Concussion Rehabilitation · Stony Brook, NY

A Concussion May Happen in a Moment. Recovery Is a Process.

A concussion can temporarily affect how the brain processes and integrates information from vision, balance, movement, sensation, and the environment. Two people can experience similar injuries and have very different symptoms and recovery patterns.

Persistent symptoms deserve careful evaluation rather than an assumption that every difficulty comes directly from the original injury. The goal is to understand the individual pattern, relevant contributing systems, and appropriate next step.

Dr. Jared Leon, DC, DACNB, FABVR, CCEP

Board-Certified Functional Neurologist · Fellow of the American Board of Vestibular Rehabilitation

The Neural Stress Test™ is an educational screening, not a diagnosis or a substitute for an in-person clinical evaluation.

Dr. Leon conducting a focused clinical evaluation
Evaluate the Pattern · Build the Strategy · Reassess
One Injury · Many Possible Experiences

Why Concussions Can Feel So Different.

Symptoms can overlap, change with activity, and involve more than one contributing factor. A symptom list alone cannot identify which systems need attention.

Headache / Migraine

Head pain may occur with light or sound sensitivity, nausea, neck symptoms, dizziness, or other features that require appropriate evaluation.

Dizziness & Balance

A person may feel unsteady, disoriented, lightheaded, or less confident while standing, walking, or changing direction.

Visual Sensitivity

Screens, reading, bright light, visual tracking, or shifting focus may feel more demanding than they did before the injury.

Motion Sensitivity

Moving through crowds, riding in a car, scrolling, or watching movement may provoke discomfort or disorientation.

Brain Fog / Concentration

Sustained attention, multitasking, memory, or processing busy information may require more effort.

Neck & Movement

Neck discomfort, altered movement, and body-position information can overlap with headache, dizziness, and balance concerns.

Sleep & Recovery

Changes in sleep quality or rhythm can influence energy, symptom tolerance, and day-to-day function.

Exercise / Activity Tolerance

Physical or cognitive activity may feel different, and tolerance can vary with intensity, duration, and the demands of the task.

These experiences are not unique to concussion and may have multiple causes. Appropriate medical and clinical evaluation matters.

Multiple Systems · One Experience

The Brain Has to Integrate the World.

Walking through a store, driving, reading, exercising, working on a computer, or turning the head while moving can require several systems to cooperate at the same time.

Vision
Vestibular
Proprioception
Movement
Cognitive Load

Brain Integration

Receives · Compares · Organizes · Responds

Function

A simplified educational model. It does not diagnose the source of a symptom or replace clinical evaluation.

Visual-Motion Sensitivity

Why Costco Can Feel Harder Than Sitting in a Quiet Room.

A busy store can combine moving people, bright lights, long aisles, patterned shelves, head movement, walking, visual scanning, and cognitive demands simultaneously.

For someone experiencing post-concussion visual-motion sensitivity, that environment may be much more challenging than a quiet room. The “Costco Effect” describes an experience; it is not a diagnosis and does not identify one universal cause.

Explore Visual Motion & Balance
Moving people
Bright lights
Long aisles
Patterned shelves
Head movement
Visual scanning
Walking
Cognitive demand
Individualized Evaluation

What Dr. Leon May Evaluate.

Testing is selected according to the history, presentation, current tolerance, and prior medical evaluation—not from a one-size-fits-all checklist.

Eye movements

Visual tracking

Gaze stability

Vestibular function

Balance

Postural stability

Coordination

Cervical function

Proprioception

Movement tolerance

Neurological examination findings

Not every area is relevant to every person. Findings may also indicate that referral, co-management, or additional medical assessment is appropriate.

Findings Before Protocols

Rehabilitation Should Be Specific.

When clinically appropriate, rehabilitation may progressively challenge the specific systems identified during evaluation. The activity, sequence, intensity, and progression should reflect the person's findings and tolerance.

These categories are educational examples, not prescribed exercises. No single approach is right for every person, and rehabilitation cannot promise a particular outcome.

01Visual exercises
02Gaze-stability activities
03Balance work
04Vestibular rehabilitation
05Coordination tasks
06Movement progression
Other individualized strategies may be considered when clinically appropriate.
A Functional Living™ Teaching Principle

“The goal isn't simply to challenge the brain. The goal is to give it the right challenge, at the right intensity, at the right time.”

— Dr. Jared Leon
Look at the Pattern Over Time

Recovery Is Not Always Linear.

Tolerance can change with sleep, stress, physical activity, visual demand, cognitive load, and other factors. One difficult day does not tell the entire story.

Progress is better understood by reassessing relevant functions and looking at patterns over time. The pace and direction of change remain individual.

A Clear Patient Journey

Understand First. Then Build the Strategy.

  1. 01

    Listen to the History

    Understand the injury, medical care, symptom pattern, daily demands, and what has changed over time.

  2. 02

    Evaluate the Systems

    Select appropriate neurological, visual, vestibular, balance, cervical, and movement measures.

  3. 03

    Identify Patterns

    Consider which findings may be relevant and whether additional medical evaluation or co-management is needed.

  4. 04

    Build the Strategy

    Create an individualized rehabilitation approach based on findings and current tolerance when appropriate.

  5. 05

    Reassess & Progress

    Repeat relevant measures and adjust the type, intensity, or complexity of the challenge over time.

Appropriate Medical Care Matters

Concussion is a medical condition, and an acute head injury requires appropriate medical evaluation. Leon Chiropractic's neurological and vestibular evaluation and rehabilitation do not replace emergency care or necessary medical management.