Blog

audio speaker and sound wave on dark background

<p>If you live with a constant ringing, buzzing, or hissing in your ears, you know it’s more than just a "noise." It’s a thief. It steals your focus, your sleep, and your peace of mind.</p><p>For many, the first stop is the ENT. But when the hearing tests come back normal and you’re told to "just live with it," the frustration can be overwhelming.</p><p>But what if the ringing isn’t coming from your ears? What if it’s coming from your neck?</p><h3>What is Somatosensory Tinnitus?</h3><p>Tinnitus isn't always about hearing loss. In a significant number of cases, especially those involving previous head or neck trauma, the ringing is "somatosensory." This means the signals between your brain and your auditory system are being "hijacked" by the nerves in your neck and jaw.</p><p>Your brain has a "volume control" center called the dorsal cochlear nucleus. This area receives signals from your ears, but it also receives input from the nerves in your upper cervical spine (your neck) and your TMJ (your jaw).</p><p>When the muscles and joints in your neck are inflamed and tight, common in patients with whiplash, hypermobility, or concussion, they send "static" to that volume control center. Your brain interprets that static as a high-pitched ring.</p><h3>Signs Your Tinnitus is Neck-Related</h3><p>How do you know if your neck is the culprit? Look for these "Somatic" clues:</p><ul><li><strong>Modulation:</strong> Can you change the pitch or volume of the ringing by moving your neck, jutting your jaw, or pressing on certain muscles?</li><li><strong>The "Trauma" Connection:</strong> Did your tinnitus start after a car accident, a fall, or a concussion?</li><li><strong>One-Sided: </strong>Is the ringing louder on one side, and do you also have neck pain or stiffness on that same side?</li><li><strong>Postural Triggers:</strong> Does a long day at a computer desk make the ringing worse?</li></ul><figure id="figure-3wjsz2y9p8ml5gevnc"><img id="3wjsz2y9p8ml5gevnc" src="https://media.gettyimages.com/id/523827192/photo/needle-and-hands-of-physiotherapist-doing-a-dry-needling.jpg?b=1&s=2048x2048&w=0&k=20&c=nG4vLh9JxKYf1Rpbu1B9XYbeKTcun47gOUiY4R1qzFA=" alt="Needle and hands of physiotherapist doing a dry needling." title="Needle and hands of physiotherapist doing a dry needling." class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionX="undefined" data-positionY="undefined" data-fullWidth="false"/></figure><h3>The VCPPT Approach: Calming the Static</h3><p>At Virginia Concussion &amp; Pain Physical Therapy, we don't treat the ear; we treat the source. By addressing the "misfiring" signals from the neck, we can often lower the volume of the tinnitus or eliminate the trigger altogether.</p><p>Our approach includes:</p><ul><li><strong>Specialized Manual Therapy:</strong> Targeting the upper cervical segments (C1-C3) to reduce nerve irritation.</li><li><strong>Autonomic Regulation:</strong> Using tools like vagus nerve stimulation to calm the nervous system’s "fight or flight" response, which often amplifies tinnitus.</li><li><strong>Dry Needling:</strong> Releasing deep trigger points in the SCM and jaw muscles that "talk" to the auditory system.</li><li><strong>Postural Integration:</strong> Teaching your body how to support your head without overworking the muscles that trigger ear noise.</li></ul><h3>Don’t Just "Live With It"</h3><p>If you’ve been told there’s nothing that can be done for your tinnitus, it might be time for a different perspective. If your neck is involved, there is a path to quiet.</p><p><a href="https://concussionandpain.janeapp.com/#staff_member/1" target="_blank" rel="noopener" data-mce-href="https://concussionandpain.janeapp.com/#staff_member/1">Book You Evaluation </a></p>

The Sound of Silence: When Tinnitus is Actually a Neck Issue

<p>If you’ve ever stood up and suddenly felt dizzy, lightheaded, short of breath, or like your heart was racing&nbsp; and were told your tests were “normal, you’re not alone.</p><p>Many patients with POTS (Postural Orthostatic Tachycardia Syndrome), a type of autonomic dysfunction, spend months (or years) searching for answers. Symptoms can feel vague, unpredictable, and scary, especially when they interfere with work, school, or daily life.</p><p>Let’s walk through what POTS and autonomic dysfunction actually are, what symptoms to look for, and how targeted treatment, including physical therapy, can help.</p><figure id="figure-qyu9fdhmxmj8nmopi"><img id="qyu9fdhmxmj8nmopi" src="https://media.gettyimages.com/id/2171125786/photo/human-heart-on-ecg-background-3d-illustration.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=IT6yH076u0QqhR0PFeJRgP2w3fyooHX96AvOs3E25OU=" alt="heart rate" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://media.gettyimages.com/id/2171125786/photo/human-heart-on-ecg-background-3d-illustration.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=IT6yH076u0QqhR0PFeJRgP2w3fyooHX96AvOs3E25OU=" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Understanding The Autonomic Nervous System</h3><p>Your autonomic nervous system (ANS) controls all the things your body does automatically, including:</p><ul><li>Heart rate</li><li>Blood pressure</li><li>Breathing</li><li>Digestion</li><li>Temperature regulation</li><li>Blood flow when you change positions</li></ul><p>When the autonomic nervous system isn’t regulating these functions effectively, symptoms can appear, especially with position changes, exertion, or stress.</p><h3>What is POTS</h3><p>Postural Orthostatic Tachycardia Syndrome (POTS) is a form of autonomic dysfunction characterized by an abnormal increase in heart rate with prolonged upright positions including standing, and in some individuals, even with sitting upright.&nbsp;</p><p>In simple terms:<br>Your body has difficulty adjusting to upright posture.</p><p>To meet diagnostic criteria, heart rate typically increases 30+ beats per minute (or exceeds 120 bpm) within 10 minutes of standing, without a significant drop in blood pressure.</p><p>POTS can occur after:</p><ul><li>Viral illness (including COVID)</li><li>Concussion or head/neck injury</li><li>Prolonged inactivity or bed rest</li><li>Pregnancy</li><li>Surgery</li><li>In people with hypermobility or connective tissue disorders</li></ul><h3>Common Symptoms of POTS&nbsp;</h3><p>Symptoms can vary widely and may fluctuate day to day. Common complaints include:</p><ul><li>Dizziness or lightheadedness when standing</li><li>Rapid heart rate or palpitations</li><li>Exercise intolerance or feeling worse after activity</li><li>Fatigue that doesn’t improve with rest</li><li>Brain fog or difficulty concentrating</li><li>Shortness of breath</li><li>Chest tightness</li><li>Headaches or migraines</li><li>Nausea or GI discomfort</li><li>Temperature sensitivity</li><li>Anxiety-like sensations that don’t match emotional triggers<br></li></ul><p>Many patients are told symptoms are “just anxiety”&nbsp; when in reality, the autonomic nervous system is under strain.</p><p>These symptoms can vary in intensity and may be exacerbated by certain conditions like heat or dehydration.</p><figure id="figure-k454ochyy8mj8nmopi"><img id="k454ochyy8mj8nmopi" src="https://media.gettyimages.com/id/2062497763/photo/vertigo-dizziness-and-bppv-brain-pain.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=cvClL7qJgAiim4yDXQOgTGJXPEXg4NY6wc-Weu6lkos=" alt="dizziness" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://media.gettyimages.com/id/2062497763/photo/vertigo-dizziness-and-bppv-brain-pain.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=cvClL7qJgAiim4yDXQOgTGJXPEXg4NY6wc-Weu6lkos=" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Diagnosis of POTS</h3><p>Diagnosing POTS involves a comprehensive evaluation including medical history, a physical examination, and specific tests like the tilt table test. A doctor may also check for underlying conditions contributing to the symptoms.</p><h3>Why POTS Often Feels Worse After Concussion or Illness</h3><p><br>After a concussion, viral illness, or prolonged stress on the nervous system, the body may struggle to regulate blood flow and heart rate efficiently.</p><p>This can lead to:</p><ul><li>Poor tolerance to upright activity</li><li>Worsening symptoms with exertion</li><li>Delayed recovery when rest alone doesn’t help<br></li></ul><p>Importantly, this does not mean permanent damage, it means the system needs retraining.</p><h3>Treatment Options</h3><p>While there is no cure for POTS, several treatment options can help manage symptoms:</p><ol><li><strong>Medications:</strong> Beta-blockers, fludrocortisone, or midodrine may be prescribed to help regulate heart rate and blood pressure.</li><li><strong>Dietary Changes:</strong> Increasing salt and fluid intake can improve blood volume and circulation.</li><li><strong>Physical Therapy:</strong> Gradual exercise programs can help improve cardiovascular fitness without overwhelming the body.</li></ol><figure id="figure-cbzxp8aqfmj8nmopi"><img id="cbzxp8aqfmj8nmopi" src="https://media.gettyimages.com/id/2164305472/photo/artificial-intelligence-in-healthcare-ai-health-digital-healthcare-provider-telemedicine.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=DSJTIksVWBrEXIO473hDETs7MRA8LXYdjclxkPIB8zU=" alt="medication" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://media.gettyimages.com/id/2164305472/photo/artificial-intelligence-in-healthcare-ai-health-digital-healthcare-provider-telemedicine.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=DSJTIksVWBrEXIO473hDETs7MRA8LXYdjclxkPIB8zU=" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Physical Therapy for Autonomic Dysfunction</h3><p><br>Physical therapy plays a critical role in recovery, especially when symptoms limit activity.</p><p>At Virginia Concussion &amp; Pain Physical Therapy, treatment focuses on:</p><p><strong>Graded Exercise Therapy</strong><br>Carefully structured programs that:</p><ul><li>Begin in supported positions (lying or seated)<br></li><li>Progress gradually to upright activity<br></li><li>Improve cardiovascular tolerance without symptom flares</li></ul><p><strong>Breathing Retraining</strong><br>Optimizing breathing mechanics can reduce:</p><ul><li>Heart rate spikes<br></li><li>Shortness of breath<br></li><li>Nervous system overactivation<br></li></ul><p><strong>Autonomic Regulation Strategies</strong><br></p><ul><li>Including pacing, recovery planning, and symptom-aware progression.</li></ul><p><strong>Neck, Vestibular, and Visual Assessment</strong><br></p><ul><li>Because cervical spine dysfunction, dizziness, and visual strain often worsen autonomic symptoms.</li></ul><p><br></p><h3>What Recovery from POTS Can Look Like</h3><p><br>Recovery is not always linear and that’s okay.</p><p>Many patients experience:</p><ul><li>Improved tolerance to daily activities<br></li><li>Reduced dizziness and heart rate spikes<br></li><li>Better exercise confidence<br></li><li>Increased clarity and stamina<br>With the right plan, most people make meaningful progress.</li></ul><p>Managing POTS requires a multi-faceted approach that includes lifestyle adjustments. Patients often benefit from wearing compression garments, avoiding prolonged standing, and implementing a tailored exercise regimen.</p><p>Support groups and counseling may also be beneficial for emotional support and coping strategies. Understanding and patience from family and friends are crucial as individuals navigate the complexities of living with POTS.</p><h3>You’re Not Imagining Your Symptoms</h3><p><br>If you’ve been struggling with unexplained dizziness, fatigue, or exercise intolerance, your symptoms deserve thoughtful evaluation and individualized care.</p><p>A comprehensive assessment can help determine:</p><ul><li>Whether autonomic dysfunction is contributing<br></li><li>What systems are driving symptoms<br></li><li>How to safely rebuild tolerance and confidence<br>&nbsp;<h3>Compassionate, Specialized Care in Glen Allen, VA</h3>At Virginia Concussion &amp; Pain Physical Therapy, I provide one-on-one, extended evaluations to assess autonomic function alongside vestibular, cervical, and neurologic systems.<p><br></p><p>You don’t have to navigate this alone and improvement is possible!</p></li></ul><p><br></p><p><a href="https://concussionandpain.janeapp.com/#staff_member/1" target="_blank" data-mce-href="https://concussionandpain.janeapp.com/#staff_member/1" rel="noopener">Schedule an Evaluation</a></p>

Understanding POTS and Autonomic Dysfunction: Symptoms and Treatment Options

<h2>A Sneak Peek at Our New Clinic Space!</h2><p><br>We’re excited to share a quick update on the progress of our new home for Virginia Concussion and Pain Physical Therapy!</p><p>Over the past few weeks, the new office at 10124 West Broad Street, Suite E, Glen Allen has really started to come to life. The walls are freshly painted, furniture has been ordered, and each room is beginning to reflect the calm, patient-centered environment we’ve envisioned for your care. It’s still very much a work in progress, but we couldn’t wait to give you a preview.</p><figure id="figure-k46mp4v4pkmj082kk0"><img id="k46mp4v4pkmj082kk0" src="https://cdn.durable.co/blocks/fNZRzOYjHlUICmtrZWE9LKV3NkKBpMtuHodtVYh5woTsn0pishKKGxprttFmYQNS.jpg" alt="" title="" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://cdn.durable.co/blocks/fNZRzOYjHlUICmtrZWE9LKV3NkKBpMtuHodtVYh5woTsn0pishKKGxprttFmYQNS.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><p>We will officially begin seeing patients in the new location starting January 5, 2026. If you already have an appointment scheduled in the new year or plan to book one soon, your visit will take place in our new space.</p><figure id="figure-u80rh5z8hvmj08dy44"><img id="u80rh5z8hvmj08dy44" src="https://cdn.durable.co/blocks/17kqNsWYXV4GKipk0awIMrTbQxtjYnsaUBYGSjTAZama1nG5P5HyH2lgrIKjcN1L.jpg" alt="" title="" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://cdn.durable.co/blocks/17kqNsWYXV4GKipk0awIMrTbQxtjYnsaUBYGSjTAZama1nG5P5HyH2lgrIKjcN1L.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><p>This move allows us to continue offering specialized one-on-one care for concussion, dizziness, neck pain, persistent pain, autonomic dysfunction, and hypermobility, now in a space designed specifically to support healing, comfort, and collaboration. Our new location also includes shared gym space with the team at Virginia Neuro-Optometry, making coordinated care even easier for our patients.</p><figure id="figure-ifd67eamjpmj08f5fv"><img id="ifd67eamjpmj08f5fv" src="https://cdn.durable.co/blocks/1dunnV4d3s1RrgpDEK1yGyXoFgqrWS1Bh75BnEQ651yoj1V85inu3igsB3KK0UXQ.jpg" alt="" title="" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://cdn.durable.co/blocks/1dunnV4d3s1RrgpDEK1yGyXoFgqrWS1Bh75BnEQ651yoj1V85inu3igsB3KK0UXQ.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><p>Thank you for your patience and excitement as we make this transition. We can’t wait to welcome you into the finished space soon. More updates, and photos, coming as everything comes together!</p><p>If you have questions about scheduling or your upcoming appointments, feel free to reach out anytime.</p>

Sneak Peak - New Clinic Space

<h2>Exciting Update: Virginia Concussion &amp; Pain Physical Therapy Is Moving to a New Location in January 2026!</h2><p><br>We are thrilled to share an important update about the future home of Virginia Concussion &amp; Pain Physical Therapy. Beginning January 5th, 2026, all patient appointments will take place in our new clinic space located at:</p><p>📍 10124 West Broad Street, Suite E, Glen Allen, Virginia</p><p>This beautiful, centrally located office will allow us to expand our services while maintaining the personalized, specialty care you’ve come to expect.</p><h3>A Collaborative Space Designed for Comprehensive Care</h3><p><br>One of the most exciting parts of this move is that Virginia Neuro-Optometry (VNO)—including Dr. Theis and Dr. Sheard—will also be practicing in the same suite. This shared location allows us to continue offering truly coordinated, multidisciplinary care for individuals with:</p><ul><li>Concussion and post-concussion symptoms</li><li>Headaches and migraines</li><li>Dizziness and balance concerns</li><li>Neck pain and whiplash<br></li><li>Vision-related rehabilitation needs<br>Working closely together under one roof enhances communication and ensures you receive the most efficient, evidence-based care possible.</li></ul><h3>Shared Gym Space for OT and PT</h3><p>The new clinic includes an open, functional gym area that will be shared between physical therapy and occupational therapy. This expanded environment allows for:</p><ul><li>Improved return-to-work and return-to-play rehabilitation<br></li><li>More space for balance and vestibular therapy<br></li><li>Enhanced collaboration across disciplines<br></li><li>A more comfortable, patient-centered treatment experience</li></ul><h3><br>When the Transition Takes Place</h3><p><br>All current and new patients will be seen in the new location starting January 5th, 2026. If you have an appointment scheduled after this date, it will automatically take place at the new clinic address.</p><p>We will continue to share updates as we prepare for the transition, including parking instructions and photos of the new space.</p><p>If you have any questions about upcoming appointments, transferring care, or what to expect during the move, please reach out anytime, we’re here to make this transition smooth and easy.</p><p>We are incredibly excited for this next chapter and look forward to continuing to provide specialized, patient-centered care in our new home!</p>

New Post

Traumatic brain injury. Concept of health. TBI, serious head injuries. Stethoscope, text on white notepads, blue background. copy space

<h2>Introduction: Understanding Concussions Beyond the Myths<br></h2><p>Even today, misinformation about concussions is everywhere, whether from sports sidelines, workplaces, or online. As a physical therapist specializing in concussion rehabilitation, I often see patients confused by outdated advice. Let’s look at the most common concussion myths and what current research actually says about recovery.</p><h3 id="figure-fbsl6r5zysmg9hlqfi"><img id="fbsl6r5zysmg9hlqfi" src="https://media.gettyimages.com/id/2103118160/photo/sports-brain-injury.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=zIpD2hNUN-bK5_tmZhrTusT9th8RkjWMHsgSzTtUrFc=" alt="concussion recovery" title="concussion recovery" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="null" data-positiony="null" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/2103118160/photo/sports-brain-injury.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=zIpD2hNUN-bK5_tmZhrTusT9th8RkjWMHsgSzTtUrFc=" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></h3><h3>Myth #1: You Have to Lose Consciousness to Have a Concussion</h3><p><strong>Truth: Most people with a concussion do not lose consciousness.</strong></p><p>Loss of consciousness is actually uncommon, happening in only about 5–10% of concussion cases. Instead, most people experience other symptoms like headache, dizziness, confusion, or memory problems. Even if you stay awake and alert after a hit to the head or body, you can still have a concussion.</p><p>When loss of consciousness does occur, it’s usually very brief, often less than a minute, and <strong>research shows that it does not predict a more severe concussion or slower recovery.</strong> What matters most is recognizing your symptoms early and getting proper evaluation and treatment from a healthcare provider trained in concussion care.</p><p>📚 References:<br></p><p>Concussion Tests.National Library of Medicine (MedlinePlus)&nbsp;</p><p>McCrory, P., et al. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport. Br J Sports Med, 51(11), 838–847.</p><p>Neuropsychiatric Aspects of Concussion.Radhakrishnan R, Garakani A, Gross LS, et al. The Lancet. Psychiatry. 2016;3(12):1166-1175. doi:10.1016/S2215-0366(16)30266-8.</p><p>High School Concussions in the 2008-2009 Academic Year: Mechanism, Symptoms, and Management.Meehan WP, d'Hemecourt P, Comstock RD. The American Journal of Sports Medicine. 2010;38(12):2405-9. doi:10.1177/0363546510376737.<br>&nbsp;<br>&nbsp;Sport-Related Concussion.Leddy JJ.The New England Journal of Medicine. 2025;392(5):483-493. doi:10.1056/NEJMcp2400691.<br></p><p>Examining Whether Loss of Consciousness Is Associated With Worse Performance on the SCAT5 and Slower Clinical Recovery After Concussion in Professional Athletes.Iverson GL, Gaudet CE, Kissinger-Knox A, Gardner AJ. Journal of Neurotrauma. 2023;40(21-22):2330-234 doi:10.1089/neu.2022.0043.</p><p><br></p><h3>Myth #2: You Should Rest Until All Symptoms Are Gone</h3><p><img id="njo3n27s8omg9hlqfi" src="https://media.gettyimages.com/id/2144857286/photo/man-sitting-alone-in-a-dark-room-and-ponder-about-something.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=_EZROrwDrNacO7rCp9qWpBecnndwdjam7u54jOCs8EM=" alt="Man sitting alone in a dark room and ponder about something" title="Man sitting alone in a dark room and ponder about something" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="null" data-positiony="null" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/2144857286/photo/man-sitting-alone-in-a-dark-room-and-ponder-about-something.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=_EZROrwDrNacO7rCp9qWpBecnndwdjam7u54jOCs8EM=" data-mce-style="aspect-ratio: 16/9; object-position: center center;" style="border-color: rgb(229, 231, 235); --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(62,172,255,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-transform: translateX(0) translateY(0) rotate(0) skewX(0) skewY(0) scaleX(1) scaleY(1); --tw-border-opacity: 1; --tw-filter: ; --tw-backdrop-filter: ; --tw-bg-opacity: 1; background-color: rgb(243, 244, 246); width: 640px; aspect-ratio: 16 / 9; object-position: center center;"></p><p><strong>Truth:</strong> Prolonged rest can slow recovery.<br>The old “dark room” approach has been replaced with evidence supporting light aerobic activity as soon as it’s safe. Studies show that early, symptom-guided movement helps people recover faster (Leddy et al., 2019). Physical therapists trained in concussion rehab can guide safe return-to-activity plans.</p><p>Reference:Leddy, J. J., et al. (2019). Exercise is medicine for concussion. Current Sports Medicine Reports, 18(8), 299–305.</p><h3>Myth #3: Imaging Can Show a Concussion</h3><p><strong>Truth:</strong> Standard MRI and CT scans are typically normal.<br>Concussions involve chemical and metabolic changes that aren’t visible on scans (Giza &amp; Hovda, 2014). Diagnosis relies on clinical evaluation, not imaging results.</p><p>Reference:<br>Giza, C. C., &amp; Hovda, D. A. (2014). The new neurometabolic cascade of concussion. Neurosurgery, 75(Suppl 4), S24–S33.</p><h3>Myth #4: The Only Treatment Is Rest and Time</h3><p><strong>Truth:</strong> Active rehabilitation improves outcomes.<br>Evidence now supports targeted therapy for the vestibular, cervical, and visual systems to speed recovery (Kontos et al., 2021). Physical therapy can address balance, dizziness, and neck pain to help patients return safely to daily life.</p><p>Reference:<br>Kontos, A. P., et al. (2021). Systematic review and meta-analysis of vestibular and oculomotor screening and concussion rehabilitation. Br J Sports Med, 55(15), 878–887.</p><h3>Myth #5: Children Always Recover More Slowly Than Adults</h3><p><img id="bwfw3a829imgjda8e6" src="https://media.gettyimages.com/id/2208610584/photo/smiling-boy-on-wooden-board-playing-with-therapist-in-bright-room-fun-pillow-physical-therapy.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=xutRWONv6Q2vm4MeykWVzBrVxhJfVF-gUw0y9_0gIbY=" alt="Smiling Boy On Wooden Board, Playing With Therapist In Bright Room, Fun Pillow, Physical Therapy" title="Smiling Boy On Wooden Board, Playing With Therapist In Bright Room, Fun Pillow, Physical Therapy" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/2208610584/photo/smiling-boy-on-wooden-board-playing-with-therapist-in-bright-room-fun-pillow-physical-therapy.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=xutRWONv6Q2vm4MeykWVzBrVxhJfVF-gUw0y9_0gIbY=" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></p><p><strong>Truth:</strong> Recovery depends on the individual, not just age.<br>Factors such as migraine history, anxiety, or poor sleep often influence recovery more than age (Master et al., 2020). With personalized, active care, most children and teens recover just as well as adults.</p><p>Reference:<br>Master, C. L., et al. (2020). Vision and vestibular system dysfunction predicts prolonged concussion recovery in children. Clin J Sport Med, 30(2), 96–102.</p><h3>Myth #6: You Should Avoid Screens Completely After a Concussion</h3><figure id="figure-tri5ia6pvgmgjdb9mr"><img id="tri5ia6pvgmgjdb9mr" src="https://media.gettyimages.com/id/2184515391/photo/cropped-photo-of-young-people-modern-technology-application-web-site-device-shopping-from.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=W9mqmb7Pj2KgmxAlJVfTN9vCjk44XzeGRuxDBDoAmTY=" alt="Cropped photo of young people modern technology application web site device shopping from home indoors" title="Cropped photo of young people modern technology application web site device shopping from home indoors" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/2184515391/photo/cropped-photo-of-young-people-modern-technology-application-web-site-device-shopping-from.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=W9mqmb7Pj2KgmxAlJVfTN9vCjk44XzeGRuxDBDoAmTY=" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><p><strong>Truth:</strong> Screen use should be moderated, not eliminated.</p><p>In the past, patients were told to completely avoid phones, TVs, and computers until symptoms were gone. However, new research shows that complete screen avoidance is unnecessary, and can even slow recovery by increasing isolation, anxiety, and school or work disruption.</p><p>Instead, the latest evidence supports gradual, symptom-limited reintroduction of screens. A 2021 randomized clinical trial found that limiting, but not eliminating, screen time <strong>for the first 48 hours </strong>led to faster recovery compared to unrestricted use (Macnow et al., 2021). After that, short, structured periods of screen use (such as 20–30 minutes with rest breaks) are safe and can help patients stay connected and reintegrate into normal routines.</p><p>Physical therapists trained in concussion care can help patients find the right balance, often combining visual rest with graded eye-tracking or vestibular exercises to reduce sensitivity.</p><p>Reference:<br>Macnow, T., Curran, T., Tolliday, C., et al. (2021). Effect of screen time on recovery from concussion: A randomized clinical trial. JAMA Pediatrics, 175(11), 1124–1131.</p><h2>Takeaway: Concussion Recovery Is Active, Not Passive</h2><p><br>Concussion rehabilitation has come a long way. Gone are the days of sitting in the dark until symptoms fade. With early assessment and evidence-based physical therapy, patients can return safely to school, work, and play.</p><p>Educating those around you about the specifics of concussion recovery helps create an atmosphere of empathy and understanding, which can ease the emotional burden on the patient.</p><p><br></p>

Debunking Common Myths About Concussion Recovery: What Patients in Richmond Should Know

<h2>Understanding Concussion Therapy</h2><p>If you’ve recently sustained a concussion, you may be feeling overwhelmed by symptoms like headaches, dizziness, fatigue, or difficulty concentrating. The good news is that specialized concussion therapy can help you recover safely and effectively. Your first appointment is an important step on the road to healing, and knowing what to expect can ease anxiety and help you get the most out of your care.</p><figure id="figure-inoeiho53pmffhcru5"><img id="inoeiho53pmffhcru5" src="https://media.gettyimages.com/id/2168573238/photo/colorful-equipment-used-in-child-physical-therapy-sessions-physiotherapy-room-filled-with.jpg?b=1&s=2048x2048&w=0&k=20&c=RHedql0WV-gien7EC9_Zjc8Or76Qny7rZ0LFqQ0kPQM=" alt="Colorful equipment used in child physical therapy sessions. Physiotherapy room filled with tools." title="Colorful equipment used in child physical therapy sessions. Physiotherapy room filled with tools." class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionX="null" data-positionY="null" data-fullWidth="false"/></figure><h3>What is Concussion Therapy?</h3><p>Concussion therapy is a personalized rehabilitation approach designed to address the wide range of symptoms that may follow a concussion or mild traumatic brain injury (mTBI). A physical therapist with advanced training in concussion management will evaluate your unique situation and design a treatment plan to help restore your function and quality of life.</p><p><br></p><h3>What to Expect at Your First Session</h3><p>Your first visit will focus on understanding your injury, your symptoms, and how they affect your daily life. Here’s what typically happens:</p><p><strong>Comprehensive Evaluation:</strong> Your therapist will ask detailed questions about how the concussion happened, your current symptoms, and your medical history.<br><strong>Symptom Assessment: </strong>Expect testing related to balance, eye movements, neck mobility, and tolerance for physical and cognitive activity.<br><strong>Goal Setting:</strong> Together, you and your therapist will discuss what’s most important to you, whether that’s returning to work, school, sports, or simply feeling better in daily activities.<br><strong>Treatment Plan:</strong> Based on the findings, your therapist will recommend a personalized care plan. This may include exercises, strategies to manage symptoms, and a gradual return-to-activity program.</p><h3>Preparing for Your Session</h3><p>A little preparation can go a long way in making your first session productive:</p><p><strong>Bring Documentation:</strong> If you have any medical records, imaging reports, or physician notes related to your injury, bring them with you.<br><strong>Write Down Your Symptoms: </strong>Keep a list of your symptoms, when they occur, and what seems to make them better or worse.<br><strong>List Your Medications:</strong> Include any prescriptions or over-the-counter medications you’re currently taking.<br><strong>Wear Comfortable Clothing: </strong>You may be asked to move around for balance and mobility testing, so dress in clothes and shoes that are easy to move in.<br><strong>Bring Questions: </strong>Write down any concerns or goals you’d like to discuss with your therapist.</p><figure id="figure-9udkq7px1nmffhcru5"><img id="9udkq7px1nmffhcru5" src="https://media.gettyimages.com/id/1494812701/photo/the-psychologist-who-is-listening-to-the-patient-is-taking-notes-in-his-notebook.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=n3vDcyP_5e3yzm8W9UEzHRLntMYYu42_ILTgUQJ1Vxg=" alt="patient therapist" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://media.gettyimages.com/id/1494812701/photo/the-psychologist-who-is-listening-to-the-patient-is-taking-notes-in-his-notebook.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=n3vDcyP_5e3yzm8W9UEzHRLntMYYu42_ILTgUQJ1Vxg=" data-mce-style="aspect-ratio: 16/9;"></figure><p><br></p><h3>Common Questions New Patients Ask</h3><p><br><strong>“How long will recovery take?”</strong><br>Every concussion is different. Your therapist will reassess your progress regularly and adjust your plan as needed.</p><p><strong>“Will therapy make my symptoms worse?”</strong><br>Some exercises may temporarily bring on mild symptoms, but this is often a normal part of retraining your brain and body. Your therapist will guide you carefully to ensure safety.</p><p><strong>“Can I still work or go to school?”</strong><br>Your therapist can provide strategies for returning to work or school in a way that supports recovery, often with temporary modifications.</p><figure id="figure-9raadzho9qmffhcru5"><img id="9raadzho9qmffhcru5" src="https://media.gettyimages.com/id/2167972810/photo/faq-letter-on-block-cubes-on-wooden-table-over-blur-green-tree-in-park-frequently-asked.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=QyK7-IYew2vbSe9c__keQLVhc0Gr06SbAunN-5OHnuE=" alt="FAQ letter on block cubes on wooden table over blur green tree in park, Frequently asked questions, Business customer service and support concept" title="FAQ letter on block cubes on wooden table over blur green tree in park, Frequently asked questions, Business customer service and support concept" class="object-cover bg-gray-100 rounded-2xl md:rounded-3xl lg:rounded-4xl" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="null" data-positiony="null" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/2167972810/photo/faq-letter-on-block-cubes-on-wooden-table-over-blur-green-tree-in-park-frequently-asked.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=QyK7-IYew2vbSe9c__keQLVhc0Gr06SbAunN-5OHnuE=" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><p><br></p><h3>After the Session: Next Steps</h3><p>Once the session is over, your therapist will provide guidance on the steps you need to take at home. This may include specific exercises, rest recommendations, or dietary suggestions. It's important to follow these instructions closely to maximize recovery.</p><p>Keeping a journal to track your progress between sessions can be beneficial. Note any changes in symptoms, improvements, or new challenges. This record will be valuable during follow-up sessions, as it provides insight into how well the treatment is working and whether any adjustments are needed.</p><h3>Final Thoughts</h3><p>Preparing for your first concussion therapy session doesn’t need to be stressful. By bringing the right information, wearing comfortable clothing, and coming in with questions, you’ll set yourself up for success. Remember: recovery is a process, and your therapy team is here to support you every step of the way.</p>

Preparing for Your First Concussion Therapy Session: What You Need to Know

Virginia Concussion and Pain Physical Therapy

Virginia Concussion and Pain Physical Therapy provides specialized one-on-one care for patients with concussion, headaches, neck pain, jaw pain (TMJ/TMD), dizziness, POTS, autonomic dysfunction, and hypermobility disorders. We offer comprehensive 2-hour evaluations and evidence-based treatment designed to reduce symptoms, improve function, and support long-term recovery. Located in Glen Allen, VA, we collaborate closely with local medical providers—including neuro-optometry experts—to deliver coordinated, patient-centered rehabilitation. Fee-for-service; HSA/FSA accepted; superbills provided.

Virginia Concussion and Pain Physical Therapy

Blog

The Sound of Silence: When Tinnitus is Actually a Neck Issue

Understanding POTS and Autonomic Dysfunction: Symptoms an...

Sneak Peak - New Clinic Space

New Post

Debunking Common Myths About Concussion Recovery: What Pa...

Preparing for Your First Concussion Therapy Session: What...