Evidence-Based Concussion Physiotherapy Management and Rehabilitation

Protect your brain health and safely return to sport with structured, medical-led care across our Sydney clinics.

Understanding Concussions

A concussion is a traumatic brain injury caused by a direct impact or transmitted force to the body, leading to a temporary impairment of brain function. This evolving injury can disrupt your ability to concentrate, sleep, and perform daily tasks. Early assessment and guidance helps set a framework for recovery for both return to normal life along with returning to play.

Symptoms may not appear immediately but often include headaches, dizziness, confusion, nausea, and sensitivity to light or noise. A concussion can  disrupt your cognitive function, making work, study, and social interactions challenging due to fatigue and sleep disturbances. Continuing to play or returning to sport prematurely elevates the risk of prolonged symptoms.

When Should You Seek Treatment?

If a concussion is suspected, you must be removed from play immediately, following the "if in doubt, sit them out" principle. Early medical review establishes a baseline to safely guide your return to learning and sport, especially for adolescents who require a conservative approach.

The ideal treatment window

After immediate removal from the field, a follow-up medical assessment should occur within 24 to 72 hours to plan your rehabilitation pathway.

Who is most affected

While all athletes can suffer concussions, children and teenagers require careful management due to their developing brains and longer expected recovery times.

Urgent red flag signs

Seek emergency medical care immediately if you experience deteriorating consciousness, repeated vomiting, severe neck pain, or progressive confusion.

Why Expert Clinical Care Matters

Modern concussion management has moved away from the outdated "wait and see" approach in favour of active, evidence-based rehabilitation. Specialised care ensures your brain is sufficiently recovered before facing the high-velocity demands of competition again.

Evidence-based recovery

An initial period of relative rest for 24 to 48 hours is vital, followed by a supervised progression that includes targeted vestibular and oculomotor training.

Specialised care across Sydney

Our physiotherapists at our two locations in Ultimo and Lewisham proudly service Sydney and the Inner West, offering targeted rehabilitation for complex cases and prolonged concussive symptoms.

How Tailored Rehabilitation Drives Success

A successful recovery plan must be progressive, highly individualised, and aligned with the Graded Return to Sport Framework. While sports differ, all rehabilitation pathways safely rebuild your cognitive and athletic capacity step-by-step.

Phase 1: Initial recovery and rest

The first 24 to 48 hours focus on relative cognitive and physical rest to manage immediate symptoms and allow the brain to settle.

Phase 2: Progressive daily loading

This phase involves safely resuming light daily activities, work or study, and introducing gentle aerobic exercise without provoking symptoms.

Phase 3: Sport-specific conditioning

We gradually increase exercise intensity and cognitive demands, progressing from non-contact training to full contact play only after formal medical clearance.

Who treats this?

Our experienced team members are ready to help. See their bios below and book online when ready.

John Nguyen

Senior Physiotherapist

See Full Bio

Katie Godwin

Lead Sports & Exercise Physiotherapist

See Full Bio

Alice Brown

Lead Sports & Exercise Physiotherapist

See Full Bio

Ivana Bozickovic

Physiotherapist

See Full Bio

Jade Perrett

Physiotherapist | Dance Physiotherapist

See Full Bio

Lauren McCaffrey

Physiotherapist

See Full Bio

All major health funds accepted

Private health claiming via Tyro Health EFTPOS terminal

FAQ

What are the current concussion return-to-play timelines?

Timelines vary by sport and competition level. In 2026, the AFL requires a 12-day stand-down for elites, and 21 days for community leagues. The NRL mandates 11 days for elites and adults, but 19 days for youth. The AIS national baseline for youth and community sports requires a 21-day minimum before competitive contact play resumes.

Do I need a brain scan to diagnose a concussion?

Routine imaging is usually not required; a thorough clinical examination is the primary tool, with scans reserved to exclude more serious structural injuries.

Why can't I just rest in a dark room until I feel better?

Current evidence shows that strict, prolonged rest delays recovery; instead, an active, graded return to sub-threshold loading leads to better outcomes.

What should I do immediately after a suspected concussion?

You must be removed from play immediately and undergo a medical review within 24 to 72 hours to start a structured management plan.

Can physiotherapy help treat a concussion?

Yes, specific physiotherapy focusing on the neck, balance, and visual systems is supported by evidence to facilitate faster and more complete symptom resolution.

Book Appointment