On August 5, 2023, the NFL announced a major overhaul of its concussion protocols, a move that is set to have lasting implications for player safety across the league. This update comes in the wake of growing concerns over long-term brain injuries and player safety, particularly following high-profile cases of CTE (Chronic Traumatic Encephalopathy) in former players. The new protocols, which will be implemented for the 2023 season, are aimed at improving diagnosis, management, and prevention of concussions.
Dr. Allen Sills, the NFL’s Chief Medical Officer, led the initiative alongside the NFL Players Association (NFLPA), medical experts, and team physicians. The updated concussion protocol introduces several key changes that are expected to minimize the risk of players suffering from traumatic brain injuries during games.
One of the most significant changes is the introduction of a mandatory in-game assessment for all players who exhibit signs of concussion, including balance issues, confusion, or visible head trauma. The revised protocol mandates that any player showing such symptoms will be removed from the game immediately and undergo a comprehensive evaluation by an independent medical professional. This decision will be made by the team’s medical staff in conjunction with the independent evaluator, ensuring no conflicts of interest arise.
Another important modification is the increased use of technology in concussion detection. The NFL has introduced wearable technology to track players’ head impacts throughout the game. Sensors embedded in helmets will record data on the frequency and severity of hits, giving medical teams a real-time overview of any potentially dangerous impacts. The data will also be analyzed after the game to assess any cumulative effects on the player’s head and neck.
The NFL’s new protocol also focuses on the return-to-play process. Players diagnosed with a concussion will now undergo a mandatory rest period followed by a gradual, multi-phase rehabilitation process. This phased approach ensures that players are only cleared to return to the field once they are symptom-free and have passed a series of physical and cognitive tests. The league has also placed a stronger emphasis on mental health and psychological support for players recovering from concussions.
The changes come after years of pressure from former players, advocacy groups, and medical professionals calling for a more robust and transparent approach to concussion management. The NFL’s new protocols aim to mitigate the long-term risks of brain injuries and ensure that player safety remains a priority.
The updated concussion guidelines are a step forward in addressing the ongoing issue of player health and safety in American football, and they signal a commitment from the NFL to evolve its medical policies in line with current scientific understanding.