Concussion and Seven Trajectories

Understanding Concussion and Its Seven Trajectories: How to Find Relief

Concussions are more than just a bump to the head—they can affect various systems in the body and brain, leading to long-term challenges if not properly addressed. Modern research has identified seven key trajectories of concussion recovery, each representing a specific area that may require treatment:

  1. Vision
  2. Vestibular (balance and spatial orientation)
  3. Cervical (neck-related issues)
  4. Cognition
  5. Mood
  6. Migraine
  7. Sleep

In addition to these, some individuals may also experience gut-related issuesbrain fog, and even changes in personality or behavior, which highlight the interconnected nature of the brain and body in concussion recovery.

Common Symptoms of Concussion

A concussion can lead to a wide range of symptoms, including:

  • Feeling off balance
  • Carsickness or dizziness
  • Headaches
  • Sensitivity to screens and digital devices
  • Light sensitivity
  • Brain fog or difficulty concentrating
  • Changes in digestion or gut health
  • Shifts in mood or personality

These symptoms can vary in intensity and duration, making it essential to seek appropriate care to restore balance and function.

Why Vision Matters in Concussion Recovery

Vision-related issues often play a significant role in post-concussion symptoms. Blurred vision, double vision, difficulty focusing, and discomfort with screen use can result from disruptions in the brain’s visual processing system. Left untreated, these issues can contribute to brain fog, difficulty with balance, and challenges in daily life.

Effective Treatments for Concussion Recovery

Recovery from a concussion requires a targeted, multidisciplinary approach. For vision and neuro-visual concerns, specialized treatments include: 

  • Syntonic Photobiomodulation: Using specific light frequencies to improve brain function and regulate the nervous system. 
  • Brain-Based Lens Therapy: Incorporating plus lenses and prism to reduce visual strain and improve focus and coordination.
  • One-on-One Neuro Vision Rehabilitation: Individualized therapy sessions to retrain the eyes and brain.
  • Daily Home Therapy: Structured exercises to continue progress between in-office visits.

These treatments not only address visual concerns but also help support overall brain function, aiding in the reduction of brain fog and the regulation of other systems like mood and gut health. Read up more on Neuro vision rehabilitation association here. 

Timing Is Key

The best way to ensure a full recovery is to consult a neuro-optometrist immediately after the injury or as soon as symptoms appear—whether it’s the next day or before returning to play, work, or school. If immediate consultation isn’t possible, the next best window is within the first three months following the concussion.

The brain has an incredible ability to heal and regrow affected nerves and axons. However, without proper guidance, these regrowing neurons may connect incorrectly, potentially leading to ongoing symptoms or complications. Neuro-vision rehabilitation helps prevent “miswiring” and ensures the brain rewires correctly, speeding up recovery and improving outcomes.

Take the First Step

If you’re struggling with post-concussion symptoms, don’t wait. Early intervention with a neuro-optometrist can make a world of difference. Start by taking a vision quiz to identify potential concerns and take the first step toward recovery today.

Dr. Yan Ling Liang

Neuro Optometrist (Level 2 neuro vision rehabilitation fellowship completed) Changing Lives One Eye at a Time