Concussion, Post-Concussive Syndrome & Post-Traumatic Headache

Clinical Rationale

A normal CT is not a normal brain.

Mild TBI produces diffuse axonal and metabolic injury that conventional imaging rarely captures. Persistent headache, cognitive slowing, vestibular dysfunction, sleep disruption and mood change after head injury are best understood as one syndrome rather than unrelated complaints. We pair objective measurement with targeted neurological treatment and serial reassessment, and we communicate findings back to you.

When to Refer

• Persistent post-concussive symptoms beyond 2–4 weeks (cognitive, vestibular, sleep, mood, headache)
• Post-traumatic headache, including new daily persistent or medication-overuse patterns
• Dizziness, visual-vestibular mismatch or imbalance after head or whiplash injury
• Cognitive complaints with normal conventional imaging
• Athletes needing objective baseline, return-to-play or return-to-learn guidance
• Repetitive head-impact exposure history with emerging symptoms

Diagnostic & Treatment Capabilities

Neuroimaging

MRI with DTI/TBI protocol for white-matter microstructural injury; fMRI for functional network assessment.

Cognition

Computerized cognitive testing and neuropsychological testing for baseline and serial tracking.

Vestibular & Balance

Videonystagmography (VNG) and instrumented balance-board testing.

Headache Medicine

Fellowship-level phenotyping and evidence-based preventive and acute management.

Neuromodulation

Full-body, transcranial and transnasal red light therapy to reduce inflammation and enhance recovery at the cellular level, plus IV infusion of recovery supplements, as adjunctive care.