02/02/2026
Being told to “just rest” after a concussion is common. Turns out, exercise might be exactly what you need!
Rest alone is not what is needed for concussion recovery. In Persistent Post Concussion Symptoms, the brain has often healed from a metabolic standpoint but the nervous system may still be dysregulated. While resting entirely may help you prevent your symptoms from coming on, it does not retrain the system to tolerate activity again. Overtime, avoidance may actually reinforce symptoms rather than resolve them.
But why is exercise needed? Your brain needs blood flow and stimulation to heal properly and exercise when prescribed appropriately is one of the best ways to improve both. The key is a gradual graded return to exercise that supports recovery without increasing your symptoms.
We use the Buffalo Concussion Treadmill Test (BCTT) to identify your individual exercise threshold, the point in which your nervous system struggles to regulate. Exercise is then prescribed below that threshold and progressed gradually, with repeat testing to guide recovery.
This approach improves autonomic regulation and increases your tolerance to exercise for recovery. If your symptoms are lingering beyond the expected recovery window, a symptom-threshold assessment may be worth exploring!