A concussion is a type of mild traumatic brain injury (mTBI) that can occur after a blow to the head, a fall, or any event that causes the brain to move rapidly inside the skull. While many people recover within a few weeks, some experience ongoing symptoms that last for months—or even longer. This condition is known as post-concussion syndrome (PCS).
Living with PCS can be frustrating and overwhelming. Headaches, memory issues, dizziness, sensitivity to light and sound, fatigue, and mood changes are just a few of the symptoms individuals face. Fortunately, there are a variety of treatments for post-concussion syndrome available in Ontario that can help manage symptoms and support recovery.
Medical Care and Ongoing Monitoring
The first step in managing PCS is proper medical evaluation. A family doctor, neurologist, or concussion specialist can:
- Assess your symptoms
- Rule out more serious complications
- Provide referrals for specialized therapies
- Monitor your progress over time
Early medical care sets the foundation for an effective treatment plan.
Medications for Post-Concussion Symptoms
There isn’t a single medication that “cures” PCS, but doctors may prescribe or recommend drugs to help manage specific issues:
- Pain relievers for headaches and migraines.
- Antidepressants or anti-anxiety medications for mood changes or sleep disturbances.
- Vestibular suppressants to reduce dizziness or balance problems.
These medications are usually paired with rehabilitation therapies.
Physiotherapy and Vestibular Rehabilitation
Concussions often affect balance, coordination, and the neck. A physiotherapist specializing in concussion treatment can provide:
- Vestibular therapy to reduce dizziness and vertigo
- Neck strengthening and posture exercises
- Gradual return-to-exercise programs to restore blood flow and reduce fatigue
Chiropractic Care After a Concussion
Many concussions are accompanied by neck injuries, whiplash, or musculoskeletal strain. Chiropractic treatment may be helpful for addressing these related issues:
- Gentle mobilizations, stretching, and soft tissue work can improve neck mobility and reduce tension
- This may indirectly relieve headaches, dizziness, and posture-related discomfort
- High-velocity neck manipulations are generally not recommended after a concussion, as they can aggravate symptoms
In Ontario, chiropractic care is best used as part of a multidisciplinary approach, coordinated with your doctor, physiotherapist, or concussion clinic.
Psychological and Cognitive Therapies
PCS doesn’t only affect the body—it can impact mental health and cognitive function. Treatment options include:
- Cognitive behavioural therapy (CBT): Helps with anxiety, depression, and irritability
- Neuropsychological rehabilitation: Provides strategies for memory and focus problems
- Counselling or psychotherapy: Supports emotional adjustment after a brain injury
Vision Therapy for Concussion-Related Eye Problems
Blurred vision, light sensitivity, and difficulty focusing are common after a concussion. Optometrists and vision therapists can design individualized exercises and treatments to retrain the eyes and reduce strain.
Occupational Therapy and Return-to-Work Programs
An occupational therapist can:
- Help you transition back to work, school, or daily routines
- Suggest accommodations to reduce stress and fatigue
- Provide strategies to manage tasks while coping with PCS symptoms
Lifestyle Adjustments for Recovery
Alongside professional treatments, self-care plays a vital role in healing. Doctors often recommend:
- Adequate rest and pacing activities to avoid overexertion
- Good sleep hygiene with consistent routines
- Proper nutrition and hydration
- Gradual reintroduction of physical and cognitive activities
Accessing Concussion Treatment in Ontario
In Ontario, access to concussion treatments varies:
- Covered by OHIP: family doctors, neurologists, hospital clinics.
- Private coverage or self-pay: physiotherapy, vision therapy, counselling, and chiropractic care.
If your concussion was caused by a motor vehicle accident, workplace injury, or slip-and-fall, treatment costs may be covered through insurance or legal claims. A personal injury lawyer in Ontario can help ensure you access the care and compensation you need.
Final Thoughts
Post-concussion syndrome can disrupt your life, but recovery is possible with the right care and support. If you or a loved one is struggling with PCS, don’t wait to seek treatment—early intervention can make all the difference.
At Bergeron Clifford LLP, we understand the physical, emotional, and financial challenges PCS creates. Our experienced team of can guide you through the legal process and help secure the resources you need to focus on recovery.
Burke Derbyshire is a graduate of LaSalle Secondary School in Kingston. Upon graduation, he attended Queens University on an athletic scholarship where he played for the men’s football team. He then completed his law degree at the University of Leicester, United Kingdom, and was a moot court finalist as well as an active member of the Canadian Law Society.
Burke worked at Bergeron Clifford in the summer of 2023 as a summer student, and is now working as an articling student while also completing his NCA exams.
