It’s Time to Rethink Resting After Concussions
Until the early 1990's, concussions were, technically speaking, no big deal. Once kids stopped through up and seeing stars, they were free to go back to their lives. But towards the end of the decade, the "second-hit" phenomena drove the pendulum in the other direction, according to Sanjeev Kothare, a practicing neurologist and epileptologist and director of the pediatric sleep program at the NYU Langone Medical Center. After incurring concussions, a number of teens died because they resumed activities before brain swelling subsided. They then suffered second concussions that, in their vulnerable states, proved fatal.
Kothare has seen too many teen patients fall down rabbit holes sparked by medically-mandated breaks from school. "It's very common, and many [patients] have been labeled as having chronic fatigue syndrome or fibromyalgia, but their problems all have to do with circadian rhythm desynchronization.