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Concussion Management & Return-to-Play in Roseau, MN

a female hockey player hitting another player into the boards. Text that says concussion management for athletes

Clear, step-by-step concussion care for athletes. We help monitor recovery, track symptoms, and guide a safe return to play using MSHSL standards.

What We Do

Our goal is simple: help athletes recover safely, monitor symptoms closely, and return to activity only when it is appropriate.

We also provide clear documentation for parents, schools, and coaches throughout the process.

​We help manage concussion recovery by providing:

  • Concussion symptom evaluation and tracking

  • Documentation for parents, schools, and coaches

  • Stepwise return-to-play progression

  • Written status updates and clearance documentation

  • Communication with approved school and athletic staff when consent is given

 

Our concussion documentation includes symptom score tracking, parent acknowledgment, consent to communicate with school personnel, stepwise progress tracking, and return-to-play clearance.

Athlete Concussion Care That Follows a Clear Process

​Return-to-play decisions should never be rushed.

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An athlete may return to competition only after they are free of concussion signs and symptoms at rest and with exercise, have completed a symptom-free progressive exercise process, and are cleared by a qualified healthcare professional.

 

That means we do not just ask, “Do you feel better?”

 

We follow a documented progression that helps make sure the athlete is truly ready for the next step.

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Common Symptoms We Monitor:

  • Headache

  • Pressure in the head

  • Dizziness

  • Nausea

  • Balance problems

  • Sensitivity to light

  • Feeling slowed down

  • Difficulty concentrating

  • Difficulty remembering

  • Fatigue

  • Drowsiness

  • Irritability

  • Sad or emotional feelings

  • Nervousness or anxiety

 

We also watch carefully for red-flag concerns including:

  • Loss of consciousness

  • Worsening headache

  • Repeated vomiting

  • Seizure activity

  • Increasing confusion

  • Neck pain with neurological symptoms

Step-Wise Return-To-Play Protocol 

Athletes must be symptom-free at rest and during activity before returning to play. We follow a structured progression to ensure a safe and appropriate return.

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Step 1

Symptom Limited Activity or No activity: Daily activities that do not
provoke symptoms and/or rest until all symptoms have resolved.​​​
 

Step 2

Light activity: such as walking or stationary cycling, no weight/resistance
training. Duration: 20 Minutes. Exertion Level: 30-40% of maximum.
 

Step 3

Sport specific activity: running/sprinting, skating, agility drills. No head
contact. Durations: 30 Minutes. Exertion Level: 40-60% of maximum.
 

Step 4

Non-contact activity: return to modified sport/activity/practice. Non-
contact drills, weight training. No head contact. Duration: 60 Minutes.
Exertion Level: 60-80% of maximum.
 

Step 5

Full contact activity: return to full participation after medical clearance.
Duration: Full Practice. Exertion Level: Full Practice.
 

Step 6

Game play: Cleared to return to play with no restrictions.

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*Each step requires at least 24 hours. If symptoms return, the athlete must stop and go back to the previous step*

Frequently Asked Questions

Do you provide concussion care in Roseau, MN?
Yes, we provide concussion management and return-to-play guidance for athletes.


Do you offer return-to-play clearance?
Yes, when the athlete completes the stepwise return-to-play protocol, written clearance is provided for full participation.


How long does the process take?
Once the athlete is symptom free, it will take a minimum of five days to be cleared to return to play. In some cases, it may take longer if concussion symptoms return.


Can you communicate with the school?
Yes, with signed consent, we can share return-to-play status with coaches and school staff.

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