Post mild-TBI fatigue can be persistent and has been shown to be present up to 5 years post-injury.

Ontario Neurotrauma Foundation, 2013

Most people suffering from a concussion will have a full recovery.

The majority of individuals (73 to 88%) return to their principal occupation within one year of injury.

Ontario Neurotrauma Foundation, 2013

Persistent dizziness, balance and vision changes are common after a concussion.

Ontario Neurotrauma Foundation, 2013

All persons suspected of a concussion should be examined by a doctor.

Possible concussion should be assessed as soon as possible after injury.

Ontario Neurotrauma Foundation, 2013

Recent reviews state that 50% of clients suffer from sleep disturbances after concussion.

Ontario Neurotrauma Foundation, 2013

The majority of concussion symptoms (85 - 90%) will recover in 7 - 10 days with a cognitive physical rest protocol.

Ontario Neurotrauma Foundation, 2013

Because there is no visible injury to the brain, most MRI & CT scans after a concussion are within normal limits.

Evidence supports that reassurance and education about symptoms is most effective for lowering risk of persistent symptoms.

Macciocchi, A.W., 1993

Proper management of a concussion can help speed recovery.

Many people that have a concussion feel dazed/confused and do not remember events around the injury.

Insomnia is the most common form of sleep disturbances after a mild brain injury.

Ontario Neurotrauma Foundation, 2013

The expected recovery from cognitive-based symptoms following mild TBI ranges from 1 week to 6 months.

Ontario Neurotrauma Foundation, 2013

A concussion is a mild brain injury caused by a hard hit or jolt to the head or body.

The most common symptoms after concussions are: Headaches and Fatigue (68.4%), followed by Sleep Disturbances (57.9%).

Vancouver Coastal Health

Concussions can occur without a loss of consciousness.

Referral Forms

Concussion Care Community Clinic is a

Certified BrainFx Provider

Concussion Care Assessments & Programs

Concussion Care Community Clinic offers individualized assessments and evaluations to adults who have been diagnosed with a concussion or mild brain injury. Early intervention has been proven to be successful in promoting a full recovery for those who are living with the effects of a recent concussion. Learning and understanding what to expect regarding recovery reduces stress and anxiety and also speeds up a return to full functioning.

Our assessments include a variety of formal and informal tools to determine current levels of functioning. Education on symptom management is a critical component to our programs that involves use of educational materials as well as access to technology supports and groups. Concussion Care Community Clinic therapists provide our clients with strategies on how to manage psychological, cognitive and emotional changes secondary to brain injury. Collaboration also occurs with outside service providers such as doctors, psychologists and neuropsychologists. Finally, reports include detailed recommendations for resuming participation in home, school or work life.

Specialized programming is also offered for those who have persistent post concussive symptoms lasting over 1 year. Our reactivation program focuses on empowering those with persistent symptoms to re-engage in active, purposeful activities such as physical activities, volunteering or even return to work. Our services focus on education and assisting clients to reactivate purposeful and productive activities in their day. Use of a Pacing and Planning system is incorporated in all assessments and programs at Concussion Care Community Clinic. Ongoing follow up and discharge planning is determined on a case by case basis.

Overview of Treatment:

Phase One is to reduce acute symptoms through activity scheduling, develop an understanding of triggers and how to avoid them and following a daily activity schedule that includes regular brain breaks.

Once symptom management is achieved, Phase Two is to increase daily activity, activity duration and exposure to typical environments with a continued emphasis on symptom management. Rehabilitation occurs when the individual gradually increases activity duration within their symptom tolerance. Repeated exposure to the activity without experiencing symptoms will eventually result in longer periods of activity tolerance, therefore duration, without triggering symptoms. This plan promotes a reintegration to their regular daily schedule pre injury, including a return to work.

Phase Three has a specific focus on required work tasks, both cognitive and physical as well as exposure to the specific work environment. Once the individual is able to tolerate 2-4 hours of consecutive activity, with brain breaks as needed, they are prepared to begin a gradual return to work. The return to work may include modified tasks completed in alternate environments.

All services are at a fee for service cost but may be covered under insurance plans.

For more information, please do not hesitate to call (204) 231-0785 or email us at

Disclaimer: Programs/Services at Concussion Care Community Clinic are based on similar programs developed and carried out by G.F. Strong Rehabilitation Centre in Vancouver, BC.

Pediatric concussion services are offered through Manitoba Health at the Pan Am Clinic.

Pan Am ClinicThe Pan Am Concussion Program is a provincial government-funded clinical program that provides multidisciplinary care to pediatric patients with concussion and traumatic brain injuries (TBI) living in Manitoba, northwestern Ontario and central Nunavut.