What is the most appropriate management for a 14-year-old female experiencing symptoms of a concussion?

The most appropriate management for a 14-year-old female experiencing symptoms of a concussion is initial complete cognitive and physical rest. This approach is critical in the recovery process following a concussion. It allows the brain the necessary time to heal following the injury by minimizing stressors that could exacerbate symptoms. Cognitive rest involves reducing activities that require concentration and mental effort, such as schoolwork, screen time, and reading, which can trigger or worsen symptoms.

Additionally, physical rest means avoiding activities that could risk further injury and allows the brain and body to recover without additional strain. This management strategy is supported by current guidelines that emphasize the importance of rest in the first stages of recovery from a concussion. Once the symptoms improve, a gradual return to activities can be initiated, typically under the guidance of a healthcare professional.

While other options might seem beneficial, such as over-the-counter pain medications or physical therapy, they are not the primary focus immediately following a concussion. The main goal at the outset is to provide an environment conducive to healing. Immediate return to play without adequate rest could increase the risk of further injury, and cognitive and physical activities should be carefully reintroduced only after the individual has sufficiently recovered.