Dr. Thomas Bottiglieri

Dr. Thomas Bottiglieri Chief Sports Physician & WellnessDirector-ColumbiaOrtho-NYP, NYC. opinions my own. interests…Exercise Medicine, HRV, Concussion, Ultrasound.

09/06/2026

Get moving for life.

09/04/2026

Great athletic vision is about more than simply looking directly at an object. Athletes also need to be aware of what is happening around them, especially when movement is happening quickly.

Dr. Thomas Bottiglieri, DO, explains the “focus-defocus” technique, which combines a central visual point with awareness of the peripheral field. This skill can be practiced away from the court or field to help develop broader visual awareness.

Watch the video to learn how athletes can practice this vision skill and apply it to sports performance.

09/03/2026

What does it mean when someone says an athlete has “great vision”? It is not only about having excellent eyesight. Being aware of what is happening around you can be an important athletic skill.

Dr. Thomas Bottiglieri, DO, explains how peripheral vision and a focus-de-focus approach may help athletes recognize movement and potential contact sooner, giving them an opportunity to react and protect themselves.

Watch the video to learn more about peripheral vision, athletic awareness, and its role in contact sports.

09/03/2026

Light, then moderate, then heavier, then sport, then practice, then a game. Collision sports need all of that. Absence of symptoms alone is not the same as ready.

09/02/2026

Cognitive load matters during concussion recovery. Thinking, studying, working, screen time, multitasking, and emotional stress can all add to the demands placed on the brain.

Dr. Thomas Bottiglieri, DO, explains why monitoring symptoms and taking regular breaks can be helpful when returning to school, work, and daily activities. He also discusses why managing mental workload can be relevant to recovery from other injuries.

Watch the video to learn more about cognitive load and practical ways to manage mental stress during recovery.

09/02/2026

I start with the neck. After a concussion, the head can forget where it is in space. We train that with a laser on a bullseye.

09/02/2026

Laser on the head. Eyes closed. Turn and come back to the target. The miss is the error. Athletic trainers can do this with paper and a laser.

09/01/2026

Can supplementation help after a concussion? Dr. Thomas Bottiglieri, DO, discusses several supplements commonly considered during concussion recovery, including creatine, fish oil, vitamin B2, and magnesium.

He also highlights an important consideration: supplements are not regulated like prescription medications, so product quality and third-party testing matter. Some nutritional approaches show promise, but evidence is still developing and supplements should not replace appropriate medical evaluation and concussion care.

Watch the video to learn more about concussion supplementation and what patients should consider before taking a supplement.

08/31/2026

Rest is not the treatment. After the first day or two, we use a heart-rate monitor. Walk or a bike. I do not clear on rest and symptoms resolution alone, but exercise tolerance and absence of symptoms with sport specific exercises. Graded exertion is key 🔑

08/31/2026

A concussion is not a bruise. It is a stretch of the wiring from a hit to the head, neck, or body. Most of the time there is no gold-standard test. I get the truth when an athlete trusts me enough to stop hiding the C-word.

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Englewood, NJ
07631

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