Vestibular & oculomotor
Dizziness, balance issues, and visual symptoms triggered by motion or busy environments, treated with graded exposure and gaze stability exercises.
Concussion Management in Toronto
Concussion assessment, baseline testing, and multi-phase rehabilitation in downtown Toronto, vestibular, cervical, oculomotor, and a graded return to activity in one place.
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Concussion rehab
Concussion care that follows current evidence.
Concussion care has changed dramatically over the past decade. The old advice, sit in a dark room, avoid screens, wait it out, is now considered actively unhelpful past the first 24–48 hours. Current evidence supports early, sub-symptom-threshold activity, targeted rehabilitation of the systems concussion typically disrupts, and a structured progression back to sport, school, or work.
Our care follows a multi-modal protocol aligned with the consensus statements (Berlin / Amsterdam) used in sports medicine and hospital-based concussion clinics. We assess the systems most often affected, vestibular, oculomotor, cervical, autonomic, and treat the ones driving your symptoms.
- Practitioners with advanced concussion-management training
- Comprehensive pre-season baseline testing for athletes
- Sub-symptom-threshold aerobic exercise from the first week
- Vestibular, oculomotor, and cervical components addressed together
- Return-to-sport and return-to-school progressions used by team physicians
- App-based home exercise program with daily symptom tracking and clinician check-ins
Three pillars of care
What concussion rehab actually targets.
Cervicogenic
Neck-driven headaches, dizziness, and pain that often co-occur with concussion. Manual therapy and motor control retraining target these directly.
Autonomic
Exercise intolerance, fatigue, and lightheadedness, addressed with the Buffalo Concussion Treadmill Test and a progressive aerobic protocol.
Components of your plan
What care typically includes.
Every concussion presents differently. Your plan is built around what your assessment shows, not a one-size protocol. Here's the menu of components we draw from.
- Symptom inventory (PCSS) and baseline cognitive screen
- Vestibular / Ocular Motor Screening (VOMS), identifies which systems are driving symptoms
- Cervical assessment and manual treatment as indicated
- Buffalo Concussion Treadmill Test, sets your safe aerobic threshold
- Progressive sub-symptom aerobic exercise (the foundation of recovery)
- Targeted vestibular and oculomotor exercises if VOMS is positive
- Sleep, nutrition, and screen-time guidance
- Return-to-sport, school, or work letter when ready
Returning to life
Graded return, not all at once.
Whether the goal is contact sport, a desk job, university classes, or all three, the return progression follows the same logic: introduce one stressor at a time, monitor symptoms, and only progress when the previous stage is tolerated symptom-free.
We coordinate with team physicians, athletic therapists, family doctors, and school accommodations whenever needed. If you need a written return-to-sport or return-to-learn letter, we'll provide one, these aren't generic templates, they're tied to what your assessment shows.
- Return-to-sport: 6-stage progression aligned with consensus protocols
- Return-to-learn: gradual cognitive load, screen breaks, and accommodations
- Letters provided for coaches, schools, employers, or insurance
VOMS
Trained provider
BCTT
Treadmill protocol
Berlin
Consensus protocols
Multi-phase
From acute to return
When to come in
Sooner is better than later.
There's an old myth that concussion care should wait until the patient 'isn't symptomatic enough' or that early treatment makes things worse. The current evidence says the opposite: starting structured rehab inside the first 1–2 weeks is associated with shorter recovery times and lower rates of persistent symptoms.
If it's been more than 4 weeks and you're still symptomatic, that's persistent post-concussive syndrome territory, and it's exactly the situation rehab is designed for. Don't keep waiting it out.
Keep exploring
What we use this for
Common reasons people come in for this.
Frequently asked questions
About concussion management
If symptoms are present beyond the first 48–72 hours, the sooner you start a structured plan, the better the outcomes. Older protocols recommended weeks of rest first, current evidence does not.
About the clinic
Reviews
What patients say
A few words from people we've helped get back to what they love.
“Steps from College station and they direct-bill my insurance, so it's an easy visit. Real assessment, no pressure, and a plan I could actually follow at home.”
“I saw Dr. Clarke through my pregnancy for pelvic pain. Gentle, knowledgeable, and reassuring the whole way. It made a real difference to how I felt day to day.”
“Booked for a running gait analysis before a half marathon. The video breakdown of my stride was eye-opening and the exercises sorted out the knee pain that kept derailing my training.”
From the blog
Latest from the blog
Patient-language guides on the conditions and care we see most.
Book your first visit
Tell us what you need from concussion management and the front desk will match you with the right practitioner.
- Same-day appointments usually available
- Direct billing to most major insurers
- Prefer to call? (416) 660-9932