You were told your symptoms would resolve with time. They haven't. Specialized functional neurology evaluation identifies exactly which neurologic domains are preventing your recovery.
We successfully treat patients whose symptoms have persisted for 3 months to 5+ years
Identify the Primary Constraint: the specific system preventing recovery, not just symptom management
Objective outcome tracking shows exactly how your nervous system is improving
Post-concussion syndrome (PCS) is a constellation of persistent symptoms that continue beyond the expected recovery period after a concussion or mild traumatic brain injury. While most concussions resolve within 7-10 days, 10-20% of patients develop symptoms that last months or years.
You may have been told "nothing shows up on imaging" or "just give it more time." This is because post-concussion syndrome isn't about structural damage—it's about functional deficits in how your nervous system processes information. Specific neurologic domains fail to recover after the initial injury, creating persistent symptoms that won't resolve without targeted rehabilitation.
Common symptoms include:
Post-concussion syndrome isn't a diagnosis of exclusion or a psychological problem. It's a neurologic condition with identifiable, measurable deficits in specific brain systems. When these systems are properly evaluated and rehabilitated, symptoms resolve.
Your nervous system relies on seven distinct neurologic domains to process information and control function. When a concussion occurs, one or more of these domains can become dysfunctional. If the primary domain doesn't recover naturally, it creates a cascade of secondary symptoms that persist indefinitely.
The problem: Most concussion treatment focuses on symptom management (rest, medication, generic exercises) rather than identifying and rehabilitating the specific domains that are dysfunctional. This is why you've been told to "wait it out" or "avoid triggers"—but symptoms don't improve.
When the vestibular system fails to recover, you experience persistent dizziness, imbalance, motion sensitivity, and visual-vestibular mismatch. This is the most common primary domain in post-concussion syndrome.
Impaired eye tracking, focusing, and convergence create reading difficulty, eye strain, headaches, and visual overwhelm in busy environments. Often overlaps with vestibular dysfunction.
The cerebellum coordinates timing and precision. When compromised, you experience cognitive slowing, coordination problems, and difficulty with complex tasks that require sequencing.
When the autonomic nervous system is disrupted, you experience fatigue, exercise intolerance, sleep problems, and difficulty managing stress. Often creates a "crash" after activity.
Constraint-based evaluation and targeted neurologic rehabilitation
Your symptoms aren't random—they follow predictable patterns based on which neurologic domain is primarily dysfunctional. Our comprehensive evaluation (60-90 minutes) assesses all seven domains using objective measures and validated outcome instruments.
We identify which domain is driving your symptoms, not just what symptoms you have. This distinction is critical for effective treatment.
Treatment targets the specific domain driving your symptoms. If vestibular dysfunction is primary, we use vestibular rehabilitation, gaze stabilization, and balance training. If oculomotor deficits dominate, we focus on eye tracking, convergence, and visual processing.
This isn't symptom management—it's precision rehabilitation that restores normal neurologic function.
We measure progress objectively at every visit using validated outcome instruments and neurologic testing. You'll see quantifiable improvement in balance scores, cognitive processing speed, visual tracking accuracy, and symptom severity.
If a domain isn't improving as expected, we modify the treatment approach until it does. Your nervous system's response guides our decisions.
The initial evaluation is a structured neurologic assessment designed to identify the Primary Constraint: the system most limiting recovery at this phase. Objective baseline measures are recorded in our Clinical Outcome Registry.
You leave the first visit with:
Duration is determined by physiologic readiness, not a fixed schedule. Many patients experience measurable improvement within the first 1–2 weeks once the correct constraint is identified. That early signal indicates correct sequencing, not full recovery. Durable resolution requires sustained tolerance under load: full school, exercise, and cognitive demand without regression.
Exercises are targeted to the primary constraint and sequenced to your current physiologic capacity. They are not generic concussion exercises. Progression is tied to measurable readiness, not elapsed time or symptom absence.
Durable recovery is defined by functional benchmarks, not symptom scores alone:
Free Patient Guide
If your symptoms began recently, this guide covers what to do in the first 72 hours after concussion: what to avoid, how to protect neurologic recovery, and when to seek evaluation.
Common questions about post-concussion syndrome
Post-concussion syndrome can last months or even years if the Primary Constraint is not identified and addressed. While most concussions resolve within 7–10 days, 10–20% of patients develop persistent symptoms. Many patients experience measurable improvement within 1–2 weeks once the correct constraint is identified. Durable recovery requires sustained tolerance under real-world demand, not just symptom reduction at rest. Progress is measured objectively at the start and at discharge within our Clinical Outcome Registry.
Persistent symptoms indicate that the Primary Constraint (a specific system that has not recovered sufficient Adaptive Capacity) is preventing the nervous system from tolerating normal demand. While structural damage may have healed, functional deficits in how your nervous system processes information can persist indefinitely without targeted rehabilitation. Generic rest or time alone rarely resolves these constraints. Care must be sequenced based on physiologic readiness: capacity before load.
Yes. Post-concussion syndrome is treatable when the Primary Constraint is correctly identified and addressed through sequenced care based on physiologic readiness. By evaluating which system is preventing recovery and targeting it with precision rehabilitation, most patients achieve durable resolution, defined as full tolerance of school, work, exercise, and cognitive demand without regression. Progress is measured objectively at the start and at discharge within our Clinical Outcome Registry.
The most common symptoms include persistent headaches, dizziness, balance problems, visual disturbances, cognitive fog, difficulty concentrating, memory problems, fatigue, sensitivity to light and sound, mood changes, and exercise intolerance. These symptoms follow predictable patterns based on which system carries the Primary Constraint: the specific deficit preventing the nervous system from tolerating normal demand.
A regular concussion typically resolves within 7–10 days as the nervous system naturally restores capacity. Post-concussion syndrome occurs when symptoms persist beyond 2–4 weeks, indicating that the Primary Constraint has not resolved on its own. This requires specialized evaluation to identify which system is limiting recovery and sequenced care based on physiologic readiness (capacity before load) to restore durable function.
Post-concussion syndrome is treatable. Schedule your comprehensive constraint-based evaluation and discover exactly what's preventing your recovery.