Persisting post-concussion symptoms were formerly referred to as “Post Concussion Syndrome”, however we have moved away from this terminology. Most people recover from concussion within about four weeks. But some people continue to experience symptoms beyond that point, and if that is you, it is important to know this is common, well recognised, and treatable.
What causes persisting symptoms?
Persisting symptoms are not usually a single problem with a single cause. They usually reflect ongoing dysfunction across one or more of these areas:
- The neck (cervicogenic symptoms, including headache and dizziness)
- The vestibular system (inner ear and balance)
- The autonomic nervous system
- Visual and oculomotor function
- Psychological and cognitive function
Common symptoms involving these areas include:
- Headaches
- Dizziness or unsteadiness
- Difficulty concentrating, or brain fog
- Fatigue and drowsiness
- Neck pain
- Balance problems
- Trouble sleeping
- Feeling nervous or anxious
- Sensitivity to light or noise
Our multidimensional assessment
Because persistent symptoms can involve several systems at once, our assessment is comprehensive rather than a single quick check. It covers detailed screening questions, neck assessment, vestibular and oculomotor testing, balance and coordination, and exercise tolerance. This tells us which domains are driving your symptoms so treatment can be targeted rather than trial-and-error.
A team-based approach
We work closely with other health professionals as part of your care, referring where appropriate to:
- Neurologists or neurosurgeons for comprehensive medical review
- Neuropsychologists for cognitive assessment
- Optometrists or orthoptists for vision and eye movement assessment
- Psychologists for anxiety, low mood or adjustment difficulties
- Your GP, for sleep and headache management
Treatment and rehabilitation
Once we understand which systems are involved, rehabilitation may include vestibular rehabilitation, cervical (neck) treatment and exercise, visual and oculomotor retraining, and a carefully graded exercise program to rebuild exercise tolerance without provoking symptoms. We monitor your progress closely and adjust the plan as you improve.
You are not just waiting it out
Persisting symptoms can feel discouraging, especially after weeks or months of symptoms with no clear answers. Our role is to bring structure and an evidence-based plan to that uncertainty.
Book a comprehensive assessment
Call (08) 8363 0458 or contact us to book at Royston Park, Goodwood, Christies Beach and Allenby Gardens.
Frequently asked questions
Is Post Concussion Syndrome permanent?
No. While recovery takes longer than a typical concussion, the majority of people improve significantly with the right multidisciplinary treatment. It is a longer road, not a dead end.
What is the difference between PCS and persistent concussion symptoms?
Post Concussion Syndrome is a term we used to use to describe symptoms that last longer than three months following a concussion. We now refer to any symptoms lasting more than four weeks as persisting post-concussion symptoms.
Do I need a referral to see a physiotherapist for persistent symptoms?
No referral is needed for a private appointment. A referral may be required for Medicare, DVA or workers compensation funded treatment.
Will I need imaging or scans?
Not always. Persistent symptoms may be due to processing issues in the brain, however sometimes further investigations will be warranted.
