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If you’re here because you (or someone you care about) had a fall, a knock, a minor car accident, or a “that didn’t seem that bad… but now I feel weird” moment—this is for you.

A concussion can be confusing precisely because it doesn’t always look dramatic from the outside. You might feel mostly fine at first, then off later. Or you might feel “not myself” in a way that’s hard to put into words. That’s common. Symptoms can also shift over time during recovery.

This guide is a practical 101: how concussions are sustained, what they involve, what to do next, and how to judge when medical care is warranted.

What A Concussion Is

A concussion is a type of mild traumatic brain injury (often shortened to “mTBI”). It happens when a force causes the brain to move rapidly inside the skull—sometimes from a direct blow to the head, but also from hits to the body that whip the head/neck (think: falls, collisions, sudden stops).

What’s helpful to know is this:

  • A concussion is about brain movement and disruption, not just “how hard you hit your head.”
  • You can have a concussion without losing consciousness.
  • Imaging (like CT/MRI) can be normal, and you can still have a concussion—those tests are often used to rule out more dangerous problems.

Why Concussions Can Feel So Different From Person To Person

One of the most frustrating things about concussions is how individual they are.

Two people can have what looks like the same incident—same fall, same bump—and have very different experiences afterward. Symptoms can be different from person to person, and can also change during recovery.

A few reasons this happens:

  • Where and how the force was applied (rotation and whiplash matter a lot).
  • Age (children, teens, and older adults may present differently and can be higher-risk).
  • History (previous concussions, migraine history, sleep issues).
  • Baseline brain load (stress, fatigue, workload, screen time, poor sleep).
  • Different systems get “irritated” in different people—balance/vestibular, vision, attention, mood, sleep.

A relatable way many people describe it is:
“I’m technically awake and functioning… but my brain feels like it’s running on low battery.”

What A Concussion Isn’t (And Common Myths)

Myth: “You only get a concussion in sports.”

Sports are one cause, but far from the only one. Many concussions happen in everyday life.

Myth: “If you didn’t black out, it can’t be a concussion.”

Loss of consciousness is not required.

Myth: “You have to hit your head.”

You can sustain a concussion from a force to the body that causes rapid head/neck motion (like whiplash).

Myth: “It’s dangerous to fall asleep after a concussion.”

This one is deeply ingrained. The more modern, practical guidance is: sleep is usually okay and often helpful, as long as the person isn’t showing “danger signs” that suggest something more serious. The CDC specifically notes you can let someone sleep uninterrupted after a concussion if there are no danger signs. CDC+1

A good rule of thumb: if the person is worsening, hard to wake, repeatedly vomiting, confused, having a seizure, or showing other red flags, that’s not “go to sleep and see what happens”—that’s urgent medical evaluation.

Myth: “If a scan is normal, nothing happened.”

A normal scan can be reassuring (it helps rule out bleeding or fracture), but concussion symptoms can still be real and significant.

The Most Common Ways Concussions Happen (Not Just Sports)

It can help to normalize this: concussions are often sustained during ordinary life events, such as:

  • Falls (including slips on ice, stairs, bathrooms)
  • Minor vehicle accidents (including whiplash-type forces)
  • Biking or scooter incidents
  • Workplace bumps or falls
  • Collisions in day-to-day activities (door frames, low beams, kids’ heads colliding, etc.)
  • Physical altercations or being struck by an object

For parents: kids can sustain concussions from playground falls, rough housing, and bike/scooter crashes—not just team sports.

What Concussion Symptoms Can Feel Like (In Real Life)

Medical lists can feel abstract, so here are symptom categories in “human language.” The CDC summarizes that symptoms can affect how you feel, think, act, or sleep—and that they can evolve over time.

Physical

  • Headache or pressure
  • Dizziness, balance feels “off”
  • Nausea
  • Sensitivity to light or noise

Thinking And Concentration

  • Brain fog, slowed thinking
  • Forgetting what you were doing mid-task
  • Trouble focusing, reading, or following conversations

Mood And Emotions

  • Irritability
  • Anxiety, feeling unusually emotional
  • Feeling “flat” or unlike yourself

Sleep

  • Sleeping more than usual, or struggling to sleep
  • Feeling exhausted after “normal” activities

Phases After A Concussion And What’s Typical

Not everyone follows a neat timeline, but many people find it reassuring to have a general map.

Phase 1: The First 24–72 Hours

This can be the “what just happened?” stage. Symptoms may be immediate or delayed.
Common experiences: headache, fogginess, nausea, tiredness, needing quiet.

Practical focus:

  • Safety monitoring (especially the first night)
  • Rest, hydration, simple food
  • Reduce intense stimulation (bright screens, loud environments)

Phase 2: Days To A Couple Of Weeks

Many people gradually improve here, though symptoms can fluctuate. For minor head injury/concussion, some sources note symptoms may last up to around 2 weeks.

Common experiences: fatigue, sensitivity to busy environments, trouble focusing at work/school, irritability.

Practical focus:

  • Gentle return to routine (not “push through at all costs”)
  • Pacing: do a little, rest, repeat
  • Follow medical guidance on return-to-activity

Phase 3: When Symptoms Linger Longer

A smaller subset of people have symptoms that last longer than expected (often referred to as persistent post-concussive symptoms). Mayo Clinic notes that if symptoms persist beyond three months, they may be termed “persistent,” and can sometimes last much longer.

If you’re in this group, it doesn’t mean you’re “broken.” It usually means the systems involved (sleep, vestibular, vision, headache pathways, autonomic stress response) need more targeted support.

When Medical Care Is Warranted

If you suspect a concussion, it’s reasonable to seek medical advice—especially for children, older adults, or anyone with complicating factors. The first step is to recognize if there are danger signs that require urgent care.

Go To The ER Or Seek Emergency Help If Any Of These Occur

  • A headache that gets worse and doesn’t go away
  • Repeated vomiting
  • Seizure/convulsions
  • Increasing confusion, agitation, unusual behavior
  • Trouble waking up or staying awake
  • Slurred speech, weakness, numbness, decreased coordination
  • One pupil larger than the other, or double vision

Also Consider Prompt Medical Advice If

  • Symptoms are not improving, or are significantly affecting daily function
  • Symptoms persist beyond a couple of weeks (guidance varies, but many patient leaflets advise follow-up if symptoms don’t settle) UHS Sussex+1
  • It’s a child/teen, or an older adult
  • The person takes blood thinners or has bleeding risk

What Treatment Typically Looks Like

There’s no single “concussion pill.” Most treatment is symptom-guided and focused on gradual return to normal activity.

Common elements include:

  • Relative rest early on (not necessarily lying in a dark room for a week, but reducing things that clearly worsen symptoms)
  • Gradual return to activity, often in stages (physical and cognitive), guided by symptoms and clinician advice
  • Pain management for headaches (individualized by a clinician)
  • Vestibular therapy if dizziness/balance problems persist
  • Vision-focused therapy if visual tracking or motion sensitivity issues are prominent
  • Sleep support (because sleep disruption can slow recovery)
  • Education and reassurance, which genuinely matters—knowing what’s normal reduces stress, and stress can amplify symptoms

Mayo Clinic’s overview emphasizes evaluation, symptom monitoring, and a staged approach back to activity, with imaging used selectively to rule out more severe injury. Mayo Clinic+1

FAQ: The Most Common Questions People Ask

Can you sleep after a concussion?

Usually, yes—if there are no danger signs. The CDC notes it’s okay to let someone sleep uninterrupted after a concussion as long as they aren’t showing danger signs.

A practical approach many families use: check on the person periodically early on to ensure they’re rousable and not worsening, and seek urgent care if anything changes.

Do you have to hit your head to get a concussion?

No. A force to the body that causes rapid head/neck motion (like whiplash) can be enough.

Can concussion symptoms start later?

Yes. Symptoms can appear right away or be delayed, and they can change over the recovery period.

What are the most common symptoms?

Common symptoms include headache, dizziness, nausea, sensitivity to light/noise, brain fog, trouble concentrating, mood changes, and sleep disruption.

How long do concussion symptoms usually last?

Many people improve within days to weeks, but it varies. Some guidance notes minor concussion symptoms can last up to around two weeks.
If symptoms persist longer, follow-up care is a good idea.

Should you avoid screens after a concussion?

If screens clearly worsen symptoms (headache, nausea, fog), reduce them early on and reintroduce gradually. The goal is to avoid symptom spikes—not to impose total deprivation forever.

What should you do in the first day or two?

Prioritize safety monitoring for red flags, rest, hydration, and a calmer environment. If symptoms are significant, worsening, or the person is high-risk, seek medical advice.

Is it okay to drive after a concussion?

If you’re dizzy, slow to react, foggy, or sensitive to light, driving may be unsafe. When in doubt, avoid driving until you’re clearly steady and/or you’ve been medically advised.

What’s “second impact syndrome” and should I worry?

The key practical takeaway is simple: don’t rush back into situations where another head impact could happen until you’ve recovered and been cleared (especially for sport). A second injury before recovery can be dangerous.

Why do I feel emotional or anxious after a concussion?

Mood changes can be part of concussion physiology (and also a very normal response to feeling “off”). If mood symptoms are intense or persistent, it’s worth discussing with a clinician.

When should I see someone if symptoms won’t go away?

If symptoms are persisting beyond a couple of weeks, worsening, or interfering with normal life, seek follow-up. Some NHS resources advise contacting a GP if symptoms persist beyond a few weeks.

After Recovery: Helpful Activities For Returning To Normal Life

Once you’ve recovered and/or have been medically cleared, many people benefit from a gradual rebuild of physical conditioning, sleep consistency, stress regulation, and cognitive endurance—especially if they’re returning to demanding work, study, or sport.

If you’d like ideas on tech-supported options that can support a functional return to peak performance after concussion recovery, here’s an additional guide: Top Tech Tools for Functional Return to Peak Performance After Concussion Recovery

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