Concussion Management

Many think of sports when they think of concussion, but concussions can happen to anyone. In fact falls and auto accidents remain the leading causes of concussion. A concussion is a traumatic brain injury caused by a bump, blow, or whiplash force to the head – causing the brain to shake within the head. The problem is a functional injury (how the brain works) not a structural injury. Therefore the problem cannot be seen on MRI or CT scan.

Symptoms of Concussion

Symptoms include physical changes such as imbalance, dizziness, headache, and eye-tracking difficulties. Concussion can also lead to emotional symptoms such as – irritability and mood changes, or cognitive symptoms such as – decreased memory, organization problems, and being easily distracted. Symptoms can occur immediately, a few hours later, or a day or two after injury. For some, symptoms may be hard to detect.

Recovery from Concussion

Obtaining and following the advice of your physician is essential for optimal recovery. Rest (both physical and mental) immediately after injury is extremely important when dealing with concussion. Without early rest, symptoms can worsen and recovery prolonged. Younger people are more susceptible to delayed recovery than adults due to their developing brain. For some, more help is needed for recovery and your physician may order post-concussion therapy.

Concussion Symptoms Treated with Vestibular Therapy

Our vestibular system, located in the inner ear, helps control sense of balance and orientation. Sometimes concussion can affect this system and its connections in the brain. Vestibular disorders can cause imbalance, dizziness, vertigo, nausea, headaches, and the inability to focus vision while moving your head. For those who do not recover from concussion on their own in a few weeks, exercises are utilized for imbalance and problems with eye tracking, gaze stability, and dizziness with movement. Additionally, gradually increasing physical activity through a Graded Exertion Protocol allows the person with concussion to tolerate more activity without worsening symptoms. Eventually sports or activity specific challenges are added to the program.

A Personalized Treatment Plan

During your first appointment, your physical therapist will thoroughly assess your dizziness, balance, walking, eye tracking and ability to focus your vision during head movements. Your strength and flexibility – with special attention to your neck – will be assessed. You will learn about your disorder as your physical therapist designs as challenging and safe treatment plan. If necessary, your physical therapist may recommend additional services to speed your physical and mental recovery.


The Physical Medicine & Rehabilitation Outpatient Department is located on the first floor of the Grand View Health Outpatient Center at Sellersville.

Make an Appointment

Contact the Physical Medicine & Rehabilitation Outpatient Department at 215-453-3220.