Neck pain, headaches and concussion care in downtown Toronto.

Active care, not a dark room.

The old advice after a head injury was to rest, avoid screens and wait it out. Past the first day or two that is now considered unhelpful. Consensus guidance supports relative rest for 24–48 hours, then light, symptom-guided activity aimed at the systems the injury disrupted rather than at the diagnosis in general.

So the assessment comes first, and it is deliberately wide. A headache four weeks after a collision can come from an irritated upper neck joint, from a vestibular system that no longer likes busy rooms, or from both. What the screen finds is what the plan treats: manual therapy for the neck, graded gaze and balance work for the visual and vestibular side, and a paced aerobic progression kept under your symptom threshold.

From there it is staged, one stressor at a time — reading before screens, walking before running, training before contact. We progress when a stage is tolerated, not on a calendar, and a plan that stalls gets reassessed rather than repeated. Letters for sport, school and work come out of your own findings, and where the goal is contact sport a functional movement assessment can sit at the end of that progression.