Concussion Treatment Through Physio: A Step Toward Healing

Concussion Treatment Through Physio: A Step Toward Healing

Concussions, often labeled as “mild” traumatic brain injuries, can have major impacts on physical, cognitive, and emotional well-being. Whether from sports, a fall, or an accident, early intervention and proper care are crucial. Physiotherapy plays a vital role in concussion recovery beyond just rest.

In this blog, we'll break down how physiotherapy helps with concussion recovery and what to expect during treatment.

🧠 What Is a Concussion?

A concussion occurs when the brain moves rapidly within the skull due to a sudden impact. It can cause a variety of symptoms, including:

  • Headaches

  • Dizziness

  • Fatigue

  • Neck pain

  • Visual disturbances

  • Difficulty concentrating

  • Nausea

  • Sensitivity to light or noise

👩⚕️ Why Physiotherapy for Concussions?

Physiotherapy addresses many of the physical symptoms caused by a concussion, especially those that don’t resolve with rest alone. Trained physios provide targeted therapy to treat:

  • Vestibular dysfunction (balance and dizziness)

  • Cervicogenic symptoms (neck pain and headaches)

  • Visual tracking issues

  • Exercise intolerance

✅ Key Components of Concussion Physio Therapy

1. Initial Assessment

The first step involves a comprehensive evaluation of:

  • Balance and coordination

  • Eye tracking and reflexes

  • Neck movement and tension

  • Heart rate response to activity

  • Post-concussion symptoms inventory

This helps the therapist tailor a specific rehab plan.

2. Vestibular Rehabilitation

If you feel dizzy, off-balance, or disoriented, this part’s for you. Your physio may guide you through:

  • Gaze stabilization exercises

  • Head and eye coordination drills

  • Habituation exercises to reduce motion sensitivity

3. Neck (Cervical) Therapy

Often, concussion symptoms overlap with whiplash. A stiff or injured neck can cause:

  • Headaches

  • Dizziness

  • Limited range of motion

Treatment may include:

  • Manual therapy

  • Gentle stretches

  • Posture correction

  • Strengthening exercises

4. Graded Exercise Program

Return-to-play or return-to-life protocols aren’t just about rest — movement matters. Controlled, sub-symptom threshold exercise improves:

  • Blood flow to the brain

  • Energy levels

  • Recovery speed

Examples:

  • Treadmill walking or stationary cycling with HR monitoring

  • Stepwise increase in intensity based on symptoms

5. Vision Therapy Support

For those with eye strain, blurry vision, or difficulty focusing:

  • Smooth pursuit and saccade exercises

  • Peripheral vision training

  • Eye-hand coordination drills

Your physio may work alongside an optometrist or neuro-ophthalmologist if needed.

6. Education & Lifestyle Coaching

Recovery is a 24/7 process. Physios often guide:

  • Sleep hygiene

  • Stress management

  • Screen time control

  • Nutrition advice (in collaboration with dietitians)

⏳ How Long Does Recovery Take?

Everyone’s timeline is different, but with physio-led care:

  • Most mild concussions improve in 2–4 weeks

  • Persistent symptoms (post-concussion syndrome) may take several months of guided rehab

The key is personalized, progressive care — and not rushing the process.

💡 Final Thoughts

Concussion therapy in physiotherapy is not just symptom management  it’s an active, science-based approach to healing. If you or someone you know is dealing with concussion symptoms that aren't improving, it might be time to connect with a trained concussion physio.

Recovery is possible — and physio can help you get there. Book an Initial Assessment Today!

Ranko Vukovic
Registered Physiotherapist MPT, BHK

Ranko is a registered physiotherapist (RPT) with the College of Physiotherapists of British Columbia and a member of the Canadian Physiotherapy Association. He combines expertise in kinesiology, functional movement, TMJ and orofacial pain (jaw pain), dry needling, and Shockwave Therapy. Ranko is passionate about helping clients achieve their fitness and rehabilitation goals.