Wstrząs mózgu
Leczenie

Wstrząs mózgu (mTBI) to łagodne urazowe uszkodzenie mózgu, które może powodować zarówno krótkotrwałe, jak i długotrwałe objawy fizyczne, poznawcze i behawioralne, takie jak bóle głowy, zawroty głowy, zaburzenia widzenia, problemy z pamięcią i zmiany nastroju. Kluczowe jest natychmiastowe rozpoznanie i kompleksowa ocena neurologiczna, obejmująca m.in. badanie funkcji poznawczych, wzrokowych i przedsionkowych. Wczesne postępowanie obejmuje relatywny odpoczynek przez 24-72 godziny, po którym zaleca się stopniowe wprowadzanie aktywności fizycznej pod progiem nasilenia objawów, co przyspiesza powrót do zdrowia. Fizjoterapia, terapia przedsionkowa i wzrokowa oraz indywidualnie dostosowane programy rehabilitacyjne odgrywają kluczową rolę, zwłaszcza przy utrzymujących się objawach powyżej 10 dni. Leki przeciwbólowe, głównie paracetamol, mogą być stosowane ostrożnie, unikając NLPZ ze względu na ryzyko krwawienia.

Wprowadzenie do wstrząsu mózgu

Wstrząs mózgu to łagodne urazowe uszkodzenie mózgu (mTBI), które może powodować trwałe skutki w tkance mózgowej i zmieniać równowagę chemiczną mózgu. Może wywoływać krótko- i długoterminowe fizyczne, poznawcze i behawioralne objawy oraz problemy. Każdy wstrząs mózgu jest uznawany przez pracowników ochrony zdrowia za poważny uraz, który wymaga natychmiastowej oceny medycznej.1 Większość pacjentów doświadcza całkowitego ustąpienia objawów, ale proces zdrowienia może trwać od kilku dni do kilku miesięcy, a w niektórych przypadkach nawet lat.23

Objawy wstrząsu mózgu mogą obejmować bóle głowy, zawroty głowy, problemy z równowagą, zaburzenia widzenia, nadwrażliwość na światło i dźwięk, zmęczenie, problemy z pamięcią i koncentracją oraz zmiany nastroju.4 Wstrząs mózgu jest najczęstszym rodzajem urazowego uszkodzenia mózgu i może wystąpić podczas uprawiania sportu, upadku, wypadku samochodowego lub innych zdarzeń.56

Ewolucja w podejściu do leczenia wstrząsu mózgu

W ostatnich latach podejście do leczenia wstrząsu mózgu przeszło znaczącą ewolucję. Historycznie, pacjentom zalecano całkowity odpoczynek – „rest, rest, rest” (odpoczynek, odpoczynek, odpoczynek).7 Współczesne badania pokazują jednak, że nie tylko przedłużony odpoczynek umysłowy nie działa, ale może nawet pogorszyć objawy pourazowe.8 Obecne wytyczne zalecają podejście aktywnej rehabilitacji z relatywnym odpoczynkiem tylko w początkowym okresie po urazie.9

Filozofia „odpoczynek jest najlepszy” zmieniła się na przestrzeni lat. Choć odpoczynek mózgu jest konieczny w pierwszych dniach po wstrząsie mózgu, lekarze obecnie zalecają stopniowy powrót do aktywności, aby przyspieszyć powrót do zdrowia.10 Badania wskazują, że aktywna rehabilitacja przyspiesza powrót do zdrowia zarówno u dzieci, jak i dorosłych.11 Badanie z lat 70. wykazało, że pracownicy z wstrząsem mózgu, którzy uczestniczyli w aktywnej rehabilitacji, wracali do pracy 14 dni wcześniej niż ci, którzy zostali umieszczeni na leżeniu w łóżku.12

Wczesna faza leczenia: odpoczynek i stopniowy powrót do aktywności

W pierwszych 24-48 godzinach po wstrząsie mózgu zaleca się relatywny odpoczynek, który pozwala mózgowi na regenerację.1314 Pacjenci powinni odpoczywać zarówno fizycznie, jak i umysłowo. Jest to kluczowy czas dla procesu zdrowienia.15

Ważne jest jednak, aby unikać tzw. „kokonowania” – zalecenie leżenia w zaciemnionym pokoju przez dłuższy czas jest przestarzałą radą, która hamuje powrót do zdrowia. Nawet w pierwszych 24-48 godzinach nie należy leżeć w zaciemnionym pokoju przez dłuższy czas.16 Badania pokazują, że rozpoczęcie lekkich ćwiczeń fizycznych o niskiej intensywności w ciągu pierwszych 24-48 godzin po wstrząsie mózgu zmniejsza ryzyko utrzymywania się objawów przez okres dłuższy niż miesiąc.17

Po okresie względnego odpoczynku (24-72 godziny), zaleca się stopniowe zwiększanie codziennych aktywności, jeśli pacjent może je tolerować bez wyzwalania objawów.18 Lekkie ćwiczenia i aktywność fizyczna, rozpoczęte kilka dni po urazie, jak wykazano, przyspieszają powrót do zdrowia.19

Zalecenia dotyczące odpoczynku i aktywności

  • Ograniczenie czasu spędzonego przed ekranem w pierwszych 48 godzinach, co zmniejsza wysiłek poznawczy20
  • Stopniowe wprowadzanie aktywności fizycznej – zaleca się spacery lub jazdę na stacjonarnym rowerze, unikając ryzyka kontaktu, kolizji lub upadku21
  • Ćwiczenia aerobowe wykonywane tuż poniżej poziomu nasilenia objawów (próg podprogowy objawów) bezpiecznie przyspieszają powrót do zdrowia i zmniejszają objawy u osób z utrzymującymi się objawami po wstrząsie mózgu22
  • Wczesna aktywność – badania sugerują, że ćwiczenia pomagają przyspieszyć powrót do zdrowia po wstrząsie mózgu, nawet w tym samym tygodniu urazu23

Kompleksowa ocena medyczna i indywidualizacja leczenia

Kluczowym elementem skutecznego leczenia wstrząsu mózgu jest kompleksowa ocena medyczna, która powinna obejmować szczegółowy wywiad i dokładne badanie neurologiczne, w tym dokładną ocenę stanu psychicznego, funkcji poznawczych, zaburzeń snu/czuwania, funkcji wzrokowych, funkcji przedsionkowych, chodu, równowagi oraz badania przesiewowe zdrowia psychicznego.24

Leczenie wstrząsu mózgu powinno być zindywidualizowane i kierowane przez pracownika ochrony zdrowia z doświadczeniem w opiece nad pacjentami z wstrząsem mózgu, mającego łatwy dostęp do zasobów leczniczych.25 W fazie zdrowienia należy szukać czynników powodujących objawy i wdrażać plany leczenia w celu ich usunięcia. Częste przyczyny objawów podobnych do wstrząsu mózgu obejmują: uraz szyi, zawroty głowy, uczucie pustki w głowie, problemy ze wzrokiem, trudności ze snem oraz nowe lub nasilające się objawy depresyjne.26

W przeciwieństwie do tego, co może sugerować intuicja, rozwiązaniem dla pacjentów z utrzymującymi się objawami po wstrząsie mózgu są ćwiczenia, a nie dłuższy odpoczynek!27 To podejście pomaga przywrócić prawidłowe funkcjonowanie neurologiczne, które nie wraca do normy.28

Indywidualizacja planu leczenia

Każdy wstrząs mózgu jest wyjątkowy, dlatego fizjoterapeuta zbada układ neurologiczny, ortopedyczny i sercowo-naczyniowy pacjenta, aby najlepiej przepisać program dostosowany do konkretnych objawów i potrzeb.29 Plan leczenia może obejmować:

  • Odpoczynek i regenerację (nie dłużej niż 48-72 godziny)30
  • Fizjoterapię ukierunkowaną na konkretne objawy31
  • Terapię przedsionkową dla pacjentów z zawrotami głowy32
  • Terapię wzrokową przy problemach z widzeniem33
  • Rehabilitację poznawczą34
  • Leczenie bólu głowy i szyi35
  • Stopniowy powrót do aktywności sportowej, szkolnej i zawodowej36

Fizjoterapia w leczeniu wstrząsu mózgu

Fizjoterapia odgrywa kluczową rolę w leczeniu wstrząsu mózgu, szczególnie gdy objawy utrzymują się dłużej niż 10 dni po urazie.37 Badania pokazują, że wczesna interwencja fizjoterapeutyczna – nawet w ciągu pierwszych dwóch tygodni po urazie – może przynieść korzyści.38 Fizjoterapia powinna rozpocząć się w ciągu pierwszych 24-48 godzin, aby pomóc pacjentom w zarządzaniu objawami i skróceniu czasu powrotu do zdrowia.39

Aktualne dowody sugerują, że wczesne leczenie może znacznie skrócić czas powrotu do zdrowia po wstrząsie mózgu. Terapeuci mogą pomóc w wprowadzeniu krótkoterminowych zmian w codziennych rutynach i zapewnić konkretne ćwiczenia, które pomogą zmniejszyć objawy podczas powrotu do zdrowia.40

Obszary, w których fizjoterapia może pomóc

  • Leczenie bólu głowy i szyi41
  • Poprawa równowagi i leczenie zawrotów głowy42
  • Terapia przedsionkowa dla pacjentów z utrzymującymi się zawrotami głowy43
  • Terapia wzrokowa dla problemów z widzeniem44
  • Rehabilitacja ruchowa dla przywrócenia siły i wytrzymałości45
  • Pomoc w powrocie do ćwiczeń46
  • Wykrywanie i leczenie dysfunkcji autonomicznej47

Ważnym elementem terapii jest ćwiczenie wysiłkowe, które pomaga zarówno sportowcom, jak i osobom niebędącym sportowcami po wstrząsie mózgu, którzy mogą czuć się zdenerwowani lub niezdecydowani przy próbie wykonywania ćwiczeń.48 Terapia wysiłkowa jest jednym z najlepiej udokumentowanych rodzajów leczenia wstrząsu mózgu.49

Terapia wzrokowa i przedsionkowa

Problemy ze wzrokiem i równowagą są częstymi objawami po wstrząsie mózgu. Od 50% do 90% pacjentów z wstrząsem mózgu doświadcza problemów z oczami, układem przedsionkowym lub obiema tymi funkcjami.50 Terapia wzrokowa i rehabilitacja przedsionkowa są stosowane w leczeniu problemów ze wzrokiem wynikających z wstrząsu mózgu.51

Badania wykazały, że niedostateczność konwergencji (CI) i niedostateczność akomodacji (AI) są najczęstszymi problemami ze wzrokiem po wstrząsie mózgu. Terapia wzrokowa całkowicie wyleczyła CI u 85% pacjentów i poprawiła ją u 15%. Terapia wzrokowa wyleczyła AI u 33% pacjentów i poprawiła ją u 67%. Badacze doszli do wniosku, że terapia wzrokowa była bardzo skuteczna w leczeniu tych powszechnych pourazowych problemów ze wzrokiem w zdecydowanej większości przypadków.52

Elementy terapii wzrokowej i przedsionkowej

  • Neuro-optometrysta opracuje zindywidualizowany plan leczenia obejmujący ćwiczenia terapii wzrokowej, dodając nowe ćwiczenia w miarę poprawy stanu pacjenta53
  • Terapia wzrokowa poprawia komunikację między oczami a mózgiem poprzez różne ćwiczenia prowadzone przez specjalistę54
  • Neurooptometryczna rehabilitacja wykorzystuje pryzmaty terapeutyczne, soczewki, filtry i okluzję, aby stymulować części mózgu, które nie funkcjonują na najwyższym poziomie z powodu uszkodzenia mózgu55
  • Terapie przedsionkowe obejmują ćwiczenia habituacyjne, trening stabilności spojrzenia i trening równowagi56

Badacze i stowarzyszenia medyczne zalecają, aby osoby z wstrząsem mózgu, u których objawy utrzymują się dłużej niż cztery tygodnie, poddały się kompleksowemu badaniu wzroku.57 Po dokładnej ocenie oczu neuro-optometrysta określa, czy pacjent potrzebuje terapii wzrokowej i w razie potrzeby opracowuje zindywidualizowany plan leczenia.58

Farmakoterapia i leczenie bólu

W leczeniu wstrząsu mózgu stosowanie leków powinno być ostrożne i zawsze konsultowane z lekarzem. W celu złagodzenia bólu głowy można stosować leki przeciwbólowe bez recepty, takie jak paracetamol (np. Tylenol).59 Warto jednak pamiętać o kilku istotnych kwestiach:

  • Nie należy przyjmować żadnych leków przeciwbólowych dostępnych bez recepty, jeśli podejrzewa się wstrząs mózgu, przed konsultacją z lekarzem60
  • Wiele leków, takich jak niesteroidowe leki przeciwzapalne (NLPZ), rozrzedza krew, co może być niezwykle niebezpieczne w przypadku krwawienia w mózgu61
  • Lekarz poinformuje, które leki są bezpieczne w trakcie powrotu do zdrowia. Może być konieczne unikanie NLPZ, takich jak naproksen lub ibuprofen, ale stosowanie paracetamolu może być bezpieczne62
  • Należy unikać przyjmowania aspiryny, leków przeciwzapalnych, takich jak ibuprofen lub naproksen, środków nasennych lub uspokajających leków przeciwbólowych63

Leki mogą pomóc w zarządzaniu objawami wstrząsu mózgu, ale nie leczą samego wstrząsu; dotychczas nie opracowano leku leczącego bezpośrednio wstrząs mózgu.64 Leki są zwykle dobierane indywidualnie, więc ważne jest omówienie z lekarzem, które są najlepsze dla danego pacjenta.65

Farmakoterapia w leczeniu objawowym

W przypadku długotrwałych objawów po wstrząsie mózgu, mogą być stosowane:

  • Leki stosowane w leczeniu migren lub bólów głowy typu napięciowego66
  • Leki przeciwdepresyjne, na nadciśnienie i przeciwdrgawkowe67
  • Leki na problemy ze snem68
  • Melatonina, która wykazała wsparcie w powrocie do zdrowia po wstrząsie mózgu69

Istnieje rosnące zainteresowanie suplementami diety, takimi jak witaminy z grupy B, kwasy tłuszczowe omega-3, witamina D, progesteron, N-metylo-D-asparaginian (NMDA), egzogenne ketony i manipulacje dietetyczne w leczeniu wstrząsu mózgu. Mimo zainteresowania, nie ma jednoznacznych dowodów na skuteczność tych substancji w zapobieganiu lub łagodzeniu objawów wstrząsu mózgu u ludzi.70

Multidyscyplinarne podejście do leczenia

Leczenie wstrząsu mózgu często wymaga zaangażowania wielu specjalistów z różnych dziedzin. Zaleca się aktywną rehabilitację, która jest najlepiej zapewniana przez zespół współpracujących lub wielodyscyplinarnych specjalistów.71

W skład zespołu leczącego wstrząs mózgu mogą wchodzić:7273

  • Lekarze (neurolog, lekarz medycyny sportowej, lekarz pierwszego kontaktu)
  • Certyfikowani pielęgniarze
  • Fizjoterapeuci
  • Terapeuci zajęciowi
  • Logopedzi
  • Neuropsycholodzy
  • Specjaliści edukacyjni
  • Trenerzy sportowi

Multidyscyplinarny zespół współpracuje, aby pomóc pacjentowi przez zabiegi, które najlepiej służą jego powrotowi do zdrowia. Te zabiegi mogą obejmować:7475

  • Przepisanie fizjoterapii lub terapii wysiłkowej
  • Stosowanie metod zarządzania zachowaniem
  • Skierowanie na konsultację w sprawie leków na przewlekłe objawy
  • Regularna ponowna ocena w celu promowania skutecznej rehabilitacji i powrotu do zdrowia
  • Zarządzanie warunkami wymagającymi leczenia medycznego, takimi jak sen, ból głowy lub lęk
  • Poprawa wydajności w celu zmniejszenia ryzyka ponownego urazu

Terapie wspomagające

Oprócz tradycyjnych form leczenia, mogą być stosowane również inne podejścia terapeutyczne:7677

  • Akupunktura
  • Techniki relaksacyjne
  • Masaż terapeutyczny
  • Joga
  • Medytacja
  • Terapia behawioralno-poznawcza (CBT)
  • Terapia psychologiczna
  • Zmiany w diecie i wsparcie żywieniowe

Ważnym aspektem leczenia jest edukacja pacjenta. Fundacja Ontario Neurotrauma niedawno wykazała, że jedną z najlepszych metod leczenia opartych na dowodach naukowych, zapobiegających długotrwałym objawom, jest edukacja pacjenta i zapewnienie wsparcia!78

Powrót do aktywności: Protokoły powrotu do sportu, nauki i pracy

Dynamiczny charakter powrotu do zdrowia po wstrząsie mózgu wymaga obserwacji i dostosowanego postępowania na każdym etapie. Kluczowymi kamieniami milowymi w procesie powrotu do zdrowia są: powrót do nauki, szkoły, pracy, ćwiczeń i sportu. Każdy z tych kamieni milowych jest podejmowany stopniowo, od aktywności ograniczonej objawami do pełnego uczestnictwa.79

Protokół powrotu do sportu

Konkretne protokoły powrotu do aktywności fizycznej i sportu mogą być sugerowane przez pracownika ochrony zdrowia.80 Protokół powrotu do sportu po wstrząsie mózgu obejmuje 6 etapów, z których każdy trwa minimum 24 godziny. Jeśli pojawią się jakiekolwiek objawy, należy przerwać proces i poinformować trenera lub specjalistę ds. wstrząsu mózgu.81

Aby wznowić uprawianie sportu po wstrząsie mózgu, pacjent musi:82

  • Być wolny od objawów w spoczynku i podczas normalnych czynności
  • W pełni wrócić do szkoły
  • Osiągnąć normalny wynik w testach neuropsychologicznych
  • Uzyskać zgodę od specjalisty ds. wstrząsu mózgu

Najważniejszym aspektem wszystkich opublikowanych wytycznych jest koncepcja, że sportowiec nie może wrócić do gry, dopóki nie będzie całkowicie bez objawów.83 Protokół postępuje przez serię kroków, przechodząc do następnego kroku tylko wtedy, gdy wszystkie czynności w bieżącym kroku są tolerowane bez nawrotu objawów. Komunikacja między sportowcem a personelem medycznym podczas protokołu jest niezbędna.84

Powrót do nauki i pracy

Lekarz może zalecić zwolnienie z pracy lub pozostanie dziecka w domu na kilka dni. Poinformuje, kiedy można stopniowo wracać do pracy lub nauki, w zależności od czasu poprawy objawów.85

Większość osób wraca do pewnego zakresu pracy lub szkoły w ciągu kilku dni, a powrót do pełnego wymiaru zajęć następuje w ciągu kilku tygodni. Pacjent będzie prawdopodobnie odczuwał zmęczenie, więc powinien dostosować okresy odpoczynku w miarę potrzeb.86

Zespół zajmujący się wstrząsem mózgu pomoże kierować powrotem pacjenta do nauki i będzie współpracować ze szkołą w celu opracowania zindywidualizowanego planu ułatwiającego powrót do klasy.87 Wspierają udział w zmodyfikowanych aktywnościach zawodowych, aby uniknąć pogorszenia objawów po wstrząsie mózgu. Zachęca się do współpracy z pacjentem, lekarzem i pracodawcą w celu stworzenia skutecznego planu sukcesu w miejscu pracy.88

Zespół po wstrząsie mózgu (Post-Concussion Syndrome)

Zespół po wstrząsie mózgu (PCS) pojawia się, gdy pacjent z łagodnym urazowym uszkodzeniem mózgu (mTBI) doświadcza utrzymujących się objawów po urazie. Jeśli nie są leczone, objawy mogą utrzymywać się miesiącami, latami, a nawet dekadami po zdarzeniu.89 Większość pacjentów może jednak poczynić znaczne postępy pod nadzorem doświadczonych lekarzy i terapeutów.90

PCS występuje, gdy objawy utrzymują się dłużej niż trzy miesiące.91 Według kliniki Mayo, nie ma jednego testu, który mógłby udowodnić, że pacjent ma zespół po wstrząsie mózgu. Podobnie, nie ma jednego konkretnego leczenia rutynowo przepisywanego w celu złagodzenia objawów. Zamiast tego, chodzi o znalezienie tego, co najlepiej działa dla danego pacjenta.92

Cztery główne przyczyny utrzymujących się objawów po wstrząsie mózgu

Najczęstsze przyczyny utrzymujących się objawów po wstrząsie mózgu to:93

  • Dysfunkcja sprzężenia nerwowo-naczyniowego
  • Dysfunkcja autonomicznego układu nerwowego
  • Dysfunkcja przedsionkowa
  • Problemy ze wzrokiem po urazie głowy

Znajomość tego, kiedy i jak te przyczyny prowadzą do objawów, jest ważną częścią opracowania dobrego planu leczenia PCS.94

Metody leczenia zespołu po wstrząsie mózgu

Aktywna terapia jest najlepszym dostępnym leczeniem zespołu po wstrząsie mózgu.95 Pacjenci cierpiący na zespół po wstrząsie mózgu mogą i doświadczają znacznej poprawy objawów po aktywnej rehabilitacji, zakładając, że jest ona przeprowadzana prawidłowo.96

Terapia jest obecnie najlepszym protokołem leczenia przywracającym zdrowe funkcjonowanie poznawcze.97 Alternatywą są leki, które powinny być ostatecznością: chociaż nie rozwiązują podstawowych problemów, mogą uczynić pewne objawy bardziej znośnymi podczas powrotu do zdrowia po wstrząsie mózgu.98

Metody leczenia zespołu po wstrząsie mózgu mogą obejmować:99100

  • Fizjoterapię – często stosowana po urazie w celu rehabilitacji dotkniętego obszaru
  • Terapię zajęciową – pomaga przystosować się do codziennego życia podczas radzenia sobie z zespołem po wstrząsie mózgu
  • Terapię poznawczą – forma psychoterapii skupiająca się na wzorcach myślenia i ich wpływie
  • Terapię nerwowo-mięśniową – forma terapii masażem
  • Terapię przedsionkową – mającą na celu naprawę uszkodzeń układu przedsionkowego po wstrząsie mózgu
  • Neuropsychologię – niezwykle pomocną w radzeniu sobie z urazami mózgu
  • Rehabilitację neuro-optometryczną – skupiającą się na łagodzeniu objawów związanych ze wzrokiem po urazie głowy
  • Neurofeedback (lub biofeedback) – nieinwazyjna terapia pomagająca mózgowi działać sprawniej
  • Terapię hiperbaryczną tlenem – kolejna nieinwazyjna metoda leczenia zespołu po wstrząsie mózgu

Nowoczesne technologie i metody diagnostyczne w leczeniu wstrząsów mózgu

Współczesne leczenie wstrząsu mózgu wykorzystuje zaawansowane technologie diagnostyczne i terapeutyczne. Instytucje medyczne stosują różnorodne narzędzia do oceny i leczenia wstrząsów mózgu:

  • Testy ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) – narzędzie do komputerowej oceny pourazowej i testowania poznawczego101102
  • Funkcjonalny rezonans magnetyczny (fMRI) – używany do tworzenia szczegółowej mapy funkcji mózgu, która jest podstawą spersonalizowanego leczenia103
  • System VSR Sport (Very Simple Rehab) – technologia NeuroGames w ramach VSR pomaga osobom z wstrząsem mózgu „odzyskać” równowagę podczas grania w gry wideo104
  • System równowagi Biodex105
  • Bertec Vision Advantage (BVA)106
  • Virtualis VR, Bioness Integrated Therapy System (BITS), Blazepods i gogle wideo przedsionkowe – używane do przeprowadzania ocen, które kierują leczeniem, zwiększają zaangażowanie pacjenta i symulują złożone środowiska107
  • Eye Box – nagradzana technologia do diagnostyki wstrząsów mózgu, dostarczająca mierzalnych informacji, które mogą pomóc w diagnostyce wstrząsów mózgu z obiektywnymi danymi108
  • GyroStim – wszechstronne, nieinwazyjne i opłacalne narzędzie do leczenia zaburzeń równowagi i przedsionkowych, wstrząsów mózgu, TBI i innych schorzeń neurologicznych109

Podsumowanie najlepszych praktyk w leczeniu wstrząsu mózgu

Leczenie wstrząsu mózgu jest zindywidualizowanym procesem, który powinien uwzględniać konkretne objawy i potrzeby pacjenta. Na podstawie aktualnych badań i wytycznych, można sformułować następujące najlepsze praktyki:

  • Wczesna interwencja medyczna – szukaj pomocy medycznej natychmiast po podejrzeniu wstrząsu mózgu110
  • Krótki okres względnego odpoczynku (24-72 godziny), a następnie stopniowy powrót do aktywności111112
  • Wczesne wprowadzenie lekkiej aktywności fizycznej (po 24-48 godzinach) pod progiem nasilenia objawów113114
  • Zindywidualizowany plan leczenia uwzględniający konkretne objawy i okoliczności115
  • Multidyscyplinarne podejście łączące specjalistów z różnych dziedzin116
  • Stopniowy powrót do nauki, pracy i aktywności sportowej117
  • Regularna obserwacja i ponowna ocena przez specjalistów118
  • Edukacja pacjenta i rodziny na temat objawów i procesu powrotu do zdrowia119

Większość osób z wstrząsem mózgu czuje się lepiej w ciągu 2-4 tygodni.120 Jeśli objawy utrzymują się dłużej lub nasilają się po powrocie do normalnych aktywności, należy skonsultować się z lekarzem.121 W przypadku utrzymywania się objawów dłużej niż 2-4 tygodnie, lekarz może skierować pacjenta do specjalisty z doświadczeniem w leczeniu urazów mózgu.122

Najważniejsze jest, aby nigdy nie bagatelizować wstrząsu mózgu i zawsze szukać odpowiedniej opieki medycznej. Przy właściwym leczeniu, zdecydowana większość pacjentów może w pełni powrócić do zdrowia i normalnej aktywności.123

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    A concussion is a mild traumatic brain injury. It can cause lasting effects on brain tissue and change the brain’s chemical balance. Concussions may cause short-term and long-term physical (body), cognitive (thinking), and behavioral symptoms and problems. Every concussion is considered a serious injury by health care providers. If you have experienced a head injury, seek medical help immediately. […] A physical therapist can assess symptoms to determine if a concussion is present. They can treat your injury by guiding you through a safe and personalized recovery program. Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. […] Recovery from a concussion can take several weeks to months and sometimes years. Many factors can affect the length of recovery, including age and severity of the injury.
  • #2 Concussion – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube
    https://www.ncbi.nlm.nih.gov/books/NBK537017/
    A concussion is a „traumatically induced transient disturbance of brain function.” Concussions are a subset of the neurologic injuries known as traumatic brain injuries. […] The prognosis is usually good, and most patients experience complete resolution of symptoms. […] Treatment of a concussion is primarily supportive. Supportive care for concussion centers around the initial physical and cognitive activity limitation, followed by a gradual return to previous activity levels. […] There is emerging evidence that early, targeted therapies and interventions aimed at specific clinical profiles of a concussion may be beneficial; however, evidence for identifying these clinical profiles and the efficacy of the therapy is still preliminary. […] An athlete diagnosed with a concussion should be forbidden to return to play until cleared by a medical provider. […] Over-the-counter analgesics to control headache symptoms are an option, although there is limited evidence of their efficacy.
  • #3 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    A concussion is a mild traumatic brain injury. It can cause lasting effects on brain tissue and change the brain’s chemical balance. Concussions may cause short-term and long-term physical (body), cognitive (thinking), and behavioral symptoms and problems. Every concussion is considered a serious injury by health care providers. If you have experienced a head injury, seek medical help immediately. […] A physical therapist can assess symptoms to determine if a concussion is present. They can treat your injury by guiding you through a safe and personalized recovery program. Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. […] Recovery from a concussion can take several weeks to months and sometimes years. Many factors can affect the length of recovery, including age and severity of the injury.
  • #4 Concussion Therapy
    https://www.unitypoint.org/find-a-service/therapy-and-rehabilitation/concussion-therapy
    Common Concussion Symptoms Treated in Therapy: Headache, Dizziness, Balance problems, Neck pain, Vision changes, Sensitivity to light, sound, and/or movement, Fatigue or feeling sluggish, hazy, or foggy, Memory and/or concentration problems, Changes in sleep, Changes in mood. […] Current evidence also suggests that early treatment may significantly reduce recovery time following a concussion. Therapists can help you make short-term changes to your routine and provide specific exercises to help reduce your symptoms as you recover. […] To reach these goals, your therapist will: Provide early education on modifying your activities and managing your symptoms to allow a return to normal activities as quickly as possible. Develop a program to directly improve your concussion symptoms. Provide individualized guidance to gradually return to learn play, work, activities, and sport.
  • #5 Concussion: A New Approach to Treatment | Brown University Health
    https://www.brownhealth.org/be-well/concussion-new-approach-treatment
    Concussion is the most common type of brain injury. […] Research has shown that concussions cause abnormal brain functioning by disturbing the work of the energy-generators of the cells of the brain, the mitochondria, and disrupting the brains normal blood flow pattern. […] Excessive physical activity immediately after concussion has been shown to prolong concussion signs and symptoms. […] Some of the newer research on concussions shows that complete rest prolongs concussion symptoms. […] In addition, research on sensory deprivation shows no benefit for concussion recovery. […] Complete physical rest and sensory deprivation has been shown to cause mood disorders such as depression and anxiety. […] Given all that we now know, the preferred approach to concussions is active rehabilitation.
  • #6 Concussion 101: Signs | Symptoms | Treatment
    https://baselinetesting.com/concussion-101-guide-symptoms-treatment-rehab/
    Concussion is the most common type of traumatic brain injury. […] Trained healthcare providers are the only ones who can diagnose and treat concussions. […] An individual who has had a concussion can feel entirely back to normal with a short period of rest and proper treatment or rehabilitation. […] Your healthcare provider can help you get the proper treatment to improve your symptoms and return you to your everyday activities. […] In some cases, your provider will recommend specific treatment or rehabilitation that targets the areas affected after a concussion. […] Research has shown that active rehabilitation and actively targeting deficits a person experiencing is an excellent way to treat a concussion. […] Common concussion treatments include vision therapy, vestibular therapy, and exertion therapy.
  • #7 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    Historically, healthcare providers told patients with concussion symptoms due to mild traumatic brain injury to rest, rest, rest. […] The research on concussions and post-concussion syndrome is evolving at an exponential rate, and we realize that not only does prolonged mental rest not work, but it can also make your post-concussion symptoms worse. […] While relative rest is still important during the early stages following injury, that timeline is getting shorter (i.e., 48 hours of relative rest), with strict, prolonged rest starting to worsen patient symptoms over time. […] If you have fallen victim to this, you don’t need more rest; you need a second opinion. […] Concussion recovery involves more than just treating the brain – a good concussion specialist will look at all the reasons why persistent concussion symptoms occur and take into account your previous concussion history, your physical cognitive symptoms, your vestibular system, mood changes, and mental health disorders, and implement a concussion treatment plan that should include the following elements as part of their post-concussion treatment 5 step program: Exercise Therapy, Manual Therapy Neck Injury Rehab, Diet Nutritional Changes, Vision Therapy Vestibular Therapy, Education.
  • #8 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    Historically, healthcare providers told patients with concussion symptoms due to mild traumatic brain injury to rest, rest, rest. […] The research on concussions and post-concussion syndrome is evolving at an exponential rate, and we realize that not only does prolonged mental rest not work, but it can also make your post-concussion symptoms worse. […] While relative rest is still important during the early stages following injury, that timeline is getting shorter (i.e., 48 hours of relative rest), with strict, prolonged rest starting to worsen patient symptoms over time. […] If you have fallen victim to this, you don’t need more rest; you need a second opinion. […] Concussion recovery involves more than just treating the brain – a good concussion specialist will look at all the reasons why persistent concussion symptoms occur and take into account your previous concussion history, your physical cognitive symptoms, your vestibular system, mood changes, and mental health disorders, and implement a concussion treatment plan that should include the following elements as part of their post-concussion treatment 5 step program: Exercise Therapy, Manual Therapy Neck Injury Rehab, Diet Nutritional Changes, Vision Therapy Vestibular Therapy, Education.
  • #9 Concussion: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/neuro/brain-spine-trauma/concussion/treatment
    The rest is best philosophy for treating a concussion has changed over the years. While brain rest is necessary for the very early days after a concussion, doctors now recommend a gradual return to activity to enhance recovery. […] Treatment for a concussion starts with rest for the first 1-3 days, followed by gradually increasing time spent at work, school, or light aerobic exercise. You may also benefit from physical, occupational, vestibular, and/or vision therapy to help you recover from neck pain, dizziness, blurred vision, or other symptoms. Some patients benefit from medication and counseling.
  • #10 Concussion: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/neuro/brain-spine-trauma/concussion/treatment
    The rest is best philosophy for treating a concussion has changed over the years. While brain rest is necessary for the very early days after a concussion, doctors now recommend a gradual return to activity to enhance recovery. […] Treatment for a concussion starts with rest for the first 1-3 days, followed by gradually increasing time spent at work, school, or light aerobic exercise. You may also benefit from physical, occupational, vestibular, and/or vision therapy to help you recover from neck pain, dizziness, blurred vision, or other symptoms. Some patients benefit from medication and counseling.
  • #11 Concussion: A New Approach to Treatment | Brown University Health
    https://www.brownhealth.org/be-well/concussion-new-approach-treatment
    A research study in the 1970s showed that workers with a concussion who participated in active rehabilitation went back to work 14 days sooner than those who were placed on bed rest. […] Active rehabilitation has been shown to speed recovery from concussion in both children and adults. […] While it is still good practice to minimize highly stimulating activities, such as use of screens and smartphones, relative rest is preferred, with gradual return to regular activities by using pacing techniques and taking breaks.
  • #12 Concussion: A New Approach to Treatment | Brown University Health
    https://www.brownhealth.org/be-well/concussion-new-approach-treatment
    A research study in the 1970s showed that workers with a concussion who participated in active rehabilitation went back to work 14 days sooner than those who were placed on bed rest. […] Active rehabilitation has been shown to speed recovery from concussion in both children and adults. […] While it is still good practice to minimize highly stimulating activities, such as use of screens and smartphones, relative rest is preferred, with gradual return to regular activities by using pacing techniques and taking breaks.
  • #13 Concussion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/concussion/diagnosis-treatment/drc-20355600
    There are steps you can take to help your brain heal and speed recovery. […] In the first couple of days after a concussion, relative rest allows your brain to recover. Healthcare professionals recommend that you physically and mentally rest during this time. […] After a period of relative rest, gradually increase daily activities if you can tolerate them without triggering symptoms. […] Light exercise and physical activity as tolerated starting a couple of days after injury have been shown to speed recovery. […] Your healthcare professional also may recommend different therapies. You may need rehabilitation for symptoms related to vision, balance, or thinking and memory. […] Specific return to physical activity sport protocols may be suggested by your healthcare professional. […] To manage pain, ask your healthcare professional if it’s safe to take a pain reliever such as acetaminophen (Tylenol, others).
  • #14 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    It is important to seek medical treatment immediately following any head injury. The risk of death or permanent brain damage from a concussion can be minimized by immediate and appropriate treatment from health care providers like a physical therapist. Only health care providers have the knowledge and training to identify concussion in the maze of symptoms that can occur following a head injury. […] Physical therapists can evaluate and treat many problems related to concussions. Because no two concussions are the same, a physical therapist will examine your neurological, orthopedic, and cardiovascular systems to best prescribe a routine to address your specific symptoms and needs. […] Treatment may include: Rest and recovery. Complete rest after a concussion should last for no longer than 48 to 72 hours. Your brain requires a balance of activity and rest to heal properly.
  • #15 Concussion – symptoms, signs and treatment | healthdirect
    https://www.healthdirect.gov.au/concussion
    Concussion is a brain injury caused by a knock or blow to the head or a sudden change in motion. […] The main treatment for concussion is rest, followed by a gradual return to your normal activities. […] It’s important to rest for the first 24 to 48 hours. This gives your brain a chance to heal. […] Your doctor may suggest that you don’t take medicines such as aspirin, anti-inflammatories such as ibuprofen or naproxen, sleeping pills, or sedating pain-relief medicines. […] Recovery is different for everyone. Ask your doctor when you can go back to school or work and reintroduce more vigorous exercise. […] If your symptoms get worse in the first few weeks of recovery, or you are concerned, see your doctor. […] Most people recover fully within 2 weeks, although children usually take longer to recover. […] If you are concerned about ongoing symptoms of concussion, see you doctor.
  • #16 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Concussion Alliance has created a framework of guidelines for recovery from a concussion. This framework is based on the 6th international consensus on concussion in sport. Even if you did not get your concussion from sports, these guidelines are important as they reflect the international consensus on the best way to manage a concussion. […] The medical assessment should include a comprehensive history and detailed neurological examination, including a thorough assessment of mental status, cognitive functioning, sleep/wake disturbance, ocular function, vestibular function, gait, balance, and mental health screening. […] Cocooning is outdated advice that impedes recovery. Do NOT lie in a darkened room resting for extended periods during the day, even in the first 24-48 hours. […] Starting light-intensity physical activity in the first 24-48 hours after a concussion reduces the risk of symptoms persisting longer than a month.
  • #17 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Concussion Alliance has created a framework of guidelines for recovery from a concussion. This framework is based on the 6th international consensus on concussion in sport. Even if you did not get your concussion from sports, these guidelines are important as they reflect the international consensus on the best way to manage a concussion. […] The medical assessment should include a comprehensive history and detailed neurological examination, including a thorough assessment of mental status, cognitive functioning, sleep/wake disturbance, ocular function, vestibular function, gait, balance, and mental health screening. […] Cocooning is outdated advice that impedes recovery. Do NOT lie in a darkened room resting for extended periods during the day, even in the first 24-48 hours. […] Starting light-intensity physical activity in the first 24-48 hours after a concussion reduces the risk of symptoms persisting longer than a month.
  • #18 Concussion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/concussion/diagnosis-treatment/drc-20355600
    There are steps you can take to help your brain heal and speed recovery. […] In the first couple of days after a concussion, relative rest allows your brain to recover. Healthcare professionals recommend that you physically and mentally rest during this time. […] After a period of relative rest, gradually increase daily activities if you can tolerate them without triggering symptoms. […] Light exercise and physical activity as tolerated starting a couple of days after injury have been shown to speed recovery. […] Your healthcare professional also may recommend different therapies. You may need rehabilitation for symptoms related to vision, balance, or thinking and memory. […] Specific return to physical activity sport protocols may be suggested by your healthcare professional. […] To manage pain, ask your healthcare professional if it’s safe to take a pain reliever such as acetaminophen (Tylenol, others).
  • #19 Concussion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/concussion/diagnosis-treatment/drc-20355600
    There are steps you can take to help your brain heal and speed recovery. […] In the first couple of days after a concussion, relative rest allows your brain to recover. Healthcare professionals recommend that you physically and mentally rest during this time. […] After a period of relative rest, gradually increase daily activities if you can tolerate them without triggering symptoms. […] Light exercise and physical activity as tolerated starting a couple of days after injury have been shown to speed recovery. […] Your healthcare professional also may recommend different therapies. You may need rehabilitation for symptoms related to vision, balance, or thinking and memory. […] Specific return to physical activity sport protocols may be suggested by your healthcare professional. […] To manage pain, ask your healthcare professional if it’s safe to take a pain reliever such as acetaminophen (Tylenol, others).
  • #20 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #21 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #22 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #23 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    The solution for this problem goes against conventional thought: exercise! […] More recent evidence suggests that exercise helps speed recovery after a concussion—as early as within the same week of the injury! […] So, if you are still having post-concussion symptoms, even if you don’t have neck pain, you may be suffering from symptoms that are coming from your neck, which are easily treated with physical therapy consisting of manual therapy and rehabilitative exercises. […] Treatment options for both metabolic dysfunction and neuro-inflammation include simple dietary changes such as avoiding pro-inflammatory foods and replacing them with healthier options such as fruits and vegetables, freshly caught fish, and good fats. […] A proper rehabilitation program can be set up following a thorough assessment of these areas and a thorough neurological examination.
  • #24 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Concussion Alliance has created a framework of guidelines for recovery from a concussion. This framework is based on the 6th international consensus on concussion in sport. Even if you did not get your concussion from sports, these guidelines are important as they reflect the international consensus on the best way to manage a concussion. […] The medical assessment should include a comprehensive history and detailed neurological examination, including a thorough assessment of mental status, cognitive functioning, sleep/wake disturbance, ocular function, vestibular function, gait, balance, and mental health screening. […] Cocooning is outdated advice that impedes recovery. Do NOT lie in a darkened room resting for extended periods during the day, even in the first 24-48 hours. […] Starting light-intensity physical activity in the first 24-48 hours after a concussion reduces the risk of symptoms persisting longer than a month.
  • #25 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    Recovery from concussion is a complex and dynamic process. During recovery it is critical to identify the factors responsible for symptoms and to develop a treatment plan targeting them. If recovery is not properly managed it can lead to unnecessarily prolonged recovery. Management of recovery should be individualized and directed by a health care provider with expertise in concussion care and who has ready access to treatment resources. […] A specialist should direct care for recovery from concussion. […] During the recovery phase factors that are causing symptoms should be sought and treatment plans put in place for their resolution. Common treatable causes of concussion-like symptoms include; neck injury, dizziness, lightheadedness, vision problems, difficulty with sleep, and new or worsening mood symptoms. Continued follow up at a clinic with expertise in management of concussion during the recovery phase allows for an individualized recovery plan including, a prescription for exercise and referrals to optimize recovery.
  • #26 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    Recovery from concussion is a complex and dynamic process. During recovery it is critical to identify the factors responsible for symptoms and to develop a treatment plan targeting them. If recovery is not properly managed it can lead to unnecessarily prolonged recovery. Management of recovery should be individualized and directed by a health care provider with expertise in concussion care and who has ready access to treatment resources. […] A specialist should direct care for recovery from concussion. […] During the recovery phase factors that are causing symptoms should be sought and treatment plans put in place for their resolution. Common treatable causes of concussion-like symptoms include; neck injury, dizziness, lightheadedness, vision problems, difficulty with sleep, and new or worsening mood symptoms. Continued follow up at a clinic with expertise in management of concussion during the recovery phase allows for an individualized recovery plan including, a prescription for exercise and referrals to optimize recovery.
  • #27 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    The solution for this problem goes against conventional thought: exercise! […] More recent evidence suggests that exercise helps speed recovery after a concussion—as early as within the same week of the injury! […] So, if you are still having post-concussion symptoms, even if you don’t have neck pain, you may be suffering from symptoms that are coming from your neck, which are easily treated with physical therapy consisting of manual therapy and rehabilitative exercises. […] Treatment options for both metabolic dysfunction and neuro-inflammation include simple dietary changes such as avoiding pro-inflammatory foods and replacing them with healthier options such as fruits and vegetables, freshly caught fish, and good fats. […] A proper rehabilitation program can be set up following a thorough assessment of these areas and a thorough neurological examination.
  • #28 Physical Therapy for Concussion: How PT Can Help | HSS
    https://www.hss.edu/article_physical-therapy-for-concussion.asp
    Seeking physical therapy for a concussion can help relieve symptoms and speed recovery. […] Physical therapy can play a role in restoring neurological function that isnt getting back to normal, says Meghan Lamothe Homoky, PT, DPT, OCS, ATC, a physical therapy clinical specialist at HSS Rehabilitation and Performance. […] Early intervention with physical therapy is crucial. Ideally, patients who still have headaches, dizziness or neck pain 10 days after the injury should be referred to PT. „The evidence shows that being proactive with physical therapy after a concussion even as early as within two weeks of the injury can be beneficial,” Homoky says. […] A big piece that PT can help with is helping people return to exercise, Homoky says. In some cases, exercising can initially worsen symptoms, but in many other cases, it can improve symptoms. […] What we do know research-wise is that it’s safe and beneficial to start sub-maximal aerobic exercise50 to 70% of max heart ratewithin 48 hours of the initial injury, says Homoky.
  • #29 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    It is important to seek medical treatment immediately following any head injury. The risk of death or permanent brain damage from a concussion can be minimized by immediate and appropriate treatment from health care providers like a physical therapist. Only health care providers have the knowledge and training to identify concussion in the maze of symptoms that can occur following a head injury. […] Physical therapists can evaluate and treat many problems related to concussions. Because no two concussions are the same, a physical therapist will examine your neurological, orthopedic, and cardiovascular systems to best prescribe a routine to address your specific symptoms and needs. […] Treatment may include: Rest and recovery. Complete rest after a concussion should last for no longer than 48 to 72 hours. Your brain requires a balance of activity and rest to heal properly.
  • #30 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    It is important to seek medical treatment immediately following any head injury. The risk of death or permanent brain damage from a concussion can be minimized by immediate and appropriate treatment from health care providers like a physical therapist. Only health care providers have the knowledge and training to identify concussion in the maze of symptoms that can occur following a head injury. […] Physical therapists can evaluate and treat many problems related to concussions. Because no two concussions are the same, a physical therapist will examine your neurological, orthopedic, and cardiovascular systems to best prescribe a routine to address your specific symptoms and needs. […] Treatment may include: Rest and recovery. Complete rest after a concussion should last for no longer than 48 to 72 hours. Your brain requires a balance of activity and rest to heal properly.
  • #31 Concussion Rehabilitation – Physical Therapy for Concussions & Concussion Treatment Near Cleveland, OH – University Hospitals | University Hospitals
    https://www.uhhospitals.org/services/rehabilitation-services/conditions-treatments/physical-therapy/services/concussion-rehabilitation
    Individuals who suffer from a concussion or mild traumatic brain injury from falls, car accidents or sports injuries can benefit from treatment by a physical therapist at University Hospitals. Our physical therapists are concussion specialists who are ImPACT concussion testing-credentialed and vestibular-trained. […] Goals for concussion rehab physical therapy include: […] Decrease dizziness and improve balance […] Decrease head and neck pain […] Improve activity tolerance to return to work, school and play […] Physical therapy concussion treatment may include: […] Vestibular activities and dynamic balance training […] Oculomotor (eye movements) and reaction times […] Progression of cardiovascular exertion and sport- or work-specific training with close monitoring of symptoms […] Manual therapy, postural training and neck exercises […] Return-to-play protocols, especially when without access to an athletic trainer.
  • #32 Concussion Rehabilitation | Hackensack Meridian Health
    https://www.hackensackmeridianhealth.org/en/services/rehabilitation/concussion-rehabilitation
    Our team can help patients who are experiencing persistent concussion symptoms that interfere with your daily life to recover and safely return to school, work or sports. […] We offer a full range of outpatient services designed to reduce or eliminate concussion symptoms. We also offer comprehensive inpatient and outpatient brain injury rehabilitation for patients with more serious injuries. Our services include: […] Our specialists help patients safely return to their favorite sports. […] We help patients who have problems with dizziness, balance or vestibular function after concussion. […] Our cognitive rehabilitation specialists work with patients to improve their ability to think and learn. […] We teach patients to look for signs of fatigue so they can get the rest they need during concussion recovery.
  • #33 Concussion Rehabilitation | Hackensack Meridian Health
    https://www.hackensackmeridianhealth.org/en/services/rehabilitation/concussion-rehabilitation
    Medication and other therapies may help to control concussion-related headaches. […] Meditation, relaxation techniques, acupuncture, massage therapy, yoga and other therapies may promote concussion recovery. […] We assist patients with the emotional and mental health aspects of concussion recovery. […] We use the latest techniques and therapies to manage pain and reduce the use of opioid medications. […] Our skilled therapists help patients return to optimal functioning. […] Our team members work with patients to develop a plan to return to work, including strategies to manage any ongoing symptoms. […] We collaborate with audiologists to manage ringing in the ears after a head injury. […] Vision rehabilitation assists with visual tasks, such as reading, focus, and concentration.
  • #34 Concussion Rehabilitation | Hackensack Meridian Health
    https://www.hackensackmeridianhealth.org/en/services/rehabilitation/concussion-rehabilitation
    Our team can help patients who are experiencing persistent concussion symptoms that interfere with your daily life to recover and safely return to school, work or sports. […] We offer a full range of outpatient services designed to reduce or eliminate concussion symptoms. We also offer comprehensive inpatient and outpatient brain injury rehabilitation for patients with more serious injuries. Our services include: […] Our specialists help patients safely return to their favorite sports. […] We help patients who have problems with dizziness, balance or vestibular function after concussion. […] Our cognitive rehabilitation specialists work with patients to improve their ability to think and learn. […] We teach patients to look for signs of fatigue so they can get the rest they need during concussion recovery.
  • #35 Concussion Rehabilitation – Physical Therapy for Concussions & Concussion Treatment Near Cleveland, OH – University Hospitals | University Hospitals
    https://www.uhhospitals.org/services/rehabilitation-services/conditions-treatments/physical-therapy/services/concussion-rehabilitation
    Individuals who suffer from a concussion or mild traumatic brain injury from falls, car accidents or sports injuries can benefit from treatment by a physical therapist at University Hospitals. Our physical therapists are concussion specialists who are ImPACT concussion testing-credentialed and vestibular-trained. […] Goals for concussion rehab physical therapy include: […] Decrease dizziness and improve balance […] Decrease head and neck pain […] Improve activity tolerance to return to work, school and play […] Physical therapy concussion treatment may include: […] Vestibular activities and dynamic balance training […] Oculomotor (eye movements) and reaction times […] Progression of cardiovascular exertion and sport- or work-specific training with close monitoring of symptoms […] Manual therapy, postural training and neck exercises […] Return-to-play protocols, especially when without access to an athletic trainer.
  • #36 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    The dynamic nature of concussion recovery requires follow-up with tailored management during each phase of concussion. Key milestones in the recovery process are return to learn, school, work, exercise, and sport. Each of these milestones is approached gradually from symptom-limited activity to full participation.
  • #37 Physical Therapy for Concussion: How PT Can Help | HSS
    https://www.hss.edu/article_physical-therapy-for-concussion.asp
    Seeking physical therapy for a concussion can help relieve symptoms and speed recovery. […] Physical therapy can play a role in restoring neurological function that isnt getting back to normal, says Meghan Lamothe Homoky, PT, DPT, OCS, ATC, a physical therapy clinical specialist at HSS Rehabilitation and Performance. […] Early intervention with physical therapy is crucial. Ideally, patients who still have headaches, dizziness or neck pain 10 days after the injury should be referred to PT. „The evidence shows that being proactive with physical therapy after a concussion even as early as within two weeks of the injury can be beneficial,” Homoky says. […] A big piece that PT can help with is helping people return to exercise, Homoky says. In some cases, exercising can initially worsen symptoms, but in many other cases, it can improve symptoms. […] What we do know research-wise is that it’s safe and beneficial to start sub-maximal aerobic exercise50 to 70% of max heart ratewithin 48 hours of the initial injury, says Homoky.
  • #38 Physical Therapy for Concussion: How PT Can Help | HSS
    https://www.hss.edu/article_physical-therapy-for-concussion.asp
    Seeking physical therapy for a concussion can help relieve symptoms and speed recovery. […] Physical therapy can play a role in restoring neurological function that isnt getting back to normal, says Meghan Lamothe Homoky, PT, DPT, OCS, ATC, a physical therapy clinical specialist at HSS Rehabilitation and Performance. […] Early intervention with physical therapy is crucial. Ideally, patients who still have headaches, dizziness or neck pain 10 days after the injury should be referred to PT. „The evidence shows that being proactive with physical therapy after a concussion even as early as within two weeks of the injury can be beneficial,” Homoky says. […] A big piece that PT can help with is helping people return to exercise, Homoky says. In some cases, exercising can initially worsen symptoms, but in many other cases, it can improve symptoms. […] What we do know research-wise is that it’s safe and beneficial to start sub-maximal aerobic exercise50 to 70% of max heart ratewithin 48 hours of the initial injury, says Homoky.
  • #39 Sports Concussion Rehabilitation Center | University Orthopedics
    https://universityorthopedics.com/therapy/concussion-rehab.html
    Concussions are a Mild Traumatic Brain Injury (mTBI) that need to be taken seriously. […] Physical therapy has emerged as an important resource for all individuals who sustain a concussive injury. […] With the creation of the Sports Concussion Rehabilitation Center and the addition of a dedicated Sports Concussion Physical Therapist, University Orthopedics hopes to make this treatment more accessible to athletes who have been newly diagnosed with a concussion or those struggling with lingering effects. […] By improving neurological function, physical therapy not only results in better and faster recovery for patients, but it can also decrease the risk of future concussion or other subsequent injuries that can occur as a result of persistent underlying deficits. […] Physical therapy for concussion ideally begins within the first 24 to 48 hours in order to help patients manage symptoms and help improve recovery time.
  • #40 Concussion Therapy
    https://www.unitypoint.org/find-a-service/therapy-and-rehabilitation/concussion-therapy
    Common Concussion Symptoms Treated in Therapy: Headache, Dizziness, Balance problems, Neck pain, Vision changes, Sensitivity to light, sound, and/or movement, Fatigue or feeling sluggish, hazy, or foggy, Memory and/or concentration problems, Changes in sleep, Changes in mood. […] Current evidence also suggests that early treatment may significantly reduce recovery time following a concussion. Therapists can help you make short-term changes to your routine and provide specific exercises to help reduce your symptoms as you recover. […] To reach these goals, your therapist will: Provide early education on modifying your activities and managing your symptoms to allow a return to normal activities as quickly as possible. Develop a program to directly improve your concussion symptoms. Provide individualized guidance to gradually return to learn play, work, activities, and sport.
  • #41 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    Your physical therapist will help you regain your strength and endurance when the right time comes without making your concussion symptoms worse. […] A type of physical therapy called vestibular physical therapy may help. […] A full 50% to 90% of concussion patients experience challenges with their eyes, inner-ear systems, or both. […] Your physical therapist will assess the possible causes of your headaches. They will use specific treatments and exercises to reduce and eliminate them. […] The number one evidence-backed treatment for concussion is early, symptom-guided, and paced progressive exercise. […] Following the recommendations above, including early symptom-guided exercise and pacing strategies, can help keep a concussion from lasting longer than necessary. […] It is imperative to prevent second-impact syndrome after an initial concussion. The injured person should be protected until all symptoms have cleared and normal activity can resume. […] You may want to consider: A physical therapist who is experienced in treating people with concussions or post-concussion problems. Some physical therapists have a practice with a neurological or vestibular rehabilitation focus.
  • #42 Concussion Rehabilitation – Physical Therapy for Concussions & Concussion Treatment Near Cleveland, OH – University Hospitals | University Hospitals
    https://www.uhhospitals.org/services/rehabilitation-services/conditions-treatments/physical-therapy/services/concussion-rehabilitation
    Individuals who suffer from a concussion or mild traumatic brain injury from falls, car accidents or sports injuries can benefit from treatment by a physical therapist at University Hospitals. Our physical therapists are concussion specialists who are ImPACT concussion testing-credentialed and vestibular-trained. […] Goals for concussion rehab physical therapy include: […] Decrease dizziness and improve balance […] Decrease head and neck pain […] Improve activity tolerance to return to work, school and play […] Physical therapy concussion treatment may include: […] Vestibular activities and dynamic balance training […] Oculomotor (eye movements) and reaction times […] Progression of cardiovascular exertion and sport- or work-specific training with close monitoring of symptoms […] Manual therapy, postural training and neck exercises […] Return-to-play protocols, especially when without access to an athletic trainer.
  • #43 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #44 PCS Treatments | Concussion Legacy Foundation
    https://concussionfoundation.org/pcs-resources/treatments/
    Be skeptical of treatments that are expensive and not covered by insurance. […] Vision therapy includes a large range of techniques designed to help train specific aspects of the visual system, helping it return to normal after a concussion. […] Common vision problems and symptoms following a concussion can include sensitivity to motion, difficulty with eye movements, eye pain and headaches, dizziness and balance problems, sensitivity to light, blurry vision, double vision, and peripheral vision problems. Patients suffering from these symptoms may benefit from vision therapy. […] Neuro-Optometric Rehabilitation therapy utilizes therapeutic prisms, lenses, filters, and occlusion to help stimulate parts of the brain that are not functioning to their highest potential due to interruptions caused by brain injury.
  • #45 Concussion Therapy Massachusetts – Bay State Physical Therapy
    https://baystatept.com/specialties-provided/post-concussion-therapy/
    Concussion therapy is a highly useful tool in supporting recovery from traumatic brain injury. […] Physical therapy can encourage a holistic return to feeling better by addressing your concussion symptoms, as well as restoring strength to atrophied muscles and improving endurance. […] In addition to physical and occupational therapy, additional strategies like targeted massage, specific stretches, and even eye motion training can help to reduce headaches and nausea following a concussion. […] A concussion is not something you can ignore. Regardless of the perceived severity following a brain injury, it is incredibly important that you check in with a physician to ensure that there is no potential for lasting brain damage. If you or a loved one have experienced a concussion, contact a physical therapist at Bay State Physical Therapy to learn more about concussion treatment and therapy options.
  • #46 Physical Therapy for Concussion: How PT Can Help | HSS
    https://www.hss.edu/article_physical-therapy-for-concussion.asp
    Seeking physical therapy for a concussion can help relieve symptoms and speed recovery. […] Physical therapy can play a role in restoring neurological function that isnt getting back to normal, says Meghan Lamothe Homoky, PT, DPT, OCS, ATC, a physical therapy clinical specialist at HSS Rehabilitation and Performance. […] Early intervention with physical therapy is crucial. Ideally, patients who still have headaches, dizziness or neck pain 10 days after the injury should be referred to PT. „The evidence shows that being proactive with physical therapy after a concussion even as early as within two weeks of the injury can be beneficial,” Homoky says. […] A big piece that PT can help with is helping people return to exercise, Homoky says. In some cases, exercising can initially worsen symptoms, but in many other cases, it can improve symptoms. […] What we do know research-wise is that it’s safe and beneficial to start sub-maximal aerobic exercise50 to 70% of max heart ratewithin 48 hours of the initial injury, says Homoky.
  • #47 Sports Concussion Rehabilitation Center | University Orthopedics
    https://universityorthopedics.com/therapy/concussion-rehab.html
    Areas in which physical therapy can aid in concussion recovery […] We can treat any joint or muscle-related problems relating to the patients neck pain. […] We can assess and address any related positional vertigo (BPPV). […] We can detect and address autonomic dysfunction that may result following a concussion. […] Active participation in something that is helping them get better can help reduce anxiety and depression surrounding their injury. […] We can help with dual-task training. […] A written referral from a physician is required before treatment can begin.
  • #48 Concussion Management & Treatment Program
    https://www.upmc.com/services/orthopaedics/services/sports-medicine/services/concussion/treatment
    The experts at the UPMC Sports Medicine Concussion Program know the best way to care for a concussion: It’s through a customized treatment plan based on each person’s unique needs and goals. […] An active treatment approach one that forces the brain to readapt to stimuli is key to making a full recovery. […] Our team works together to help you through the treatments that serve you best, including the following. […] May prescribe physical or exertional therapy, or use behavior management methods. […] May refer you for a medication consult for chronic symptoms. Not all concussion cases require medicine, but it is useful in complex cases. […] Will reassess you often to promote successful rehab and recovery. […] Exertion therapy helps both athletes and nonathletes post-concussion who may feel nervous or hesitant when trying to exercise.
  • #49 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    Your physical therapist will help you regain your strength and endurance when the right time comes without making your concussion symptoms worse. […] A type of physical therapy called vestibular physical therapy may help. […] A full 50% to 90% of concussion patients experience challenges with their eyes, inner-ear systems, or both. […] Your physical therapist will assess the possible causes of your headaches. They will use specific treatments and exercises to reduce and eliminate them. […] The number one evidence-backed treatment for concussion is early, symptom-guided, and paced progressive exercise. […] Following the recommendations above, including early symptom-guided exercise and pacing strategies, can help keep a concussion from lasting longer than necessary. […] It is imperative to prevent second-impact syndrome after an initial concussion. The injured person should be protected until all symptoms have cleared and normal activity can resume. […] You may want to consider: A physical therapist who is experienced in treating people with concussions or post-concussion problems. Some physical therapists have a practice with a neurological or vestibular rehabilitation focus.
  • #50 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    Your physical therapist will help you regain your strength and endurance when the right time comes without making your concussion symptoms worse. […] A type of physical therapy called vestibular physical therapy may help. […] A full 50% to 90% of concussion patients experience challenges with their eyes, inner-ear systems, or both. […] Your physical therapist will assess the possible causes of your headaches. They will use specific treatments and exercises to reduce and eliminate them. […] The number one evidence-backed treatment for concussion is early, symptom-guided, and paced progressive exercise. […] Following the recommendations above, including early symptom-guided exercise and pacing strategies, can help keep a concussion from lasting longer than necessary. […] It is imperative to prevent second-impact syndrome after an initial concussion. The injured person should be protected until all symptoms have cleared and normal activity can resume. […] You may want to consider: A physical therapist who is experienced in treating people with concussions or post-concussion problems. Some physical therapists have a practice with a neurological or vestibular rehabilitation focus.
  • #51 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Vision therapy and visual-vestibular rehabilitation are used to treat vision issues stemming from concussion. […] The neuro-optometrist will develop an individualized treatment plan involving vision therapy exercises, adding new exercises as you improve. […] A more affordable option for vision therapy may be working with a physical therapist, as insurance companies more often cover these providers. […] Vision therapy improves the communication between the eyes and the brain through various exercises led by the provider. […] A study found that convergence insufficiency (CI) and accommodative insufficiency (AI) were the most common vision issues following a concussion. […] Vision therapy completely remediated CI in 85% of patients and improved it in 15%. Vision therapy remediated AI in 33% of patients and improved it in 67%. The researchers concluded that vision therapy was very effective at treating these common post-concussive vision issues in the vast majority of cases.
  • #52 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Vision therapy and visual-vestibular rehabilitation are used to treat vision issues stemming from concussion. […] The neuro-optometrist will develop an individualized treatment plan involving vision therapy exercises, adding new exercises as you improve. […] A more affordable option for vision therapy may be working with a physical therapist, as insurance companies more often cover these providers. […] Vision therapy improves the communication between the eyes and the brain through various exercises led by the provider. […] A study found that convergence insufficiency (CI) and accommodative insufficiency (AI) were the most common vision issues following a concussion. […] Vision therapy completely remediated CI in 85% of patients and improved it in 15%. Vision therapy remediated AI in 33% of patients and improved it in 67%. The researchers concluded that vision therapy was very effective at treating these common post-concussive vision issues in the vast majority of cases.
  • #53 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Vision therapy and visual-vestibular rehabilitation are used to treat vision issues stemming from concussion. […] The neuro-optometrist will develop an individualized treatment plan involving vision therapy exercises, adding new exercises as you improve. […] A more affordable option for vision therapy may be working with a physical therapist, as insurance companies more often cover these providers. […] Vision therapy improves the communication between the eyes and the brain through various exercises led by the provider. […] A study found that convergence insufficiency (CI) and accommodative insufficiency (AI) were the most common vision issues following a concussion. […] Vision therapy completely remediated CI in 85% of patients and improved it in 15%. Vision therapy remediated AI in 33% of patients and improved it in 67%. The researchers concluded that vision therapy was very effective at treating these common post-concussive vision issues in the vast majority of cases.
  • #54 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Vision therapy and visual-vestibular rehabilitation are used to treat vision issues stemming from concussion. […] The neuro-optometrist will develop an individualized treatment plan involving vision therapy exercises, adding new exercises as you improve. […] A more affordable option for vision therapy may be working with a physical therapist, as insurance companies more often cover these providers. […] Vision therapy improves the communication between the eyes and the brain through various exercises led by the provider. […] A study found that convergence insufficiency (CI) and accommodative insufficiency (AI) were the most common vision issues following a concussion. […] Vision therapy completely remediated CI in 85% of patients and improved it in 15%. Vision therapy remediated AI in 33% of patients and improved it in 67%. The researchers concluded that vision therapy was very effective at treating these common post-concussive vision issues in the vast majority of cases.
  • #55 PCS Treatments | Concussion Legacy Foundation
    https://concussionfoundation.org/pcs-resources/treatments/
    Be skeptical of treatments that are expensive and not covered by insurance. […] Vision therapy includes a large range of techniques designed to help train specific aspects of the visual system, helping it return to normal after a concussion. […] Common vision problems and symptoms following a concussion can include sensitivity to motion, difficulty with eye movements, eye pain and headaches, dizziness and balance problems, sensitivity to light, blurry vision, double vision, and peripheral vision problems. Patients suffering from these symptoms may benefit from vision therapy. […] Neuro-Optometric Rehabilitation therapy utilizes therapeutic prisms, lenses, filters, and occlusion to help stimulate parts of the brain that are not functioning to their highest potential due to interruptions caused by brain injury.
  • #56 PCS Treatments | Concussion Legacy Foundation
    https://concussionfoundation.org/pcs-resources/treatments/
    Neuro-Optometric Rehabilitation is a specialized, individualized treatment regimen used in the management of Post-Concussion Syndrome. […] Vestibular therapies encompass a wide range of techniques, including habituation exercises, gaze stability training, and balance training. […] Vestibular therapy can be particularly helpful for patients who are suffering from persistent dizziness, vertigo, or balance problems after a concussion. […] Physical therapy (PT) is a wide discipline of medicine that treats ailments through physical means, as opposed to surgical or pharmacological treatments. […] Physical therapy can be helpful for patients with certain types of headaches or neck pain (especially cervicogenic PT) and for patients who may have suffered orthopedic injuries or whiplash at the same time as their concussion.
  • #57 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Researchers and medical associations recommend that people with a concussion whose symptoms last more than four weeks should receive a comprehensive eye exam. […] After an in-depth assessment of your eyes, the neuro-optometrist determines if you need vision therapy and will develop an individualized treatment plan as needed.
  • #58 Vision Therapy — Concussion Alliance
    https://www.concussionalliance.org/vision-therapy
    Researchers and medical associations recommend that people with a concussion whose symptoms last more than four weeks should receive a comprehensive eye exam. […] After an in-depth assessment of your eyes, the neuro-optometrist determines if you need vision therapy and will develop an individualized treatment plan as needed.
  • #59 Concussion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/concussion/diagnosis-treatment/drc-20355600
    There are steps you can take to help your brain heal and speed recovery. […] In the first couple of days after a concussion, relative rest allows your brain to recover. Healthcare professionals recommend that you physically and mentally rest during this time. […] After a period of relative rest, gradually increase daily activities if you can tolerate them without triggering symptoms. […] Light exercise and physical activity as tolerated starting a couple of days after injury have been shown to speed recovery. […] Your healthcare professional also may recommend different therapies. You may need rehabilitation for symptoms related to vision, balance, or thinking and memory. […] Specific return to physical activity sport protocols may be suggested by your healthcare professional. […] To manage pain, ask your healthcare professional if it’s safe to take a pain reliever such as acetaminophen (Tylenol, others).
  • #60 Concussion: What It Is, Symptoms, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/15038-concussion
    Pace yourself. Don’t push your body to do things that make you feel worse it’s OK to take the time you need to rest and heal. Limit any activities that worsen your symptoms. […] Your provider may recommend that you take time off work, or that your child stay home for school for a few days. They’ll tell you when it’s okay to gradually ease back into working or doing schoolwork based on how long it takes the symptoms to get better. […] Yes, sleep is an extremely important part of recovering from a concussion. […] You shouldn’t take any over-the-counter (OTC) pain medications if you think you have a concussion before you see a healthcare provider. Many of these medications thin your blood, which can be extremely dangerous if you have a brain bleed. […] Your provider will tell you which medications are safe to take while you recover. You may have to avoid NSAIDs like naproxen or ibuprofen, but it may be safe to take acetaminophen.
  • #61 Concussion: What It Is, Symptoms, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/15038-concussion
    Pace yourself. Don’t push your body to do things that make you feel worse it’s OK to take the time you need to rest and heal. Limit any activities that worsen your symptoms. […] Your provider may recommend that you take time off work, or that your child stay home for school for a few days. They’ll tell you when it’s okay to gradually ease back into working or doing schoolwork based on how long it takes the symptoms to get better. […] Yes, sleep is an extremely important part of recovering from a concussion. […] You shouldn’t take any over-the-counter (OTC) pain medications if you think you have a concussion before you see a healthcare provider. Many of these medications thin your blood, which can be extremely dangerous if you have a brain bleed. […] Your provider will tell you which medications are safe to take while you recover. You may have to avoid NSAIDs like naproxen or ibuprofen, but it may be safe to take acetaminophen.
  • #62 Concussion: What It Is, Symptoms, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/15038-concussion
    Pace yourself. Don’t push your body to do things that make you feel worse it’s OK to take the time you need to rest and heal. Limit any activities that worsen your symptoms. […] Your provider may recommend that you take time off work, or that your child stay home for school for a few days. They’ll tell you when it’s okay to gradually ease back into working or doing schoolwork based on how long it takes the symptoms to get better. […] Yes, sleep is an extremely important part of recovering from a concussion. […] You shouldn’t take any over-the-counter (OTC) pain medications if you think you have a concussion before you see a healthcare provider. Many of these medications thin your blood, which can be extremely dangerous if you have a brain bleed. […] Your provider will tell you which medications are safe to take while you recover. You may have to avoid NSAIDs like naproxen or ibuprofen, but it may be safe to take acetaminophen.
  • #63 Concussion – symptoms, signs and treatment | healthdirect
    https://www.healthdirect.gov.au/concussion
    Concussion is a brain injury caused by a knock or blow to the head or a sudden change in motion. […] The main treatment for concussion is rest, followed by a gradual return to your normal activities. […] It’s important to rest for the first 24 to 48 hours. This gives your brain a chance to heal. […] Your doctor may suggest that you don’t take medicines such as aspirin, anti-inflammatories such as ibuprofen or naproxen, sleeping pills, or sedating pain-relief medicines. […] Recovery is different for everyone. Ask your doctor when you can go back to school or work and reintroduce more vigorous exercise. […] If your symptoms get worse in the first few weeks of recovery, or you are concerned, see your doctor. […] Most people recover fully within 2 weeks, although children usually take longer to recover. […] If you are concerned about ongoing symptoms of concussion, see you doctor.
  • #64 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Active rehabilitation is recommended for persisting symptoms. Rehabilitation is preferably provided by a collaborative or multidisciplinary care team. […] Medications can help manage concussion symptoms, but they do not treat the concussion itself; no medication has yet been developed to treat concussion directly. […] A joint statement by the College of Optometrists in Vision Development (COVD) and the Neuro-Optometric Rehabilitation Association (NORA) recommends that concussion patients be given an optometric evaluation and vision rehabilitation if necessary. […] An important therapy to consider is cognitive behavioral therapy (CBT) to deal with any persistent mood or behavioral issues.
  • #65 Persistent post-concussive symptoms (Post-concussion syndrome) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/diagnosis-treatment/drc-20353357
    There’s no specific treatment for persistent post-concussive symptoms. Your healthcare professional treats your symptoms. The types of symptoms and how often they occur varies from person to person. […] Medicines that are often used for migraines or tension-type headaches may help. These may include medicines for treating depression, high blood pressure and seizures. Medicines are usually specific to the individual, so talk to your healthcare professional about which are best for you. […] Time may be the best therapy for memory and thinking problems after mild traumatic brain injury. Most of these symptoms go away on their own in the weeks to months after the injury, but using a notebook or visual cues may help you manage these symptoms as your brain heals. […] Certain forms of cognitive therapy may be helpful, including focused rehabilitation in the areas that you need to strengthen. Some people may need occupational or speech therapy. Stress can make cognitive symptoms worse, so learning how to manage stress can be helpful. Relaxation therapy also may help.
  • #66 Persistent post-concussive symptoms (Post-concussion syndrome) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/diagnosis-treatment/drc-20353357
    There’s no specific treatment for persistent post-concussive symptoms. Your healthcare professional treats your symptoms. The types of symptoms and how often they occur varies from person to person. […] Medicines that are often used for migraines or tension-type headaches may help. These may include medicines for treating depression, high blood pressure and seizures. Medicines are usually specific to the individual, so talk to your healthcare professional about which are best for you. […] Time may be the best therapy for memory and thinking problems after mild traumatic brain injury. Most of these symptoms go away on their own in the weeks to months after the injury, but using a notebook or visual cues may help you manage these symptoms as your brain heals. […] Certain forms of cognitive therapy may be helpful, including focused rehabilitation in the areas that you need to strengthen. Some people may need occupational or speech therapy. Stress can make cognitive symptoms worse, so learning how to manage stress can be helpful. Relaxation therapy also may help.
  • #67 Persistent post-concussive symptoms (Post-concussion syndrome) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/diagnosis-treatment/drc-20353357
    There’s no specific treatment for persistent post-concussive symptoms. Your healthcare professional treats your symptoms. The types of symptoms and how often they occur varies from person to person. […] Medicines that are often used for migraines or tension-type headaches may help. These may include medicines for treating depression, high blood pressure and seizures. Medicines are usually specific to the individual, so talk to your healthcare professional about which are best for you. […] Time may be the best therapy for memory and thinking problems after mild traumatic brain injury. Most of these symptoms go away on their own in the weeks to months after the injury, but using a notebook or visual cues may help you manage these symptoms as your brain heals. […] Certain forms of cognitive therapy may be helpful, including focused rehabilitation in the areas that you need to strengthen. Some people may need occupational or speech therapy. Stress can make cognitive symptoms worse, so learning how to manage stress can be helpful. Relaxation therapy also may help.
  • #68 Persistent post-concussive symptoms (Post-concussion syndrome) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/diagnosis-treatment/drc-20353357
    Dizziness and vertigo symptoms can be treated by a physical therapist specifically trained to treat balance symptoms. […] Learning about good sleep habits, known as sleep hygiene, can help. This includes going to bed and waking up on a regular schedule. Sometimes medicines may be needed to improve sleep. […] Some people with persistent post-concussive symptoms may need to see a specialist who treats visual symptoms related to traumatic brain injuries, known as a neuro-optometrist. […] For some people with persistent post-concussive symptoms, light and sound are bothersome. These symptoms tend to get better with time. But exposure therapy with a physical or occupational therapist may help these symptoms. […] If you have new or increasing depression or anxiety after a concussion, some treatment options may include: Psychotherapy. Talking with a psychologist, psychiatrist or social worker who works with people who have had a brain injury may help. […] Medicines can treat depression and anxiety. […] Early, gradual exercise that avoids reinjury may help you feel better.
  • #69 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #70 Concussion Treatment & Management: Approach Considerations, Medical Care, Return to Learn/Play
    https://emedicine.medscape.com/article/92095-treatment
    The most important aspect of all published guidelines is the concept of an athlete not being allowed to return to play until he/she is completely asymptomatic. […] There is growing interest in nutraceuticals such as B vitamins, omega-3 fatty acids, vitamin D, progesterone, N-methyl-D-aspartate (NMDA), exogenous ketones, and dietary manipulations for concussion management. Despite the interest, there is no conclusive human evidence supporting their efficacy in preventing or ameliorating concussion symptoms.
  • #71 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Active rehabilitation is recommended for persisting symptoms. Rehabilitation is preferably provided by a collaborative or multidisciplinary care team. […] Medications can help manage concussion symptoms, but they do not treat the concussion itself; no medication has yet been developed to treat concussion directly. […] A joint statement by the College of Optometrists in Vision Development (COVD) and the Neuro-Optometric Rehabilitation Association (NORA) recommends that concussion patients be given an optometric evaluation and vision rehabilitation if necessary. […] An important therapy to consider is cognitive behavioral therapy (CBT) to deal with any persistent mood or behavioral issues.
  • #72 Concussion Rehabilitation | Lehigh Valley Health Network
    https://www.lvhn.org/treatments/concussion-rehabilitation
    Based on your concussion symptoms and your goals for treatment, our concussion experts will work with you to develop a customized post-concussion rehabilitation plan that fits your particular needs. […] Our concussion specialists have many treatment options at their disposal. They’ll use the right tools to help you overcome any difficulties caused by your concussion through the following therapies: Balance and vestibular rehabilitation, Physical therapy, Occupational therapy, Speech-language pathology. […] Your care team includes concussion specialists who receive extensive training in the management of this type of brain injury. Depending on your needs, your concussion treatment team may include: Physicians, Certified registered nurse practitioners, Physical therapists who can help improve your balance, vision, focus and gait through exercises and techniques that are designed to increase blood flow to the brain and reduce pain. […] If you’re suffering from lasting effects of a concussion, schedule an appointment with our concussion and head trauma program today.
  • #73 Concussion Treatment – Brain Injury Care | Hospital for Special Care
    https://hfsc.org/specialties/brain-injury-care/concussion-management-clinic/
    Recovery from a concussion is different for each person. Most will recover completely, while some continue to experience symptoms for months or even years. Our multidisciplinary team provides youth and adults an individualized plan of care to guide families, physicians, athletic trainers, and coaches on what to expect during the recovery process. We want to be your partner as you progress through your recovery. […] We know you want to get back to doing what you love. Working as a team, we thoroughly evaluate your symptoms and abilities to make the appropriate individualized plan for your care. Through a thorough evaluation, therapy and rehabilitation we work with you to lessen and/or eliminate the symptoms of your concussion. […] We conduct a thorough medical and neuropsychological evaluation of your concussion, symptoms and abilities. Using these results we design a care plan that will help you recover.
  • #74 Concussion Management & Treatment Program
    https://www.upmc.com/services/orthopaedics/services/sports-medicine/services/concussion/treatment
    The experts at the UPMC Sports Medicine Concussion Program know the best way to care for a concussion: It’s through a customized treatment plan based on each person’s unique needs and goals. […] An active treatment approach one that forces the brain to readapt to stimuli is key to making a full recovery. […] Our team works together to help you through the treatments that serve you best, including the following. […] May prescribe physical or exertional therapy, or use behavior management methods. […] May refer you for a medication consult for chronic symptoms. Not all concussion cases require medicine, but it is useful in complex cases. […] Will reassess you often to promote successful rehab and recovery. […] Exertion therapy helps both athletes and nonathletes post-concussion who may feel nervous or hesitant when trying to exercise.
  • #75 Concussion Management & Treatment Program
    https://www.upmc.com/services/orthopaedics/services/sports-medicine/services/concussion/treatment
    Behavioral neuro-optometry: This treatment addresses both vision and behavior connections between the brain and eyes. […] Our doctors will help manage conditions that require medical treatment such as sleep, headache, or anxiety. We’ll also help you improve performance to reduce the risk of reinjury. […] We know that concussion is a complex condition. But by diagnosing its specific type, we can design a tailored treatment and rehab plan so you see results and recover fully.
  • #76
    https://www.aurorahealthcare.org/services/sports-health/conditions/concussion
    Your concussion provider will establish an individualized care plan specific to your symptoms. That care plan may include: Acupuncture, Athletic training, Behavioral health, Interventional pain management, Massage therapy, Neuropsychology, Neuro-ophthalmology, Neurotology, Occupational health, Occupational therapy, Ophthalmology, Orthopedic services surgery, Psychiatry, Psychology, Physiatry/physical medicine rehabilitation, Physical therapy, Sleep medicine, Speech therapy, Spine care, Sports medicine, Sports neurology, Vestibular therapy.
  • #77 Concussion Rehabilitation | Hackensack Meridian Health
    https://www.hackensackmeridianhealth.org/en/services/rehabilitation/concussion-rehabilitation
    Medication and other therapies may help to control concussion-related headaches. […] Meditation, relaxation techniques, acupuncture, massage therapy, yoga and other therapies may promote concussion recovery. […] We assist patients with the emotional and mental health aspects of concussion recovery. […] We use the latest techniques and therapies to manage pain and reduce the use of opioid medications. […] Our skilled therapists help patients return to optimal functioning. […] Our team members work with patients to develop a plan to return to work, including strategies to manage any ongoing symptoms. […] We collaborate with audiologists to manage ringing in the ears after a head injury. […] Vision rehabilitation assists with visual tasks, such as reading, focus, and concentration.
  • #78 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    Studies examining the overlay of mental health conditions and post-concussion symptoms are endless, and mental health will always be a big part of concussion management. […] The Ontario Neurotrauma Foundation recently demonstrated that one of the best evidence-based treatment options for preventing long-term symptoms was patient education and reassurance! […] The Concussion Fix Program is an online concussion treatment program designed to help patients with persistent symptoms figure out what is driving their symptoms and how to fix them.
  • #79 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    The dynamic nature of concussion recovery requires follow-up with tailored management during each phase of concussion. Key milestones in the recovery process are return to learn, school, work, exercise, and sport. Each of these milestones is approached gradually from symptom-limited activity to full participation.
  • #80 Concussion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/concussion/diagnosis-treatment/drc-20355600
    There are steps you can take to help your brain heal and speed recovery. […] In the first couple of days after a concussion, relative rest allows your brain to recover. Healthcare professionals recommend that you physically and mentally rest during this time. […] After a period of relative rest, gradually increase daily activities if you can tolerate them without triggering symptoms. […] Light exercise and physical activity as tolerated starting a couple of days after injury have been shown to speed recovery. […] Your healthcare professional also may recommend different therapies. You may need rehabilitation for symptoms related to vision, balance, or thinking and memory. […] Specific return to physical activity sport protocols may be suggested by your healthcare professional. […] To manage pain, ask your healthcare professional if it’s safe to take a pain reliever such as acetaminophen (Tylenol, others).
  • #81 Concussion Treatment | Trust The Region’s Leading Experts
    https://www.slhn.org/sports-medicine/specialties/sports-related-concussion-treatment
    Every year, approximately 3.8 million Americans sustain concussions a type of brain injury caused by impact to the head or body during sports or recreation. St. Luke’s provides a comprehensive concussion recovery program, helping you return to your favorite sport or activity quickly and safely. […] Our diverse group of experts collaborate to protect athletes from injury, identify concussions when they occur, and provide safe treatment plans. […] When you’re recovering from a concussion, we’re here for you. At St. Luke’s, we prioritize your health and safety by creating a personalized care plan. You’ll have a dedicated team of experts closely monitoring your recovery, including: Physicians, Psychologists, Physical therapists, Athletic trainers, Education specialists. […] St. Lukes uses a 6-stage return-to-play protocol that’s implemented by your Athletic Trainer. Each stage takes a minimum of 24 hours. If any signs or symptoms arise, stop and inform your Athletic Trainer or Concussion Specialist.
  • #82 Concussion Treatment | Trust The Region’s Leading Experts
    https://www.slhn.org/sports-medicine/specialties/sports-related-concussion-treatment
    To resume your sport after a concussion, you must: Be symptom-free at rest and during normal activities, Fully return to school, Achieve a normal score on neuropsychological testing, Obtain clearance from their St. Luke’s Concussion Specialist. […] Baseline concussion testing allows your provider to evaluate a suspected concussion and assess your ability to resume your sport. St. Lukes Sports Medicine affiliated school districts and select youth organizations offer access to this testing.
  • #83 Concussion Treatment & Management: Approach Considerations, Medical Care, Return to Learn/Play
    https://emedicine.medscape.com/article/92095-treatment
    The most important aspect of all published guidelines is the concept of an athlete not being allowed to return to play until he/she is completely asymptomatic. […] There is growing interest in nutraceuticals such as B vitamins, omega-3 fatty acids, vitamin D, progesterone, N-methyl-D-aspartate (NMDA), exogenous ketones, and dietary manipulations for concussion management. Despite the interest, there is no conclusive human evidence supporting their efficacy in preventing or ameliorating concussion symptoms.
  • #84 Concussion – AANS
    https://www.aans.org/patients/conditions-treatments/concussion/
    Concussion symptoms can affect people in a variety of ways, including vision, balance and even mood. Historically, the standard treatment for concussion was to get plenty of rest. However, newer approaches involve therapy to target specific symptoms. Clinics exist that help determine the most affected system and appropriate therapy for a given symptomology. […] Following a concussion, some people may suffer persisting symptoms, such as memory and concentration problems, mood swings, personality changes, headache, fatigue, dizziness, insomnia and excessive drowsiness for several weeks to months. This is known as post-concussive syndrome. Patients with post-concussive syndrome should avoid activities that put them at risk for a repeated concussion. Athletes should not return to play while experiencing these symptoms. Athletes who suffer repeated concussions should consider ending participation in the sport. […] The protocol progresses through a series of steps, moving to the next step only when all activities in the current step are tolerated without recurrence of symptoms. Communication between the player and the medical staff during the protocol is essential.
  • #85 Concussion: What It Is, Symptoms, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/15038-concussion
    Pace yourself. Don’t push your body to do things that make you feel worse it’s OK to take the time you need to rest and heal. Limit any activities that worsen your symptoms. […] Your provider may recommend that you take time off work, or that your child stay home for school for a few days. They’ll tell you when it’s okay to gradually ease back into working or doing schoolwork based on how long it takes the symptoms to get better. […] Yes, sleep is an extremely important part of recovering from a concussion. […] You shouldn’t take any over-the-counter (OTC) pain medications if you think you have a concussion before you see a healthcare provider. Many of these medications thin your blood, which can be extremely dangerous if you have a brain bleed. […] Your provider will tell you which medications are safe to take while you recover. You may have to avoid NSAIDs like naproxen or ibuprofen, but it may be safe to take acetaminophen.
  • #86 Concussion – Mild Traumatic Brain Injury
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?Hwid=custom.ab_concussion_ac_adult
    Rest your brain to recover. Limit activities such as reading, watching television, and playing video games for the first 48 hours. It may help to take time off school or work. […] You will usually start feeling better in the first few weeks of a concussion. Use the advice below to manage your symptoms and be safe as you recover. […] Most people go back to some amount of work or school within a few days and go back full time in a few weeks. You will likely feel tired, so adjust your rest periods as needed. […] Most people with concussion have a good recovery. Managing your symptoms well can help you recover faster. […] Pacing and planning activity is the best way to recover from a concussion. You need to rest and gradually return to your daily activities. Do not try to do too much a once.
  • #87 Concussion Program | Orthopaedics | Loyola Medicine
    https://www.loyolamedicine.org/services/orthopaedics/orthopaedic-programs/sports-medicine/concussion-program
    We also offer a vestibular rehabilitation program, in which our physical therapists tailor individualized exercise programs to reduce dizziness and improve balance and motion sensitivities. […] Our multidisciplinary team will help guide the patients return to learning and coordinate with the school to develop a customized plan to ease the return to the classroom.
  • #88 Concussion Treatment Services | Brooks Rehabilitation
    https://brooksrehab.org/services/therapy/concussion/
    Our goal is to help you return to your previous level of function after a concussion. […] Florida requires specific documentation to be signed by a physician prior to returning to sports after a concussion. Once symptoms have resolved, individuals needing to safely return to their sport will be taken through a Return to Sport protocol. […] This allows for assessment of the effects of exertion after a concussion, all while monitoring your heart rate, blood pressure and symptom provocation. […] We work as a liaison between the patient, families and school to ensure appropriate school services and accommodations are received and implemented. […] We support participation in modified work activities to avoid making post-concussion symptoms worse. Collaboration with you, your physician and your employer is encouraged in order to create an effective plan for workplace success.
  • #89 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    In post-concussion syndrome (PCS), a patient with a mild traumatic brain injury (mTBI) experiences persistent symptoms from the injury. If left untreated, the symptoms might last months, years, or even decades after the event. […] The truth is that most patients can make significant progress under the supervision of experienced physicians and therapists. […] As we discuss below, the key to recovery is an active approach to recovery rather than waiting it out or trying to mitigate a few symptoms with medication (which doesn’t address the underlying issue). […] Help is available. Peer-reviewed research shows that 77% of patients treated at Cognitive FX experienced significant improvement in their post-concussion symptoms. […] The four most common causes of persistent post-concussion symptoms are neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular dysfunction, and vision problems after the head injury. Knowing when and how these causes lead to symptoms is an important part of forming a good PCS treatment plan.
  • #90 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    In post-concussion syndrome (PCS), a patient with a mild traumatic brain injury (mTBI) experiences persistent symptoms from the injury. If left untreated, the symptoms might last months, years, or even decades after the event. […] The truth is that most patients can make significant progress under the supervision of experienced physicians and therapists. […] As we discuss below, the key to recovery is an active approach to recovery rather than waiting it out or trying to mitigate a few symptoms with medication (which doesn’t address the underlying issue). […] Help is available. Peer-reviewed research shows that 77% of patients treated at Cognitive FX experienced significant improvement in their post-concussion symptoms. […] The four most common causes of persistent post-concussion symptoms are neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular dysfunction, and vision problems after the head injury. Knowing when and how these causes lead to symptoms is an important part of forming a good PCS treatment plan.
  • #91 Post Concussion Syndrome: 10 Options To Help Recover Fast
    https://mentalhealthcenter.com/post-concussion-syndrome-treatment-symptoms/
    Post-concussion syndrome results after you suffer a concussion and your symptoms last longer than expected. For most, concussion symptoms fade away around 14-21 days post-injury. However, if the brain cannot heal itself for one reason or another, it may develop into post-concussion syndrome. For this to happen, symptoms must persist for three months or longer. […] According to Mayo Clinic, no single test can prove you have post-concussion syndrome. On the same note, no specific treatment is routinely prescribed to help alleviate symptoms. Instead, it is about finding what works best for you. Your healthcare provider should be able to come up with a treatment plan based on your needs and specific circumstances. […] Following a concussion and when dealing with post-concussion syndrome, the most beneficial thing you can do to aid in recovery is rest both physically and mentally. However, by the time post-concussion syndrome develops, rest, though still necessary, may or may not help much in the long run. Still, several different therapies have been shown to help ease the symptoms.
  • #92 Post Concussion Syndrome: 10 Options To Help Recover Fast
    https://mentalhealthcenter.com/post-concussion-syndrome-treatment-symptoms/
    Post-concussion syndrome results after you suffer a concussion and your symptoms last longer than expected. For most, concussion symptoms fade away around 14-21 days post-injury. However, if the brain cannot heal itself for one reason or another, it may develop into post-concussion syndrome. For this to happen, symptoms must persist for three months or longer. […] According to Mayo Clinic, no single test can prove you have post-concussion syndrome. On the same note, no specific treatment is routinely prescribed to help alleviate symptoms. Instead, it is about finding what works best for you. Your healthcare provider should be able to come up with a treatment plan based on your needs and specific circumstances. […] Following a concussion and when dealing with post-concussion syndrome, the most beneficial thing you can do to aid in recovery is rest both physically and mentally. However, by the time post-concussion syndrome develops, rest, though still necessary, may or may not help much in the long run. Still, several different therapies have been shown to help ease the symptoms.
  • #93 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    In post-concussion syndrome (PCS), a patient with a mild traumatic brain injury (mTBI) experiences persistent symptoms from the injury. If left untreated, the symptoms might last months, years, or even decades after the event. […] The truth is that most patients can make significant progress under the supervision of experienced physicians and therapists. […] As we discuss below, the key to recovery is an active approach to recovery rather than waiting it out or trying to mitigate a few symptoms with medication (which doesn’t address the underlying issue). […] Help is available. Peer-reviewed research shows that 77% of patients treated at Cognitive FX experienced significant improvement in their post-concussion symptoms. […] The four most common causes of persistent post-concussion symptoms are neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular dysfunction, and vision problems after the head injury. Knowing when and how these causes lead to symptoms is an important part of forming a good PCS treatment plan.
  • #94 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    In post-concussion syndrome (PCS), a patient with a mild traumatic brain injury (mTBI) experiences persistent symptoms from the injury. If left untreated, the symptoms might last months, years, or even decades after the event. […] The truth is that most patients can make significant progress under the supervision of experienced physicians and therapists. […] As we discuss below, the key to recovery is an active approach to recovery rather than waiting it out or trying to mitigate a few symptoms with medication (which doesn’t address the underlying issue). […] Help is available. Peer-reviewed research shows that 77% of patients treated at Cognitive FX experienced significant improvement in their post-concussion symptoms. […] The four most common causes of persistent post-concussion symptoms are neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular dysfunction, and vision problems after the head injury. Knowing when and how these causes lead to symptoms is an important part of forming a good PCS treatment plan.
  • #95 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    Active therapy is the best post-concussion syndrome treatment available. […] Patients suffering from post-concussion syndrome can and do experience notably improved symptoms after active rehabilitation, assuming it is done correctly. […] Therapy is currently the best treatment protocol for restoring healthy cognitive function. […] Your alternative, medication, should be a last resort: While it doesn’t address the underlying problems, it can make certain symptoms more bearable while you pursue concussion recovery. […] All of these issues are treatable with vision therapy. […] During each week of treatment, all patients meet at least twice with a clinical psychologist. […] If you want to take the next steps toward recovery, schedule a consultation with our team.
  • #96 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    Active therapy is the best post-concussion syndrome treatment available. […] Patients suffering from post-concussion syndrome can and do experience notably improved symptoms after active rehabilitation, assuming it is done correctly. […] Therapy is currently the best treatment protocol for restoring healthy cognitive function. […] Your alternative, medication, should be a last resort: While it doesn’t address the underlying problems, it can make certain symptoms more bearable while you pursue concussion recovery. […] All of these issues are treatable with vision therapy. […] During each week of treatment, all patients meet at least twice with a clinical psychologist. […] If you want to take the next steps toward recovery, schedule a consultation with our team.
  • #97 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    Active therapy is the best post-concussion syndrome treatment available. […] Patients suffering from post-concussion syndrome can and do experience notably improved symptoms after active rehabilitation, assuming it is done correctly. […] Therapy is currently the best treatment protocol for restoring healthy cognitive function. […] Your alternative, medication, should be a last resort: While it doesn’t address the underlying problems, it can make certain symptoms more bearable while you pursue concussion recovery. […] All of these issues are treatable with vision therapy. […] During each week of treatment, all patients meet at least twice with a clinical psychologist. […] If you want to take the next steps toward recovery, schedule a consultation with our team.
  • #98 Post-Concussion Syndrome Treatment: Therapy & Medications
    https://www.cognitivefxusa.com/blog/post-concussion-syndrome-treatment-what-to-know
    Active therapy is the best post-concussion syndrome treatment available. […] Patients suffering from post-concussion syndrome can and do experience notably improved symptoms after active rehabilitation, assuming it is done correctly. […] Therapy is currently the best treatment protocol for restoring healthy cognitive function. […] Your alternative, medication, should be a last resort: While it doesn’t address the underlying problems, it can make certain symptoms more bearable while you pursue concussion recovery. […] All of these issues are treatable with vision therapy. […] During each week of treatment, all patients meet at least twice with a clinical psychologist. […] If you want to take the next steps toward recovery, schedule a consultation with our team.
  • #99 Post Concussion Syndrome: 10 Options To Help Recover Fast
    https://mentalhealthcenter.com/post-concussion-syndrome-treatment-symptoms/
    Physical therapy is often used after an injury to rehabilitate the affected area and get it used to movement again. However, it can also benefit those who have suffered concussions and struggle with headaches or neck pain. […] Much like physical therapy, occupational therapy helps you adapt to day-to-day life while dealing with post-concussion syndrome. […] Cognitive therapy, or cognitive behavioral therapy, is a form of psychotherapy focusing on thought patterns and their effect. Those who suffer from post-concussion syndrome may often deal with symptoms such as depression, anxiety, memory issues, or difficulty concentrating. […] Neuromuscular therapy is a form of massage therapy. […] Vestibular therapy aims to repair the damage done to the vestibular system after a concussion. […] Neuropsychology can be extremely helpful when dealing with brain injuries.
  • #100 Post Concussion Syndrome: 10 Options To Help Recover Fast
    https://mentalhealthcenter.com/post-concussion-syndrome-treatment-symptoms/
    Neuro-optometric rehabilitation focuses on alleviating vision-related symptoms after a head injury. […] Neurofeedback (or biofeedback) is a non-invasive therapy that works to help your brain run smoother. […] Another non-invasive treatment method for post-concussion syndrome is hyperbaric oxygen therapy. […] Unfortunately, there are no known medications for post-concussion syndrome. However, some medications, such as Ibuprofen, Tylenol, and other painkillers, can help ease pain symptoms.
  • #101 Concussion Treatment – Brain Injury Care | Hospital for Special Care
    https://hfsc.org/specialties/brain-injury-care/concussion-management-clinic/
    Occupational, speech and language, and physical therapy are provided to improve balance, weakness, ability to complete daily activities, memory loss, cognition and more. […] Education for you and your family teaches prevention strategies, what to expect during recovery and how to maintain skills learned after discharge. […] We use the best tools including ImPACT® testing (Licensed from IMPACT APPLICATION, INC.) and NIH Toolbox® (National Institutes of Health) to provide baseline and post-injury assessment on your cognitive, emotional, sensory and motor functions. […] We serve as an educational resource for our community. We offer training sessions and workshops throughout the year as well as “Concussion and Recovery” educational sessions for patients and family members.
  • #102 Concussion Treatment
    https://www.rwjbh.org/treatment-care/concussion/
    A concussion is a type of brain injury that commonly occurs when a patient suffers a sudden, violent blow to the head. Once thought to be minor, we now know that when left untreated, concussions can lead to debilitating, long-term effects for a patient. With early treatment and vigilant monitoring, however, these effects can be prevented and minimized. […] We provide various concussion treatment options in New Jersey. While concussions are generally associated with athletes, we have assisted patients from all walks of life to recover from their concussion and get back to everyday life. […] The signs of a concussion can be subtle and it’s critical that any potential victim is evaluated by a specially trained professional. Within our concussion program, we can provide this evaluation, the necessary CT scan or MRI, and even monitor for second impact syndrome (SIS). […] Concussion screenings using the computer-based ImPACT (immediate post-concussion assessment and cognitive testing) assessment tool are available to patients ages 12 to 18.
  • #103 Evidenced based treatment for Concussion, PCS and Depression.
    https://www.cognitivefxusa.com/
    At Cognitive FX, we provide fMRI-targeted treatment with a team of 14 unique doctors and therapists. We treat people dealing with brain injuries, viral infections and depression. […] 77% of Patients Report a Return to Normal Function. Improvements in anxiety, depression, fatigue, sleep problems, vestibular-ocular functioning, neurocognitive functioning. […] In a study at University Medical Center Groningen, 94% reported a reduction in symptoms after treatment. […] Between treatment and the six-month follow-up, 85% of patients treated report improvement in fatigue and brain fog. […] Approximately 6% of the patients that we treat see no improvement or temporary regression after treatment. […] This detailed map is the foundation of your personalized treatment, ensuring your therapy directly targets areas of dysfunction.
  • #104 Concussion Treatment | Orthopaedics | Grand View Health
    https://www.gvh.org/services/physical-therapy/concussion-treatment
    When these twin sisters both experienced concussions within a few weeks of each other, their mom turned to Grand View Health for expert care. The high school soccer stars recovery was helped through use of the VSR (Very Simple Rehab) Sport System. The NeuroGames technology within VSR sport helps people with concussion “regain” balance while playing video games. […] If you or a family member suspect a concussion, Grand View Health offers a comprehensive program of care. Evaluations can be quickly scheduled with a sports medicine specialist by contacting Upper Bucks Orthopaedics at Grand View Health. […] Through a series of tests and a thorough evaluation of symptoms, we can confirm the diagnosis of a concussion, create a care plan as appropriate, and if needed, will coordinate with a concussion specialist through Grand View Physical Therapy to manage care throughout the recovery process. Grand View Health has credentialed ImPACT consultants (CIC) who have completed specialized training in state-of-the-art concussion evaluation and care.
  • #105 Concussion Treatment | Orthopaedics | Grand View Health
    https://www.gvh.org/services/physical-therapy/concussion-treatment
    Each concussion is unique and treatment is highly personalized. […] The length of time it will take to recover from a concussion varies depending its severity and how well you take care of yourself. […] Our technologies include the VSR (Very Simple Rehab) Sport System, the Biodex Balance System and the Bertec Vision Advantage (BVA). […] Other treatments available at Grand View Health for concussion include: Balance exercises to help with stability and prevent fails, Visual exercises to help you see clearly while moving your head, Speech therapy, Motion exercises that allow your brain to become accustomed to normal movements that cause dizziness.
  • #106 Concussion Treatment | Orthopaedics | Grand View Health
    https://www.gvh.org/services/physical-therapy/concussion-treatment
    Each concussion is unique and treatment is highly personalized. […] The length of time it will take to recover from a concussion varies depending its severity and how well you take care of yourself. […] Our technologies include the VSR (Very Simple Rehab) Sport System, the Biodex Balance System and the Bertec Vision Advantage (BVA). […] Other treatments available at Grand View Health for concussion include: Balance exercises to help with stability and prevent fails, Visual exercises to help you see clearly while moving your head, Speech therapy, Motion exercises that allow your brain to become accustomed to normal movements that cause dizziness.
  • #107 Concussion Therapy – Sheltering Arms Institute
    https://shelteringarmsinstitute.com/conditions-and-services/concussion-therapy/
    Comprehensive treatment plans designed to retrain a persons brain and body in order to return to their prior activities, including sports, exercise, work, and school. […] Our expert clinicians work together to create a personalized treatment plan targeting physical, mental, cognitive, and physiological impairments. […] Sheltering Arms Institute provides innovative concussion therapy at our Bon Air, Chester, Hanover, Hull Street, and Reynolds outpatient centers. […] At Sheltering Arms Institute, we are dedicated to interdisciplinary, evidence-backed concussion management and treatment. […] Sheltering Arms Institute utilizes advanced technology, including the Virtualis VR, Bioness Integrated Therapy System (BITS), Blazepods, and vestibular video goggles to perform assessments that guide treatment, increase patient engagement, and simulate complex environments.
  • #108 Concussion and Traumatic Brain Injury- Neuroscience Group
    https://neurosciencegroup.com/concussion-care/
    We are proud to offer Eye Box, an award-winning concussion technology used to provide measurable information that can help address diagnose concussions with objective information. […] A new machine option for concussion and TBI. Neuroscience Group is proud to bring the first GyroStim treatment to Wisconsin. Gyrostim is a versatile, non-invasive, and cost-effective way to treat balance and vestibular disorders, concussion, TBI, and other neurological conditions. […] Your personalized treatment plan could include further testing (MRI, EEG), as well as physical therapy, or speech therapy. We provide complete concussion and TBI care at Neuroscience Group, so we’ll be there for you every step of the way. […] The EyeBox test is a tool that will help your physician find out if your eye movements are consistent with concussions. Results will be used together with other diagnostic tests to determine the best treatment for you. […] Neuroscience Group has the region’s first Eye Box Concussion Assessment device. Our concussion clinic is one of the most comprehensive centers in the state.
  • #109 Concussion and Traumatic Brain Injury- Neuroscience Group
    https://neurosciencegroup.com/concussion-care/
    We are proud to offer Eye Box, an award-winning concussion technology used to provide measurable information that can help address diagnose concussions with objective information. […] A new machine option for concussion and TBI. Neuroscience Group is proud to bring the first GyroStim treatment to Wisconsin. Gyrostim is a versatile, non-invasive, and cost-effective way to treat balance and vestibular disorders, concussion, TBI, and other neurological conditions. […] Your personalized treatment plan could include further testing (MRI, EEG), as well as physical therapy, or speech therapy. We provide complete concussion and TBI care at Neuroscience Group, so we’ll be there for you every step of the way. […] The EyeBox test is a tool that will help your physician find out if your eye movements are consistent with concussions. Results will be used together with other diagnostic tests to determine the best treatment for you. […] Neuroscience Group has the region’s first Eye Box Concussion Assessment device. Our concussion clinic is one of the most comprehensive centers in the state.
  • #110 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    It is important to seek medical treatment immediately following any head injury. The risk of death or permanent brain damage from a concussion can be minimized by immediate and appropriate treatment from health care providers like a physical therapist. Only health care providers have the knowledge and training to identify concussion in the maze of symptoms that can occur following a head injury. […] Physical therapists can evaluate and treat many problems related to concussions. Because no two concussions are the same, a physical therapist will examine your neurological, orthopedic, and cardiovascular systems to best prescribe a routine to address your specific symptoms and needs. […] Treatment may include: Rest and recovery. Complete rest after a concussion should last for no longer than 48 to 72 hours. Your brain requires a balance of activity and rest to heal properly.
  • #111 Guide | Physical Therapy Guide to Concussion | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-concussion
    It is important to seek medical treatment immediately following any head injury. The risk of death or permanent brain damage from a concussion can be minimized by immediate and appropriate treatment from health care providers like a physical therapist. Only health care providers have the knowledge and training to identify concussion in the maze of symptoms that can occur following a head injury. […] Physical therapists can evaluate and treat many problems related to concussions. Because no two concussions are the same, a physical therapist will examine your neurological, orthopedic, and cardiovascular systems to best prescribe a routine to address your specific symptoms and needs. […] Treatment may include: Rest and recovery. Complete rest after a concussion should last for no longer than 48 to 72 hours. Your brain requires a balance of activity and rest to heal properly.
  • #112 Concussion: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/neuro/brain-spine-trauma/concussion/treatment
    The rest is best philosophy for treating a concussion has changed over the years. While brain rest is necessary for the very early days after a concussion, doctors now recommend a gradual return to activity to enhance recovery. […] Treatment for a concussion starts with rest for the first 1-3 days, followed by gradually increasing time spent at work, school, or light aerobic exercise. You may also benefit from physical, occupational, vestibular, and/or vision therapy to help you recover from neck pain, dizziness, blurred vision, or other symptoms. Some patients benefit from medication and counseling.
  • #113 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Relative rest includes reducing screen time in the first 48 hours; this lessens cognitive exertion. […] See our Medication article about over-the-counter medications such as acetaminophen for pain relief and melatonin, which has been shown to support recovery from concussions. […] Guidelines now recommend starting exercise after 24-48 hours as tolerated and suggest walking or stationary cycling while avoiding the risk of contact, collision or fall. […] Aerobic exercise that is just below the level of making symptoms worse (the subsymptom threshold) safely speeds recovery and reduces symptoms in those with persistent post-concussion symptoms. […] If dizziness, neck pain and/or headaches persist for more than 10 days, cervicovestibular rehabilitation is recommended. […] Recommendations for physicians caring for children and adolescents include this advice: Consider early referral (4 weeks) if child/adolescent has modifiers that may delay recovery/high risk of prolonged post-concussion symptoms.
  • #114 Physical Therapy for Concussion: How PT Can Help | HSS
    https://www.hss.edu/article_physical-therapy-for-concussion.asp
    Seeking physical therapy for a concussion can help relieve symptoms and speed recovery. […] Physical therapy can play a role in restoring neurological function that isnt getting back to normal, says Meghan Lamothe Homoky, PT, DPT, OCS, ATC, a physical therapy clinical specialist at HSS Rehabilitation and Performance. […] Early intervention with physical therapy is crucial. Ideally, patients who still have headaches, dizziness or neck pain 10 days after the injury should be referred to PT. „The evidence shows that being proactive with physical therapy after a concussion even as early as within two weeks of the injury can be beneficial,” Homoky says. […] A big piece that PT can help with is helping people return to exercise, Homoky says. In some cases, exercising can initially worsen symptoms, but in many other cases, it can improve symptoms. […] What we do know research-wise is that it’s safe and beneficial to start sub-maximal aerobic exercise50 to 70% of max heart ratewithin 48 hours of the initial injury, says Homoky.
  • #115 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    Recovery from concussion is a complex and dynamic process. During recovery it is critical to identify the factors responsible for symptoms and to develop a treatment plan targeting them. If recovery is not properly managed it can lead to unnecessarily prolonged recovery. Management of recovery should be individualized and directed by a health care provider with expertise in concussion care and who has ready access to treatment resources. […] A specialist should direct care for recovery from concussion. […] During the recovery phase factors that are causing symptoms should be sought and treatment plans put in place for their resolution. Common treatable causes of concussion-like symptoms include; neck injury, dizziness, lightheadedness, vision problems, difficulty with sleep, and new or worsening mood symptoms. Continued follow up at a clinic with expertise in management of concussion during the recovery phase allows for an individualized recovery plan including, a prescription for exercise and referrals to optimize recovery.
  • #116 Guidelines for Recovery — Concussion Alliance
    https://www.concussionalliance.org/guidelines-for-recovery
    Active rehabilitation is recommended for persisting symptoms. Rehabilitation is preferably provided by a collaborative or multidisciplinary care team. […] Medications can help manage concussion symptoms, but they do not treat the concussion itself; no medication has yet been developed to treat concussion directly. […] A joint statement by the College of Optometrists in Vision Development (COVD) and the Neuro-Optometric Rehabilitation Association (NORA) recommends that concussion patients be given an optometric evaluation and vision rehabilitation if necessary. […] An important therapy to consider is cognitive behavioral therapy (CBT) to deal with any persistent mood or behavioral issues.
  • #117 Concussion Treatment and Recovery | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/concussion-treatment-and-recovery
    The dynamic nature of concussion recovery requires follow-up with tailored management during each phase of concussion. Key milestones in the recovery process are return to learn, school, work, exercise, and sport. Each of these milestones is approached gradually from symptom-limited activity to full participation.
  • #118 Concussion Management & Treatment Program
    https://www.upmc.com/services/orthopaedics/services/sports-medicine/services/concussion/treatment
    The experts at the UPMC Sports Medicine Concussion Program know the best way to care for a concussion: It’s through a customized treatment plan based on each person’s unique needs and goals. […] An active treatment approach one that forces the brain to readapt to stimuli is key to making a full recovery. […] Our team works together to help you through the treatments that serve you best, including the following. […] May prescribe physical or exertional therapy, or use behavior management methods. […] May refer you for a medication consult for chronic symptoms. Not all concussion cases require medicine, but it is useful in complex cases. […] Will reassess you often to promote successful rehab and recovery. […] Exertion therapy helps both athletes and nonathletes post-concussion who may feel nervous or hesitant when trying to exercise.
  • #119 How To Treat A Concussion | Concussion Sef-Care & Supportive Therapy
    https://completeconcussions.com/concussion-management/top-5-evidence-based-treatment-concussion/
    Studies examining the overlay of mental health conditions and post-concussion symptoms are endless, and mental health will always be a big part of concussion management. […] The Ontario Neurotrauma Foundation recently demonstrated that one of the best evidence-based treatment options for preventing long-term symptoms was patient education and reassurance! […] The Concussion Fix Program is an online concussion treatment program designed to help patients with persistent symptoms figure out what is driving their symptoms and how to fix them.
  • #120 What to do After a Concussion | HEADS UP | CDC
    https://www.cdc.gov/heads-up/guidelines/recovery-from-concussion.html
    Most children with a concussion feel better within 2 to 4 weeks. […] Talk with their health care provider if symptoms do not go away or if they get worse after returning to regular activities. […] A child should only return to sports practices after a concussion with approval of their health care provider. […] If your child has concussion symptoms that last longer than 2 to 4 weeks, their health care provider may refer them to a specialist with experience in treating brain injuries. […] Most children have a good recovery after a concussion.
  • #121 What to do After a Concussion | HEADS UP | CDC
    https://www.cdc.gov/heads-up/guidelines/recovery-from-concussion.html
    Most children with a concussion feel better within 2 to 4 weeks. […] Talk with their health care provider if symptoms do not go away or if they get worse after returning to regular activities. […] A child should only return to sports practices after a concussion with approval of their health care provider. […] If your child has concussion symptoms that last longer than 2 to 4 weeks, their health care provider may refer them to a specialist with experience in treating brain injuries. […] Most children have a good recovery after a concussion.
  • #122 What to do After a Concussion | HEADS UP | CDC
    https://www.cdc.gov/heads-up/guidelines/recovery-from-concussion.html
    Most children with a concussion feel better within 2 to 4 weeks. […] Talk with their health care provider if symptoms do not go away or if they get worse after returning to regular activities. […] A child should only return to sports practices after a concussion with approval of their health care provider. […] If your child has concussion symptoms that last longer than 2 to 4 weeks, their health care provider may refer them to a specialist with experience in treating brain injuries. […] Most children have a good recovery after a concussion.
  • #123 What to do After a Concussion | HEADS UP | CDC
    https://www.cdc.gov/heads-up/guidelines/recovery-from-concussion.html
    Most children with a concussion feel better within 2 to 4 weeks. […] Talk with their health care provider if symptoms do not go away or if they get worse after returning to regular activities. […] A child should only return to sports practices after a concussion with approval of their health care provider. […] If your child has concussion symptoms that last longer than 2 to 4 weeks, their health care provider may refer them to a specialist with experience in treating brain injuries. […] Most children have a good recovery after a concussion.