Supporting a child recovering from a head injury requires careful attention, patience, and a gradual approach to returning to normal activities. The first step is to ensure the child gets adequate brain rest, which means limiting activities that require intense thinking or physical effort. This includes reducing screen time, avoiding video games, TV, and schoolwork initially. Rest for about 1 to 3 days is recommended, but complete inactivity is not advised; light activity as tolerated can actually help speed recovery[1][4].
Sleep is crucial during recovery. Children should have uninterrupted sleep and maintain a regular sleep schedule while avoiding excessive daytime naps. A balanced environment with natural light is beneficial, but staying in a dark room all day is not recommended[1][7]. Hydration and a nutritious diet also support healing, so encourage your child to drink plenty of water and eat healthy foods[1][4].
Monitoring symptoms is important. Early signs of concussion can include headaches, dizziness, nausea, and difficulty concentrating. If symptoms worsen or persist beyond two weeks, it is important to consult a healthcare provider for further evaluation and possibly specialist referral[2][7]. Some children may experience longer-lasting symptoms such as chronic headaches or memory problems, which require ongoing care[2].
Returning to school and physical activities should be gradual and guided by the child’s symptoms. Schools can help by providing accommodations such as reduced homework, rest breaks, and excusing physical activities until the child is symptom-free. A step-by-step return to school and sports plan is essential to avoid setbacks or further injury[2][4][5]. Children should only return to sports after being completely symptom-free and receiving medical clearance to prevent risks like second-impact syndrome, a serious condition caused by a second concussion before full recovery[5].
Physical therapy may be recommended if symptoms like dizziness, balance problems, or neck pain persist beyond a few weeks. Therapists can provide exercises to improve coordination and reduce symptoms, although some temporary symptom increase during therapy is normal[1].
Throughout recovery, avoid alcohol and any activities that could risk another head injury. Encourage your child to communicate how they feel and adjust activities accordingly. Keeping a calm, supportive environment helps reduce stress and promotes healing[1][6].
Sources
https://www.tfhd.com/conditions/concussion/
https://www.albertahealthservices.ca/info/page12430.aspx
https://www.chla.org/neurological-institute/diagnosis-and-treatment/traumatic-brain-injury-treatment
https://www.uofmhealth.org/our-care/specialties-services/concussion-treatment-recovery
https://blog.ochsner.org/articles/yes-even-a-mild-concussion-is-considered-a-traumatic-brain-injury/
https://www.nhshighland.scot.nhs.uk/your-services/all-services-a-z/major-trauma/head-injury-advice/
https://www.massgeneralbrigham.org/en/about/newsroom/articles/signs-concussion-child
