29100 Gateway Blvd., Ste. 100

Flat Rock, MI 48134 USA

(734) 379-9200

Open mobile navigation

Care of Concussions

Boy in football gear.

Concussions are becoming increasingly common, especially among school-age athletes. It has been estimated that there are up to 3.8 million sports-related concussions in the United States each year. Concussions are problematic as, by definition, a concussive injury involves some degree of trauma to the brain. A concussion injury literally jolts the brain, causing this precious organ to bounce against the bony walls of the skull. The violence of the blow directly determines the degree and extent of brain cell damage. Importantly, any person can experience a concussion from having sustained a blow to the head. Falls are commonly implicated in a concussion history, especially in those who run or walk for exercise and may trip over a crack in the sidewalk or a hidden tree root on a trail, as well as in the elderly.

In 2013, the American Academy of Neurology (AAN) issued its latest update on the Evaluation and Management of Concussion in Sports. The update, representing a summary of evidence-based guidelines, referenced several standardized symptom checklists including the Standardized Assessment of Concussion and the Post-Concussion Symptom Scale/Graded Symptom Checklist, both of which had moderate to high sensitivity and specificity in identifying sports-related concussions when administered soon after a suspected concussion. In 2013, the AAN also published Concussion During Sports Activities, a summary of evidence-based guidelines for patients and their families. The AAN documents note that concussion symptoms include headaches, dizziness, double vision, confusion, sensitivity to light or sound, and nausea and vomiting. Signs of a concussion that others can observe include slurred speech, changes in balance and coordination, a blank stare, and behavior and personality changes.

Concussion resolution may be evaluated by use of standardized checklists and return to age-matched normative values regarding cognitive performance and physiological function, as well as neurocognitive testing. An athlete who has sustained a concussion should not return to play/practice until her or his physician has assessed that the athlete is asymptomatic, the concussion has resolved, and the athlete is off medication.

Once a patient's concussion has resolved, chiropractic care can provide substantial assistance. A blow to the head necessarily involves trauma to the neck vertebras (cervical spine) and regional muscles, tendons, and ligaments. As well, an injury significant enough to cause a concussion can also cause damage to the spinal nerves in the neck. Such trauma can cause nerve irritation and interfere with the normal motion of the cervical spine. Spinal dysfunction and nerve irritation/interference can then cause a range of pain symptoms and altered physiological function, not only in the neck and shoulder region but also in other locations and other systems such as the gastrointestinal, immune, and endocrine systems.

By beginning or continuing regular chiropractic care once concussion symptoms have resolved, a post-concussion patient can obtain treatment that will help ensure that her or his spinal column and nerve system are functioning at peak capacity. In this way, regular chiropractic care helps post-concussion patients achieve and maintain optimal levels of health and well-being.

  1. Broglio SP, et al: National Athletic Trainers’ Association Position Statement: Management of Sport Concussion. J Athletic Train 49(2):245-265, 2014
  2. American Academy of Neurology: Update: Evaluation and Management of Concussion in Sports, 2013 — https://www.aan.com/Guidelines/Home/GetGuidelineContent/583
  3. American Academy of Neurology: Concussion During Sports Activities: Summary of Evidence-based Guidelines to Patients and Their Families, 2013 — https://www.aan.com/Guidelines/Home/GetGuidelineContent/586

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Monday:

8:00 am-6:30 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:30 pm

Thursday:

8:00 am-6:30 pm

Friday:

8:30 am-6:30 pm

Saturday:

9:00 am-11:45 am

Sunday:

Closed

Location

Find us on the map

SUCCESS STORIES

In the words of our patients

  • "Excellent patient care and results from this clinic, which uses a holistic approach that combines chiropractic, massage, and clinical nutrition. Highly recommended!"
    Rachel M.
  • "I am new to your clinic and getting great results with the Nutritional Response Testing. Thank you so very much. I highly recommend the services of PCCC in Flat Rock."
    Emily S.
  • "I love it here! Everyone is extremely polite and helpful. I see Doctor Porter II and he’s been a lifesaver. He’s made room for me on his schedule multiple times when I’ve been randomly hit with a chronic migraine. He genuinely takes his time and cares about his patients. I’m really thankful for the friends that recommended me to this place and I highly recommend everyone else comes here as well."
    Alexandria V.
  • "I have been a patient of Dr. Porter for more than 20 years. He has helped me maintain a strong immune system and to live without pain. I trust him more than any medical doctor or specialist with my health and well-being."
    Review from healthgrades.com
  • "Dr. Cara and the staff at Porter & Clark Chiropractic are wonderful! The adjustments, heat and massage have healed my aches and pains (slight and severe) over the last several years. I would highly recommend Dr. Cara to anyone needing Chiropractic care."
    Chris T.
  • "The staff, they make this place amazing. If you need an adjustment or a massage check everyone out. The staff are helpful in finding you the type of therapist you need for your massage, and each doctor is pretty amazing, in their quality of care and concern for you as a client while you are on their tables."
    Adam I-L
  • "Been coming here for 11 years now... I feel immediate relaxation after adjustments and 9 out of 10 times my back pain has subsided. Some days I'm so bad I call to make an appointment and they get me in the office same day!! I can't say enough about Dr. Porter and the staff in general."
    Brandon L.
  • "I love this place! Dr. Clark has taken care of my chronic pain for years! No other treatments have been nearly as effective. A bonus is that the staff is always so friendly and helpful!!"
    Mary B.
  • "Dr. Porter has been treating me with an ongoing problem for years. I starting going to him after I could not get relief from my family physician. Through his treatments and a vitamin regimen, I don't need pain meds & feel so much better."
    Review from healthgrades.com
  • "The doctors and all the staff are excellent!"
    Tanya W.
  • "I am no longer in pain under Dr. Cara Phillips' care! Staff is always very friendly and greet you when you walk in. My first appointment they took xrays and did an evaluation. I now go to be adjusted monthly. They also offer heat therapy and a massage before being adjusted."
    Maggie J.
  • "With his gift for healing, and his expertise with NRT (Nutritional Response Testing), Dr. Porter has saved my life! I am off prescription medications and no longer suffer from chronic lower GI pain and problems."
    Charles K.
  • "Dr. Michael Porter II has taken care of me since I was in an auto accident last year, and monthly visits keep me out of pain. The office is a welcoming place, and patient care is clearly their priority. Highly recommended."
    Adam W.
  • "Dr. Clark has the best practice on the planet. Great individual time and attention. Chiropractors and massage therapists truly concerned about your health. Pleasant office atmosphere."
    Debbie A.

Featured Articles

Read about interesting topics

Newsletter Signup

Sign up for more articles