If symptoms persist after concussion, recovery has stalled for a measurable reason. We identify the Primary Constraint, restore capacity, and then progress demand. We serve Pittsford, Rochester, and the surrounding region.
New patient appointments typically available within 1-2 weeks
Private-pay model eliminates referral delays and insurance-driven visit limits
Progress measured objectively at the start and at discharge
Most concussions resolve within 7-10 days, but 10-20% of patients develop persistent symptoms lasting months or years. This is post-concussion syndrome, and it requires specialized neurologic evaluation.
Post-concussion syndrome occurs when the nervous system fails to reintegrate after injury. You may have been told symptoms will resolve with time, or that nothing shows up on imaging. Structural damage may have healed, but functional deficits in how your nervous system controls processing, balance, and load tolerance can persist indefinitely without targeted treatment.
While multiple systems may be involved, one constraint typically limits recovery at a given phase. Identifying and sequencing care around that constraint is the difference between symptom management and durable resolution.
Controls balance, spatial orientation, and coordination between head and eye movements. Deficits cause dizziness, imbalance, and motion sensitivity.
Manages eye tracking, focusing, and visual processing. Dysfunction leads to reading difficulty, eye strain, and visual overwhelm.
Coordinates timing, movement precision, and cognitive processing speed. Deficits cause clumsiness, slow thinking, and coordination problems.
Regulates energy, endurance, and stress response. Dysfunction creates fatigue, exercise intolerance, and sleep disturbances.
Your symptoms aren't random. Headaches, dizziness, cognitive fog, and fatigue are endpoints of an underlying control problem. Treating symptoms alone rarely resolves recovery. Identifying the Primary Constraint and restoring capacity does.
Constraint-based evaluation and sequenced rehabilitation
Your initial evaluation (60-90 minutes) examines vestibular, oculomotor, cerebellar, autonomic, and other systems to identify which constraint is limiting recovery at this phase. Progress is measured objectively at the start and at discharge within our Clinical Outcome Registry.
You'll leave your first visit with a clear understanding of why recovery has stalled and what needs to change.
Treatment targets the primary constraint first. If vestibular function is limiting, we restore vestibular capacity before progressing load. If oculomotor control is the constraint, we restore tracking and convergence before adding cognitive demand.
This is sequenced rehabilitation based on physiologic readiness, not timelines.
Demand increases only when capacity has been restored. We reassess each visit to confirm the limiting constraint has shifted before progressing the program. Physiology determines readiness, not elapsed time.
In persistent cases, the Primary Constraint can evolve. Ongoing reassessment ensures sequencing remains aligned with your nervous system's current state.
The initial evaluation is a structured neurologic assessment designed to identify the Primary Constraint: the system most limiting recovery at this phase. Capacity must be restored before demand is increased. Objective baseline measures are recorded in our Clinical Outcome Registry. You leave with a clear constraint explanation, a sequenced care plan, defined progression criteria, and measurable benchmarks.
Most patients attend 1-2 visits per week for 4-8 weeks, though duration varies based on symptom severity and which systems are involved. Some patients see significant improvement within 2-3 weeks; others with complex multi-system involvement may require 10-12 weeks. Duration is determined by physiologic readiness, not a fixed schedule.
You will receive specific exercises targeting your primary constraint to perform between visits. These are sequenced to your nervous system's current capacity and progress as readiness improves.
Durable recovery is defined by functional benchmarks, not symptom scores alone:
Free Patient Guide
Evidence-based strategies for the first 72 hours after concussion: what to do, what to avoid, and how to protect neurologic recovery before your evaluation.
Common questions about concussion treatment in Pittsford
Pittsford Performance Care is located in Pittsford, NY, serving patients throughout the Rochester area including Brighton, Penfield, Victor, and Fairport. We provide constraint-based evaluation and sequenced rehabilitation for concussion and post-concussion syndrome.
While most concussions resolve within 7-10 days, if symptoms persist beyond 2 weeks or worsen, specialized evaluation is recommended. Early intervention can prevent chronic post-concussion syndrome. However, we also successfully treat patients whose concussions occurred months or years ago.
We use a constraint-based evaluation to identify which system is limiting recovery at a given phase. Rather than generic exercises, we sequence rehabilitation around the Primary Constraint with objective measurement and outcome tracking within our Clinical Outcome Registry.
Neurologic Care is private-pay. This allows treatment to be sequenced according to physiologic response rather than authorization limits. A clear fee structure is provided at scheduling. Documentation for out-of-network submission is available upon request.
Duration is determined by restoration of measurable Adaptive Capacity, not a fixed schedule. Single-constraint cases typically resolve in 3–5 visits; more complex presentations require longer Care Tracks, with Readiness Gating at each phase.
Stop waiting for symptoms to resolve on their own. Identify the constraint. Restore capacity. Resolve the stall at our Pittsford office.