Understanding post-concussion syndrome
Most concussions resolve within one to four weeks. When symptoms persist beyond this, sometimes for months, it's often referred to as post-concussion syndrome, or persistent post-concussion symptoms. This isn't a sign that something is permanently wrong; it usually reflects that recovery needs a more structured, targeted approach than rest alone.
Persistent symptoms commonly include ongoing headaches, neck pain, dizziness, fatigue, difficulty concentrating, light and noise sensitivity, and low mood or anxiety related to the impact symptoms are having on daily life.
Why symptoms persist
Persistent symptoms are often driven by a combination of factors: unresolved neck dysfunction, vestibular (inner ear) involvement, deconditioning from prolonged rest, and sometimes psychological factors related to the disruption the injury has caused. Identifying which of these are contributing to your symptoms is a key part of an effective plan.
My approach
- Detailed assessment of neck, vestibular and cervicogenic contributors
- Graded, symptom-guided exercise rather than prolonged rest
- Hands-on treatment where the neck is a contributing factor
- Education and pacing strategies to manage symptom flare-ups
- Coordination with your GP, neurologist or other treating practitioners when needed
This is an area of particular clinical focus, supported by additional training including the Multimodal Management of Concussion course and the Complete Concussions certification, and a Clinical Support role with the Concussion and CTE Foundation.
Persistent concussion symptoms in Geelong
I see patients from across Geelong, including Highton, Belmont and Newtown, who have been managing persistent concussion symptoms for weeks or months without a clear plan. An assessment can help identify what's actually driving your symptoms, so treatment is targeted rather than generic.
Frequently asked questions
What is post-concussion syndrome?
It's a term used when concussion symptoms persist for longer than the typical one to four week recovery window, sometimes for months. It doesn't mean something is permanently wrong. It means the recovery needs a more structured, multimodal approach.
Is post-concussion syndrome permanent?
No, most people improve significantly with appropriate treatment, though recovery can take longer and benefit from a more structured plan than an initial concussion.
What treatment works for persistent concussion symptoms?
A combination of cervical (neck) treatment, vestibular rehabilitation, graded exercise, sleep and lifestyle management, and pacing strategies tends to be more effective than rest alone.
When should I seek help for ongoing symptoms?
If symptoms haven't meaningfully improved after two to four weeks, it's worth booking an assessment rather than waiting indefinitely for things to resolve on their own.