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Acute Concussion

Research suggests getting early, symptom-guided care (gentle activity and targeted rehab when needed) can help symptoms settle sooner and support a faster, safer return to school, work, and sport than rest alone.

There is a path forward.

Recovery in the early days after a concussion isn’t about doing nothing — or pushing through. It’s about taking the right steps at the right time, based on how your symptoms respond. Here’s a simple way to think about the first few weeks.

The first 24 to 48 hours

Days 3 to 7

Days 8 to 14

Day 15 and beyond

Let things settle.  Right after a concussion, your system is often sensitive and overwhelmed. Symptoms can feel intense, unpredictable, or unfamiliar. This stage is about keeping things calm and simple — giving your brain space to settle while staying gently engaged with daily life. Small amounts of movement and normal routine are often okay if they feel manageable, but this isn’t the time to push or “test” yourself. The focus here is reassurance, rest, and reducing anything that clearly aggravates symptoms.

Gently reintroduce normal life. As the initial shock fades, many people start wondering what they should be doing — and whether they’re doing too much or too little. This phase is about easing back into light activity and everyday tasks in a paced way. A small increase in symptoms can be normal, as long as it settles relatively quickly. If symptoms flare and linger, it’s a sign to scale things back. The goal isn’t progress at all costs — it’s finding a rhythm your body can tolerate.

Build tolerance and confidence. During this stage, many people can begin handling more of a “normal” day — with fewer breaks and less symptom disruption. Activity, work, and exercise are usually increased gradually, and this is often when more targeted support is introduced if certain symptoms aren’t improving (like neck pain, dizziness, visual strain, or exercise intolerance). Structure matters here. Clear guidance helps recovery keep moving forward instead of stalling or zig-zagging.

Return to full life. By this point, many people are well on their way back to full routines. For others, symptoms may still be lingering — and that doesn’t mean recovery has failed. Ongoing symptoms usually point to a specific system that needs more focused support. With the right assessment and plan, progress is still very much possible. This stage is about restoring confidence, capacity, and trust in your body again.

Every concussion is different. This timeline is meant to provide orientation, not a fixed schedule. 

Let's find the right level of concussion support for you.

I work with people at different stages of recovery and with different levels of support. Whether you’re looking for structured guidance or individualized care, the goal is the same: clarity, reassurance, and safe progress forward.

Concussion Essentials Guided Recovery Program

This is for you if you want clear, structured guidance to help you through the first days and weeks after a concussion. I’ll walk you through what to do, what to avoid, and how to pace activity — so you’re not left guessing and second-guessing every decision.

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Concussion Essentials includes 7 on-demand video modules and a interactive recovery booklet.

Personalized 1:1 Physiotherapy Appointment

This is for you if your symptoms aren’t settling as expected or if you want individualized support from the start. Working together one-on-one allows us to look deeper at what’s driving your symptoms and create a recovery plan that’s tailored to you.

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Appointments are available via telehealth or in-person at my London clinic.

© 2025 Akeso Sports Medicine & Concussion

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