyn, Aleve) are generally more effective for pain relief, and are safe. During the first 24 hours acetaminophen (Tylenol) can be used for pain relief. These include aspirin, ibuprofen (Advil), and naproxen sodium (Naprosyn, Aleve). Management During the Acute Symptomatic Phaseĭuring the first 24 hours you should avoid medications that can increase risk of bleeding. See Electronic Devices and Screen Time During Concussion Recovery (below) for information about screen time during recovery. During the acute symptomatic phase, any activity that worsens symptoms should be avoided or limited. Exposure to bright lights, loud sounds, and movement may also worsen symptoms. In the first one to two days after suffering a concussion, near complete rest is important.Įven though symptoms during the acute symptomatic phase may be quite limiting, returning to light thinking and physical activities should start after the first couple of days.Įxamples of light thinking activity include:Įxamples of light physical activity include:ĭuring the acute symptomatic phase, it is typical that thinking and physical activity can make symptoms worse. Increasingly restless, agitated, or combative.Persistent double vision or loss of vision.Weakness, tingling, or burning in arms or legs.Increasing confusion or inability to stay awake.Loss of consciousness for more than one minute.If you experience any of the following "Red Flag Symptoms during this phase," you should go to the emergency room: Typically, this phase lasts less than three days. The acute symptomatic phase is defined as the time from injury, through maximum symptoms, to the beginning of when the symptoms resolve. The time spent in each phase is influenced by many factors and has individual variation. There are three phases of concussion recovery: A specialist should direct care for recovery from concussion. Please note that reading information about concussion, including this web page or others, is not a substitute for appropriate care. ![]() ![]() Management of recovery should be individualized and directed by a health care provider with expertise in concussion care and who has ready access to treatment resources. ![]() If recovery is not properly managed it can lead to unnecessarily prolonged recovery. During recovery it is critical to identify the factors responsible for symptoms and to develop a treatment plan targeting them. Recovery from concussion is a complex and dynamic process.
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