TBI / Concussion

Any suspected concussion needs proper medical evaluation to rule out more serious brain injury, and we coordinate with physicians and, when needed, direct patients toward emergency evaluation for red-flag symptoms — worsening headache, repeated vomiting, seizure, slurred speech, or increasing confusion.

Once the more serious possibilities have been ruled out, the recovery process for the more common, milder concussion is where a lot of patients get left without support.

• Headaches and pressure at the base of the skull
• Dizziness or balance problems
• Difficulty concentrating or brain fog
• Light or noise sensitivity
• Neck pain and stiffness alongside cognitive symptoms
• Fatigue that’s disproportionate to activity level

After serious brain injury has been ruled out medically, we assess the cervical spine for the whiplash-type injury that so often accompanies a concussion, along with balance and vestibular function, to determine how much of your symptom picture has a treatable mechanical or vestibular component.

Many lingering post-concussion symptoms have a cervicogenic component, meaning the neck injury that so often accompanies a concussion is contributing to or even driving symptoms that get attributed purely to the brain.

• Direct evaluation and treatment of the cervical component of your symptoms
• Vestibular and balance-based rehabilitation for dizziness and coordination issues
• Close coordination with your physician on the neurological side of recovery
• A pace of progression matched to your actual tolerance, not a fixed calendar

Most concussion symptoms resolve within two to four weeks, though a meaningful subset of patients experience longer post-concussion symptoms — often driven by the treatable cervical and vestibular components we specifically evaluate for.

Concussion recovery is not something to guess your way through. Our role is to treat the mechanical and vestibular pieces we’re equipped to treat, coordinate with your physician on the rest, and make sure nothing about your recovery gets dismissed as “just stress” when there’s an actual physical driver still being missed.