untitledAfter suffering a blow to the back of the head from Dwayne Wade’s knee Tuesday night, Pacers’ forward Paul George has been diagnosed with a concussion today. Although he did not demonstrate symptoms of a concussion to his athletic training and medical staff, he mentioned to reports that he briefly blacked out and had blurred vision, two common signs of a concussion, for the remainder of the game. After these reports, George was taken to a neurologist for further treatment.imagesCAM7WZ6C

Before George can play in Game 3 of the series in Miami on Saturday, he must satisfy all of the protocols set forth by the NBA’s concussion policy (see below). He cannot return to play until he is symptom-free at rest and has passed a step-by-step protocol of gradually increased exertion. Paul George has just 3 days to satisfy these requirements.

 NBA Concussion Policy:

“Return-to Participation Decisions:

  • Once a player is diagnosed with a concussion he is then held out of all activity until he is symptom-free at rest and until he has no appreciable difference from his baseline neurological exam and his baseline score on the computerized cognitive assessment test.
  • The concussed player may not return to participation until he is asymptomatic at rest and has successfully completed the NBA concussion return-to-participation exertion protocol.

Return-to Participation Protocol:

  • The return to participation protocol involves several steps of increasing exertion — from a stationary bike, to jogging, to agility work, to non-contact team drills.
  • With each step, a player must be symptom free to move to the next step. If a player is not symptom free after a step, he stops until he is symptom free and begins again at the previous step of the protocol (i.e., the last step he passed without any symptoms).
  • While the final return-to participation decision is to be made by the player’s team physician, the team physician must discuss the return-to-participation process and decision with Dr. Jeffrey Kutcher, the Director of the NBA’s Concussion Program, prior to the player being cleared for full participation in NBA Basketball.
  • It’s important to note that there is no timeframe to complete the protocol. Each injury and player is different and recovery time can vary in each case.”

A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head (coup injury) that can change the way your brain normally works. Concussions can also occur from a fall or a blow to the body that causes the head and brain to move quickly back and forth (countracoup).images

Symptoms of a concussion fit into four main categories:

  1. Thinking and remembering
  • Not thinking clearly
  • Feeling slowed down
  • Not being able to concentrate
  • Not being able to remember new information
  1. Physical
  • Headache
  • Fuzzy or blurry vision
  • Nausea and vomiting
  • Dizziness
  • Sensitivity to light or noise
  • Balance problems
  • Feeling tired or having no energy
  1. Emotional and mood
  • Easily upset or angered
  • Sad
  • Nervous or anxious
  • More emotional
  1. Sleep
  • Sleeping more than usual
  • Sleeping less than usual
  • Having a hard time falling asleep

Paul George demonstrated some physical symptoms during the game on Tuesday, however, he did not share this information with the Pacers’ medical staff. Hopefully, George is not experiencing any new or worsening symptoms.

 

Provided by Primus Sports Medicine Staff

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Concussion policy provided by: http://www.nba.com/official/concussion_policy_summary.html