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As Doctors Learn More About Brain Injuries, New Concussion Recommendations Needed

Elle Moxley

Dr. Joseph Waeckerle says he's always been interested in sports medicine because athletes are usually highly motivated to get better and get back on the field.

Put simply, they're better patients.

But now doctors know more about concussions than they did when Waeckerle, a longtime Kansas City physician, studied sports medicine in the 1970s. 

"In the past, the assumption has been that most anyone can take care of a concussion," Waeckerle says.

Not anymore.

"The science, the experience, the clinical wisdom, the patient population — we need to be a little bit more careful about who we trust our child to, who we trust ourselves to and who we trust to make decisions about the future," Waeckerle says.

Waeckerle, who spoke Thursday at a Brain Injury Association conference in Overland Park, Kan., is an expert on concussion management. He sits on the National Football League's Head, Neck and Spine Committee. He also works on return-to-play issues for the NFL Players Association.

"You'll never prevent concussions," Waeckerle says. "Concussions are inevitable."

What doctors can do is make concussions safer. But Waeckerle says Kansas and Missouri rules for high school athletes with head injuries are inadequate.

Both states require a physician to clear players before they return to the field after a possible head injury. The problem, Waeckerle says, is that most primary care doctors and even many neurologists don't have adequate concussion training and might not recognize post-concussion complications.

It's not just athletes who are at risk.

Robin Abramowitz with the Brain Injury Association of Kansas and Greater Kansas City says even a minor fall around the house can cause permanent damage. Worse, trouble doesn't always surface right away.

"Pay attention to how you're feeling," Abramowitz says. "Are you all of a sudden getting headaches? Is your vision blurry? Do you feel nauseous? Are you just extremely tired? Are you having trouble with your balance? There are all kinds of things that can happen, and sometimes these things don't show up until a couple days later."

Elle Moxley covered education for KCUR.
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