As concussions can affect so many different systems in the body, a well-rounded approach to care often requires a team of specialists. Knowing which referrals to make—and why—can be the key to a successful recovery. This guide will help you understand the various professionals involved in concussion care and their roles in supporting recovery.
Key Referrals to Consider:
👩⚕️ Neurologist
A neurologist is a doctor who specializes in the brain and nervous system. They may be the first point of contact (after the family doctor) for concussion management, especially when symptoms persist or are more severe. Neurologists provide thorough evaluations, help diagnose any complications, and can offer treatments for conditions such as migraines, seizures, or persisting post-concussion symptoms.
🏃♂️ Physical Therapist/Physiotherapist
Physiotherapists play a vital role in helping restore physical function and mobility after a concussion. They provide exercises and techniques to help reduce dizziness, improve balance, alleviate headaches, and build overall strength and coordination. For anyone struggling with movement or physical activity following a concussion, a physiotherapist can offer personalized guidance to get back on track safely.
😵💫 Vestibular Therapist
If dizziness, vertigo, or balance problems persist, a vestibular therapist may be needed. Vestibular therapists are often specialized physical therapists who treat balance disorders and dizziness caused by damage to the inner ear or brain. They use specific exercises to help retrain the brain and balance systems, making daily activities safer and more manageable.
🤝 Occupational Therapist (OT)
Occupational therapists help individuals regain their independence and manage everyday tasks after a concussion. Whether it’s learning how to manage cognitive fatigue, or making modifications at home or work, OTs provide strategies and support to help people return to their daily routines, work, or school.
🗣️ Speech-Language Pathologist (SLP)
Speech-language pathologists work with individuals who experience difficulties with attention, memory, word-finding, and social communication skills after a concussion. They provide personalized strategies to help manage these challenges and improve daily cognitive-communication skills, which are essential for navigating social interactions, work tasks, and other activities. (Find more information on how SLPs support concussion management and recovery here).
👁️ Neuro-Optometrist
A neuro-optometrist specializes in vision problems that result from concussions and brain injuries, such as blurred vision, light sensitivity, double vision, or difficulties with eye tracking and focusing. They can provide vision therapy, prescribe specialized lenses, or recommend visual aids to improve comfort and function.
👂 Audiologist
Audiologists assess and treat hearing-related issues that may arise after a concussion, including noise sensitivity, hearing loss, tinnitus (ringing in the ears), and balance problems related to inner ear dysfunction.
🌿 Mental Health Professional
Mental health professionals, such as psychologists, psychotherapists, or social workers, are critical for addressing the emotional and psychological impacts of a concussion. Anxiety, depression, mood swings, or post-traumatic stress can frequently accompany concussions. These professionals provide therapy and coping strategies to support emotional health during recovery.
Other Important Referrals:
🧠 Neuropsychologist
Neuropsychologists provide comprehensive cognitive assessments to identify specific areas of cognitive impairment, which can help tailor treatment plans and track recovery progress over time. This type of evaluation is particularly valuable for understanding how a concussion affects memory, attention, and other cognitive functions.
🤕 Chiropractor
Chiropractors specialize in treating spinal health issues and can help with neck pain, headaches, and back pain that are often associated with concussions. Through manual adjustments and other techniques, they can address musculoskeletal discomfort and improve overall alignment and function.
🪴 Naturopath
Naturopaths focus on holistic approaches to health, including natural remedies, nutritional counseling, and lifestyle adjustments. They provide a complementary approach to conventional concussion treatments, aiming to support overall wellness and recovery.
🍎 Dietitian
Dietitians provide nutritional guidance to support brain health, reduce inflammation, and manage symptoms such as fatigue or digestive issues that can accompany a concussion. They help design a diet plan that promotes recovery and overall well-being.
🌼 Osteopath
Osteopaths use manual therapy techniques to treat musculoskeletal issues, improve mobility, and promote overall body balance. This approach can be particularly helpful for lingering physical symptoms such as muscle tension or joint pain after a concussion.
💆♀️ Massage Therapist
Massage therapists help reduce muscle tension, improve circulation, and alleviate pain, which can promote relaxation and support overall recovery. Massage therapy can be a great addition to a comprehensive concussion care plan, especially for managing stress and physical discomfort.
🩺 Primary Care Physician (PCP) or Family Doctor
Your primary care physician or family doctor should always be involved in the recovery process. They coordinate care among different specialists, manage any necessary medications, and address other health concerns that may arise during recovery. They help ensure that all aspects of your health are being monitored and managed effectively.
Why Referrals Matter:
✨ Collaboration is crucial! Referring to the right specialists at the right time ensures a well-rounded recovery approach, addressing every aspect of health—physical, cognitive, and emotional. 🌱
We’d Love to Hear from You!
Have you had a referral experience that made a significant difference in your recovery or in a client’s care? Share your thoughts and experiences in the comments below! ⬇️
Resources
The Ontario Brain Injury Association (OBIA) offers concussion support groups as well as a free concussion hotline 1-800-263-5405.
The Ontario Neurotrauma Foundation (ONF) has developed guidelines for the management of persisting symptoms of concussion/mTBI. Speech-Language Pathologists were involved in the development of these guidelines.
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