Concussion Management & Rehabilitation

Concussion recovery can be complicated and confusing; we are here to help get you back to the activities you love.
Beginning concussion rehabilitation as soon as possible helps to shorten recovery time and ensures a safe return to the things you need to do and the activities you love to do. Our comprehensive concussion rehabilitation program determines the origins of your concussion and prolonged concussion symptoms to design a customized treatment plan just for you. Your care will include an assessment of your neck and jaw, eye motor function, inner ear vestibular function and aerobic exercise tolerance.
Acute concussion management
Post-concussion recovery
Return to Learn/Work/Sport programs

Vestibular Rehabilitation

Get your life back into focus - dizziness does not have to be your normal.
Dizziness can come from your brain, vestibular system (inner ear), oculomotor (visual) system, or proprioception issues (knowing where your body is in space). We have the expertise to figure out the origin of your symptoms and the skill to get you better. We will design a custom program specific to your needs and goals.
BPPV management with canalith repositioning maneuvers
Oculomotor and vestibular reflex re-education techniques
Gait, balance and mobility program

Headaches and TMJ

Head, neck and jaw pain does not have to happen.
Head pain can be caused by many different problems, including neck dysfunctions, TMJ pain, and tight muscles. Our one-on-one care, designed specifically for you, will help reduce or even eliminate head pain caused by the most common types of headaches and jaw dysfunction.
Posture assessment and strengthening
Body mechanics/ergonomics
Strength, flexibility and mobility

Parkinson’s LSVT BIG Treatment

Learn to amplify your movement, move big, and stay active.
LSVT BIG is a four week intensive rehabilitation program for individuals living with Parkinson disease. It is the best, comprehensive, research-backed therapy intervention program. Our hour-long one-on-one program will get you moving better, no matter what level you are at right now.
Daily exercise program
Task specific goals designed for your individual needs
6-month “tune up” sessions
"I woke up every morning with a headache. I was miserable. The team at Smith+ gave me the exercises I needed to live pain-free!"


Why would I want to do vestibular rehabilitation if it is going to make me dizzy?
Vestibular rehabilitation is a program designed specific to your needs and goals. We have to retrain the brain, vestibular and balance system to help with your recovery. In order to do this, we must gently push into your dizziness symptoms while being careful to not do too much. We always work at your pace and slowly progress to more difficult tasks and skills.
I have had BPPV in the past. Why can’t I just watch a video online to treat myself?
There is definitely a lot of information online about how to manage BPPV (Benign Paroxysmal Positional Vertigo). We caution people about treating their own BPPV because, more often than not, people do not know how to test to determine which ear, and which of six semicircular canals in their vestibular system, is the problem. Performing a maneuver incorrectly or using the wrong repositioning maneuver could cause the otoconia (crystals) to move into a different canal. This would result in continued, and possibly worsened, symptoms. We are more than happy to teach repositioning maneuvers to our patients who chronically present with dysfunction in the same ear and same canal. If self-management does not work, then we encourage them to come in for a quick visit!
Why would I need a physical therapist to help me after my concussion? If I just rest for a week or two I’ll be fine.
The newest research on concussion shows that a supervised, active recovery actually promotes faster healing of the brain. Research shows that individuals who work with a concussion management specialist heal faster than those who don’t, and have a significantly reduced chance of developing PCS (Post-Concussion Syndrome). Only resting after a concussion can actually increase risk of a delayed recovery.
Since Parkinson’s is a progressive disease, how can therapy make me better?
Individuals living with Parkinson’s Disease (PD) have difficulty calibrating their movements. This means that they often move too small (smaller steps, smaller hand movements, etc.). With the LSVT BIG program, our PD patients are able to learn to recalibrate and amplify their movements. This allows them to walk bigger (and safer), perform daily tasks better and more independently, and stay active! We can see results immediately with the program. It is a strict, four week intensive program that requires a big commitment from the patient - and the results are well worth the work! Once someone completes the LSVT BIG program, they can return to the clinic at regular intervals for little “tune ups.”
How does physical therapy help get rid of my headaches?
There are thousands of types of headaches, and just as many different causes of them. However, a majority of individuals living with chronic headaches have several things in common: tight/restricted mobility of the joints and muscles of the neck and upper back, posture abnormalities, trigger points in neck and upper back muscles, weakness, and changes in body mechanics and ergonomics. All of these things can worsen and/or trigger headaches. The great news - all of these things can be addressed and treated with physical therapy! Even individuals with chronic migraine often benefit from physical therapy. We can help to decrease the frequency and intensity of headaches and maybe even get them to go away completely!
How can my ear pain be from TMJ?
Pain, clicking and popping in the jaw is not normal. When we have dysfunction in the jaw, the disc in the joint, joint capsule and muscles around the jaw become impaired as well. Several muscles in the neck and jaw will refer pain to the ear when they are tight. Addressing TMJ dysfunction with physical therapy can help reduce your ear pain by using techniques to restore normal mobility and function of your jaw. While use of a mouthguard is often prescribed for TMJ disorders, they do nothing to actively correct the soft tissue dysfunction and abnormal mechanics of the jaw. Physical therapy can help!
You were made to move!