Why normal tests don’t end your story
Concussions are functional injuries. Standard MRI/CT look for structural damage, not the dynamic issues that drive symptoms: vestibular dysfunction, cervical afferent mismatch, autonomic imbalance, and posture-gaze problems.
What we check instead
- Symptom-linked head positions: Does turning increase dizziness or ring your ears?
- Gaze & balance: Can your eyes stay stable while you move?
- Autonomics: Orthostatic vitals and targeted screens for POTS/orthostatic intolerance
- Neck function: Deep flexor endurance, joint position sense, trigger points, facet tenderness
Treatment that matches the findings
- Vestibular therapy for visual motion sensitivity and oscillopsia
- Cervical stabilization & mobility (not “just stretching”)
- Procedures (occipital nerve, facet/medial branch, RF) when indicated
- Lifestyle coaching to reduce flare triggers (sleep, hydration, graded exposure)
Bottom line: You’re not “fine” until you feel and function better—and we’re here for that outcome.
Book a consult: 201-894-1313 • www.alliedspineinstitute.com
Physicians: Dr. Dariusz Nasiek, MD & Dr. Ziad Chaudhary, MD
