by Dr. Richard Gibson • Bone and Joint Institute of Tennessee

As participation in youth soccer continues to grow, so does the importance of recognizing and properly managing concussions. A concussion is a mild traumatic brain injury caused by a bump, blow, or jolt to the head—or even a hit to the body that causes the head to move rapidly back and forth. While helmets are not standard in soccer, head injuries are not uncommon, especially during collisions or headers.

Common Signs and Symptoms

Recognizing a concussion early is critical. Symptoms can appear immediately or develop over time. Common signs include:

• Headache or pressure in the head
• Dizziness or balance problems
• Nausea or vomiting
• Confusion or appearing dazed
• Sensitivity to light or noise
• Slurred speech
• Difficulty concentrating or remembering
• Unusual mood changes (irritability, sadness, nervousness)

Young athletes may not always report symptoms, so coaches, parents, and teammates must stay alert for behavioral changes or physical complaints.

Management and Recovery

If a concussion is suspected, the athlete should be removed from play immediately and evaluated by a medical professional. “When in doubt, sit them out” is the golden rule. Returning to play too soon can lead to prolonged recovery or more serious complications like second impact syndrome.

Recovery involves physical and mental rest, followed by a gradual return-to-play protocol overseen by a healthcare provider. This process typically includes light aerobic activity, sport-specific drills, and finally, full-contact practice before full game clearance.

Protecting Young Athletes

Concussion education and communication between families, coaches, and medical providers is key. Encouraging proper technique, limiting head-to-head contact, and promoting a culture of safety helps protect young players on and off the field.

Early recognition and responsible management allow athletes to heal fully and return to the game they love—safely.