What is a Concussion?

A concussion is a type of brain injury caused by a blow, bump or “jolt” to the head that temporarily changes the way your brain works – causing you to experience symptoms such as:

  • Headache
  • Dizziness
  • Nausea or vomiting
  • Vision problems
  • Balance problems
  • Sensitivity to light or noise
  • Fatigue or low energy
  • Neck pain
  • Fogginess
  • And many other troublesome symptoms.

It is a serious form of head trauma that requires proper attention and care to prevent further injury and long term impairment. If you think you have a concussion or have been diagnosed with one Dr. Janzen can help you manage this condition and help you return to work, school, or activity quickly and safely.

What to expect at your Assessment

Dr. Janzen will conduct a thorough post-injury evaluation in order to gain a complete picture of your injury and how it’s impacted you. This includes a detailed interview in order to obtain information on how the injury happened, your current symptoms, and any prior history of concussions. Next, the physical examination provides Dr. Janzen with insight into the severity of your injury, as well as specific impairments that may need to be addressed as part of an ongoing management strategy. This portion of testing may include a combination of the following:

  • Computerized neurocognitive testing (using Impact)
  • Balance testing
  • Strength and Coordination testing
  • Screening of visual motor skills
  • Vestibular (or equilibrium) testing
  • Gait assessment
  • Generalized neurological screen
  • Orthopedic assessment of secondary injuries (e.g. neck, shoulders)

Management Strategies

Following a concussion, the “sitting in a dark room” approach is only effective for so long. Concussions, like other injuries, should be properly managed and rehabilitated. While physical and cognitive rest is the mainstay of concussion care in the first 24 to 48 hours Shift Management Concussion providers are trained to guide you through the rest of your recovery. Recovering from a concussion can be a difficult and frustrating time. At Bow River Chiropractic Clinic we understand that each person is affected differently and as such, requires individualized care. Management strategies are used to limit the amount of impairment as well as expedite recovery as much as possible. These strategies may include any one or a combination of the following and are case-dependent:

  • Education around the injury, individualized strategies for rest and recovery
  • Specific recommendations around employment/academic demands
  • Manual therapy for associated complaints (neck pain, whiplash etc.)
  • Visual motor and vestibular rehabilitation for dizziness, motion sensitivity, balance disorders and visual complaints
  • Physical exertion testing and exercise plans for return and active lifestyle


Shift Concussion

Dr. Andrew Janzen, BSc., DC

Cochrane Chiropractor, Dr. Andrew Janzen, BSc., DC

Dr. Andrew
Janzen, BSc., DC

Andrew's Chiropractic practice focuses on treating musculoskeletal conditions such as back and neck pain. He believes in treating the problematic condition quickly and educating patients in measures to prevent reoccurrences. He has taken extra training in laser therapy to treat sport and joint injuries, and orthotic therapy for foot conditions. Dr. Janzen has also completed his Medical Acupuncture and Trigger Point Dry Needling certification. These modalities allow him to treat a wider variety of painful muscle and joint conditions.