If you’ve been told to just ārest in a dark roomā after a concussion… youāve been given outdated advice.

Todayās evidence shows that concussion recovery is an active, structured processānot 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.
Letās walk through what science supportsāand how we apply it right here in Hillsboro and Beaverton.
Disclaimer: this post is for education only and should not be taken as medical advice
ā ļø What Happens After a Concussion?
Concussions donāt just affect your headāthey disrupt multiple systems:
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- š§ Brain signaling and processing
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- šļø Visual tracking and eye movement
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- 𦶠Balance and vestibular control
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- š Heart rate regulation and physical tolerance
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- š§āāļø Neck and postural stability
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- š¤¹āāļø Multi-tasking and attention
Ignoring these areasāor just waiting them outācan prolong symptoms like:
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- Headaches
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- Dizziness
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- Brain fog
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- Irritability
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- Fatigue
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- Difficulty focusing
ā What Research Says Works for Concussion Rehab
A growing body of evidenceāincluding the BJSM review by Haider et al. (2017)āemphasizes that:
“Active rehabilitation approaches improve recovery outcomes when tailored to the individual’s profile.”
That means recovery isnāt one-size-fits-all. It requires targeted interventions based on symptoms, systems, and sport demands.
š How We Approach Concussion Recovery at Pain & Performance Coach LLC
We donāt guess. We assess and adapt at every step. Our comprehensive approach includes:
š§ Mindfulness Training
Concussions can affect emotional regulation and sleep. We use guided mindfulness and breathwork to:
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- Reduce anxiety
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- Support autonomic balance
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- Improve sleep quality and brain recovery
šļø Visual Tracking & Oculomotor Retraining
Blurry vision or dizziness when reading or scrolling? Thatās your visual system struggling. We:
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- Assess saccades, smooth pursuits, and convergence
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- Use laser-guided drills, metronomes, and tracking exercises
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- Reintegrate vision into balance and movement
āļø Balance and Vestibular Training
Feeling unsteady? Thatās your brain struggling to process motion. We target:
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- Static and dynamic balance
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- Head movement tolerance
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- Visual-vestibular integration using unstable surfaces and varied stimuli
šŖ Neck Strengthening & Control
Neck dysfunction is a common but overlooked piece of post-concussion recovery. We:
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- Assess cervical ROM and muscle endurance
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- Retrain deep neck flexors and postural stability
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- Use progressive resistance and head-controlled drills
šāāļø Aerobic Conditioning
Research supports sub-symptom threshold cardio for speeding recovery. We use:
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- Light-to-moderate cycling, walking, or SkiErg
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- Heart rate zone training based on tolerance
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- Gradual reintroduction to sport-specific conditioning
𤹠Multi-Task Reaction & Coordination Training
We layer cognitive + physical tasks to mimic real-life demands:
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- Reaction drills with Blaze Pods
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- Dual-task balance + memory challenges
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- Change-of-direction tasks under pressure
This builds brain resilience, not just symptom tolerance.
š§Ŗ Testing & Feedback: Objective + Subjective
We combine:
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- š Patient-reported outcomes (fatigue, symptom scales, focus, etc.)
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- š§ Tool-based feedback: reaction time, eye tracking, postural sway, balance metrics
This guides every decisionāfrom pacing to return-to-sport clearance.
š Your Local Concussion Rehab Experts
Whether youāre 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 lifeāclear-headed, balanced, and confident.
š 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 progressānot just symptoms |
š Call now to schedule a consultation or message us to ask if our approach fits your needs.
Disclaimer: this post is for education only and should not be taken as medical advice