
A concussion is a traumatic brain
injury (TBI) caused by a bump or blow to the head or a hit to the body that
causes the brain to move rapidly.
This sudden movement of the brain can cause
damage to brain cells and create chemical changes in the skull.

Steps to Returning from a Concussion
- Baseline: Get Back to School/Work
Athletes should return to regular school or non-physical work
activities when they no longer experience symptoms from the injury. - Step 1: Light Aerobic Activity 
Athletes should exercise by biking, walking, or light jogging for
about 5-10 minutes to increase their heart rate. No lifting weights. - Step 2: Moderate Activity 
Continue to increase the athlete’s heart rate with moderate jogging,
brief running, medium-intensity stationary biking, or moderate weightlifting
(less time and/or less weight from their typical routine). - Step 3: Heavy, Non-contact Activity 
These activities include sprinting/running, high-intensity
stationary biking, regular weightlifting routine, and non-contact sport drills. - Step 4: Practice and Full Contact 
The athlete may return to practice and full contact, uncontrolled
situations. - Step 5: Competition 
The
athlete may return to competitive play. 
By Hilary Box, PharmD 
Resident Pharmacist Walgreens and Mercer University.

Sources
- Center for Disease Control (CDC), Concussion Management
Guidelines, Physician Tool Kit. 2015. - International Conference on Concussion in Sport, Vienna,
2001; Prague, 2004; Zurich, 2008.