Concussion Care

Memorial Hospital adheres to internationally recognized testing and evaluation criteria to diagnose concussions and track their recovery. Our orthopedist and sports medicine specialists have helped defi ne concussion treatment protocols used by professional sports leagues such as the NHL and AHL. As part of the Mt. Washington Valley community, we have a special concern about concussions and brain injuries - especially as they relate to younger people.

Dr. James Glazer

A Recognized Authority on Concussions

Dr. James Glazer is a sports medicine specialist at Memorial Hospital. He has extensive experience in evaluating concussions in all age groups, and has worked with NHL and AHL teams to establish protocols for dealing with concussions.

He has worked with local schools and sports clubs to bring state of the art diagnostic and treatment protocols into the community, and is considered a leading voice in the dialogue surrounding concussions in young athletes.

Concussion Facts

  • A concussion is a brain injury resulting from an impact to the body that may be mild or severe. A person does not need to have lost consciousness to sustain a concussion.
  • Symptoms include: headache, sleeplessness, irritability, and poor concentration. One of the principal signs of concussion is poor balance.
  • With proper rest, 80% of people recover within 7-10 days after the injury. But 20% have ongoing health issues.
  • Today there is a strong focus on concussions related to sports. Each year, emergency departments treat more than 170,000 traumatic brain injuries (TBIs) among children and adolescents, from 1-19 years.

What to Expect

Here at Memorial’s Concussion Center, we take a thorough concussion history, including other important factors such as migraine headaches and school performance. We use state of the art balance assessment tools, as well as conduct a general and concussion-specifi c neurologic exam. We use internationally-recognized concussion screening parameters to track recovery, and when appropriate we employ state-of-the-art electronic neuropsychiatric testing. If further consultation is required, Dr. Glazer has developed close clinical relationships with concussion experts in Boston who help with the most diffi cult cases.

Signs of Concussion

  • Headache or a feeling of pressure in the head
  • Temporary loss of consciousness
  • Confusion or feeling as if in a fog
  • Amnesia surrounding the traumatic event
  • Dizziness or “seeing stars”
  • Ringing in the ears
  • Nausea or vomiting
  • Slurred speech
  • Fatigue

Delayed symptoms

  • Concentration and memory complaints
  • Irritability and other personality changes
  • Sensitivity to light and noise
  • Sleep disturbances
  • Psychological adjustment problems and depression
  • Disorders of taste and smell

The Impact of Concussions on Young Athletes

With competition in youth sports intensifying, there is clear evidence that concussions among young people are on the rise, and pose a special threat to the health of our community. Sports concussions can be missed, misjudged, or ignored, sometimes resulting in permanent brain injury, or even death. Key facts include:

  • Normal standards of concussion care may not apply to young people because the eff ects of their injury may be subtle.
  • Young people who suff er a concussion are more susceptible to concussions in the future.
  • According to Dr. Glazer, it takes 2 to 4 times as long for people under age 13 to recover from a concussion – and 4 out of 5 won’t report lingering eff ects to their parents. That’s why, he says, it’s so important that concussions be identifi ed, assessed, and accurately diagnosed.

The right care is critical. A concussion is a functional injury. It aff ects how the brain works. So, for example, a CT scan or MRI will not reveal a concussion or its severity. It takes a specialist to diagnose and treat the condition properly. If you suspect that you or someone you know is suff ering from a concussion – either immediately after the injury occurs or in the days and weeks that follow – contact us.