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Concussion management has undergone a dramatic transformation in recent years. What was once a condition treated almost exclusively with prolonged rest and isolation has become the focus of active, individualized rehabilitation strategies backed by growing clinical evidence. Here are the most significant shifts in concussion rehabilitation since 2020.<h3>1. The Death of "Cocooning": From Strict Rest to Early Activity</h3> Perhaps the single biggest paradigm shift in concussion care is the move away from strict physical and cognitive rest, once colloquially known as "cocooning", toward early, symptom-guided activity resumption.Multiple guidelines now converge on the same message: after a brief period of relative rest (24–48 hours), patients should begin light physical activity such as walking, even if they are still symptomatic. Prolonged rest is not only unhelpful,&nbsp; it is associated with worse outcomes, including more symptoms and longer recovery times.The 6th International Conference on Concussion in Sport (Amsterdam, 2022) formally endorsed this active approach, recommending that patients attempt light-intensity physical activity within the first 24 to 48 hours, advancing as tolerated. A meta-analysis of seven studies found that early physical activity and prescribed exercise improved recovery by a mean of nearly 5 days compared to rest-based approaches.<h3>2. "Exercise as Medicine": Prescribed Aerobic Exercise After Concussion</h3> One of the most compelling developments is the use of prescribed, subsymptom-threshold aerobic exercise as a frontline treatment, modeled, remarkably, after cardiac rehabilitation.The concept works like this: clinicians identify the heart rate at which a patient's concussion symptoms begin to worsen beyond a mild level (defined as more than a 2-point increase on a 0–10 scale). Exercise is then prescribed below that threshold, and the target is progressively increased as tolerance improves.Randomized controlled trials in adolescents demonstrated that prescribed aerobic exercise started within 2 to 10 days of injury shortened recovery by approximately 4 days (median 13 vs. 17 days) and reduced the rate of persistent symptoms beyond 28 days (21% vs. 32%). A 2023 systematic review confirmed that subthreshold aerobic exercise significantly improved symptom scores, with a standardized mean difference of 0.43.For clinicians without access to formal exercise testing, a practical alternative exists: prescribing exercise at 50% of age-predicted maximum heart rate (220 minus age), or using data-derived heart rate training ranges based on sex and time from injury. This has made the approach accessible well beyond sports medicine clinics.<figure id="figure-e4s4grty1msj9rujv"><img id="e4s4grty1msj9rujv" src="https://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/5083f0eb-a0d0-4a46-b8cd-11464ecc6ee8-ZLqibmQXlwksAG6qgbayBV2UR9yh9X.png" alt="Determined athlete at peak intensity on modern treadmill, showcasing advanced cardio equipment and focused fitness effort" title="Determined athlete at peak intensity on modern treadmill, showcasing advanced cardio equipment and focused fitness effort" 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://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/5083f0eb-a0d0-4a46-b8cd-11464ecc6ee8-ZLqibmQXlwksAG6qgbayBV2UR9yh9X.png" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><h3>3. Targeted, Multimodal Rehabilitation for Persistent Symptoms</h3> For the 20-30% of patients whose symptoms persist beyond 2 to 4 weeks, the field has moved decisively toward individualized, presentation-specific multimodal rehabilitation, rather than a one-size-fits-all approach.This means identifying specific symptom generators (vestibular dysfunction, cervicogenic issues, oculomotor deficits, mood disturbance, cognitive impairment) and targeting each with the appropriate intervention:<ul><li>Cervicovestibular rehabilitation for patients with dizziness, neck pain, and headaches persisting beyond 10 days. One study found patients receiving this intervention were nearly 4 times more likely to return to sport compared to those managed with rest and gradual exertion. </li><li>Vestibular rehabilitation for patients with dizziness and vestibular impairments beyond 5 days.</li><li>Vision/oculomotor therapy for persistent visual symptoms (consensus-based recommendation, with emerging supportive evidence).</li><li>Cognitive behavioral therapy for mood and anxiety symptoms that commonly accompany or perpetuate post-concussion symptoms.</li><li>Cognitive rehabilitation using compensatory strategies, environmental modifications, and assistive technology.</li></ul>A meta-analysis found that individually tailored multimodal interventions had a moderate effect in improving symptom scores compared to controls, larger than any single intervention alone. A 2021 JAMA Network Open guideline provided weak but consistent recommendations for graded exercise, vestibular rehabilitation, manual cervical/back treatment, psychological treatment, and interdisciplinary coordinated rehabilitation.<h3>4. New Assessment Tools: SCOAT6 and Child SCOAT6</h3> The Amsterdam consensus introduced new freely available clinical tools, the Sport Concussion Office Assessment Tool–6 (SCOAT6) for adults and adolescents, and the Child SCOAT6 for children under 13. These multimodal assessment instruments go beyond symptom checklists to incorporate balance, cognitive, oculomotor, and vestibular evaluation, providing a structured framework for guiding treatment decisions and monitoring recovery over time.While these tools still await full prospective validation, they represent a significant step toward standardized, comprehensive clinical assessment that can direct targeted rehabilitation.<h3>5. Refined Return-to-Activity Protocols</h3><figure id="figure-gtknubvjkgmsj9v6pq"><img id="gtknubvjkgmsj9v6pq" src="https://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/fa7ad970-44d6-415b-b0c1-f9bce643e80c-4Tz1nzQhQQJXhr4ZPiyR6XFCqsGvn5.png" alt="Close-up of player's foot striking soccer ball during competitive league match with motion blur" title="Close-up of player's foot striking soccer ball during competitive league match with motion blur" 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://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/fa7ad970-44d6-415b-b0c1-f9bce643e80c-4Tz1nzQhQQJXhr4ZPiyR6XFCqsGvn5.png" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure> Return-to-play and return-to-learn protocols have become more nuanced and individualized. Key updates include:<ul><li>Symptom-guided progression, not symptom-free gates: patients can advance through return-to-activity stages even with mild, brief symptom exacerbations (no more than a 2-point increase lasting less than 1 hour).</li><li>Return to school before return to sport: full return to learning should occur before unrestricted return to contact sport.</li><li>Customized academic accommodations based on individual symptom severity, rather than blanket restrictions.</li><li>Average return-to-sport timeline of approximately 20 days, with most athletes returning within one month.</li></ul><h3>6. Emerging Frontiers</h3><figure id="figure-8lc83jz9gkmsj9waaq"><img id="8lc83jz9gkmsj9waaq" src="https://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/0f6ff430-decc-496b-b6b5-ac6c45abdf3f-cCRbIa2VtUjuqRjHcZmXbs2qrLXRnk.png" alt="Hands holding and interacting with VR headset controls, highlighting immersive technology design and accessibility" title="Hands holding and interacting with VR headset controls, highlighting immersive technology design and accessibility" 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://rjdavx8ozyznxeyh.public.blob.vercel-storage.com/production/websites/infinite-images/0f6ff430-decc-496b-b6b5-ac6c45abdf3f-cCRbIa2VtUjuqRjHcZmXbs2qrLXRnk.png" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure> Several areas of active investigation hold promise for the next wave of breakthroughs:<ul><li>Neuromodulation techniques such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are being explored for persistent cognitive and mood symptoms.</li><li>Light therapy is showing early promise for somatic complaints and sleep disturbance.</li><li>Virtual reality-based rehabilitation is being developed for vestibular and cognitive retraining.</li><li>Digital health tools and mobile applications are supporting self-management and extending rehabilitation beyond the clinic.</li><li>Blood biomarkers continue to be investigated, though current consensus holds that they have limited clinical utility for diagnosing concussion or tracking recovery.</li></ul><h3>The Bottom Line</h3> The overarching theme since 2020 is clear: concussion rehabilitation has shifted from passive waiting to active, individualized treatment. The evidence now supports early movement, prescribed aerobic exercise, and targeted multimodal rehabilitation for persistent symptoms. New assessment tools and refined return-to-activity protocols are making this approach more standardized and accessible. While many questions remain, particularly around optimal treatments for adults and the clinical utility of emerging technologies, the trajectory of the field is unmistakably toward more precise, proactive, and effective care. References:&nbsp;1.Sport-Related Concussion. The New England Journal of Medicine. 2025. Leddy JJ.Review 2.Do Physical Interventions Improve Outcomes Following Concussion: A Systematic Review and Meta-Analysis?.British Journal of Sports Medicine. 2022. Reid SA, Farbenblum J, McLeod S.SR 3.Targeted Interventions and Their Effect on Recovery in Children, Adolescents and Adults Who Have Sustained a Sport-Related Concussion: A Systematic Review.British Journal of Sports Medicine. 2023. Schneider KJ, Critchley ML, Anderson V, et al.SR 4.Rest and Exercise Early After Sport-Related Concussion: A Systematic Review and Meta-Analysis.British Journal of Sports Medicine. 2023. Leddy JJ, Burma JS, Toomey CM, et al.SR 5.Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury (mTBI) (2021). Department of Veterans Affairs. 2021. Maj Thomas J. Bayuk DO, Amy O. Bowles MD, Lt Col Andrew W. Bursaw DO, et alGuideline 6.Action Collaborative on Traumatic Brain Injury Care: Adapted Clinical Practice Guideline.Annals of Family Medicine. 2025. Silverberg ND, Lee K, Mikolić A, et al.RecentGuideline 7.Nonpharmacological Treatment of Persistent Postconcussion Symptoms in Adults: A Systematic Review and Meta-analysis and Guideline Recommendation. JAMA Network Open. 2021. Rytter HM, Graff HJ, Henriksen HK, et al.SR&nbsp; 8.Concussion in Sport: Recommendations From the 6th International Conference on Concussion in Sport. American Family Physician. 2024. Lau K.Institutional 9.Beyond the Impact: Emerging Therapies Shaping the Future of Post-Concussion Recovery.The International Journal of Neuroscience. 2026. Raza ML, Hassan ST, Fatima W, Hyder N, Turabee Z.RecentReview 10.Consensus Statement: An Evidence-Based Review of Exercise, Rehabilitation, Rest, and Return to Activity Protocols for the Treatment of Concussion and Mild Traumatic Brain Injury.PM &amp; R : The Journal of Injury, Function, and Rehabilitation. 2023. De Luigi AJ, Bell KR, Bramhall JP, et al.SR &nbsp; 11.Mild Traumatic Brain Injury in 2019-2020. The Journal of the American Medical Association. 2020. Silverberg ND, Duhaime AC, Iaccarino MA. &nbsp; 12.Association of Pharmacological Interventions With Symptom Burden Reduction in Patients With Mild Traumatic Brain Injury: A Systematic Review. JAMA Neurology. 2021. Feinberg C, Carr C, Zemek R, et al.SR

The Biggest Breakthroughs in Concussion Rehabilitation Since 2020

<h3>Why Motion Sickness May Be a Sign of an Underlying Vision Problem &nbsp;</h3>“I’ve never been able to read in the car.” &nbsp; &nbsp;&nbsp; It’s one of the most common comments we hear in clinic. Many people assume that carsickness is simply something they inherited or that they’ll “grow out of.” Others learn to avoid reading, looking at their phone, or even riding in the passenger seat altogether. &nbsp; While occasional motion sickness can happen to anyone, persistent carsickness is not something you should simply accept. In many cases, it may be a sign that your brain is struggling to coordinate information from your eyes, inner ears, and neck. &nbsp; The good news? Many of these problems are treatable. <a href="https://www.virginianeurooptometry.com/post/carsickness-is-common-but-it-isn-t-normal" data-mce-href="https://www.virginianeurooptometry.com/post/carsickness-is-common-but-it-isn-t-normal">Continue Reading </a>

Guest Blog Post: Carsickness Is Common, But It Isn’t Normal

audio speaker and sound wave on dark background

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.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.But what if the ringing isn’t coming from your ears? What if it’s coming from your neck?<h3>What is Somatosensory Tinnitus?</h3>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.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).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.<h3>Signs Your Tinnitus is Neck-Related</h3>How do you know if your neck is the culprit? Look for these "Somatic" clues:<ul><li>Modulation: Can you change the pitch or volume of the ringing by moving your neck, jutting your jaw, or pressing on certain muscles?</li><li>The "Trauma" Connection: Did your tinnitus start after a car accident, a fall, or a concussion?</li><li>One-Sided: Is the ringing louder on one side, and do you also have neck pain or stiffness on that same side?</li><li>Postural Triggers: Does a long day at a computer desk make the ringing worse?</li></ul><figure id="figure-3wjsz2y9p8ml5gevnc"><img id="3wjsz2y9p8ml5gevnc" src="https://cdn.durable.co/getty/4deQTDc3kC3Mb7vd4o1losTCpme2VjDSCTa6EBAS2nyTrHgMxIb8ikWBzdtMmIoP.jpeg" 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>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.Our approach includes:<ul><li>Specialized Manual Therapy: Targeting the upper cervical segments (C1-C3) to reduce nerve irritation.</li><li>Autonomic Regulation: Using tools like vagus nerve stimulation to calm the nervous system’s "fight or flight" response, which often amplifies tinnitus.</li><li>Dry Needling: Releasing deep trigger points in the SCM and jaw muscles that "talk" to the auditory system.</li><li>Postural Integration: 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>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.<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>

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

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.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.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.<figure id="figure-qyu9fdhmxmj8nmopi"><img id="qyu9fdhmxmj8nmopi" src="https://cdn.durable.co/getty/2fW0Z8fgcOjv6E13l9NTDrs5nUdFiFAs2zrdo6nCu9E5DrBInBhkkbWTfH8CmqsT.jpeg" alt="heart rate" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://cdn.durable.co/getty/2fW0Z8fgcOjv6E13l9NTDrs5nUdFiFAs2zrdo6nCu9E5DrBInBhkkbWTfH8CmqsT.jpeg" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Understanding The Autonomic Nervous System</h3>Your autonomic nervous system (ANS) controls all the things your body does automatically, including:<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>When the autonomic nervous system isn’t regulating these functions effectively, symptoms can appear, especially with position changes, exertion, or stress.<h3>What is POTS</h3>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;In simple terms: Your body has difficulty adjusting to upright posture.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.POTS can occur after:<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>Symptoms can vary widely and may fluctuate day to day. Common complaints include:<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 </li></ul>Many patients are told symptoms are “just anxiety”&nbsp; when in reality, the autonomic nervous system is under strain.These symptoms can vary in intensity and may be exacerbated by certain conditions like heat or dehydration.<figure id="figure-k454ochyy8mj8nmopi"><img id="k454ochyy8mj8nmopi" src="https://cdn.durable.co/getty/2fLaZgpaexynEB5myJ52SphbCicDPKKcK1gjCCLu7mQUzDCWIYwsY9RHEmMVNYVa.jpeg" alt="dizziness" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://cdn.durable.co/getty/2fLaZgpaexynEB5myJ52SphbCicDPKKcK1gjCCLu7mQUzDCWIYwsY9RHEmMVNYVa.jpeg" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Diagnosis of POTS</h3>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.<h3>Why POTS Often Feels Worse After Concussion or Illness</h3> After a concussion, viral illness, or prolonged stress on the nervous system, the body may struggle to regulate blood flow and heart rate efficiently.This can lead to:<ul><li>Poor tolerance to upright activity</li><li>Worsening symptoms with exertion</li><li>Delayed recovery when rest alone doesn’t help </li></ul>Importantly, this does not mean permanent damage, it means the system needs retraining.<h3>Treatment Options</h3>While there is no cure for POTS, several treatment options can help manage symptoms:<ol><li>Medications: Beta-blockers, fludrocortisone, or midodrine may be prescribed to help regulate heart rate and blood pressure.</li><li>Dietary Changes: Increasing salt and fluid intake can improve blood volume and circulation.</li><li>Physical Therapy: Gradual exercise programs can help improve cardiovascular fitness without overwhelming the body.</li></ol><figure id="figure-cbzxp8aqfmj8nmopi"><img id="cbzxp8aqfmj8nmopi" src="https://cdn.durable.co/getty/2eFzI3XFqttMhFPzOC7W4O8CcLEyM77oWJDyvsNfczsChoWtLqS2LZwoHkQdmSUd.jpeg" alt="medication" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://cdn.durable.co/getty/2eFzI3XFqttMhFPzOC7W4O8CcLEyM77oWJDyvsNfczsChoWtLqS2LZwoHkQdmSUd.jpeg" data-mce-style="aspect-ratio: 16/9;"></figure><h3>Physical Therapy for Autonomic Dysfunction</h3> Physical therapy plays a critical role in recovery, especially when symptoms limit activity.At Virginia Concussion &amp; Pain Physical Therapy, treatment focuses on:Graded Exercise Therapy Carefully structured programs that:<ul><li>Begin in supported positions (lying or seated) </li><li>Progress gradually to upright activity </li><li>Improve cardiovascular tolerance without symptom flares</li></ul>Breathing Retraining Optimizing breathing mechanics can reduce:<ul><li>Heart rate spikes </li><li>Shortness of breath </li><li>Nervous system overactivation </li></ul>Autonomic Regulation Strategies <ul><li>Including pacing, recovery planning, and symptom-aware progression.</li></ul>Neck, Vestibular, and Visual Assessment <ul><li>Because cervical spine dysfunction, dizziness, and visual strain often worsen autonomic symptoms.</li></ul> <h3>What Recovery from POTS Can Look Like</h3> Recovery is not always linear and that’s okay.Many patients experience:<ul><li>Improved tolerance to daily activities </li><li>Reduced dizziness and heart rate spikes </li><li>Better exercise confidence </li><li>Increased clarity and stamina With the right plan, most people make meaningful progress.</li></ul>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.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.<h3>You’re Not Imagining Your Symptoms</h3> If you’ve been struggling with unexplained dizziness, fatigue, or exercise intolerance, your symptoms deserve thoughtful evaluation and individualized care.A comprehensive assessment can help determine:<ul><li>Whether autonomic dysfunction is contributing </li><li>What systems are driving symptoms </li><li>How to safely rebuild tolerance and confidence &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. You don’t have to navigate this alone and improvement is possible!</li></ul> <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>

Understanding POTS and Autonomic Dysfunction: Symptoms and Treatment Options

<h2>A Sneak Peek at Our New Clinic Space!</h2> We’re excited to share a quick update on the progress of our new home for Virginia Concussion and Pain Physical Therapy!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.<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>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.<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>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.<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>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!If you have questions about scheduling or your upcoming appointments, feel free to reach out anytime.

Sneak Peak - New Clinic Space

<h2>Exciting Update: Virginia Concussion &amp; Pain Physical Therapy Is Moving to a New Location in January 2026!</h2> 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:📍 10124 West Broad Street, Suite E, Glen Allen, VirginiaThis beautiful, centrally located office will allow us to expand our services while maintaining the personalized, specialty care you’ve come to expect.<h3>A Collaborative Space Designed for Comprehensive Care</h3> 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:<ul><li>Concussion and post-concussion symptoms</li><li>Headaches and migraines</li><li>Dizziness and balance concerns</li><li>Neck pain and whiplash </li><li>Vision-related rehabilitation needs 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>The new clinic includes an open, functional gym area that will be shared between physical therapy and occupational therapy. This expanded environment allows for:<ul><li>Improved return-to-work and return-to-play rehabilitation </li><li>More space for balance and vestibular therapy </li><li>Enhanced collaboration across disciplines </li><li>A more comfortable, patient-centered treatment experience</li></ul><h3> When the Transition Takes Place</h3> 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.We will continue to share updates as we prepare for the transition, including parking instructions and photos of the new space.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.We are incredibly excited for this next chapter and look forward to continuing to provide specialized, patient-centered care in our new home!

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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.