{"id":33211,"date":"2026-05-31T00:18:58","date_gmt":"2026-05-31T00:18:58","guid":{"rendered":"https:\/\/concussionandcte.org\/?post_type=blog-press&#038;p=33211"},"modified":"2026-05-31T00:18:58","modified_gmt":"2026-05-31T00:18:58","slug":"beyond-the-head-knock-the-real-impact-of-concussion","status":"publish","type":"blog-press","link":"https:\/\/concussionandcte.org\/en-au\/blog-press\/beyond-the-head-knock-the-real-impact-of-concussion\/","title":{"rendered":"Beyond the Head Knock: The Real Impact of Concussion"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>Despite occurring more than 180, 000 times in Australia each year, concussion remains one of the<\/strong><br \/>\n<strong>country\u2019s most misunderstood injuries.<\/strong><\/p>\n<p style=\"text-align: justify;\">Concussions have commonly been viewed as simple bumps to the head. A 2017 study published in<br \/>\nPhysical Therapy in Sport analysed 200 Australian news articles and found that the most frequent<br \/>\nterms to describe concussions were \u2018head injury\u2019 and \u2018brain injury\u2019.<br \/>\nWhile these labels are by no means inaccurate, they do not capture the severity of concussions.<br \/>\nConcussions are more than a simple head clash or an isolated brain injury. They can result in serious<br \/>\ntrauma to the nervous system, producing symptoms like drowsiness, confusion, disrupted sleep,<br \/>\nmood swings, and emotional instability.<\/p>\n<p style=\"text-align: justify;\">Lauren Beriman has lived with concussion symptoms since childhood and has found that they have<br \/>\naffected her memory of how to perform daily tasks which are meant to be \u201cquite automatic for us\u201d.<br \/>\n\u201cAfter my last concussion there were times where I forgot to cook basic things like steak,\u201d she says.<br \/>\n\u201cI remember being in tears because I couldn\u2019t remember how to make pumpkin soup.\u201d<br \/>\nBeriman\u2019s memory struggles have caused her to freeze when trying to remember who certain<br \/>\npeople are.<br \/>\n\u201cIt\u2019s really tough because I\u2019m good at remembering people, their names and faces, but then I was<br \/>\nfinding myself being stuck,\u201d she says.<br \/>\nBeriman\u2019s most serious concussion happened in May 2024, when she was struck by a vehicle while<br \/>\nwalking. This incident has made a \u201csignificant difference\u201d in her life, stopping her from participating<br \/>\nin activities she used to enjoy.<br \/>\n\u201cI wasn\u2019t able to travel and I used to travel overseas or even interstate three to four times a year,\u201d<br \/>\nBeriman says.<br \/>\nGiven that concussions are known to increase sensitivity to noise, Beriman has struggled attending<br \/>\nlarge social gatherings.<br \/>\n\u201cIt\u2019s still very difficult attending restaurants because you\u2019re noise sensitive and it\u2019s hard<br \/>\nconcentrating on multiple conversations happening at once because of the background noise and<br \/>\nbeing in a big group of people,\u201d she says.<br \/>\nThe effects of Beriman\u2019s last concussion escalated so rapidly to the point where her career as a<br \/>\nschool teacher ended.<br \/>\n\u201cAt any point I would be triggered by symptoms as that environment would have lots of significant<br \/>\ntriggers for me, especially the loud noises, unpredictable behaviour and light sensitivity.\u201d<br \/>\nSo Beriman was ultimately unable to provide children with \u201cthat duty of care they need\u201d.<\/p>\n<h3 style=\"text-align: justify;\"><strong>The Hidden Struggles<\/strong><\/h3>\n<p style=\"text-align: justify;\">Beriman\u2019s story illustrates that concussion has the capacity to disrupt any aspect of one\u2019s daily life.<br \/>\nBut there is one factor which continues to obscure its seriousness- the invisibility of the injury. There<br \/>\nare rarely any clear signs to show that a concussed person has been injured.<br \/>\nBeriman felt that the lack of visibility of her injuries made her recovery process more challenging as<br \/>\nher peers were oblivious to her pain.<br \/>\n\u201cI was in hospital multiple times and during my biggest stint people would come visit me and tell me<br \/>\nhow great I looked,\u201d she says.<br \/>\n\u201cThey just really couldn\u2019t understand what was going on or why I couldn\u2019t participate in things.\u201d<br \/>\nThis lack of understanding did not just apply to Beriman\u2019s friends. She found that even medical<br \/>\nprofessionals would fail to grasp the weight of her situation.<br \/>\n\u201cYou\u2019d go to emergency not understanding anything that\u2019s happening to yourself and the doctors<br \/>\nwould tell you that you looked fine,\u201d she says.<br \/>\nBeriman found herself to be in a \u201cCatch-22\u201d where she could \u201carticulate very well\u201d to her medical<br \/>\nstaff and then be told by them that she was not sick.<br \/>\nDue to the doctors\u2019 constant downplaying of her symptoms, Beriman became \u201cso drained and upset<br \/>\nfrom coming in\u201d.<br \/>\n\u201cYou\u2019d be physically and visibly upset and then they\u2019d say you have anxiety,\u201d Beriman says. \u201cThis<br \/>\nisn\u2019t anxiety, I had a car accident and I couldn\u2019t remember my name or where I lived.\u201d<\/p>\n<h3 style=\"text-align: justify;\"><strong>A Widespread Lack of Knowledge<\/strong><\/h3>\n<p style=\"text-align: justify;\">The obliviousness to Beriman\u2019s struggles is reflective of the limited knowledge of concussions among<br \/>\nmany different groups of people in Australia.<br \/>\nAccording to a 2025 article published in the Medical Journal of Australia, 50 per cent of people with<br \/>\nconcussions do not receive appropriate care and concussion management is \u201chighly variable across<br \/>\nhealth professionals and community and health care settings\u201d.<br \/>\nThe article attributed these findings to \u201climited appreciation of the associated morbidity and impact<br \/>\non quality of life\u201d and \u201clow levels of knowledge about best practice care\u201d.<br \/>\nA separate study published in 2023 by the Royal Children\u2019s Hospital Melbourne scrutinised the role<br \/>\nof parents in managing their children\u2019s concussions.<br \/>\nAccording to this study, 34 per cent of parents have little to no knowledge about concussions, 29 per<br \/>\ncent falsely believe they only happen if someone loses consciousness, and 54 per cent are not aware<br \/>\nof the treatments.<br \/>\nThese findings are problematic as more than 20 per cent of Australian children experience a<br \/>\nconcussion by the age of 16 and parents are expected to be children\u2019s primary caregivers after<br \/>\nserious injuries occur.<br \/>\nAs someone who experienced head injuries as a child, Beriman calls for families to help children find<br \/>\nways to \u201cregulate their nervous system\u201d.<\/p>\n<p style=\"text-align: justify;\">\u201cIt\u2019s happening to busy children and you\u2019re going to be able to nail a few points here with what\u2019s<br \/>\nhappening in today\u2019s society,\u201d she says.<br \/>\n\u201cYou\u2019re seeing a lot of children being diagnosed with ADHD and it\u2019s about that dysregulated nervous<br \/>\nsystem.\u201d<br \/>\nBeriman believes a crucial way of helping children settle their bodies is \u201cmaking sure they\u2019ve had<br \/>\nthat downtime\u201d after an \u201cintense day at school where they\u2019ve been running around and doing<br \/>\nsport\u201d.<br \/>\n\u201cIf children have had a concussion and a fall they\u2019re going to be emotional and fatigued.\u201d<br \/>\nSo parents need to be able to \u201cassist\u201d their child to \u201carticulate what has happened\u201d, according to<br \/>\nBeriman.<br \/>\nBeriman has used her experience to raise awareness of concussions by joining the Advisory Board<br \/>\nfor the Concussion Legacy Foundation Australia, a non-profit organisation that provides services to<br \/>\nindividuals and families who have suffered from the injury.<br \/>\nHer engagement with the foundation has given her the opportunity to guide people through their<br \/>\nrecovery.<br \/>\n\u201cI know what it feels like to have those really depressive times, but I could understand it was purely<br \/>\nlinked to the concussions,\u201d she says. \u201cI wanted to be able to validate people that feel that way.\u201d<br \/>\nBeriman has also been working with researchers to see the link between concussions and other<br \/>\nissues such as addiction.<br \/>\n\u201cEach time you have a concussion it increases your chances of having an addiction, so I was able to<br \/>\nhelp people with that and validate them,\u201d she says.<br \/>\nBeriman has found that another benefit of her role in the foundation is her ability to provide<br \/>\npractical guidance.<br \/>\n\u201cI think the most important thing is seeing your GP and your neuropsychologist and<br \/>\nneuropsychiatrist, and it\u2019s really well worth seeing specialists in those teams,\u201d according to Beriman.<br \/>\n\u201cAt Concussion Legacy Australia we have a helpline that helps you find specialists in your area, and<br \/>\nthat\u2019s how you take that stigma away because you\u2019re going to have people that really care.\u201d<br \/>\nBeriman feels the foundation has been highly proactive in creating positive change for people who<br \/>\nare finding new pathways after experiencing concussions.<br \/>\n\u201cYou feel as if your world has crumbled, your world has been flipped upside down, and the person<br \/>\nyou once were you don\u2019t feel like you can be anymore,\u201d she says. \u201cBut the Concussion Legacy helps<br \/>\nyou find new things to look forward to, but also being like what\u2019s happened to you is horrible but<br \/>\nwe\u2019re here to support.\u201d<\/p>\n<h3><strong>Concussions in a Sporting Context<\/strong><\/h3>\n<p style=\"text-align: justify;\">Beriman is not a solitary case of how concussion can dismantle everyday life. Former domestic<br \/>\ncricketer Trent Keep has faced similar consequences in a very different setting.<\/p>\n<p style=\"text-align: justify;\">During a long and decorated cricket career which took place in Tasmania and then Queensland, Keep<br \/>\nexperienced repeated head trauma from the sport.<br \/>\nThe final straw occurred in Gold Coast in January 2023, when he was struck on the helmet by a<br \/>\ncricket ball while batting in the nets. This incident marked his medical retirement from all sports.<br \/>\nHe felt that concerns over his safety were impacting his enjoyment for cricket.<br \/>\n\u201cI always loved cricket but it became a point after the last concussion where the joy and satisfaction<br \/>\nof the game were becoming outweighed by the potential implications of being hit in the head<br \/>\nagain,\u201d Keep says.<br \/>\nFor Keep, a challenging part of battling concussions during his cricket career was the fluctuation<br \/>\nbetween feeling \u201cgreat\u201d and \u201cmiserable\u201d.<br \/>\n\u201cOn a Friday you feel great and everything gets ticked off and then 12 hours later you feel a bit more<br \/>\nmiserable,\u201d he says.<br \/>\nHe found that this dilemma came with \u201can air of worrying about what other people are going to<br \/>\nthink\u201d.<br \/>\nKeep\u2019s challenges have not always been limited to the cricket field. He experiences \u201creal fatigue\u201d<br \/>\nfrom computer screens if he is \u201cstaring at those for too long\u201d.<br \/>\n\u201cI was never excellent with computers but I\u2019ve noticed that they\u2019re really draining me,\u201d he says.<br \/>\nLike Beriman, Keep recently joined the Advisory Board for the Concussion Legacy Foundation. His<br \/>\nexperience with the organisation has allowed him to \u201caccept the cards that had been dealt\u201d and<br \/>\n\u201cmove towards healthier habits in life\u201d.<br \/>\n\u201cThere was some resentment at the start in terms of feeling like I didn\u2019t deserve it, but it became<br \/>\none foot in front of the next in terms of recovery,\u201d Keep says.<br \/>\nKeep feels the foundation has given him the \u201cavenue to speak on boards\u201d and a \u201creal proudness\u201d<br \/>\nthat his story \u201ccarries weight\u201d.<br \/>\n\u201cMy journey and speaking about it allowed me to heal from it a bit better,\u201d he says. \u201cIt\u2019s created a<br \/>\nreal air of interest in concussion in my particular networks.\u201d<br \/>\nKeep believes his decision to speak out has played a role in helping \u201cone person feel as though they<br \/>\nare not alone in this journey\u201d.<br \/>\n\u201cI\u2019m quite proud of the fact that a number of people have reached out to speak about how maybe it<br \/>\nhas helped them,\u201d he says.<br \/>\nSince joining the Foundation, Keep has noticed that he has developed a more \u201ccaring front\u201d towards<br \/>\nother athletes who have faced similar adversity.<br \/>\n\u201cIt\u2019s allowed me to step back from certain athletes and show some real interest and care,\u201d he says.<br \/>\n\u201cIt\u2019s given me a broader lens on why people are the way they are and what is the best learning<br \/>\nmethod for them moving forward.\u201d<\/p>\n<p style=\"text-align: justify;\">Along the way, Keep was fortunate to still have close friends within the cricket community to whom<br \/>\nhe was \u201copen and transparent with the difficulties of not just concussion but with life\u201d.<br \/>\n\u201cIf you\u2019re willing to give a little you get a lot back,\u201d he says. \u201cBut we\u2019ve got to continue to provide<br \/>\nthe environment for people to feel as though they can understand more about concussion and that<br \/>\nit\u2019s not something that\u2019s always going to be visible.\u201d<\/p>\n<h3 style=\"text-align: justify;\"><strong>The Culture of Playing On<\/strong><\/h3>\n<p style=\"text-align: justify;\">Despite his personal progress, Keep\u2019s experience has not come without any regrets. He believes he<br \/>\ncould have tried harder to avoid the temptation to return to the field after experiencing an injury.<br \/>\n\u201cI\u2019ve been one who\u2019s been guilty of applying pressure in the past and wanting to get back to the<br \/>\nground as quickly as possible,\u201d he says.<br \/>\n\u201cIf I could change one thing it would be to sit out when in doubt and think about the long term<br \/>\neffects, particularly the residual stance that you are going to get concussed again.\u201d<br \/>\nKeep\u2019s desire to keep playing after a concussion is just an isolated example of an extremely common<br \/>\nissue among professional athletes. The Australian sporting industry has adopted a culture where<br \/>\nplaying on is socially acceptable.<br \/>\nAccording to a 2020 survey published by the Australian Sports Commission, 17 per cent of National<br \/>\nRugby League players had declined to report a likely concussion in 2018 and 2019, even though 85<br \/>\nper cent had received concussion education.<br \/>\nThe survey cited the most common reasons to be \u2018not wanting to be ruled out of the game or<br \/>\ntraining session\u2019 and \u2018not wanting to let down the coaches or teammates\u2019.<br \/>\nThis mentality is also common is less commercialised sports. A 2025 study conducted by Southern<br \/>\nCross University found that 21 per cent of surveyed Australian Taekwondo athletes reported<br \/>\nreturning to play on the same day as a suspected concussion.<br \/>\nThese athletes most often cited internal motivations for returning early, with 56 per cent being<br \/>\ndriven by a love of sport, 39 per cent by a desire to win, and 31 per cent by personal pressure to<br \/>\npush themselves.<br \/>\nWhile athletes are responsible for their own choices, we must not overlook the role of the sporting<br \/>\nmedia in the normalisation of the play on culture. Commentators and journalists have continually<br \/>\ncelebrated sportsmen who have played through severe pain.<br \/>\nDuring the 2019 Ashes series, the Sky Sports\u2019 commentary team labelled Australian batsmen Steven<br \/>\nSmith as \u201ccourageous and brave\u201d for returning to the cricket pitch after being felled by English fast<br \/>\nbowler Jofra Archer.<br \/>\nSites such as ABC News and NRL.com have showered compliments to former Sydney South player<br \/>\nSam Burgess for playing through the 2014 NRL grand final with a broken cheekbone, describing his<br \/>\nperformance as \u201cinspirational\u201d and worthy of \u201crugby league folklore\u201d.<\/p>\n<h3 style=\"text-align: justify;\"><strong>Making the Long Terms Risks a Top Concern<\/strong><\/h3>\n<p style=\"text-align: justify;\">Annita Siliato, CEO of the Concussion Legacy Foundation Australia, believes there needs to be a shift<br \/>\nin the media narratives of concussions.<br \/>\n\u201cIt\u2019s a brain injury, that\u2019s how it should be treated and people should not be seen as heroes or<br \/>\ntough,\u201d she says. \u201cThe narrative needs to be that they\u2019re heroes if they come off the ground rather<br \/>\nthan stay on.\u201d<br \/>\nThe media should treat concussions as \u201cany other injury\u201d, according to Siliato.<br \/>\n\u201cIf you have dislocated your shoulder it\u2019s accepted you don\u2019t go back and play, so it shouldn\u2019t be<br \/>\naccepted that if you have a suspected brain injury you\u2019ll be going on,\u201d she says.<br \/>\nThe need to change public narratives largely stems from CTE, or Chronic Traumatic Encephalopathy.<br \/>\nA neurodegenerative disease linked to repeated head trauma, CTE has been identified in Australian<br \/>\nathletes from contact sports. Data released in 2022 from the Australian Brain Bank showed over half<br \/>\nof brains donated by former athletes had signs of CTE.<br \/>\nSiliato says CTE is an area where \u201cthere could be more done in terms of education and support\u201d.<br \/>\n\u201cCTE or repetitive head knocks over a long period of time are ignored because the only way you can<br \/>\nget CTE is through being hit,\u201d according to Siliato.<br \/>\n\u201cIt could be a way to have that right balance where you could continue to play sports but also have<br \/>\nCTE in the back of your mind.\u201d<br \/>\nSiliato says the foundation has worked to create a space where the long term consequences of<br \/>\nconcussions and CTE can be addressed.<br \/>\n\u201cWith people in their fifties there\u2019s dementia symptoms, aggressive behaviour and sometimes<br \/>\nepilepsy, and I feel like that links more to mental health,\u201d she says.<br \/>\nSo the foundation offers a large portion of its support to middle aged or elderly people who \u201creally<br \/>\nstruggle with their mental health\u201d, fail to \u201cremember things\u201d, and \u201cnotice their behaviour is<br \/>\ndifferent\u201d, according to Siliato.<br \/>\nSiliato says the foundation has sessions aimed at widening concussion conversations by amplifying<br \/>\nthe voices of people with lived experiences and expert knowledge of the injury.<br \/>\n\u201cWe have younger people with post-concussion syndrome, carers who are caring for people who\u2019ve<br \/>\nhad brain injury, or even people who\u2019ve lost partners due to brain injury,\u201d according to Siliato.<br \/>\n\u201cWe also have a lot of older people who feel they have suspected CTE and we even have people<br \/>\nfrom the NDIS come along because they have patients in that category.\u201d<br \/>\nSiliato says the foundation has been making sure that a medical clinician has been attending each<br \/>\nsession.<br \/>\n\u201cWe had an audiologist come along because with brain injuries come balance issues or tinnitus,\u201d she<br \/>\nsays.<br \/>\n\u201cWe also had a naturopath as a lot of people are looking for non-medication type of methods<br \/>\nbecause medication can have worse impacts for them overall.\u201d<\/p>\n<p style=\"text-align: justify;\">Most notably, Shaun Smith- a former Melbourne Football club player who suffered from a series of<br \/>\nconcussions during his career- recently shared his journey with the foundation.<br \/>\n\u201cHe was admitted to a mental health facility and that facility helped him,\u201d Siliato says. \u201cNow he\u2019s<br \/>\nmanaging it more naturally and giving hope.\u201d<br \/>\nWe must \u201cgive hope to people with long term brain injuries\u201d by spreading the message that \u201cyou can<br \/>\nstill manage them and enjoy life\u201d, according to Siliato.<\/p>\n<h3 style=\"text-align: justify;\"><strong>Changing the Rules<\/strong><\/h3>\n<p style=\"text-align: justify;\">While organisations such as the Concussion Legacy Foundation have been raising awareness of the<br \/>\nlong term risks of concussions, the next step is ensuring that this knowledge translates into<br \/>\nconsistent practice.<br \/>\nAt an institutional level, there have been efforts to improve the safety and health outcomes for<br \/>\nAustralian athletes with concussions. In 2024, the Australian Institute of Sport released guidelines<br \/>\nwhich recommend that athletes rest for 14 days before returning to contact training and 21 days<br \/>\nbefore returning to competitive contact sport.<br \/>\nDavid Hughes, Australian Institute of Sports Chief Medical Officer, says these guidelines are intended<br \/>\nto give a \u201cgenerous amount of time for the neuroinflammation to settle and for the brain to return<br \/>\nto its normal state\u201d.<br \/>\n\u201cWe need to be conservative because if you follow these guidelines, we\u2019re hoping this will be a one-<br \/>\noff,\u201d Hughes says. \u201cIf we let you get go back prematurely we\u2019re risking you getting another<br \/>\nconcussion.\u201d<br \/>\nMedical practitioners must communicate the concussion guidelines effectively to injured athletes so<br \/>\nthat they are not prematurely cleared to return to participation, according to Hughes.<br \/>\n\u201cThe person advising the athlete- the medical practitioner- needs to be sympathetic to the player,<br \/>\nbut otherwise emotionally removed,\u201d he says.<br \/>\n\u201cYou\u2019ve got to make logical decisions and explain to the patient that I\u2019m here to ensure that you get<br \/>\nto play as much of your sport as possible.\u201d<br \/>\nEven though some sportsmen who have been concussed \u201cwant to get back sooner\u201d, Hughes stresses<br \/>\nthe need for their doctors to be \u201cthe adults in the room\u201d.<br \/>\n\u201cThey need to make decisions purely based on what is best for the short and long term health of the<br \/>\nathlete, not about the athlete\u2019s motivation to get back to the sport,\u201d he says.<br \/>\nHughes emphasises the importance of an \u201ceducation piece\u201d which requires \u201cspending time talking to<br \/>\nthe athlete\u201d, explaining \u201cwhy we are conservative\u201d, and describing the long term effects.<br \/>\n\u201cMaybe we need to explain about the neuroinflammation,\u201d he says. \u201cEven though the athlete is<br \/>\nfeeling good at the moment, they could still have neuroinflammation and we need to get them<br \/>\ngradually increasing their activities and making sure they\u2019re symptom free before returning to<br \/>\nparticipation.\u201d<\/p>\n<p style=\"text-align: justify;\">According to Hughes, the \u201ceducation piece\u201d must be understood by multiple groups of people,<br \/>\nincluding sport officials, parents and school teachers.<br \/>\n\u201cEveryone needs to be aware of what the concussion policy is and it needs to be well-socialised so<br \/>\neverybody understands we\u2019ve got a concussion, here\u2019s our protocol, and we have that protocol<br \/>\nfollowed,\u201d he says.<\/p>\n","protected":false},"featured_media":0,"template":"","format":"standard","blog_press_categories":[41],"class_list":["post-33211","blog-press","type-blog-press","status-publish","format-standard","hentry","blog_press_categories-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Beyond the Head Knock: The Real Impact of Concussion - Concussion &amp; CTE Foundation<\/title>\n<meta name=\"description\" content=\"Despite occurring more than 180, 000 times in Australia each year, concussion remains one of the country\u2019s most misunderstood injuries. 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