Concussion Treatment | Vital Role of Physiotherapy

Tuesday, February 25, 2025

A concussion is considered a mild traumatic brain injury that typically causes temporary dysfunction. Although it is usually recoverable, a mild injury also means the individual remains vulnerable during the recovery process. While preventing a concussion can be difficult, it is crucial for anyone who sustains one to seek appropriate and timely care.

The majority of concussions will resolve within 5-7 days. However, what many people don't realise is that a concussion creates a small energy deficit in the brain. It takes between 22-30 days to restore this deficit, which is why current guidelines recommend a 3-week return-to-sport period. The concern is that if an individual sustains a second impact during this recovery window, it can lead to a larger energy deficit, potentially causing severe and irreversible brain damage.

Why Should I see a Physiotherapist Following a Concussion?

To optimise your recovery.
To reduce the likelihood of developing persistent concussion symptoms.
To lower your chances of sustaining a secondary injury due to persistent cognitive and neuromuscular impairments.
To ensure your overall safety, as a second head impact during premature return to sport can increase the risk of severe and irreversible injury.

When Can I see a Physiotherapist After a Suspected Concussion?

Physiotherapy can begin within 3 days after a suspected concussion. We can assist with diagnosis, assessment, and rehabilitation, even if you have not yet seen a medical practitioner. A formal diagnosis is typically made by your General Practitioner, a field-side doctor, or in the Emergency Department.

How Can a Physiotherapist Help Following a Concussion?

Conduct a neurological assessment to determine if your symptoms are related to something more serious. This is especially important if we are the first healthcare provider you see after your injury.
Initiate early active rehabilitation, as complete rest is no longer recommended—particularly in the early stages. We will support your recovery through exercise, diet, and sleep guidance.
Assess symptom provocation and conduct functional tests, including physical exertion testing, standing and dynamic balance, oculomotor function, and cervical spine function.
Guide you through a graded return-to-driving, work, school, and sport protocol.
Provide hands-on treatment for the neck, head, and upper body, especially when an associated neck injury is present.
Refer you to external providers, if necessary, including neurologists, psychologists, or sports physicians.

Physiotherapists work with both community sports participants and high-performance athletes, as well as workplaces with a high risk of head injuries.

Why See a CCMI Registered Physiotherapist?

A concussion care specialist, such as a Complete Concussion Management Inc. (CCMI) registered physiotherapist, specialises in evidence-based concussion care. They use a holistic, individualised approach to guide your recovery and address all aspects of concussion. Key benefits of seeing a CCMI physiotherapist include:

Comprehensive Assessment: They evaluate all affected systems, identifying specific areas of dysfunction.
Targeted Treatment Plans: Using evidence-based protocols, they develop tailored exercise and rehabilitation programs.
Collaborative Care: CCMI physiotherapists work with other healthcare professionals to ensure a multidisciplinary approach to recovery.
Ongoing Support: They monitor your progress and adjust treatment as needed, helping you safely return to work, sport, or daily activities.

At Physio Inq Sutherland, we have registered concussion care specialist Physiotherapists working every weekday.

Conclusion

Most concussions are mild, but your brain remains vulnerable to further injury, which is why it must be taken seriously. The sooner you begin concussion care, the sooner you can safely return to your activities. Remember: Symptom resolution does not equate to full recovery!

Call us today to book an appointment with our Physio Inq Sutherland, registered concussion care specialist physiotherapists.

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