What advice should I provide to patients regarding return-to-play protocols after a concussion?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

When advising patients on return-to-play protocols following a concussion, you should provide the following information:

  • Resolution of Symptoms and Protocol Completion: Patients should be informed that return to contact or high-risk activities, including sports, should only occur after all concussion symptoms have completely resolved . It is also essential that a specific return-to-sport protocol has been completed .
  • Risks of Early Return: Emphasise that an early return to play increases the risk of more severe injury and prolonged recovery .
  • Gradual Return to Activities: Advise patients to gradually return to normal activities, encouraging a regular schedule of activity and sleep . This includes a gradual return to everyday activities such as school, work, and sports .
  • Specific Guidance and Resources: Make patients aware that specific guidelines exist for the timing of return to sport . For detailed return-to-play protocols, patients can be directed to resources from organisations like England Rugby and the Football Association .
  • Information Provision: This advice should be given to the patient and/or their family/carers both verbally and in writing . Ensure that any printed advice is age-appropriate and includes information about returning to everyday activities, including sports .

Educational content only. Always verify information and use clinical judgement.