Mild Traumatic Brain Injury (mTBI) / Concussion Program



mTBI/ Concussion results from a blow to your head or rapid online proofreading shaking of your head with or without loss of consciousness. Some people do not initially notice their symptoms. The vast majority of symptoms in adolescents and adults with a mTBI/ Concussion will resolve within hours, days or weeks. Very few adults will remain with symptoms beyond 3 months.*

It is important to receive a proper diagnosis from your medical doctor and early treatment to help you to manage the symptoms of a mTBI/ Concussion. Some continuing symptoms may influence your ability to work, go to school and complete some tasks at home. Learning to manage your symptoms will lessen your chances of developing poor coping strategies. You will benefit from learning effective coping strategies and symptom management methods.

According to the Ontario Neuro Trauma Foundation (ONF), the nature of a concussion/mTBI includes:

1. “Concussion/mTBI may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an ‘impulsive’ force transmitted to the head.

2. Concussion/mTBI typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. However, in some cases, symptoms and signs may evolve over a number of minutes to hours.

3. Concussion/mTBI may result in neuropathological changes, but the acute clinical symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies.

4. Concussion/mTBI results in a graded set of clinical symptoms that may or may not involve loss of consciousness Resolution of the clinical and cognitive symptoms typically follows a sequential course. However, it is important to note that in some cases symptoms may be prolonged.”

From Guidelines for Concussion/Mild Traumatic Brain Injury & Persistent Symptoms: Second Edition, Ontario Neurotrauma Foundation

*Lundin et. al., Symptoms and disability until 3 months korrekturlesen after mild TBI, Brain Injury 2006; 20(8) 799-806.


Individuals over the age of 16.

mTBI/Concussions from:

  • Sports – e.g. Hockey, Soccer, Baseball
  • Falls
  • Collisions/Accidents – e.g. Automobile, Motorcycling, Biking, Pedestrian


Once you have been diagnosed with a mTBI/Concussion by your doctor we offer a specialized program based on the treatment guidelines published by the Ontario Neurotrauma Foundation (ONF).

NRC Feldman and Associates Inc. has created a unique program based on over 30 years of experience treating individuals with mTBI/Concussion.

Our program is offered in three stages, based on the amount of time since the date of the injury:


STAGE 1-(1- 4 weeks) – Most symptoms clear up

The time immediately following a mTBI/Concussion can be a confusing and scary time. You may feel tired, anxious, and mixed-up. You may have headaches and dizziness. The good news is that these symptoms are often short-lived. The aim of our services during this time is to help you to understand the changes that you are experiencing and offer guidance and coaching so that you do not become overwhelmed as you try to return to your daily life.

STAGE 2: (2-3 months) – Most remaining symptoms continue to clear up.

Some people continue to experience symptoms, to varying degrees, for 1-3 months after a mTBI/Concussion. As people challenge themselves at work, school or in the home, the symptoms may feel like they are getting worse. Generally, this means that the symptoms are becoming more apparent because you attempting to do tasks that require more mental and physical effort. You may experience increased fatigue, headaches, anxiety and fear. Similar to Stage 1, the aim of our services during this time is to help you to understand the changes that you are experiencing and offer help so that you learn skills to help you to return to your daily life.

STAGE 3 – (4 MONTHS OR LONGER POST INJURY) – Some people require more help to adjust to symptoms so that they can return to work, school, home and the community.

Some people continue to experience symptoms to a varying degree beyond 3 months after the mTBI/Concussion. As in Stage 2, this can occur as you are challenged more in your daily life. It is important to know that your mTBI/Concussion is not getting worse but rather that your symptoms are becoming more evident as you challenge yourself at work, school or in the home.
The aim of our services during this time is to help you to understand the changes that you are experiencing and to offer a customized program that helps you to study, go to work, play sports, and fulfill your roles at home. You will learn specific compensatory strategies tailored to your individual needs.