Vestibular Rehabilitation & Balance Training Program Amritsar

Vestibular Rehabilitation & Balance Training Program Amritsar

Dr. Amanjot Singh

17 Nov 2025

Call +91 80788 80788 to request an appointment.

Post-Concussion Syndrome & Prolonged Recovery Amritsar

At Livasa HospitalsLivasa Amritsar — we understand how confusing and frightening persistent symptoms after a head injury can be. This comprehensive patient-facing guide explains what post-concussion syndrome (PCS) is, why some people experience prolonged recovery, how it’s diagnosed and treated, and what resources exist in Amritsar and Punjab for specialised care such as neuropsychological testing and vestibular therapy. If you or a family member are struggling with lingering symptoms, you can reach out to our concussion specialists on +91 80788 80788 or book an appointment online.


What is post-concussion syndrome?

Post-concussion syndrome (PCS) is a clinical condition in which concussion symptoms persist beyond the expected recovery period following a mild traumatic brain injury (mTBI). Classically, most concussion symptoms improve within 7–21 days, but in PCS the symptoms remain for weeks to months or even longer. Commonly reported problems include headaches, dizziness, memory and attention problems, sleep disturbance, sensitivity to light/noise, and mood changes such as irritability, anxiety, or depression.

The term “concussion” refers to a functional disturbance of the brain rather than a clear structural injury visible on routine imaging. That’s why many people with PCS have normal CT or MRI scans but continue to experience significant functional impairment. PCS is a diagnosis based on clinical history and symptom constellation rather than a single laboratory or imaging test.

From a neurological perspective, PCS represents a complex interaction of physiological brain changes (such as altered neurotransmission and metabolic recovery), vestibular and ocular dysfunction, psychological factors, and social circumstances. Because multiple systems may be involved, effective care is often multidisciplinary — involving neurologists, physiotherapists, neuropsychologists, vestibular therapists, and when needed psychiatrists or pain specialists.

For residents of Amritsar and Punjab who search for terms like post-concussion syndrome Amritsar, post concussion clinic Amritsar, or post concussion specialist Punjab, Livasa Amritsar offers coordinated assessment pathways designed for persistent concussion symptoms and prolonged concussion recovery.


Causes and risk factors for prolonged recovery

Not every concussion leads to PCS. However, a combination of injury-related and patient-related factors increases the risk of prolonged recovery. Understanding these factors helps clinicians predict who may need early targeted intervention, and it helps patients and families anticipate the course and seek timely care.

Key causes and risk factors include:

  • Severity and mechanism of injury: While PCS often follows a mild concussion, repetitive head impacts (sports-related or occupational) and higher force injuries increase risk.
  • Previous concussions or pre-existing neurological conditions: A history of prior head injuries, migraines, learning disorders, or central vestibular issues can predispose to prolonged symptoms.
  • Psychiatric comorbidities: Pre-existing anxiety, depression, or post-traumatic stress disorder are associated with slower recovery and prolonged symptoms.
  • Age and sex: Some studies show older adults and female patients may report more persistent symptoms, though individual variability is high.
  • Delayed access to appropriate care: Not receiving early education, rest, graded rehabilitation or targeted therapies (like vestibular or cognitive rehab) can lengthen recovery.
  • Social and occupational stressors: High-demand jobs, poor social support, or legal/compensation issues can perpetuate symptoms.

Globally, the estimated incidence of traumatic brain injury is about 69 million people per year. While most are mild injuries, an estimated 10–30% of people with concussion may experience persistent symptoms consistent with PCS. In India and in regions like Punjab, head injuries account for a considerable proportion of emergency admissions—often linked to road traffic accidents and sports injuries—making concussion and PCS an important public health issue locally. Livasa Amritsar tracks referrals for persistent concussion symptoms and sees a growing need for structured concussion rehabilitation programs in the region.


Symptoms: How persistent concussion symptoms present

Symptoms of PCS fall into several domains: physical, cognitive, emotional/behavioral and sleep-related. Symptoms can be subtle and fluctuate throughout the day. Because patients may normalize or minimize symptoms, family input and structured assessment are important. Typical symptoms include:

  • Physical: persistent headaches (tension-type or migraine-like), dizziness, imbalance, light or noise sensitivity, visual disturbances (blurred or double vision), ringing in ears (tinnitus).
  • Cognitive: trouble concentrating, slowed thinking, short-term memory problems, difficulty multitasking, word-finding issues — often described as “brain fog”.
  • Emotional/behavioral: irritability, low mood, anxiety, emotional lability, reduced tolerance for stress.
  • Sleep: insomnia, hypersomnia, non-restorative sleep or changes in sleep pattern, which in turn worsen cognitive and emotional symptoms.

Persistent symptoms after head injury in Punjab and Amritsar are commonly reported by patients after sports injuries, road traffic accidents, domestic falls, and workplace incidents. Pediatric presentations (pediatric post concussion Amritsar) often show academic decline, increased irritability, and longer recovery compared to adults, highlighting the need for tailored school reintegration plans and pediatric concussion specialists.

It’s important to recognize “red flag” signs that require urgent reassessment: worsening headaches, repeated vomiting, progressive confusion, focal neurological signs (weakness, vision loss, slurred speech), seizures, or declining level of consciousness. In such cases, immediate evaluation in an emergency setting is necessary.


Diagnosis and comprehensive assessment

Diagnosing PCS involves a careful history, symptom inventories, neurological examination, and targeted investigations to exclude other causes. Because imaging (CT/MRI) is often normal, specialised assessments are essential to identify functional impairments and guide rehabilitation. In Amritsar, patients seeking neurological assessment after concussion Amritsar or neuropsychological testing Amritsar can access multidisciplinary evaluation at Livasa Amritsar’s neurology and rehabilitation services.

Common diagnostic steps include:

  • Detailed clinical history: timing, mechanism of injury, initial symptoms, past medical and psychiatric history, medication use, sleep patterns and functional limitations.
  • Symptom scales and inventories: Rivermead Post-Concussion Symptoms Questionnaire, Post-Concussion Symptom Scale (PCSS), and other validated tools help quantify severity and monitor change.
  • Neurological and vestibular exam: assessment of balance, gait, ocular motility, nystagmus, and vestibulo-ocular reflex to detect treatable peripheral or central vestibular dysfunction.
  • Neuropsychological testing: formal cognitive testing by a neuropsychologist evaluates attention, processing speed, memory, executive function and provides objective data for rehabilitation planning and return-to-work/school decisions.
  • Imaging and specialised tests: CT or MRI to exclude structural injury when indicated; advanced testing (e.g., diffusion imaging, functional imaging) may be used selectively in research or complex cases.

For patients in Punjab, timely access to a post concussion clinic Punjab or concussion follow up care Amritsar can significantly improve outcomes. Livasa Amritsar provides coordinated pathways where neurology, neuropsychology, physiotherapy and ENT/vestibular services work together to build a personalised recovery plan. Neuropsychological testing at our centre gives clear baselines and measurable objectives for cognitive rehabilitation.


Treatment options and multidisciplinary care

There is no single “cure” for PCS. Effective management is multidisciplinary and symptom-targeted. Early, tailored rehabilitation has been associated with shorter recovery times and less chronicity. Treatments may include education and reassurance, graded physical and cognitive rehabilitation, vestibular and vision therapy, medications for specific symptoms, psychological therapies, and return-to-activity planning.

Below is a comparison of common treatment approaches. This table highlights benefits and approximate recovery expectations to help patients and families understand choices:

Treatment type Primary goals Expected recovery/benefit
Education and symptom management Reduce anxiety, pacing, sleep hygiene Helpful early; short-term improvement in most
Vestibular therapy (vestibular rehab) Address dizziness, balance, ocular dysfunction Often rapid symptom reduction over weeks
Cognitive rehabilitation & neuropsych therapy Improve attention, processing speed, memory Gradual improvement; measurable with testing
Medications (targeted) Treat headaches, sleep, mood, vestibular symptoms Symptom relief; used adjunctively
Multidisciplinary concussion rehabilitation program Coordinate all therapies and return-to-work/school planning Best outcomes for prolonged recovery; personalised

In practice, Livasa Amritsar’s concussion rehabilitation program Amritsar integrates these components. For example, vestibular therapy after concussion Amritsar can be combined with vision exercises and graded aerobic activity to address deconditioning and autonomic dysfunction. Psychological therapies (CBT and trauma-informed care) address mood and coping strategies which are especially important when symptoms persist beyond expected time frames.


Rehabilitation pathways and specialised services at Livasa Amritsar

Rehabilitation is central to recovery for many PCS patients. Livasa Amritsar offers a structured pathway for patients with persistent concussion symptoms in Amritsar and Punjab. Our team includes neurologists, physiotherapists with vestibular expertise, neuropsychologists, occupational therapists, and pain and sleep specialists — coordinated to create a tailored rehabilitation program.

Key services available:

  • Comprehensive neurological assessment: specialist consultation for diagnostic clarity and management plans (search terms: neurologist for concussion Amritsar, post concussion specialist Punjab).
  • Neuropsychological testing: objective baseline testing and follow-up to guide cognitive rehab and school/work return.
  • Vestibular and vestibulo-ocular therapy: balance retraining, gaze stabilization, habituation and graded exposure for motion sensitivity.
  • Vision therapy and occupational therapy: support for visual tracking problems and functional tasks such as reading or computer work.
  • Graded exercise and cardio conditioning: monitored sub-symptom aerobic exercise to restore autonomic balance and endurance.
  • Psychological support: CBT and trauma-informed care to treat anxiety, depression and maladaptive illness beliefs.

For athletes, Livasa Amritsar runs a coordinated sports concussion clinic Amritsar that focuses on safe return-to-play protocols, performance baseline testing, and education for coaches, parents and schools. For children, pediatric post concussion Amritsar services include school liaison and tailored cognitive rest and reintegration plans.


Timeline, prognosis and long-term effects

Recovery after concussion is highly variable. Most people recover within days to a few weeks, but a meaningful minority develop PCS or long-term concussion effects. Understanding the expected timeline can reduce anxiety and guide rehabilitation milestones.

Typical recovery framework:

  • Acute phase (0–7 days): rest, symptom management, avoidance of high-risk activities, basic education and gradual reintroduction of light activities as tolerated.
  • Subacute phase (1–4 weeks): graded return to normal activities, targeted therapies (vestibular, vision), and monitoring of academic or work performance.
  • Chronic phase (beyond 4 weeks): persistent symptoms may indicate PCS; multidisciplinary rehabilitation is often required.

Long-term concussion symptoms Amritsar patients worry about include chronic headaches, cognitive impairment, and mood disorders. While many patients improve substantially with proper rehabilitation, some may experience residual impairments affecting work, study or quality of life. Current evidence supports that early, targeted rehabilitation reduces the likelihood of chronicity.

Prognosis depends on several factors: pre-existing conditions, the nature of symptoms, adherence to therapy, and timely access to specialist care like those provided by Livasa Amritsar’s post concussion clinic. If you’re asking “how long does post concussion last Amritsar?” know that while most recover within weeks, persistent symptoms need evaluation and active treatment to improve outcomes.


When to see a doctor and follow-up care

Knowing when to seek specialist care is important. Immediate emergency attention is required for any worsening neurological signs listed earlier. For non-emergent but persistent symptoms, consider seeing a specialist if:

  • Symptoms persist beyond 2–4 weeks and interfere with daily life, work or school.
  • There are ongoing cognitive problems (attention, memory, processing speed).
  • Persistent dizziness, imbalance, or vision problems limit mobility.
  • Mood disturbance, sleep problems or worsening anxiety/depression after the injury.
  • Recurrent concussions or concerns about return-to-play/work safety.

For families and caregivers in Amritsar searching “when to see doctor after concussion Amritsar,” a timely neurological assessment and possibly neuropsychological testing Amritsar should be arranged. Follow-up care often includes scheduled reassessments (4–6 weeks after initial evaluation, and then as needed) to monitor progress, adjust therapy, and plan return-to-work or school. For pediatric cases, coordinated plans with schools are essential for graded reintegration and academic supports.


Costs and access: what to expect in Amritsar and Punjab

An important consideration for many families is the cost of PCS care. Costs vary depending on the extent of evaluation and the duration of rehabilitation. Below is a general cost-comparison table to help set expectations for patients in Amritsar and Punjab. These are approximate ranges and can vary based on the specific services and clinician seniority.

Service Estimated cost (Amritsar / Punjab) Notes
Initial specialist consultation (neurologist) INR 800 – 2,500 Depends on seniority and tests ordered
Neuropsychological testing (full battery) INR 6,000 – 20,000 Variable by test complexity and report requirements
Vestibular/physiotherapy session INR 600 – 2,000 per session Often multiple sessions required
Comprehensive rehabilitation program (4–12 weeks) INR 25,000 – 150,000 Depends on intensity, tests, and allied therapies

At Livasa Amritsar, transparent costing and package options for post concussion syndrome treatment Amritsar and concussion rehabilitation Amritsar are available. We encourage patients to discuss expected costs upfront and explore package pricing for multidisciplinary programs which often offer better value and coordinated care.


Prevention, return-to-activity and community advice

Preventing initial concussions and avoiding premature return to activity are critical. Education, proper protective equipment, safe playing techniques, and early reporting of symptoms in sports are key. For patients recovering from concussion, a graded return-to-activity plan is recommended — based on symptom levels, clinical assessment and functional testing.

Practical return-to-activity recommendations:

  • Start with symptom-limited physical and cognitive rest (short-term).
  • Introduce light aerobic activity below symptom threshold under supervision.
  • Progress to sport-specific training and cognitive tasks as tolerated.
  • Only return to full contact sport after completing a stepwise protocol and receiving clearance from a specialist experienced in concussion management.
  • For school or work, use a graded return with academic or occupational accommodations (shorter days, reduced cognitive load, extra time for tasks).

Local community resources in Amritsar, including sports clubs and schools, should be educated about concussion recognition, initial management, and when to refer to specialists. Livasa Amritsar works with local organisations to provide awareness sessions and return-to-play guidance for coaches, parents and teachers.


How Livasa Amritsar can help — getting started

If you are searching for post-concussion syndrome Amritsar Punjab, concussion recovery Amritsar or the best neurologist for concussion Punjab, Livasa Amritsar offers the following patient-focused steps:

  1. Call our dedicated line at +91 80788 80788 for triage and appointment scheduling.
  2. Book online via our appointment portal: https://www.livasahospitals.com/appointment.
  3. Attend an initial neurological assessment and symptom inventory with targeted testing (vestibular screening, cognitive screening).
  4. Undergo tailored investigations as recommended (neuropsych assessment, imaging if indicated) and co-create a rehabilitation plan.
  5. Start an integrated rehabilitation program with clear milestones, follow-up reviews and school/work reintegration planning.

We are located in Amritsar and routinely care for patients from surrounding areas throughout Punjab. Our model emphasises early intervention, clear patient education and a measurable rehabilitation trajectory to optimise recovery and reduce the risk of long-term concussion effects.

Take the next step

Persistent concussion symptoms don’t have to be a life sentence. If you’re experiencing persistent symptoms after head injury Amritsar or need a neurological assessment Amritsar, contact Livasa Hospitals — Livasa Amritsar at +91 80788 80788 or book an appointment online. Our multidisciplinary concussion rehabilitation team will guide you through assessment, targeted treatment and a practical return-to-life plan.


Frequently asked questions (FAQ)

Q: How long will my symptoms last? A: Most people improve in days to weeks. If symptoms persist beyond 2–4 weeks, seek specialist reassessment — many people improve with targeted rehabilitation. For those asking “how long does post concussion last Amritsar,” individual prognosis varies and depends on early intervention and therapy adherence.

Q: Do I need an MRI? A: Not always. Imaging is used to exclude structural injury or complications. Neuropsychological testing and vestibular assessments are often more informative for PCS.

Q: Is there a specialised clinic in Amritsar? A: Yes. Livasa Amritsar provides a post concussion clinic Amritsar and coordinated concussion rehabilitation programs for adults and children.

Q: What about sports concussions? A: Athletes should follow structured return-to-play protocols overseen by concussion specialists. Livasa’s sports concussion clinic Amritsar offers baseline testing, graded return-to-sport, and education for coaches and parents.

For reliable, local, multidisciplinary care for post-concussion syndrome in Amritsar and across Punjab, call Livasa Amritsar at +91 80788 80788 or book an appointment. Early assessment, a clear rehabilitation plan and compassionate support significantly improve outcomes for those with prolonged concussion recovery.

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