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May 5, 2025 54 mins

Natasha Wilch, physical therapist and concussion specialist, breaks down why traditional balance therapy often fails concussion patients and explains her approach to addressing persistent vestibular issues through a functional neurology lens. She shares insights from her five-day intensive treatment program and reveals the missing links that often prevent full recovery.

• Dizziness after concussion isn't always a spinning sensation, but rather feeling unsteady, dissociated, or bothered by everyday movements
• The otolithic system is frequently overlooked in vestibular assessment yet crucial for sensing linear movement and gravity
• Simply practicing difficult balance positions doesn't address why balance is compromised in the first place
• VOR (vestibular-ocular reflex) exercises may be inappropriate without first stabilizing eye movements and addressing asymmetries
• Balance requires proper integration of visual, vestibular and somatosensory systems

For free resources including twice-monthly group coaching calls and a library of educational materials, visit Natasha's Concussion Mini School program or contact her through Instagram @Natasha.Wilch.


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Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

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