A concussion is a brain injury, and most of them happen without anyone losing consciousness. A hit to the head during a game, a fall at home, a rear-end collision on I-70 — any of these can leave you with a headache that will not lift, a fogginess you cannot shake, light that suddenly feels too bright, or sleep that stops working. You do not need an appointment and you do not need a referral to have it looked at.
Our evaluation covers what actually matters after a head injury: the symptoms you are having, how your thinking and memory are working, your balance and eye movements, and a neurological examination. We take a careful history of how the injury happened, because the mechanism tells us a great deal about what to look for. Where the examination suggests something more than a concussion, we have digital X-ray on site and we arrange the imaging and specialist referral you need.
Most people recover from a concussion, but recovery is not automatic and it is not a matter of waiting it out in a dark room. You leave with a written plan: what to do in the first 48 hours, how to reintroduce screens, schoolwork and exercise in stages, what should make you come back, and when it is safe to return to sport. Returning to play too early, before the brain has recovered, is what turns a manageable injury into a lasting one.
Some head injuries are emergencies, not urgent care visits. Call 911 or go to an emergency department for loss of consciousness, a headache that keeps getting worse, repeated vomiting, a seizure, weakness or numbness, slurred speech, unequal pupils, clear fluid from the nose or ears, or someone who cannot be woken. The CDC’s HEADS UP program lists the same warning signs and is worth reading if you coach or parent an athlete.