Concussion Management

Concussion Management at Total Balance Physiotherapy

Put simply, a concussion changes the way our brain functions – causes it to work less optimally. It may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an “acceleration/deceleration” force transmitted to the head. A concussion may or may not involve loss of consciousness.

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Concussion Rehabilitation

Recovery from a concussion can be a difficult and frustrating time. We provide comprehensive, evidence-based concussion care to support a safe and confident return to daily life, school, work, and sport.

Recovery is driven by the right kind of activity at the right time. We assess and treat the multiple systems that can be affected after a concussion, including the vestibular system (balance and dizziness), visual coordination, neck function, and exercise tolerance.

Your care begins with a detailed assessment, using a combination of clinical expertise and objective tools, including computerized neurocognitive testing (ImPACT and Creyos), balance and postural stability testing, autonomic system assessment, and visual-vestibular screening. This allows us to clearly identify the source of your symptoms and track your progress over time.

Based on your results, we develop an individualized rehabilitation plan that may include:

  • Vestibular and balance therapy

  • Visual coordination retraining

  • Cervical spine (neck) treatment

  • Craniosacral Therapy and other manual techniques 

  • Gradual return-to-exercise programming

  • Return-to-learn and return-to-sport planning

We focus on active rehabilitation, guiding you step-by-step through recovery while ensuring symptoms remain well-managed. Progress is continuously monitored and your program is adjusted to keep you moving forward safely.

Whether your concussion occurred during sport, a motor vehicle accident, workplace injury, or everyday activity, our goal is to help you recover fully and return to what matters most.

Do I need a referral?

No. However, with a suspected concussion it is always recommended that the person seek medical assistance by a qualified physician as well as book an appointment with a SHIFT healthcare provider. We will assess your injury and work with your physician to provide you with management strategies to aid in your recovery.