Concussion Treatment, Testing and Rehabilitation

Understanding Concussions from Falls

A concussion is a mild traumatic brain injury that can happen to anyone, at any age. In older adults, the most common cause isn’t sports – it’s a simple slip, trip, or fall at home.

Even a seemingly minor fall where the head doesn’t visibly hit the ground can cause the brain to move rapidly inside the skull, leading to a concussion. Because many seniors take blood-thinning medications or have thinner blood vessels, symptoms can be more serious and recovery can take longer.

  • Tripping over rugs, cords, or clutter
  • Slipping in the bathroom or on stairs
  • Falling out of bed or from a chair
  • Losing balance when reaching for something
  • Low blood pressure or dizziness when standing up quickly

Signs and Symptoms to Watch For

If consciousness, worsening headache, repeated vomiting, seizures, or slurred speech, seek emergency care immediately.

Physical

  • Headache or “pressure” in the head
  • Dizziness or balance problems
  • Nausea or vomiting
  • Blurred vision or ringing in the ears
  • Sensitivity to light or noise
  • Fatigue or feeling “slow”

Cognitive

  • Confusion or feeling “foggy”
  • Trouble concentrating or remembering
  • Slowed responses to questions

Emotional/Sleep

  • Irritability, sadness, or anxiety
  • Sleeping more or less than usual
  • Difficulty falling asleep

Why Recovery Looks Different for Older Adults

Seniors often face unique challenges after a concussion:
  • Pre-existing balance and mobility issues can worsen
  • Slower natural healing processes
  • Higher risk of prolonged symptoms (sometimes called post-concussion syndrome)
  • Increased fear of falling again, which can lead to reduced activity and strength loss
The good news? Early, specialized care makes a dramatic difference.

 

Get Back on Your Feet with St. Joseph Hospital’s Outpatient Concussion Rehabilitation Team

Our hospital’s Outpatient Rehabilitation Department offers a dedicated Concussion Recovery Program designed specifically for older adults who have fallen. Our multidisciplinary team includes:

  • Physical therapists expert in vestibular and balance rehabilitation
  • Occupational therapists who address daily activities, vision issues, and home safety
  • Speech-language pathologists for cognitive and communication support when needed

What to Expect in Our Program

  1. Comprehensive evaluation of balance, gait, vision, cognition, and strength
  2. Personalized treatment plan combining:
    • Vestibular therapy to reduce dizziness
    • Balance and fall-prevention training
    • Gradual aerobic exercise proven to speed brain recovery
    • Cognitive strategies and pacing techniques
  3. Regular progress tracking and adjustments
  4. Education and confidence-building so you can return to the activities you enjoy – safely.

Take the Next Step

If you or someone you care for has fallen and is experiencing any of the symptoms above – even if it’s been days or weeks since the fall – don’t wait. Early intervention leads to faster, fuller recovery.

Call our Outpatient Rehabilitation Department at (555) 555-5555 or ask your physician for a referral today. You don’t have to navigate recovery alone. We’re here for you, every step of the way.

Meet Our Team

Our team provides one-to-one patient care, tailored to meet the specific functional needs and goals of each individual patient in a supportive, encouraging, and friendly environment.

Jennifer Rand, PT, DPT

St. Joseph Hospital Rehabilitation Services at Merrimack

Laura Shukla, PT, DPT

St. Joseph Hospital Rehabilitation Services at Hudson

St. Joseph Hospital Rehabilitation Services at Dartmouth-Hitchcock Nashua

James Barrett, PT, DPT

St. Joseph Hospital Rehabilitation Services at Milford Medical Center

Ashley Bergeron, PT, DPT

St. Joseph Hospital Rehabilitation Services at Nashua

Patricia Cote, PT, DPT

St. Joseph Hospital Rehabilitation Services at Merrimack

St. Joseph Hospital Rehabilitation Services at Dartmouth-Hitchcock Nashua

Alison Elliot, PT, DPT

St. Joseph Hospital Rehabilitation Services at Milford Medical Center

603-882-3000