Concussion Rehab East Brunswick, NJ

Concussion Rehab

Managing concussions is complex and requires a multidisciplinary team approach. Our physical Therapist, Danielle Mendez, MS, PT, OCS is Certified in Evidence-Based Concussion through the American Institute of Balance. This special training gives our therapist special training in concussion identification, assessment, therapies and return to play processes. Many of the concussions seen in physical therapy clinics are not referred to physical therapy until several months after the initial incident. In fact, a recent study demonstrated persons experiencing mild traumatic brain injury such as concussion did not see a physical therapist until 61 days after the incident. Current research supports early intervention for successful management and return to play/school. Unfortunately, the available research does not define “early” well. We agree that gradual and progressive activity is encouraged 24-48 hours after injury while remaining below symptoms threshold. There are a few other things we do know specifically about predicting recovery:

  1. The strongest and most consistent predictor of slower recovery from sports-related concussion is the severity of initial symptoms (first day to first few days)
  2. The development of sub-acute problems with migraine HA or depression are likely linked to persistent symptoms lasting longer than 1 month
  3. Three (3)concussions before HS aged increases risk of cognitive or other issues into adulthood, the same is said for 3 concussions in HS


The above highlights the need for early diagnosis and, if appropriate, treatment of concussions. Concussions are complex in nature and if a rehab specialist is not familiar with concussions or vestibular rehabilitation therapy techniques, then the patient may run the risk of prolonged and persistent symptoms. Implementing a concussion rehab protocol that looks at vestibular components (BPPV, balance, gaze stabilization, cognitive function) as well as musculoskeletal components (cervicogenic dizziness or cervical dysfunction as a result of head trauma) is paramount to successful outcomes and return to work/play. What sets apart rehab at MANA PHYSICAL THERAPY is close tracking of patient symptoms by monitoring cognitive and vestibular test performances. We can then make sure both aspects are progressing similarly and one system is not being overworked or undertrained. At Mana PT we schedule concussion patients at a rate of 1 per hour allowing us to closely monitor and track symptoms and progress or regress exercises as required.

The Center for Disease Control (CDC), estimates that each year over 20 million children and adults will suffer from concussions, mild traumatic brain injuries (TBI), or head trauma as a result of sports injury, falls, motor vehicle accidents and blunt force trauma. Head impact injuries cause disruption of participation in sports, work, and recreational or just everyday activities. Symptoms associated with head impact trauma may include: dizziness, nausea, blurred or double vision, imbalance, hypersensitivity to light, and cognitive impairment.

There is a dangerous trend of equating an injury with how visible the problem is. Of course, a broken bone or a torn ligament is going to create a scene, but this isn’t a failsafe way to judge an injury. When an athlete blows out their knee it becomes something that everyone can see, and the pain on the player’s face merely confirms what everyone else is already thinking: that injury is real, that injury is painful, that person is going to need medical attention.

Head injuries aren’t typically as visible. When someone hits their head on TV, they may become unconscious for a moment or they may be able to stand up right away. They might look dazed or need a minute to regain their ability to think straight, but then they can walk off the field just fine. The injury doesn’t look as serious. And too often it isn’t treated as seriously.

A broken bone may be visible, but a concussion is in many ways far more serious of a problem. A brain injury requires immediate and ongoing care to ensure that the brain can regain optimal functionality. On television, injuries that turn out to be “just a concussion” are often anti-climactic events that the audience is led to believe will be over in days, if not hours. In real life, however, these traumatic brain injuries — which usually stem from a fall, severe shaking, a car accident or a direct blow to the head — can severely impact a person’s quality of life for several months.

A cold is typically more obvious than a chronic disease, but that doesn’t make the chronic disease any less difficult to deal with. In fact, chronic disease is typically significantly more serious and complicated than the typical cold. Similarly, concussions are not something that can be overlooked. Following brain injury, whether as a result of a sport incident, a car accident, trip, and fall, or other event, concussion rehab is absolutely necessary to ensure that there is no lasting damage following the trauma.

Left untreated, concussions can even inhibit growth in young children and bring on early dementia for older patients. Fortunately, the physical therapy field is continually discovering new ways to help patients suffering from long-term concussion complications.

Finding Concussion Rehab Post-Trauma

The severity of a traumatic brain injury can vary dramatically. While some concussions are indeed minor, and may not require long-term intervention, other brain injuries can have lifelong consequences.

In the immediate hours and days following a traumatic brain injury, the best treatment option is to take it easy. Resting your brain means really turning off everything that will stimulate your mind and to simply relax. This means avoiding television, not reading, avoiding intense music, conversation, and too much movement. This may not sound like a very entertaining time, but this is what your brain needs to recover. Just like you’d put your feet up for a day or two after injuring your ankle, you need to give your brain time to rest and recover after an injury.

During this time, it isn’t likely that you’ll be referred to concussion rehab. The important thing is to check in with your doctor for treatment and to have your brain injury assessed, and then to follow post-concussion protocols to give your brain a chance to bounce back. During this time, rest is absolutely the best way to cope with the uncomfortable symptoms that happen with a concussion, which include vomiting, confusion, weakness, and headaches.

After several days, if the symptoms of a brain injury haven’t subsided, then physical therapy is recommended. Seeking out concussion rehab early on can prevent long-term issues and help you experience a quicker return to normalcy.

Without therapeutic intervention, long-term symptoms can include:

  • Chronic headaches
  • Fatigue
  • Changes in weight
  • Sleep disorder
  • Muscle weakness and spasms
  • Decreased libido
  • Disrupted menstruation and infertility

The Benefits of Physical Therapy

Concussion rehab is a highly useful tool in supporting recovery from traumatic brain injury. During concussion rehab, you can expect to work with a highly experienced physical therapist who will evaluate the severity of your brain trauma and match you with tricks and strategies that can reduce discomfort, alleviate painful symptoms, and improve brain functionality.

All too often, it is these symptoms of a concussion that lead to the greatest amount of discomfort. Physical therapy can encourage a return to feeling better by restoring strength to atrophied muscles and improving endurance. This can be achieved through a combination of muscle-training activities and aerobics. However, it is important to work with a physical therapist to gain guidance regarding the best activities for your body’s needs post-brain injury. Working out alone could lead to further injury. Your physical therapist will customize a strength-building program for you, as well as guide you through aerobic moves that help you regain that 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. Physical therapy programs for concussion often build in vestibular therapy, which helps you orient yourself during periods of lightheadedness or loss of balance. To encourage this your physical therapist will introduce you to specialized activities, including fixing your gaze at a certain point in the distance, or using simple movements to stabilize your core and limbs. With proper guidance, these strategies can be incredibly helpful in improving quality of life as you recover from 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 to learn more about concussion treatment and therapy options at East Brunswick, NJ center.