Specialized Evaluation and Treatment of Concussion and Mild Traumatic Brain Injury
Let’s face it,
concussions are going to happen .
Coaches in every sport are trained to prevent concussions, but they still happen.
Every concussion is different, even if sustained by the same person. The treatment and recovery of an individual varies from person to person and case to case. We provide extensive education to all present parties about concussions, concussion recovery and the risk of returning to sports if necessary.
We are a research-driven and state of the art concussion management center staffed by a team of concussion specialists that diagnose and treat a complex injury with precision and care.
Concussions require a combination of multiple therapies including manual therapy, neuromuscular re-education (balance) therapy, cognitive therapy, vision therapy and psychological therapy. Our concussion specialists are experienced in treating complex concussions and Post Concussion Syndrome cases.
With backgrounds in physical medicine and sports medicine, our team is able to determine the individual causes of concussion symptoms and develop an individualized and accurate treatment protocol that restores you to pre-injury capabilities.
Frequently Asked Questions
What is a concussion?
A concussion is an injury to the interior part of the brain. It’s an injury that stretches the middle portion of the brain causing a wide variety of symptoms that may include, headache, nausea, ‘fogginess,’ dizziness, confusion, difficulty concentrating, sensitivity to light and sound. Concussions are a complex injury that affect multiple systems in your body and requires a comprehensive treatment plan.
How many is too many concussions?
There is no magic number of concussions that is takes to be medically retired from participating in sports. For some athletes, their first concussion can be significant and debilitating causing them to retire. We focus on a number of factors when making suggestions about continuing to participate in a sport including duration of symptoms, complete resolution of symptoms, history of concussions, past medical history, type of sport to name a few.
How long will I be out/recovering?
Research shows that most symptoms will alleviate themselves within 10-21 days with complete healing of the neurological system within 30 days. Each person and injury is different and we do not want to return to sports participation without being fully healed.
What if I return too early?
Return to sports participation prior to healing is dangerous, especially in adolescents and developing brains. Second-Impact Syndrome is a phenomenon where an individual sustains another concussive force before fully recovering from the initial injury. Second-Impact Syndrome can be fatal.
Am I more susceptible to another concussion?
Once an individual sustains a concussion, the force required to sustain another concussion goes down. The brain repairs itself, but there is often residual stretching of the neurons that leaves patients more susceptible to subsequent concussions.
Can I still go to school?
Staying in or returning to school, in a controlled fashion, is vital to concussion recovery. The psychological impact of removing an individual from their friends, sports teams, school and daily routines may have a significant impact on the recovery of the patient. We provide our patients with academic accommodations to help assist the successful integration back into school.
Am I allowed to use electronics?
In reference to the psychological aspect of removing all activities of daily living from patients suffering from concussion symptoms, electronic usage should be limited as much as possible. We teach our patients strategies to limit screen brightness and blue-light reduction, as well as tips on how to manage symptoms if they arise during mandatory electronic usage. In some circumstance, we recommend purchasing blue-light glasses to eliminate irritating light emissions from devices during initial stages of recovery.
How can I help my son/daughter?
The best advice I give a patient’s parent or caregiver is to remain positive and optimistic. Helping the patient with daily activities as needed can be beneficial early on but may delay recovery as we move farther into the recovery spectrum. Assisting with increasingly demanding cognitive tasks is beneficial early on and may improve recovery outcomes in patients. Educating yourself with proper concussion information and monitoring for subtle changes in signs/symptoms and mood can lead to discoveries improving recovery time. Reassuring your loved one that recovery will happen, and everything will improve helps the concussed patient improve, especially in terms of Post-Concussion Syndrome.
What is Post-Concussion Syndrome?
Post-Concussion Syndrome, Persistent Concussion Symptoms or PCS, is a medical diagnosis of concussion symptoms that remain longer than 30 days. PCS occurs when the electrical signals inside the brain remain out of sync for a wide variety of reasons. We offer Vestibular Therapy and Concussion Rehab for patients suffering from PCS where we determine the underlying cause of the remaining symptoms and develop an individualized treatment plan to return you back to normal.