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Women have more and worse concussions than men


When we think of concussions and brain injuries we tend to associate those with men — after all, they’re the ones playing football and predominantly in combat. But studies show both female athletes and women in general suffer a higher rate of concussions than men. Female brain injuries also tend to be more severe and require longer recovery.

In fact, a recent study revealed that when it comes to high school athletes, female soccer players outrank male football players in incidences of traumatic brain injury. Almost 30 percent of injuries sustained by female players are brain injuries, whereas male football players have a much lower rate of brain injury at 24 percent.

High school female athletes with concussions also reported more problems with sound and light sensitivity, nausea, dizziness, and drowsiness and took longer to recover.

Professional female athletes also have significantly more brain injuries than their male counterparts in every sport except swimming and diving.

Why do women have more concussions?

Although researchers don’t have definitive answers, looking at the structure of the female neck and head compared to the male can give us insight.

The male neck is much stronger, bigger, and better able to handle acceleration than the female neck.

When it comes to bone and neck strength, women are at a disadvantage when it comes to impacts, blows, and falls that affect the head and neck.

Female hormones and brain injury

Scientists have also found that female hormones appear to play a large role in brain injury risk.

Female concussion risk and consequences are largely similar to male before puberty and after menopause. However, during the reproductive years, a woman’s menstrual cycle can affect how badly she is affected by a brain injury.

For instance, women injured during the last two weeks of their cycle fare worse from a concussion than those injured during the first two weeks.

Severity risk also appears to be tied to fluctuations in hormone levels throughout the cycle. The drops in estrogen during ovulation and menstruation trigger migraines in some women and may be periods of increased risk.

Misconceptions around gender and concussions compound the problem. Many people still assume girls and women are at less risk for concussion and their symptoms go unreported simply due to lack of awareness. Pink Concussions is an organization dedicated to raising awareness and promoting research on concussions in women and girls.

Functional medicine helps you recover from brain injury and concussion more quickly

Functional medicine excels in the field of brain recovery from concussions.

In functional neurology we go beyond telling you to rest. A thorough functional neurology exam can pinpoint specific areas of damage to both the brain and the vestibular (inner ear) system.

Different areas of the brain and the vestibular system require different rehabilitation strategies — customizing rehab to your areas of compromise will help you recover and improve faster.

Plus, we look at functional medicine mechanisms in supporting your brain health. How is your hormone balance, your diet, and your gut health? Do you have chronic inflammation, food sensitivities, autoimmunity, or other unidentified stressors that could be making it harder for your brain to recover? These are important factors to address.

Ask my office how functional neurology can help you recover from a concussion.

Meet the Author

Dr. Matz DC

Dr. Boyle D.A.C.M., LAc., DiplOM. is the founder of the Holistic Wellness Center of the Carolinas where he is the Director of Functional Medicine. He holds a Diplomate in Oriental Medicine and is acupuncture physician and primary care physician in the state of Florida. His post-graduate focus has been in the fields of functional neurology, functional immunology, and functional endocrinology.

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