- Referral resources
Pediatric Orthopedics sports concussion program
- Within 6 weeks of injury
- Exclusion: abnormal scan, younger than 8yo
- West Bay clinic will only see sports-related injuries
- Locations: Mission Bay (415-353-1915), Oakland (855-722-8273), Walnut Creek (925-979-3430)
Pediatric Neurology - Typically manages sequelae persisting longer than 6 weeks
- General neurology
- Pediatric Neurorecovery – additional brain injury training, knowledge of local supports
- Pediatric Brain Center: (855) 722-8273. Locations: Mission Bay, Marin, Oakland, Walnut Creek, Brentwood
- Encourage active recovery (Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022)
Self-guided resources:
- Should they return to sports? Different risk levels by sport and gender. Higher-risk activities include football, soccer, and horseback riding. Review the pros and cons. 3x increased risk of concussion after first concussion (van Ierssel J et al., Br J Sports Med. 2021).
- Retirement from sport: recommended by experts if there are structural imaging findings from the concussion or TBI-related cognitive impairment. Discuss risks and benefits with patient and family. (Davis-Hayes, et al., Neurology 2018).
https://www.neurology.org/doi/10.1212/CPJ.0000000000000424