Post-Concussion Syndrome (PCS) Evaluation & Treatment
When symptoms from a concussion or mild TBI don't resolve on the usual timeline, a structured, multidisciplinary evaluation can help identify what's contributing and guide treatment.
When Symptoms Don't Resolve on the Usual Timeline
One of the first questions patients ask after a concussion isn't about the injury itself, it's about their life: when can I go back to work, back to school, back to my normal routine? It's a fair question, and the honest answer is that there isn't a single fixed number of days that applies to everyone. Post-concussion syndrome, often abbreviated PCS, describes the situation where symptoms from a concussion or mild traumatic brain injury persist beyond the window in which most people see meaningful improvement. It isn't a separate injury from concussion or mTBI; it's the same injury when its symptoms don't follow the more typical recovery course.
The Range of Persistent Symptoms
PCS symptoms tend to cluster into overlapping categories, and most patients experience more than one at a time: headache, cognitive symptoms often described as “brain fog,” disrupted sleep, mood changes including irritability and anxiety, dizziness, light and noise sensitivity, and fatigue.
NeuroLUX's Approach to Evaluation and Treatment
Evaluating PCS starts with a comprehensive neurological exam performed by our physician team, Dr. Vikas Pandey and Dr. Sima Nekoui. From there, we layer in objective testing: EEG and quantitative EEG (qEEG), neurocognitive testing, and DTI MRI when standard imaging hasn't explained ongoing symptoms.
Treatment recommendations are built around what the evaluation finds and may include medication management, referral for symptom-targeted therapies, and coordinated care through the LUX Healthcare network, including MindLUX for mood-related symptoms that warrant dedicated behavioral health support. According to PubMed, a randomized controlled trial found that multidisciplinary, symptom-targeted treatment improved outcomes compared to usual care in youth with persisting post-concussion symptoms (Anderson et al., 2026, Br J Sports Med, DOI), and separate research found structured multidisciplinary rehabilitation effective for persistent post-concussive symptoms more broadly (Olver et al., 2026, Am J Phys Med Rehabil, DOI). We don't cite this research to promise a particular outcome or timeline for any individual patient — every case is different — but it reflects a broader shift in how PCS is understood: not as something to simply wait out, but as a condition that often responds to a structured, coordinated approach.
Documentation for Personal Injury Cases
For patients whose PCS is tied to a personal injury claim, this same evaluation and treatment record also serves as clear, objective documentation for attorneys and insurers, connecting ongoing symptoms back to the original injury. See what we offer attorneys →