Concussion and MTBI: Silent, Subtle and Treatable


The onset and consequences of a concussion or mild traumatic brain injury (MTBI) can be easily missed by the injured person, their loved ones, and physicians. When an injury occurs, the real harm may not be obvious. All seems to be fine and most people return to work, school, and play, unaware of the damage. Yet, mysterious and frustrating issues may surface that can lead to a spiral of dysfunction.

Know the Symptoms

Physical and emotional changes may include exhaustion, depression, dizziness, sleep disturbances, headaches, and difficulty thinking or reading. Other symptoms can be musculoskeletal pain, visual deficits, memory lapses, and mood swings. Improperly treated concussion/MTBI often causes job losses and can hinder the educational progress of adults, college students, and adolescents.

Without rehabilitation the effects can worsen, which may confuse the patient because no real cause is evident. They may undergo diagnostic tests to identify what is wrong, but current technologies often don’t show the structural damage to the brain that underlies concussion/MTBI. Many brain imaging scans return normal results.

From Chaos to Recovery

Current thinking is that it may be disease causative, and can accelerate certain other serious diseases if not properly treated.

Left untreated, concussion/MTBI can lead to serious health disorders. Chronic headaches can initiate medication dependence. Anxiety can result in isolation. In desperation, many sufferers try temporary solutions, including self-medication, but eventually clinical intervention is necessary.

Centre for Neuro Skills (CNS) provides a pathway from the chaos of concussion/MTBI to the relief of recovery. CNS conducts research investigation on its complications and treatment, sleep disorders, and cognitive assessments that advance understanding.

This research is translated into treatment practices in our clinical facilities. Our clinical philosophy supports early and aggressive treatment to halt the onset of further damage.


"Our programs bring skills, dignity, and
hope to patients who've suffered MTBI,
so they may live full, productive lives."

- Matthew J. Ashley, M.D., J.D.


Specialized Care for Each Patient

In the depths of untreated concussion/MTBI, patients often question themselves and their care providers becoming distressed as their condition worsens. CNS is renowned for improving a patient’s neurological deficits long after its onset.

Our highly trained staff considers all aspects of concussion/MTBI when mapping out a plan. Once diagnosed, every person receives individualized care. As patients improve, case managers update insurers and caregivers on major milestones, recommending therapies that foster continued growth and recovery.

CNS consulting neurologists Drs. Matthew J. Ashley and Richard Helvie are integral in this process, providing neurological oversight and treatment direction. Dr. Ashley is one of the few neurology and rehabilitation trained physicians who provides clinical services for postacute care.

Dr. Helvie has extensive experience in the postacute setting. Drs. John Edwards, Omesh Singh, Stephen Newbrough, Christine Johnson, Hussam El-Gohary, and Vibhay Prasad bring expertise in physical medicine and rehabilitation. Each has practiced in acute and postacute settings. Dr. Newbrough provides general medical support and insight.

For those with concussion and MTBI, the CNS patient-centered approach offers specialized rehabilitation that helps people to re-enter the world of work, family obligations, and community interaction.

Contact Us

We will gladly answer all or your questions about rehabilitation at Centre for Neuro Skills.


phone 1.800.922.4994
or Request a Callback

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