Kids and Concussions

Injury on the soccer field


ONS physicians Paul Sethi, MD and Scott Simon, MD, took part in an important panel discussion for parents about kids and concussions at Greenwich High School on Wednesday night. If you missed this event, presented by ONSF, you can read about the highlights in the Greenwich Time here.

“Knowing your steps, resources and who to call and who to identify can really reduce the anxiety of the student and the family,” said panelist Dr. Paul Sethi, an orthopedic surgeon who is the team physician for Greenwich High. “You become empowered by understanding and when you know who’s on your team to help shepherd you through this event.”

While the best responses for responding to concussions have become clearer in recent years, panelist Dr. Scott Simon, a neurosurgeon, said preventing head injuries is a complex task. Some best practices, he said, include teaching heads-up tackling in football.

Dr. Steven Hindman to discuss Fall and Injury Prevention, Thursday, February 25

Did you know that falls are the most common cause of traumatic brain injury (TBI)?HindmanWhite

From 2006–2010, falls were the leading cause of TBI, accounting for 40% of all brain injuries in the United States that resulted in an ED visit, hospitalization, or death, according to the Centers for Disease Control. Elderly adults and young children are the most likely to suffer falling accidents.

Falling out of bed or from a ladder, slipping in the bath or down a flight of stairs, and almost any other fall can result in a severe blow to the head that damages brain cells, blood vessels and protective tissue around the brain. Bleeding in the brain, swelling and blood clots can interfere with the oxygen supply to the brain, which can cause widespread damage.

You can learn how to prevent falls and protect yourself or your loved one by joining Dr. Steven Hindman on Thursday, January 25 at 6:30 pm when he discusses fall prevention strategies at Sunrise Senior Living, 251 Turn of River Road in Stamford. Refreshments will be served.


ONS Featured in Greenwich Sentinel

sentinel_logo_transparentYou can learn about the early days of ONS and the philosophy that made us the most comprehensive and advanced practice the region. The writer, Sara Poirier Correa, did an excellent job explaining that with 22 top sub-specialty trained physicians, ONS is able to provide personalized services to patients. The article also highlights the Women’s Sports Medicine Center and the ONS Foundation for Clinical Research and Education, which has published internationally and competes among researchers at larger universities such as Harvard, Yale, and Johns Hopkins.


ONS Foundation Along With NFL Alumni Chapter Held Concussion Talk at Greenwich Library

Concussions are the hot topic in the NFL and on high school and college campuses across the country with ongoing concern about the brain health of players of contact sports.

The ONS Foundation wants to raise awareness about the risk of concussion and help educate high school athletes about concussion signs and symptoms. According to neurosurgeon Dr. Scott Simon of the ONS Foundation, concussions are the most common type of brain injury sustained in sports and most concussions do NOT involve loss of consciousness.

Where: Cole Auditorium at Greenwich Library
When: Tuesday, November 19th, 2013 @ 7:00 pm

For more information, click the link below:


Concussion Expertise at ONS

Concussions are a hot topic in the NFL as well on highConcussion school and college campuses in our area. In fact, concussion is the most common type of brain injury sustained in sports and most concussions do NOT involve loss of consciousness. Parents, coaches and physicians are concerned about the potential long term and even permanent damage that may result from a concussion.

“Many people don’t realize that you can sustain a concussion even if you do NOT hit your head,” said neurosurgeon Dr. Scott Simon. “Multiple concussions can have cumulative and long-lasting life consequences.”

Greenwich Post reporter Paul Silverfarb recently wrote a 3-part article on youth sports concussion. Here are links to his article:
Part One
Part Two
Part Three

To consult an ONS specialist about a concussion, ask for an appointment with any of the following physicians:

Mark Camel, MD – Neurosurgeon
Paul Apostolides, MD – Neurosurgeon
Amory Fiore, MD – Neurosurgeon
Scott Simon, MD – Neurosurgeon
Gloria Cohen, MD – Non-operative sports medicine physician
Katie Vadasdi, MD – Orthopedic surgeon, sports medicine specialist

To learn how concussion can be properly diagnosed and managed, click on the following links on the ONS Foundation:

To arrange to have a concussion injury prevention seminar presented in your school or community group, contact the ONS Foundation at (203) 869-3131.


ONS Doctors focus on prevention of Sports Injuries in youth athletes

ONS Foundation Program presented by Dr. Tim Greene and Dr. Scott Simon focuses on prevention of Sports Injuries in youth athletes at Bruce Museum.



On Tuesday, June 5 at 7:30 p.m., orthopedic surgeon and sports medicine specialist Dr. Tim Greene and neurosurgeon Dr. Scott Simon will present The “Impact” of Sports, a program on general sports injury prevention and concussion prevention and management in high school and college athletics at the Bruce Museum located at 1 Museum Drive.  The program, which is designed for students as well as parents and coaches, will reveal the reasons that sports injuries are on the rise in youth athletes and what can be done to prevent kids from getting injuries that may have a lifelong impact. An informal Q and A period will follow the presentations.  Admission is free, but advance reservations are recommended. To register, call the Bruce Museum at (203) 869-0376.

Scott Simon, MD regularly speaks to school and community groups about the dangers of concussion and is affiliated with ThinkFirst, a national organization committed to public education and injury prevention of head and spinal cord injuries.  Dr. Simon specializes in the treatment of spinal disorders including operative and non-operative treatment of scoliosis. He graduated from medical school at UMDNJ – New Jersey Medical School. He completed his residency at The University of Pennsylvania Department of Neurosurgery and his fellowship training in spine surgery and scoliosis at The Schriners Hospital for Children, in Philadelphia.

Tim Greene, MD is fellowship trained in sports medicine and hip arthroscopy. He graduated Princeton University and earned his medical degree at the Medical College of Georgia. He performed a residency in orthopedics at Emory University and served as associate team physician to the athletic teams at Georgia Tech. Dr. Greene completed fellowship training at the Steadman Hawkins Clinic in Vail, Colorado under the direction of Dr. Marc Philippon. Where he served as associate team physician for the U.S. Ski Team.

The ONS Foundation for Clinical Research and Education provides expertise and guidelines for sports-related injury prevention for athletes, coaches as well as the aging population. The Foundation is located at 6 Greenwich Office Park, 10 Valley Drive, Greenwich, CT. For further information about the ONS Foundation, visit or call (203) 869-3131.


Concussion Management Update from Peter Falla, ATC

With fall sports getting underway, area athletic trainers (ATs) will soon be busy tending to the health care needs of student athletes.  In addition to the everyday sports medicine responsibilities of treating injuries and managing rehab, recognition and care of concussions has become an important focus of healthcare professionals on the field.  Concussions are mild traumatic brain injuries that are the result of rapid deceleration of the brain within the skull.  The injury is characterized by alteration in brain function.  It often takes several weeks to recover from a concussion and the process may negatively affect the student athlete both socially and academically.  However, the addition of ImPACT testing has taken some of the guesswork out of concussion management.

ImPACT (Immediate Post-concussion Assessment and Cognitive Testing) is a neurocognitive test that is now routinely given to contact-sport athletes during the beginning of the season to establish a baseline.  The 25-minute test has been researched extensively and validated for use in high school athletes and is widely used in collegiate and professional sports.

As head athletic trainer for Greenwich High School, I have overseen 1500 baseline tests and seen the benefits of neurocognitive testing first hand.  A recent injury of a football player gave me an opportunity to demonstrate why ImPACT is such a useful aid in the neurological evaluation.  In this case, despite clearance by the student’s pediatrician and his own insistence that he was feeling “100 percent better,” his post-injury test scores were significantly lower than his baseline, indicating that he was not fully recovered.  At a critical point in the season, the pressure to return to the field was immense.  I suggested to the family that they hold the player out of sports and serial test him with ImPACT until his numbers improved.  Five days later, his scores were almost identical to his baseline and we began a supervised, gradual return-to-play protocol over five days, while closely monitoring his condition.  Three weeks passed before healing was complete but he made it back in time to play in the final game of the season.

It is important to remember that ImPACT neurocognitive testing is “one tool in the belt” of those treating concussions and should not alone be used as the deciding factor in return or not-to-return to sports decisions.  There is no substitute for a good neurological examination and proper evaluation done by a medical professional who specializes in head injuries.

-Pete Falla


For more information on the Management of Concussion, see this link to the ONS Foundation website.