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4 Essential Ways Physiotherapists Aid with Concussion Rehab

  • Writer: Reframe Physio
    Reframe Physio
  • Oct 14
  • 3 min read

Updated: Oct 15

Concussions are more than just a bump on the head; they can disrupt your life in many ways. From headaches to dizziness, the symptoms can be overwhelming. The road to recovery can be complex, and that's where physiotherapists come in. We play a key role in helping individuals with their concussion rehab. In this post, we'll look at four vital ways physiotherapists can support your recovery and enhance your quality of life.


Address the Pain in Your Neck


Neck pain is a frequent issue following a concussion. Many people experience stiffness or discomfort that can intensify symptoms like headaches and dizziness. In fact, studies show that up to 70% of concussion patients report neck pain. Our upper cervical spine also innervates the temple and also help provide stability for the eyes. It is not uncommon for the neck to be the driving factor behind much of the headaches and visual disturbances o common experience in people suffering from concussions.


Physiotherapists specialize in diagnosing and treating neck problems using methods such as:


  • Manual therapy to ease tension and pain.

  • Targeted exercises to improve strength and flexibility.


By effectively managing neck pain, physiotherapists can help fast-track recovery and improve mobility, which is crucial for returning to everyday activities. Not to mention, alleviating neck discomfort can lower stress levels, enabling individuals to focus better on healing.


Close-up view of a physiotherapy session focusing on neck treatment
Small improvement in pain does add up over time!

Helping You with Your Vestibular Dysfunction


Following a concussion, many people experience vestibular dysfunction, which can create challenges in balance and coordination. Symptoms such as dizziness, vertigo, and trouble walking can be frustrating and may hinder participation in daily tasks. Research indicates that vestibular symptoms can affect around 50% of concussion patients.


Physiotherapists are skilled in assessing vestibular function and implementing effective treatments and rehabilitation exercises, which include:


  • Canal repositioning maneuvers: Helps resolve acute issues causing vertigo.

  • Balance training: Helps improve stability.

  • Gaze stabilization exercises: Focuses on eye coordination to reduce dizziness.


By tackling vestibular issues, physiotherapists not only help individuals regain their confidence but also significantly reduce the risk of falls or further injuries. This empowerment is vital in fostering a return to normal activities and improving overall quality of life.


Working on Potential Autonomic Dysfunction


Autonomic dysfunction is another potential effect of a concussion, impacting involuntary functions like heart rate and blood pressure. Symptoms often include fatigue, lightheadedness, and issues with temperature regulation. As many as 30% of concussion sufferers report experiencing autonomic symptoms.


Physiotherapists can recognize signs of autonomic dysfunction and create a personalized treatment strategy. This plan may include:


  • Exercise stress test to figure out the underlying issue.

  • Cardiovascular exercises to build endurance.

  • Breathing techniques that enhance relaxation.

  • Lifestyle tips for better health management.


By addressing these dysfunctions, physiotherapists help individuals manage their symptoms and improve their overall well-being during their concussion rehab.


Eye-level view of a physiotherapy session focusing on balance exercises
Striking a balance in how much to push youself is key to recovery

Last But Not the Least: The Commonly Missed Cervical-Thoracic Junction Dysfunction


Often, the cervical-thoracic junction—the area where the neck meets the upper back—is overlooked in concussion recovery. Dysfunction here can lead to increased pain and restricted movement, contributing to headaches and discomfort. Research shows that addressing this area can improve recovery time significantly.


Physiotherapists are trained to examine the cervical-thoracic junction for restrictions. Their treatments may involve:


  • Manual therapy to release tension.

  • Specific exercises to increase mobility.

  • Education on how posture affects this region.


By focusing on the cervical-thoracic junction, physiotherapists can alleviate pain and enhance overall movement, contributing to a more effective recovery.


Moving Forward in your concussion rehab with Confidence


The journey to recover from a concussion can be daunting, and it’s often difficult to navigate on your own. Much like how it’s the sand in your shoes that wears you down over time, recovery from concussion can be hindered by small, persistent issues. Focusing on gradual improvements in those niggling areas can make a world of difference.


Physiotherapists are crucial partners in this process. Through targeted treatment for neck pain, vestibular issues, autonomic dysfunction, and cervical-thoracic junction dysfunction, they help individuals reclaim their health and well-being.


If you or someone you know is on the road to recovery from a concussion, do get in touch with us! We can work alongside your ACC concussion providers to help you achieve the best results!


Remember, recovery is not merely a destination but a journey that benefits greatly from the right support along the way. Contact us to find out how we can help!

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