Concussion Companion

Your rehab guide for acute and persistent symptoms

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Tall Tree Health · Patient education

Your Concussion Recovery Guide

Understand concussion symptoms, manage activity and plan your return to everyday life.

Clinical reviewer: Sean Overin, Registered Physiotherapist

For adults aged 18 and older with a suspected or diagnosed concussion, and the people supporting them. General education to support your care, not a diagnosis, personal treatment plan or medical clearance.

A clinician holds a pen as a visual target during a seated concussion assessment at Tall Tree.
Concussion assessment at Tall Tree · Cordova Bay

Get started

One useful step at a time

Start with assessment. Then build activity at your pace.

Recently injured?

Arrange prompt medical assessment if concussion is suspected. Follow the advice you receive and avoid another head injury.

Already assessed?

Build activity using your care plan. Arrange follow-up if symptoms persist; seek earlier advice if they worsen.

If you take blood thinners, seek prompt medical advice after a head injury even if you feel well.

What to expect

Recovery usually unfolds over weeks

A common pattern, not a deadline. Your recovery may look different.

  1. 24–48 hours

    The early days

    Symptoms can feel most noticeable. Keep activity quiet and manageable.

  2. 1–2 weeks

    Improvement begins

    Many people notice steady improvement, with some ups and downs.

  3. 2–4 weeks

    Recovery for most

    Most people recover within a few weeks. Some need longer.

  4. Beyond 4 weeks

    Look more closely

    Symptoms are considered persistent. Assess what is contributing to them.

  5. 6–12 weeks

    Target the contributors

    If symptoms continue, focus care on headaches, neck, balance, vision, sleep and mood.

You don’t need to wait for a milestone to get help.

Seek follow-up if symptoms worsen or are not improving. Beyond the label “post-concussion syndrome,” the useful question is: what is contributing to your symptoms?

The key to moving forward

Find your starting point. Build from there.

After 24–48 hours of relative rest, gradually resume safe activity with your clinician’s guidance. You do not need to be symptom-free to start.

At most 2 points higher

On a 0–10 symptom scale, compared with before the activity.

Back within 1 hour

Return to your starting symptom level. Both limits matter.

For low-risk activity, alongside your clinician’s plan. These are limits, not targets. New, severe or unusual symptoms need assessment regardless of the score.

Your symptom traffic light

For low-risk activity, compare symptoms with your starting level.

Green · Repeat, then build gradually

Rise ≤2 points · settle within 1 hour.
No lasting flare later or next morning? Repeat before building.

Amber · Pause and adjust

Rise >2 points or still above baseline after 1 hour?
Stop, let symptoms settle and reduce the next dose. Ask your clinician about repeated or next-day flares.

Red · Get urgent help for warning signs

A worsening severe headache, repeated vomiting, seizure, increasing confusion, weakness or difficulty waking needs urgent medical attention. Call 911 or go to emergency. Do not use a symptom score to rule out danger.

Rate symptoms, not effort. Follow your clinician’s individual limits.

Your next step, in four moves

  1. Start smallChoose one safe activity. Note your starting symptoms.
  2. Check inNotice the rise and how long it takes to settle.
  3. RepeatCheck later and the next morning before building.
  4. AdjustBuild one thing if manageable; reduce the dose if not.

Change one thing at a time

TimeA slightly longer walk or reading block.
EffortA little more pace or resistance, once the current amount is manageable.
ComplexityOne task first, then a more demanding task.
EnvironmentA quiet setting first, then gradually more distraction.

Keep the other demands steady so you can tell what changed your symptoms. A busier workday may leave less capacity for exercise.

A flare is feedback to adjust.If you are still worse the next day, reduce the load and review your plan. Worsening that lasts more than 24 hours suggests you exceeded your tolerance. Contact your clinician if symptoms keep worsening or you cannot find a manageable starting point.

Avoid activities with risk of another head injury. This symptom guide does not clear you for driving, heights, contact sport or activities where a fall is possible. New emergency warning signs need urgent help.

Learn at your own pace

Your concussion companion

Choose a topic below. Open only what you need today.

Companion 01

I’ve had a concussion. What should I do?

Start with safety, relative rest and a gradual return to activity.

A clinician uses two pens as visual targets during an assessment.

Start Here

A concussion is a brain injury from a blow or jolt to the head, neck or body. You can have one without losing consciousness.

Suspect a concussion? Stop and see a doctor or nurse practitioner promptly. Rehabilitation supports this medical assessment; it does not replace it.

Ask someone you trust to stay with you initially and follow the monitoring instructions you receive. Symptoms may appear later. Do not return to sport on the day of a suspected concussion.

Your first steps
  1. StopLeave the activity and avoid another impact.
  2. Get assessedSeek medical care. Use the warning signs above for emergencies.
  3. Make a planAsk about daily activity, follow-up and support at home.
Try this todayIf you have not been medically assessed, arrange that now. If you have, put your follow-up appointment and care instructions somewhere easy to find.

Early Recovery

For the first 24–48 hours, use relative rest: ease back on demanding tasks, reduce screen use and keep simple daily activities as tolerated. You do not need to spend the day in a dark room.

Then add safe movement and thinking tasks gradually. Use the activity progression guide to judge symptoms and plan breaks.

If symptoms keep worsening or do not settle with an adjustment, contact your clinician. New emergency warning signs need urgent help.

Take a quiet break that feels restful. It does not have to mean doing nothing.

An example day — adapt it to your needs
  1. MorningBreakfast and one small household task.
  2. MiddayA quiet break, then a short, safe walk if tolerated.
  3. AfternoonOne manageable task, with another break planned.

Illustration only. No fixed activity or break duration is right for everyone.

Try this todayChoose one task and plan a break around it. If it is too much, shorten it, simplify it or choose a quieter setting.
Companion 02

Managing ongoing issues

Understand your symptoms and know when to get more support.

A clinician demonstrates a visual exercise to a seated patient.

Symptoms and Support

Your symptoms are real. Concussion, neck injury, balance or vision problems, sleep, mood and fatigue can interact. An assessment helps identify what needs attention; symptoms alone cannot tell you the cause.

  • Headaches and neck symptoms: tell your clinician about the pattern and any medicines you use. Neck assessment may help guide treatment. Ask before changing pain medicines; frequent use can contribute to headaches.
  • Dizziness, balance and vision: describe what brings them on. Assessment can guide vestibular rehabilitation or referral for eye care. Avoid self-prescribing balance or eye exercises.
  • Sleep: aim for regular sleep and wake times. Ongoing insomnia, heavy snoring or marked daytime sleepiness deserves assessment.
  • Mood: anxiety, irritability or low mood can occur after injury. Psychological support can help with coping and recovery.
Examples of support — your clinician helps coordinate
Headache or neck painDoctor / nurse practitioner + physiotherapist
Dizziness or balanceClinician with vestibular training
Fatigue or daily tasksOccupational therapist + primary care
Sleep or moodPrimary care + psychologist or sleep clinician

You do not have to decide which professional to see. Your concussion assessment helps identify the support that fits your needs.

Try this todayWrite down the symptom most affecting your day, what you were doing when it occurred and what helped. Bring this to your next appointment.

When Recovery Needs More Support

Arrange follow-up with your primary care provider within 1–2 weeks of injury, or sooner if symptoms worsen. If symptoms are not improving, ask about targeted rehabilitation. You do not need to wait a month to ask for help.

Symptoms lasting beyond four weeks deserve a fuller review. Your clinician can look at headaches, neck function, balance, vision, sleep, mood and the demands of your day, then arrange appropriate referrals.

Ask who is coordinating care, what you are working towards and when you will review the plan. If treatment is not helping, the plan should be reassessed. Recovery varies; a difficult day does not define the whole process.

Bring your care together
  1. Your prioritiesName the daily activities you want help with.
  2. Shared planAgree on which support is useful and who coordinates it.
  3. ReviewCheck what is helping and change the plan when needed.
Try this todayPrepare three questions for your next visit. Consider bringing a trusted person to help you remember the discussion.
Companion 03

Your recovery guide

Choose meaningful goals and make everyday recovery manageable.

A patient practises a seated visual exercise with a clinician.

Choose a goal. Break it into parts.

Choose a goal: making dinner, seeing a friend or completing a work task. Note what help you need.

Start with a manageable version. Adjust the task, setting or time, then build with your clinician.

A difficult day is a reason to adjust your plan, not a failure.

Worked example — getting back to cooking
  1. My goalPrepare a meal for my family.
  2. A smaller startPrepare one simple part, sitting down if useful.
  3. Support and pacingAsk someone to handle the rest and plan a quiet break.
Try this todayUse the “My recovery plan” tool below to choose one goal, one manageable first step and one source of support.

Getting Back to Daily Life

A gradual return to work or adult study can be part of recovery. You may need shorter days, fewer tasks, extra time or a quieter space. Agree on temporary adjustments and a review date with your clinician and workplace or education team.

After the first 48 hours, reintroduce screens in manageable amounts. Try larger text, fewer open tabs and breaks away from the screen. Adjust the workload to how you respond.

Do not drive while dizziness, vision changes, slowed thinking or fatigue make it unsafe. Ask your doctor or nurse practitioner about driving, machinery, heights and other safety-sensitive duties.

Worked example — an adult returning to desk work
The taskReply to a full inbox while taking calls in a busy office.
A temporary adjustmentHandle a small batch of emails in a quiet space, pause calls and take a planned break. Review with the employer.
Try this todayPick one difficult part of your day. Use the checklist below to ask for one practical adjustment.

Movement and Exercise

Choose a safe aerobic activity: a level walk or stationary bike may suit some people. Your clinician can help choose an option if balance, dizziness, neck pain or other health conditions affect exercise.

Start with a short, easy amount you can tolerate. Check it against the mild-and-brief symptom guide. You do not need to provoke symptoms for exercise to count.

Example progression — not a prescribed dose

If a 5-minute easy walk is manageable, repeat it. When ready, try 6 minutes at the same pace and on the same route. If symptoms rise too much or take too long to settle, return to the last manageable amount or less. Your starting time may be shorter or longer.

Build one variable: extend time in small steps before adding more pace, hills or resistance. Avoid increasing duration and effort together. Your clinician may use exercise testing to set a personal heart-rate range and adjust it as you improve; this page does not prescribe one.

Review the whole day: exercise, screens, work and poor sleep can affect what you tolerate. Progress when the current load is manageable, rather than following a fixed weekly percentage. Repeated setbacks are a reason to review the plan, not abandon movement.

A flexible activity pathway
  1. ChooseSelect a low-risk activity with your clinician.
  2. NoticePay attention to how you feel during and afterwards.
  3. AdjustRepeat, make it easier, or build gradually as advised.

You can pause or step back. This is a decision process, not a recovery timeline.

Try this todayIdentify a safe place for gentle movement. If balance or dizziness makes walking unsafe, ask for help choosing an alternative.

Support sleep and everyday nutrition

Sleep: try a regular wake time and a quiet wind-down routine. Keep your sleep space comfortable. Tell your clinician about ongoing insomnia, heavy snoring or marked daytime sleepiness; these can need specific treatment.

Food and fluids: aim for regular meals, a varied diet and enough to drink. Simple meals and help with shopping can make this easier when you are tired.

There is not enough evidence to recommend a particular supplement or special diet as a concussion treatment. Discuss supplements and major dietary changes with your healthcare provider, especially if you take medicines.

An example of making the basics easier
  1. PrepareKeep an easy meal or snack available.
  2. Make spaceChoose a calm activity to wind down.
  3. Ask for supportBring persistent sleep or appetite problems to your clinician.
Try this todayChoose one manageable change: prepare an easy meal, ask for shopping help or set aside a wind-down time.

Make room for calm and connection

Worry, frustration and low mood deserve care too. Your symptoms are real.

Try slow breathing, quiet music or time with someone you trust. Adjust or stop if you feel worse.

Ask for help with everyday tasks. Tell your clinician if anxiety or low mood affects daily life.

An example — making a social visit manageable
  1. Keep it smallMeet one trusted person.
  2. Make it quieterChoose a calm setting and a short visit.
  3. Leave roomAllow a break afterwards and adjust next time.
Try this todayChoose one person you can tell what support would be useful today.

Returning to Sport

Managing everyday tasks does not mean you are ready for contact sport. Follow a sport-specific, supervised return-to-sport plan.

Under the Canadian guideline, each sport step takes at least 24 hours and may take longer. A doctor or nurse practitioner must provide medical clearance before step 4 (non-contact training drills), and before any earlier activity with a risk of head impact, collision or falling. Return to usual learning should be complete first, if applicable.

Later stages require resolution of concussion symptoms and relevant clinical findings, including with exertion. If symptoms return after clearance, stop and seek reassessment before resuming those stages. This page cannot clear you for sport.

Two different pathways
  1. Daily lifeGradual return with adjustments as needed.
  2. Medical decisionAssessment and clearance before higher-risk sport activity.
  3. Sport progressionSupervised training, then contact practice and competition as cleared.

Overview only. Use the full Canadian return-to-sport strategy with your clinician.

Try this todayAsk your clinician which sport activities are safe now and which need medical clearance. Share the plan with your coach.

Quick refresher

A moment to review

Six reminders to take with you.

From a small start to your next step

Step 1 of 6

Choose one meaningful activity

Choose a meaningful, low-risk activity. Start small.

Step 2 of 6

Check your starting symptoms

Rate symptoms from 0–10 before starting. That is your baseline.

Step 3 of 6

Keep the increase mild and brief

For low-risk activity, aim for no more than a 2-point increase, returning to baseline within 1 hour. New, severe or unusual symptoms override the numbers.

Step 4 of 6

Repeat before you build

Check later and the next morning. Once manageable, increase one thing at a time.

Step 5 of 6

Adjust when the dose is too much

More than +2 or longer than 1 hour? Stop, recover and try less next time. Discuss repeated flares with your clinician.

Step 6 of 6

Keep support in your plan

Review with your care team. Head-impact, collision or fall risks need a separate return plan and medical clearance when required.

Practical tools

Make the next step easier

Choose one worksheet. Open it when you are ready to plan or print.

01

Activity and break plan

Open the worksheet · fill in or print

Tool 01

Activity and break plan

Completed example — hypothetical

Activity: easy 5-minute walk on a level route.
Symptoms: 2/10 before, 3/10 at the highest point; back to 2/10 after 20 minutes.
Later / next morning: no lasting increase.
Next attempt: repeat; consider a small increase when consistently manageable. This is an example, not a starting dose for everyone.

02

Work or study accommodation checklist

Open the worksheet · fill in or print

Tool 02

Work or study accommodation checklist

Completed example — hypothetical

Difficulty: concentrating in long meetings.
Request: shorter meetings, a written summary and a quiet break afterwards.
Review: discuss with my supervisor and clinician at our agreed check-in.

Options to discuss — select what may help
03

My recovery plan

Open the worksheet · fill in or print

Tool 03

My recovery plan

Completed example — hypothetical

Goal: prepare a family dinner.
Why it matters: I enjoy cooking for people I care about.
Barrier and support: standing and planning feel tiring; I can start with one part and ask someone to help.
Question: “How can I build this up safely?”

  • What activities are safe for me now?
  • Which symptoms need further assessment?
  • Who is coordinating my care, and when should we review it?

One place to start

Let’s understand what you need.

Understand your symptoms and build a recovery plan with our concussion team.

Book a concussion assessment

For a new suspected concussion, seek prompt medical assessment by a doctor or nurse practitioner. Rehabilitation supports that care. Emergency warning signs need urgent medical attention.

Optional reading

More from the Tall Tree blog

Optional reading, when you are ready.

Browse articles and download the three Tall Tree guides

Keep a copy

Tall Tree concussion guides

Save or print a guide to use alongside your care plan.

These original handouts may differ from the updated activity guidance on this page. Ask your clinician which advice applies to you.

Patient resources

Two helpful places to learn more

Reliable concussion information for you and the people supporting you.

Living Concussion Guidelines

A guide for adults and caregivers

Plain-language information about symptoms, recovery and returning to everyday activities.

Explore the patient guide →

Parachute Canada

Understand concussion

Learn about concussion signs, what to do after an injury, and resources for a safe return to activity.

Explore concussion resources →

Adapted in part from the Living Concussion Guidelines, The Ottawa Hospital Research Institute, under CC BY 4.0. Wording and examples have been changed. No endorsement is implied.

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