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

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If you’ve been told to just “rest in a dark room” after a concussion… you’ve been given outdated advice.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



