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ConcussionIn Rhode Island

Headaches are one of the most common reasons that people see their primary care physician and they account for 20% of outpatient visits to neurologists.

People with chronic (or persistent) headaches report disabling symptoms that interfere with daily activities. Multiple concussions only increase these risks. And with so much conflicting data available on the internet, it can be tough to know how to manage a concussion should you suffer from one.

According to Blue Cross Blue Shield’s 2016 Health of America Report on concussions, the incidence of concussions among adolescents between the ages of 10-19 rose a staggering 71 percent between 2010 and 2015. For girls, the incidence spiked 119 percent during that time, though almost twice as many concussions were diagnosed in boys. Sports related concussions in adolescents account for 30% of concussions. The other 70% are a result of falls, traffic accidents, or being struck or hit.

How do I tell if I have a concussion?

One of the challenges of diagnosing concussions is that symptoms can occur at different times. For some people, they appear instantly, but for others it can be hours or even days.

Symptoms also vary from person to person. There are a number of signs and symptoms to be aware of, including the following:

Physical

  • Headache
  • Balance Issues
  • Dizziness
  • Visual Disturbances
  • Fatigue
  • Light and/or Noise Sensitivity
  • Head and Neck Pain
  • Nausea

Sleep

  • Decreased Sleep
  • Increased Sleep
  • Difficulty Falling Asleep
  • Difficulty Staying Asleep

Cognitive

  • Fogginess
  • Trouble Focusing and Concentrating
  • Memory Issues
  • Slow Response

Emotional

  • Irritability
  • Sadness
  • Depression
  • Anxiety
  • Moodiness

I know I have a concussion. How do I manage it?

Though there has been an increase in awareness in recent years, 80% of Americans don’t know concussions are treatable, or the proper steps to follow after an injury is sustained.

In years past, rest, minimal exposure to light and sound, and limited physical exertion were recommended. But, did you know those guidelines were set as a result of a study published in The Journal of Bone & Joint Surgery in 1968?

Today, the guidelines, based off a April 2017 study published in the British Journal of Sports Medicine, are totally different:

  • No bed rest or prolonged rest–return to gradual and progressive activity are encouraged
  • Reading, texting, and screen time are allowed
  • Return to school and cognitive challenges is encouraged
  • ImPACT Testing is not predictive of return to sport or normal activity

Why are Pappas OPTs' concussion experts the best first choice?

We’re up on the research! This person should be prepared to treat more than the visible signs and symptoms, like headache or neck pain… you need someone that’s also prepared to evaluate the emotional, vestibular, visual, cognitive, and exertional aspects. There are many medical trainees who have not been properly educated on the identification and management of concussions.

At Pappas OPT, our expert Sports Certified Specialists, physical therapists, and athletic trainers are trusted by the area’s top neurologists to provide concussion management services. We use evidence-based training and the most up-to-date research to provide cutting-edge treatment and ease your worry.

The Pappas OPT Difference

Specialty-Level Care

Target your discomfort at the source with a customized treatment plan.

More Board Certified Experts

Experience high-quality care from a team you can trust.

Caring Physical Therapists

Gain a team of therapists committed to your recovery.

Concussion Treatment Locations

Barrington

236 County Rd
Barrington, RI 02806
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Bristol

652 Wood Rd
Bristol, RI 02809
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Cranston

1100 Reservoir Ave
Cranston, RI 02910
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East Greenwich/NK

5805 Post Rd
East Greenwich, RI 02818
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East Providence

450 Veterans Memorial Pkwy
East Providence, RI 02914
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Middletown

1181 Aquidneck Ave
Middletown, RI 02842
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North Kingstown (Formerly POWR)

650 Ten Rod Rd.
North Kingstown, RI 02852
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Tiverton

1812 Main Road
Tiverton, RI 02878
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Wakefield

730 Kingstown Rd
#A14
Wakefield, RI 02879
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Warwick

2191 Post Rd
Warwick, RI 02886
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Frequently Asked Questions

  • A physical therapy visit lasts about 40-60 minutes. The actual contents of the visit vary based on your diagnosis/need, but typically what happens is:

    1. You check in with the receptionist, make any appointments necessary, and we discuss your health insurance benefits with you.
    2. You go into the gym. You can change clothes if you need to, then begin therapy.
    3. You perform 6-8 various exercises and stretches. These can include therapeutic band exercises, light body weight exercises, or minimal weights. The stretches will promote strength, stability, improved range of motion, and pain relief.
    4. We can initiate other techniques to include manual work, taping, cupping, and dry needling as needed.
    5. The therapist makes recommendations based on your progress. These can include altering the frequency of visits, making additions/alterations to your home exercise plan, or things to do before your next visit.
  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • During your initial evaluation, your therapist may ask you a number of questions to determine what the cause of your pain is. This can include questions about your sleep habits, activity level, and work environment. They will also ask for a medical history, and then typically ask direct questions about where and when you experience pain.

Have more questions? Contact Us

People in Rhode Island Trust Pappas OPT

Hear from patients that reclaimed their lives.

I have had the opportunity to work for Pappas OPT for the past 10 years. Pappas OPT exemplifies a culture that puts people first, both their employees and their patients. They want to help facilitate personal and professional growth and to help us become better people. The slogan “we treat you like family” really defines what this company stands for.

5 stars

Dan Macera

Clinic Director

My second time here for therapy, and I think you guys are great. I would definitely refer you all to anybody. Great, friendly and helpful staff.

5 stars

Edward C.

Pappas OPT Patient

The entire team here makes you feel like family. I can't believe they completely healed my shoulder. No need for surgery!!! I'll never go anywhere else for PT. They all stay on the cutting edge of new technology.

5 stars

Elaine G.

Pappas OPT Patient

Great staff and experience! Everyone I have worked with thus far has been extremely professional and welcoming! Dan and his team are flexible and accommodating to ensure their patients get the best care!

5 stars

Jasnoor K.

Pappas OPT Patient

I knew Pappas OPT would be the right fit for me when I was here for my first clinical affiliation. The focus on company culture and continuing education is what helped me make my decision to apply. What really helped solidify my decision was when I voiced my desire to build a pelvic health program, which was not in place at the time.  I'm grateful that I have the opportunity to continue to grow with this company.

5 stars

Kendra-lynn Kohanski, PT, DPT

East Greenwich/Healthtrax

I joined Pappas OPT in 2017 as a new graduate and could not be more happy with the sense of community and shared passion for patient-centered care that comes naturally to this company. Pappas OPT has been a wonderful company to help lead me on my own path as a Physical Therapist. I have achieved more in 2 years than I expected to in 5 thanks to the endless support from Pappas OPT.

5 stars

Lauren Parsonage, DPT, OCS

North Providence & East Greenwich/Healthtrax

I absolutely loved the entire staff! They are all welcoming and caring. They do indeed treat you like family and I couldn't have asked for a better place. Give Pappas OPT a try, you won't regret it!

5 stars

Paulette C.

Pappas OPT Patient

This was my first time at Pappas OPT. I have to say it was one of the best doctor/health/clinic experiences I have ever had. I was treated with respect, received a thorough examination and ongoing treatment plan, and was met with a smiling face by every employee.

5 stars

Pete M.

Pappas OPT Patient

Pappas OPT Physical and Hand Therapy embodies their mantra of treating you like family. They both took an interest in not only my ankle injury but in me as a person making me feel comfortable and easing all anxieties we face when going through an injury.

5 stars

Megan H.

Pappas OPT Patient

My experience was great. The treatment was excellent and it was explained in great detail. My pain and discomfort were eliminated with a diverse exercise program. The whole staff is awesome.

5 stars

Ronald B.

Pappas OPT Patient
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