Skip to main content
Seacoast Spine & Sports Injuries Clinic

Concussion

Head, headache & jaw · Before your visit

A concussion is a mild traumatic brain injury that can affect thinking, vision, balance, sleep, mood, and exertion tolerance.

When to seek urgent medical care

Seek emergency care after a head impact for a worsening headache, repeated vomiting, increasing confusion, seizure, loss of consciousness, slurred speech, unequal pupils, or new weakness or numbness. New jaw pain with chest pressure, breathing trouble, or sweating also needs emergency evaluation.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is concussion?

A concussion is a mild traumatic brain injury that can affect thinking, vision, balance, sleep, mood, and exertion tolerance. Early screening, medical coordination, and a graded return to school, work, and sport are central to safe management.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What concussion can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • headache or pressure
  • dizziness or balance change
  • light and sound sensitivity
  • slowed thinking or unusual fatigue

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For concussion, the history commonly examines:

  1. 1direct impact to the head
  2. 2rapid acceleration or deceleration
  3. 3sports collision or fall

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focussymptom and neurologic screen
Clinical focusbalance, eye movement, and exertion response
Clinical focusurgent-danger-sign review

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for concussion is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

coordinate medical management

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress activity below the symptom threshold

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

plan a staged return to sport or work

Progress is checked against symptom response and function so the plan can change when capacity changes.

Services that may support care for concussion

These are clinical tools, not automatic recommendations. Your provider selects a service only when it fits the diagnosis, irritability, healing stage, and goal.

See every service

Common questions about concussion

Short answers to the decisions people usually face before an evaluation.

What is concussion?

A concussion is a mild traumatic brain injury that can affect thinking, vision, balance, sleep, mood, and exertion tolerance. Early screening, medical coordination, and a graded return to school, work, and sport are central to safe management.

How is concussion assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include symptom and neurologic screen, balance, eye movement, and exertion response, urgent-danger-sign review. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for concussion include?

A plan may draw from Chiropractic, and Physical Therapy, but the service is not the diagnosis. Care is selected around the examination and may focus on coordinate medical management, progress activity below the symptom threshold, plan a staged return to sport or work. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with concussion?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does concussion need urgent medical care?

Seek emergency care after a head impact for a worsening headache, repeated vomiting, increasing confusion, seizure, loss of consciousness, slurred speech, unequal pupils, or new weakness or numbness. New jaw pain with chest pressure, breathing trouble, or sweating also needs emergency evaluation.

Related head & jaw guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse head, headache & jaw

Get clarity on concussion.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
Book Call