Dr. Konin’s Blog

Just Sleep It Off?

You can’t read about post-concussion rehabilitation these days without the mention of sleep. We have confirmed that many individuals who sustain a concussion experience “sleep disturbances”. What exactly is a “sleep disturbance”? What is our role in the rehabilitation of sleep disturbances? And what advice is to be given to the patient for a more successful recovery? During the last few months, a number of interesting research papers were published and presented to better help us answer these key questions.  Read More

Concussion Prevention or Performance Enhancement?

Much has been discussed about the importance of concussion education, especially as it relates to our youth playing sports. While we don’t want to scare off parents from having their children participate, we do want them to be knowledgeable in the basics of concussion education. What does this include? It includes the inherent risk associated with playing certain sports regardless of how much you do to maximize prevention and protection interventions. It includes knowing the signs and symptoms of a Read More

Concussions in wheelchair users – are you prepared to properly assess?

The mainstream professional literature has an abundance of published research on balance and posture assessment and rehabilitation following a concussion. A quick search of PubMed yields some 300 thousand plus articles! However, when you add the term “wheelchair” to a similar search, the yield becomes less than a half dozen. Do individuals in wheelchairs experience concussions? Of course they do! In 2014 Wessels et al published a study in the Archives of Physical Medicine and Rehabilitation whereby they tracked 263 Read More

Concussion Management: Does marijuana play a role?

Recently more and more questions have arisen regarding the use of marijuana as a rehabilitation intervention following a concussion.  For example, some patients may ask if marijuana can help rid symptoms of headaches, inability to sleep, or anxiety.   Other patients might say they are regular legal users of marijuana, and wonder if they should increase their intake medicinally, or if they should refrain from their normal daily usage while recovering from a concussion. These are all extremely relevant questions that Read More

CDC Releases New Guidelines for Pediatric Concussion

This is an exciting time to post the first concussion blog! It seems like the more we know about concussion the less we actually really know – at least in the sense of remaining unanswered questions. This week, the Centers for Disease Control (CDC) released new clinical recommendations for treating children who have a suspected concussion.   How we manage children with an actively developing brain that has sustained a mild brain injury has been one of the more specific areas Read More