How Physiotherapy May Be Included in a Concussion Management Plan

 

Concussions are a type of mild traumatic brain injury that may result from a direct blow to the head or a sudden jolt to the body that causes the brain to move within the skull. While concussions often do not involve visible injuries or structural damage, they can lead to a range of physical, cognitive, and emotional symptoms that may disrupt daily life. These may include headaches, dizziness, blurred vision, balance issues, neck pain, sensitivity to light or noise, fatigue, difficulty concentrating, or mood changes. Recovery can vary significantly between individuals, and for some, symptoms may persist for weeks or even months. In such cases, physiotherapy may be included as part of a comprehensive concussion management plan to support gradual recovery and functional improvement.

Physiotherapists trained in concussion care can play a role in evaluating post-concussion symptoms and identifying which systems may be contributing to ongoing discomfort or limitation. For instance, some symptoms such as dizziness and balance problems may be linked to vestibular dysfunction, while others like neck stiffness and headaches may stem from associated cervical spine involvement. Concussion Physiotherapy treatment often begins with a detailed assessment of a person's posture, movement patterns, coordination, eye tracking, and response to head and neck movements. This helps create a clearer picture of how different areas of the body are affected and how treatment may be tailored.

In many cases, concussion-related symptoms may worsen with too much activity too soon, yet complete rest for extended periods can also slow down recovery. Physiotherapists may help guide patients in finding a balance between activity and rest by developing a graded return-to-activity plan. This typically includes gentle physical movements, breathing exercises, and strategies for pacing that are introduced based on an individual’s tolerance and symptom presentation. For those who experience lightheadedness or visual disturbances with movement, specific eye-head coordination exercises or balance retraining may be introduced gradually to help re-integrate sensory systems.

Neck pain is a common coexisting issue in concussion cases, especially when the injury involves a fall or car accident. Whiplash-like symptoms may contribute to headaches and restricted motion, and physiotherapy may address this by using manual therapy techniques, gentle mobilizations, or targeted stretching to reduce muscle tension and improve joint function. These approaches are typically performed in a controlled and supportive manner, with the patient’s comfort and response carefully monitored.

Cognitive fatigue and reduced tolerance for mental activity are also frequent concerns after a concussion. While these aspects are often addressed through rest, screen time reduction, and cognitive pacing, Concussion physiotherapy may support these goals by helping regulate physical exertion levels. Controlled aerobic exercise, introduced at a sub-symptom threshold level, has shown potential to improve recovery outcomes in some concussion cases. With proper supervision, this type of activity can help the brain and body regain tolerance for movement without overwhelming the system.

Each concussion case is unique, and symptoms may fluctuate. Physiotherapists working in concussion care often collaborate with other healthcare providers, such as family doctors, neurologists, optometrists, or psychologists, to ensure a coordinated approach. Physiotherapy may be just one part of a broader care plan, but it can serve as a supportive foundation by addressing the physical aspects of concussion recovery, educating patients on symptom management, and encouraging safe return to work, school, or sports.

It’s important to note that physiotherapy for concussion is not a one-size-fits-all solution. Some individuals may only require a few sessions focused on neck mobility or balance retraining, while others may benefit from more ongoing care that evolves as symptoms change. The timing of treatment also matters. While early intervention may help prevent chronic issues, care can still be valuable weeks or even months after the injury if symptoms remain unresolved.

At Granville Physiotherapy, concussion management services may include assessment and treatment for vestibular issues, cervical spine dysfunction, postural concerns, and gradual return-to-activity planning. The goal is to work at a pace that respects the nervous system's need for recovery while gently supporting improved physical function and confidence. Whether the concussion was sustained through sport, a fall, or an accident, individualized care can help patients navigate the path forward more safely.

To make recovery more accessible, Granville Physiotherapy offers direct billing and accepts most insurance plans. Same-day appointments are available, and no referral is needed to begin treatment. Walk-in patients are welcome, and the clinic provides free parking and wheelchair accessibility for your convenience.

If you or someone you know is dealing with prolonged or disruptive symptoms following a concussion, Granville Physiotherapy may be able to help. With careful assessment, personalized planning, and supportive treatment, physiotherapy may be a helpful addition to a well-rounded concussion management plan.