Concussion Management

A concussion is a mild traumatic brain injury (mTBI) caused by a direct or indirect blow to the head, neck, or body that results in a rapid movement of the brain within the skull. This leads to changes in brain function, often without visible signs on imaging.

Role of Physiotherapy in Concussion Management

Physiotherapy plays a crucial role in the recovery and management of concussions. A specialized concussion-trained physiotherapist can assist in:

1. Initial Assessment & Symptom Monitoring

  • Comprehensive history and symptom review, Balance, vestibular, vision, and cervical spine assessment
  • Evaluation of exertion tolerance

2. Vestibular Rehabilitation

  • For symptoms like dizziness, vertigo, and balance issues
  • Includes gaze stabilization exercises, habituation, and balance training

3. Cervical Spine Treatment

  • Addresses neck pain and associated symptoms such as headaches or dizziness
  • Manual therapy, mobility exercises, and posture correction

4. Oculomotor (Visual) Rehabilitation

  • Supports visual tracking, focus, and coordination
  • Exercises for convergence, smooth pursuits, and saccades

5. Graduated Return-to-Activity Program

  • Individualized progression through physical and cognitive activity levels
  • Ensures safe return to school, work, or sports

6. Education & Lifestyle Modifications

  • Guidance on sleep hygiene, screen time, hydration, and nutrition
  • Stress and symptom management strategies

Common Symptoms Treated in Concussion

  • Headache
  • Dizziness or balance problems
  • Visual disturbances
  • Sensitivity to light/noise
  • Fatigue
  • Neck pain
  • Difficulty concentrating or memory issues

When to Start Physiotherapy

Physiotherapy can begin as early as 48–72 hours post-injury if symptoms persist or worsen. Early intervention helps improve recovery outcomes and prevent chronic post-concussion syndrome.

Benefits of Physiotherapy for Concussion

  • Faster and safer recovery
  • Reduced symptom severity
  • Decreased risk of long-term issues
  • Improved physical and cognitive function

Direct Billing & Insurance

We offer direct billing to most insurance providers, including WSIB and motor vehicle accident (MVA) claims. Concussion therapy may be covered under extended health benefits—contact us to confirm your eligibility.

“Book your treatment today and start your journey to faster recovery!”

Concussion Physiotherapy – Frequently Asked Questions

Your physiotherapist will:

  • Take a detailed history of your injury and symptoms
  • Perform balance, vestibular (inner ear), visual, and cervical spine assessments
  • Develop a personalized treatment and gradual return-to-activity plan

Physiotherapy can help by addressing:

  • Vestibular issues: dizziness, balance, motion sensitivity
  • Visual disturbances: eye movement or focus problems
  • Neck pain and headaches
  • Exercise intolerance: gradual return-to-exercise guidance

Cognitive fatigue: pacing and activity management

Most people recover within 2–4 weeks, or upto 8 weeks though the recovery time varies. Persistent symptoms beyond this period may require ongoing rehabilitation and coordination with other healthcare providers.

No — a gradual return-to-play or return-to-learn protocol is recommended. Your physiotherapist will guide you through each stage safely, ensuring symptoms do not worsen.

Avoid:

  • Strenuous physical activity until cleared by a professional
  • Screen time or bright environments if symptoms worsen
  • Alcohol or activities with a risk of re-injury
  • Pushing through symptoms — rest and pacing are key

No, a referral is not required. However, collaboration with your physician or specialist is often beneficial for comprehensive care. Check with your insurance.

Seek immediate medical help if you experience:

  • Worsening headache
  • Repeated vomiting
  • Slurred speech
  • Seizures
  • Weakness, numbness, or loss of consciousness