Weeks 1–2
Pain
Take the headache down.
Soft tissue release, joint mobilization and postural work on the neck, because neck dysfunction commonly contributes to post-concussion headaches.
What We Treat
Concussion rehab in Richardson.
Weeks out, and the headache still arrives by lunch. Screens are still too bright. Lingering symptoms usually come from more than one system, and a cause-first evaluation is how you find out which ones.
Sound Familiar?
Does this sound like you?
- A headache that shows up every afternoon, right on schedule
- A grocery aisle that suddenly feels like too much light and too much noise
- Reading the same paragraph four times and still not holding onto it
- Dizziness when you stand up fast or turn to check your blind spot
- Completely wiped out by 2pm from a day that used to be nothing
- Neck pain and stiffness that nobody ever connected to the hit you took
Two or more? Keep reading.
Why It Happens
Lingering symptoms aren’t all coming from your brain.
A concussion hits more than one system at once, which is why the symptoms are such a strange mix. The inner ear balance system gets disrupted, so you feel dizzy and motion bothers you. Your neck took the same force your head did, and cervical spine dysfunction produces headaches that look exactly like concussion headaches. The eyes stop teaming and tracking smoothly, which shows up as blurred text, reading fatigue and brain fog. And the autonomic system that controls heart rate and exertion tolerance gets thrown off, so a short walk drains a whole afternoon.
Nobody sorts that out by waiting. Our evaluation tests the systems one at a time: vestibular and balance testing, eye movement and visual tracking, cervical spine mobility and stability, neurological screening, reaction time, posture and movement, and how your heart rate responds to exertion. Then the plan treats the systems that are actually driving your symptoms.
The Honest Truth
Concussion symptoms don’t always clear on their own.
If you keep waiting
- Headaches, brain fog and dizziness settle in and start shaping your work, your sleep and your mood
- You avoid every trigger, and the avoidance leaves those systems untrained and even more sensitive
- Going back to sport or full days before the systems are ready sends you back to the beginning
If you start this week
- You find out which system is driving it: inner ear, neck, eyes, or exertion tolerance
- Guided, symptom-managed activity replaces open-ended rest in a dark room
- You get a plan with an endpoint and a written return-to-activity progression
If this is your kid, you’ve already had the nights where “just rest and see” didn’t sit right with you. That instinct isn’t overreacting. It’s the reason people get evaluated instead of guessing.
How We Fix It
The same four phases. Built for a concussed system.
Every plan has an endpoint. Here’s what Pain, Prime, Perform and Prevent look like after a concussion, one-on-one with a licensed physical therapist, every visit.
Weeks 2–6
Prime
Retrain the inner ear and the eyes.
Gaze stabilization, balance progressions, graded motion sensitivity exposure, plus eye tracking and convergence work for the reading fatigue and fog.
Weeks 6–10
Perform
Load it on purpose, not by accident.
Symptom-guided exertion with your response monitored, deep neck flexor strengthening, dual-task drills, and reading and focus tolerance built back up.
Weeks 10+
Prevent
Go back on a plan, not a hunch.
A staged return to work, school, training and sport, with readiness testing at each step and the early warning signs you should never push through. That’s the endpoint.
5.0 average across 150+ Google reviews
Voted Best of Richardson 2026 for physical therapy
Concussion rehab
Richardson, TX
Questions, Answered
What people ask before booking for concussion rehab.
No. Symptoms that stick around usually mean a system that never got retrained: the inner ear, the neck, the eyes, or your tolerance for exertion. Those respond to treatment whether the hit was three weeks ago or three years ago. The evaluation identifies which ones are still involved, and the plan goes after those instead of waiting the symptoms out.
Not always. Controlled, guided activity is often part of recovery when it is progressed properly. We use symptom-guided exertion: find the level your system tolerates today, watch how you respond, then step it up. That happens one-on-one with a licensed physical therapist, every visit, so somebody is reading your response and adjusting, instead of handing you a workout and hoping.
Lara McCrary, PT, MPT and Dr. Laura Plummer, PT, DPT are both Certified Vestibular and Vertigo Specialists, which matters here because dizziness, gaze instability and motion sensitivity sit at the center of most persistent concussion symptoms. The clinic also treats the neck side of it, since the cervical spine absorbed the same force your head did. You work one-on-one with a licensed physical therapist, every visit.
Book Your Visit
Ready when you are.
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
- Hours Monday to Friday, 8:30am to 5:30pm
- (972) 526-5693 Prefer to talk now? Call us.
- No referral needed to start
5.0 · 150+ Google reviews
A real person calls you back
Step 1 of 5
Request sent.
That’s the hard part done. We’ll call during business hours to lock in your time. If you’d rather not wait for the call, the number below reaches the clinic directly.
Visit Us
Care this good, this close.
On Point Movement & Performance
- 445 Walnut St. STE 109, Richardson, TX 75081 (opens in a new tab)
- (972) 526-5693
- Fax: (469) 784-9424
- info@onpointmvp.com
- Monday to Friday, 8:30am to 5:30pm