A Patient-Centered Approach in Wesley Chapel, FL

VERTIGO & DIZZINESS

Concussions & MTBI

Concussions & MTBI

Concussions are a common but often misunderstood form of traumatic brain injury. These injuries result from a sudden blow or jolt to the head, disrupting normal brain function. Concussions can occur in a variety of situations, such as sports injuries, car accidents, or falls. While they might initially seem minor, they can have significant short- and long-term impacts on your health if not properly addressed. The symptoms of a concussion can vary widely, including headaches, dizziness, memory loss, and difficulty concentrating.

 

At our practice, we address complex neurological conditions, including the effects of concussions. We understand how these injuries can disrupt your daily life and compromise your well-being. By combining advanced diagnostic tools with personalized treatment strategies, we work to restore optimal brain health and improve your quality of life.

Vertigo is often confused with dizziness. Vertigo refers to a spinning sensation in which the individual is spinning or feels the world is spinning around them. The spinning can be left, right, up, or down.

 

Dizziness, on the other hand, makes people feel unsteady and may be described as a rocking side-to-side or back-to-back. Another form of dizziness is seen with motion sickness in which the brain does not appropriately process the incoming information. This can make it hard for an individual to be a passenger in a car, watch 3-D movies, or see rapidly moving images.

One of the most common causes of dizziness or vertigo is from a concussion or mild traumatic brain injury (mTBI). These injuries have the ability to negatively influence the balance centers. This results in feeling unsteady when eyes are closed, at night, or when the balance is challenged.

 

Other causes of vertigo include debris in the inner ear, infections, stroke, traumatic brain injury, eye movement dysfunction, mal de debarquement, and even tumors.

What Happens to the Brain During a Concussion?

When the brain experiences a sudden impact, it can shift or twist within the skull, leading to cellular damage and chemical imbalances. This disruption interferes with how brain cells communicate and can cause inflammation. In severe cases, the injury may even lead to structural changes in the brain.


The initial symptoms of a concussion are typically immediate, such as confusion, loss of consciousness, or balance issues. However, delayed symptoms like fatigue, difficulty sleeping, and irritability can appear days or weeks later. These symptoms highlight the complex nature of concussions, as the brain requires time and the right conditions to heal. Without proper management, a concussion can lead to prolonged recovery or chronic issues such as post-concussion syndrome.


The risk of developing complications increases with repeated concussions. Recurrent injuries can exacerbate cellular damage and lead to cumulative effects, including cognitive decline and emotional instability. Understanding the mechanics of a concussion is essential for appreciating the importance of early intervention and effective treatment.

How Are Concussions Diagnosed and Treated?

Diagnosing a concussion involves a combination of patient history, symptom evaluation, and advanced imaging techniques. While conventional imaging, like CT scans, may not detect subtle brain injuries, functional imaging can provide valuable insights into how the brain is functioning. Neurocognitive assessments are also crucial in identifying deficits in memory, attention, and processing speed.

 

Treatment for a concussion is highly individualized and may include physical rest, cognitive therapy, and lifestyle modifications. Resting the brain is critical in the initial stages, as it allows for cellular repair and recovery. However, prolonged inactivity can also lead to deconditioning, so a gradual return to normal activities under medical supervision is recommended.

 

Emerging therapies such as neurostimulation and targeted rehabilitation exercises are showing promise in accelerating recovery. These treatments aim to restore normal brain function and reduce inflammation, ultimately improving outcomes for patients. By addressing both the physical and cognitive aspects of recovery, patients can achieve a more complete healing process.

The Long-Term Impacts of Untreated Concussions

Failing to address a concussion can result in lasting complications. Chronic issues, such as persistent headaches, memory problems, and emotional disturbances, may arise from untreated injuries. These symptoms can interfere with your ability to work, study, or enjoy life, highlighting the importance of prompt and effective care.

 

Post-concussion syndrome is a condition in which symptoms persist for months or even years after the initial injury. This syndrome can be debilitating, affecting various aspects of your mental and physical health. Moreover, repeated concussions increase the likelihood of developing neurodegenerative diseases like chronic traumatic encephalopathy (CTE).

 

Early intervention and consistent follow-up care are crucial for preventing these long-term consequences. By addressing symptoms early and monitoring recovery, you can significantly reduce the risk of chronic complications. This proactive approach ensures a better quality of life and minimizes the potential for future injuries.

The Long-Term Impacts of Untreated Concussions

Concussions require specialized care to ensure a full recovery. At our practice, we have years of experience helping patients overcome the challenges of brain injuries. We take a holistic approach, combining functional neurology and advanced therapeutic techniques to address the root causes of your symptoms. Our treatments are designed to promote healing, restore function, and prevent future complications.


Whether you are dealing with a recent injury or lingering effects from an old concussion, we are here to support you. Contact us or visit our contact form to schedule a consultation. Together, we can create a personalized treatment plan to help you regain your health and confidence.

FREQUENTLY ASKED QUESTIONS

Vertigo And Dizziness

What are the most common signs of a neurological condition?

Common signs of a neurological condition may include persistent headaches, dizziness, memory problems, difficulty concentrating, balance issues, unexplained fatigue, numbness, tingling, muscle weakness, or visual disturbances. If these symptoms are ongoing or worsen over time, it’s important to seek a professional evaluation.

Neurological conditions can have far-reaching effects on the entire body, including the cardiovascular, immune, and digestive systems. They can lead to chronic pain, impaired mobility, cognitive decline, and disruption in autonomic functions like heart rate and blood pressure. The interconnectedness of the nervous system with other bodily systems often makes these conditions complex and difficult to diagnose without thorough evaluation.

Dr. Spencer Zimmerman utilizes a variety of advanced diagnostic tools to identify and address the root causes of neurological and systemic conditions. These may include:

  • Functional Neurological Assessments: Comprehensive evaluations of brain and nervous system function to detect imbalances or dysfunction.
  • Autonomic Testing: Tests like heart rate variability and tilt-table testing to assess autonomic nervous system disorders such as POTS or Dysautonomia.
  • Vestibular Testing: Specialized diagnostics to evaluate balance and inner ear function, often used for conditions like vertigo and dizziness.
  • Comprehensive Blood Work: Advanced lab testing to identify markers of inflammation, autoimmune activity, or nutrient deficiencies that may impact neurological health.
  • Neuroimaging Referrals: MRI, CT scans, or other imaging studies as needed to rule out structural abnormalities or injury.
  • Gut-Brain Axis Assessments: Testing for microbiome health, food sensitivities, and digestive function to explore the connection between gut and brain health.
  • Cognitive and Neurobehavioral Testing: Assessments to evaluate memory, attention, and cognitive function, especially for conditions like concussions or Long COVID.

No, not all neurological conditions require medication. Dr. Zimmerman focuses on a holistic approach that may include non-invasive therapies, lifestyle modifications, nutritional guidance, and functional medicine. In many cases, medications can be avoided or minimized by addressing the underlying cause of the symptoms through natural interventions.

Many neurological conditions can be managed effectively, and in some cases, symptoms can be significantly improved or even resolved with appropriate treatment. For conditions like concussions, POTS, or chronic dizziness, Dr. Zimmerman uses a combination of therapies aimed at restoring optimal brain and body function. While some conditions may require ongoing management, the goal is always to improve quality of life and reduce dependence on medications.

Functional neurology plays a central role in Dr. Zimmerman’s approach by focusing on the brain and nervous system’s ability to adapt and heal. Through specialized therapies, functional neurology aims to improve the communication between the brain and body, often using non-invasive techniques like brain-based exercises, visual training, and vestibular rehabilitation. This helps restore function and reduce symptoms without relying solely on medication.

The timeline for seeing results from neurological treatments can vary depending on the individual and the condition being treated. Some patients begin to notice improvements within a few weeks, especially with conditions like concussions or POTS. 

Dr. Zimmerman tailors treatment plans to each patient’s unique needs, ensuring that progress is monitored regularly. While some conditions may require longer treatment periods, most patients experience some form of positive change in the early stages of care.

TESTIMONIALS

Genuine Experiences

At our dedicated doctor’s office, we take immense pride in the care and service we provide to our patients. Here, you can discover the genuine experiences and heartfelt feedback from those who have entrusted us with their health and well-being. These testimonials offer valuable insights into the compassionate and expert care that defines our practice. We are grateful for the trust our patients place in us and invite you to explore their stories, which reflect the exceptional standard of healthcare we aim to deliver every day.

REACH OUT TODAY

Start Your Healing Journey

Finally unravel the mysteries of your brain health issues so you can pave the way to lasting clarity and well-being by scheduling a time to speak with our team.