Concussion Recovery is More Than Rest: Here’s What Actually Works

Photo of Dr. Michael Maker

By

Dr. Michael Makher

Jun 9, 2025

Modern concussion recovery goes beyond rest. Learn how active, evidence-based rehabilitation helps restore balance, focus, and confidence at Pain & Performance Coach.

Disclaimer: This article is for educational purposes only. It should not be seen as medical advice. Every case and person is unique, so treatment and prevention should be customized by a licensed professional.

If you’ve been told to just “rest in a dark room” after a concussion… you’ve been given outdated advice.

Today’s evidence shows that concussion recovery is an active, structured process—not passive waiting. At Pain & Performance Coach LLC, we help athletes and active individuals recover from concussions using a multi-system approach that restores brain-body function, sharpens coordination, and rebuilds confidence.

Let’s walk through what science supports—and how we apply it right here in Hillsboro and Beaverton.


What Happens After a Concussion?

Concussions don’t just affect your head—they disrupt multiple systems:

  • 🧠 Brain signaling and processing

  • 👁️ Visual tracking and eye movement

  • 🦶 Balance and vestibular control

  • 💓 Heart rate regulation and physical tolerance

  • 🧍‍♀️ Neck and postural stability

  • 🤹‍♀️ Multi-tasking and attention


Ignoring these areas—or just waiting them out—can prolong symptoms like:

  • Headaches

  • Dizziness

  • Brain fog

  • Irritability

  • Fatigue

  • Difficulty focusing


What Research Says Works for Concussion Rehab

A growing body of evidence—including the BJSM review by Haider et al. (2017)—emphasizes that:

“Active rehabilitation approaches improve recovery outcomes when tailored to the individual’s profile.”

That means recovery isn’t one-size-fits-all. It requires targeted interventions based on symptoms, systems, and sport demands.


How We Approach Concussion Recovery at Pain & Performance Coach LLC

We don’t guess. We assess and adapt at every step. Our comprehensive approach includes:


Mindfulness Training

Concussions can affect emotional regulation and sleep. We use guided mindfulness and breathwork to:

  • Reduce anxiety

  • Support autonomic balance

  • Improve sleep quality and brain recovery


Visual Tracking & Oculomotor Retraining

Blurry vision or dizziness when reading or scrolling? That’s your visual system struggling. We:

  • Assess saccades, smooth pursuits, and convergence

  • Use laser-guided drills, metronomes, and tracking exercises

  • Reintegrate vision into balance and movement


Balance and Vestibular Training

Feeling unsteady? That’s your brain struggling to process motion. We target:

  • Static and dynamic balance

  • Head movement tolerance

  • Visual-vestibular integration using unstable surfaces and varied stimuli


Neck Strengthening & Control

Neck dysfunction is a common but overlooked piece of post-concussion recovery. We:

  • Assess cervical ROM and muscle endurance

  • Retrain deep neck flexors and postural stability

  • Use progressive resistance and head-controlled drills


Aerobic Conditioning

Research supports sub-symptom threshold cardio for speeding recovery. We use:

  • Light-to-moderate cycling, walking, or SkiErg

  • Heart rate zone training based on tolerance

  • Gradual reintroduction to sport-specific conditioning


Multi-Task Reaction & Coordination Training

We layer cognitive + physical tasks to mimic real-life demands:

  • Reaction drills with Blaze Pods

  • Dual-task balance + memory challenges

  • Change-of-direction tasks under pressure

This builds brain resilience, not just symptom tolerance.


Testing & Feedback: Objective + Subjective

We combine:

  • 🔄 Patient-reported outcomes (fatigue, symptom scales, focus, etc.)

  • 🧠 Tool-based feedback: reaction time, eye tracking, postural sway, balance metrics

This guides every decision—from pacing to return-to-sport clearance.


Your Local Concussion Rehab Experts

Whether you’re an athlete, student, or worker recovering from a concussion, Pain & Performance Coach LLC offers modern, active care built around the latest evidence.

We help clients from Hillsboro, Beaverton, Portland, Forest Grove, Cornelius, Banks, and North Plains get back to life—clear-headed, balanced, and confident.


What Makes Our Concussion Rehab Different?

Feature

Why It Matters

Visual tracking retraining

Tackles dizziness and reading difficulty

Balance & vestibular drills

Restores confidence and motion control

Blaze Pod reaction drills

Trains focus and reactivity

Cervical spine retraining

Targets a major source of added headache symptoms

Sub-threshold cardio

Boosts brain recovery and reduces fatigue

Objective testing + feedback

Tracks your real progress—not just symptoms


📞 Call now to schedule a consultation or message us to ask if our approach fits your needs.

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Modern concussion recovery goes beyond rest. Learn how active, evidence-based rehabilitation helps restore balance, focus, and confidence at Pain & Performance Coach.