Post‑Concussion Syndrome

Overview

Post‑Concussion Syndrome (PCS) is a condition where symptoms continue for weeks or months after a mild traumatic brain injury (mTBI), such as a concussion. While most people recover within a few days or weeks, some experience longer-lasting cognitive, physical, and emotional symptoms that interfere with daily life.

At The Royal Buckinghamshire Hospital, we provide expert inpatient neurorehabilitation for adults with persistent post-concussion symptoms. Our multidisciplinary team helps individuals recover independence, confidence, and function.

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What Is Post‑Concussion Syndrome?

Post‑Concussion Syndrome occurs when the brain takes longer than expected to recover after a mild injury. Even without visible damage on a scan, changes in brain function can lead to ongoing difficulties.

Common causes include:

• Falls or knocks to the head
• Road traffic accidents
• Sports injuries
• Assault or workplace incidents

PCS may be more likely in people with a history of anxiety, depression, or multiple concussions.

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Symptoms of Post‑Concussion Syndrome

Symptoms can appear immediately or develop over several days and may persist for weeks or months. They typically include:

Cognitive symptoms

• Difficulty concentrating or thinking clearly
• Memory lapses
• Slowed thinking or reduced mental stamina
• Word-finding problems or brain fog

Physical symptoms

• Headaches
• Dizziness or balance issues
• Sensitivity to light or noise
• Nausea or visual disturbances
• Sleep disruption or fatigue

Emotional and behavioural symptoms

• Irritability or mood swings
• Anxiety or low mood
• Reduced motivation or frustration
• Feeling overwhelmed or withdrawn

These symptoms can vary in intensity and may be affected by stress or activity levels.

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How Is PCS Diagnosed?

PCS is a clinical diagnosis made based on symptom history and exclusion of other causes. Investigations may include:

• MRI or CT brain scan (usually normal in PCS)
• Neuropsychological testing
• Balance or vestibular assessments
• Review of mental health and emotional wellbeing

Early diagnosis and holistic rehabilitation can help improve outcomes and reduce the impact of persistent symptoms.

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Rehabilitation at The Royal Buckinghamshire Hospital

We offer a structured inpatient rehabilitation programme for individuals living with Post‑Concussion Syndrome. Our team includes physiotherapists, occupational therapists, speech and language therapists, neuropsychologists and specialist nurses.

Rehabilitation may include:

• Cognitive rehabilitation (memory, attention, planning)
• Headache and fatigue management strategies
• Support for anxiety, sleep and mood regulation
• Vestibular therapy for dizziness or balance issues
• Pacing techniques and graded return to activity
• Communication therapy and social confidence building

Each programme is personalised to your goals, lifestyle and recovery timeline.

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Who We Support

We work with adults (18+) who:

• Have ongoing symptoms after a diagnosed or suspected concussion
• Are struggling with work, studies, daily life or independence
• May have complex needs that can’t be managed with outpatient care
• Require intensive therapy input in a supportive environment

To discuss availability, call 01296 678800 or enquire online.

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Why Choose The Royal Buckinghamshire Hospital?

• Specialist in brain injury rehabilitation, including mild TBI
• Multidisciplinary team with expertise in PCS recovery
• Consultant-led programmes tailored to the individual
• On-site neuropsychology, SLT, OT and physiotherapy
• Calm, private setting to support focused recovery