The Deeper Dive into Concussions - The 7 subtypes
A concussion isn’t just a “mild” brain injury—it’s a complex condition that affects different systems in the body. If you or someone you know is still struggling with symptoms weeks or months after a concussion, it’s likely because their concussion falls into one (or more) of the 7 concussion subtypes.
Identifying the specific type of concussion you have can lead to more targeted and effective treatment—and yes you can have a combination!
The 7 Subtypes of Concussions
Vestibular Concussion – Due to the location of the vestibular system in the temporal bone when a head injury occurs you may start to notice symptoms of dizziness, feeling off balance, or even motion sensitivity that was not there before. It is important after a concussion to check if crystals have been dislodged - because this if caught early can be a very simple fix.
Ocular Concussion – The can show be seen with having trouble focusing, reading, or tracking objects. After a concussion the eyes may have difficulty with coordination, often leading to eye strain, headaches, and difficulty concentrating. Specialized vision therapy and RightEye technology can help assess and rehabilitate these issues.
Cervicogenic Concussion – Neck pain, stiffness, and headaches can occur if your concussion impacted the cervical spine. Did you know that you do not need to even physically hit your head in order to sustain a concussion? Whiplash from a car accident can be considered a type of concussion.
Post-Traumatic Migraine Concussion – If you experience severe headaches, nausea, or sensitivity to light and sound after a concussion, you may have a migraine-type concussion. Managing triggers, improving sleep, and gradual reintroduction of activity can help.
Anxiety/Mood-Related Concussion – Concussions can disrupt emotional regulation, leading to increased anxiety, depression, or mood swings. Addressing vestibular and autonomic dysfunction can help stabilize symptoms and support emotional recovery.
Cognitive/Fatigue Concussion – Brain fog, mental exhaustion, and difficulty processing information are signs of this subtype. Cognitive therapy, structured rest, and a gradual return to activity are key strategies for recovery.
Autonomic Dysfunction Concussion – Does standing up make you feel lightheaded or cause rapid heart rate changes? This type of concussion affects the autonomic nervous system, which controls involuntary functions like heart rate and blood pressure. Physical therapy can help retrain your body's response to movement.
Concussions are far more complex than most people realize. Instead of being “one-size-fits-all,” symptoms can fall into seven unique subtypes — vestibular, ocular, cognitive, emotional, cervical, sleep, and migraine. Each affects the body and brain differently, which is why recovery isn’t always straightforward.
The good news? Once the right subtype (or combination of subtypes) is identified, treatment can be highly targeted and effective. That’s why a comprehensive evaluation is key — it gives you answers, explains why your symptoms are lingering, and helps guide a recovery plan that fits your needs.
If you’ve been dealing with ongoing symptoms after a concussion, you don’t have to push through it or assume it’s “just the new normal.” With the right approach, healing is possible.
Read more of our blogs on concussion prevention and treatment!