Postconcussive Syndrome Following Sports-related Concussion: A Treatment Overview for Primary Care Physicians.
Postconcussive syndrome is an increasingly recognized outcome of sports-related concussion (SRC), characterized by a constellation of poorly defined symptoms. Treatment of PCS is significantly different from that of SRC alone. Primary care physicians often are the first to evaluate these patients, but some are unfamiliar with the available therapeutic approaches. This review provides an overview of the pathophysiology of SRC and descriptions of both pharmacologic and nonpharmacologic treatment options to allow primary care physicians to provide evidence-based care to patients experiencing postconcussive syndrome.
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Byron
B
Moran
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Prathima
P
Tadikonda
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Kevin B
KB
Sneed
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Michelle
M
Hummel
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Sergio
S
Guiteau
From the Department of Internal Medicine and Primary Care Sports Medicine, and the Department of Family Medicine and Primary Care Sports Medicine, University of South Florida, Tampa.
Eric E
EE
Coris
D000547:Amantadine / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001265:Athletic Injuries / Q000150:complications*; D015928:Cognitive Behavioral Therapy; D015259:Dopamine Agents / Q000627:therapeutic use; D006801:Humans; D058007:Physicians, Primary Care; D038223:Post-Concussion Syndrome / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D011320:Primary Health Care; D000068958:Return to Sport
D000928:Antidepressive Agents; D015259:Dopamine Agents; D000547:Amantadine