Dr. SakshiNeuro Physiotherapist
All conditions
Stroke & brain injury

Zyaadatar concussions kuch hafton mein settle hote hain. Jab symptoms bane rahein — dizziness, sirdard, fog — targeted rehabilitation aam taur par woh hal karti hai jo akele rest nahi kar saka.

What it is

A short, honest summary.

  • Concussion sir par knock, jolt, ya whiplash se hui ek mild traumatic brain injury hai.
  • Zyaadatar log hafton mein recover hote hain; jab symptoms persist karein, ise post-concussion syndrome kehte hain.
  • Bane rehne waale symptoms aam taur par treatable systems se aate hain — balance organ, visual system, neck, aur exertion tolerance.

What families notice

The signals worth taking seriously.

  • 01Sirdard, sir mein pressure, ya 'brain fog' jo nahi chhantti
  • 02Dizziness ya unsteadiness, khaaskar movement ya screens ke saath
  • 03Concentrate karne, yaad rakhne, ya busy jagahein tolerate karne mein dikkat
  • 04Neck pain aur tension headaches
  • 05Mental ya physical effort se bhadakte symptoms

My approach

How the work is structured.

  • Har contributing system ka assessment — vestibular, visual, cervical, aur exertion.
  • Dizziness aur screen intolerance ke liye vestibular aur visual rehabilitation.
  • Sirdard aur dizziness mein cervical contribution ke liye neck treatment.
  • Ek graded return-to-activity plan — indefinite rest ka modern vikalp.

What recovery looks like

A plain-language picture.

Persistent post-concussion symptoms aam aur bahut treatable hain. Affected systems ka targeted rehabilitation zyaadatar logon ki tasveer hal karta hai — aksar mahinon केवल wait karne ko kahe jaane ke baad.

FAQ

Common questions, answered briefly.

Mujhe andhere kamre mein rest karne ko kaha gaya. Main behtar kyon nahi hua?
Pehle dinon mein brief rest madad karta hai, par prolonged rest phir recovery dheemi karta hai. Bane rehne waale symptoms ko involved specific systems ke active, graded rehabilitation ki zaroorat hai.
Kya purane concussion ka ab bhi ilaaj ho sakta hai?
Haan. Mahinon baad bhi, symptoms chalaane waali vestibular, visual aur neck problems targeted kaam se achha jawaab deti hain.

For clinicians

Clinical detail, assessment and evidence.

Clinical summary

The picture in clinician register.

Concussion is a mild traumatic brain injury; most resolve within weeks, and persistent post-concussion symptoms typically reflect identifiable, treatable systems — vestibular, oculomotor, cervicogenic and exertion intolerance. Graded sub-symptom-threshold activity, not prolonged rest, is the current standard; each contributing system is assessed and treated directly.

Terminology

Terms worth being precise about.

Post-concussion syndrome
Symptoms persisting beyond the expected recovery window.
Vestibulo-ocular reflex
The reflex stabilising gaze during head movement; often impaired after concussion.
Convergence insufficiency
Difficulty sustaining eye convergence — a common oculomotor deficit.
Sub-symptom-threshold exertion
Activity dosed just below the level that provokes symptoms.

Assessment aur measures

What the first sessions measure.

  • A symptom inventory.
  • VOMS (Vestibular/Ocular Motor Screening); cervical-spine examination.
  • Graded exertion testing (e.g. Buffalo Concussion Treadmill Test); balance testing.

Red flags

Signs that need urgent escalation.

  • A deteriorating or focal picture after the initial injury — escalate.
  • Seizure activity.
  • Symptoms inconsistent with a mild injury.

Referral aur MDT

When and to whom to refer.

A concussion or neurology service for non-resolving cases. Optometry or vision therapy for oculomotor deficits; psychology where mood or anxiety are prominent.

Evidence

References and guideline anchors.

  • Graded return-to-activity after concussionPLACEHOLDER — verify against current guidelines before launch.
Book a consult for Concussion & post-concussion syndrome

Begin

A 30-minute consult is the smallest first step.

Tell me what your family is facing. I'll tell you whether I'm the right person — and if not, who you should be speaking to.