Concussion

Specialist concussion assessment, management and return-to-sport guidance in Melbourne CBD.

Concussion Assessment | Sports Medicine Melbourne CBD

What is Concussion?

Concussion is a form of mild traumatic brain injury caused by a direct blow to the head, face or neck, or a force transmitted to the head from elsewhere in the body. It typically results in short-term changes in brain function rather than structural damage visible on routine imaging.

While most concussions resolve within 7–14 days in adults, a significant minority have symptoms that persist or worsen — and returning to sport too early carries real risk. Specialist-led assessment, graded return-to-sport protocols, and proactive management of persistent symptoms are all areas where a Sport and Exercise Physician plays a central role.

Frequently Asked Questions

Symptoms & Causes

Symptoms of Concussion

  • Headache or pressure in the head
  • Dizziness, nausea or balance problems
  • Confusion, feeling “in a fog” or slowed thinking
  • Difficulty concentrating or remembering
  • Sensitivity to light or noise
  • Fatigue and sleep disturbance
  • Mood changes — irritability, anxiety or low mood

Causes and Risk Factors

  • Contact and collision sports — AFL, rugby, soccer, basketball
  • Falls from height or onto a hard surface
  • Cycling and motor sport incidents
  • Workplace or road trauma
  • Previous concussion history increases risk of subsequent concussion
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What about multiple concussions?

A history of multiple concussions is an important consideration in ongoing sport participation and long-term brain health. Dr. West can provide individualised advice based on your injury history, symptoms and sporting goals.

Frequently Asked Questions

Diagnosis & Treatment

How Concussion is Diagnosed

Dr. Liam West will take a detailed history of the injury and your symptoms, and perform a comprehensive examination including cognitive, vestibular, cervical and oculomotor assessment. Structured symptom scales help track recovery objectively.

Treatment Options

  • Short initial period of relative rest (24–48 hours) followed by graded reintroduction of activity
  • Symptom-limited aerobic exercise to support recovery
  • A structured, individualised return-to-learn and return-to-sport protocol
  • Cervical spine and vestibular rehabilitation where indicated
  • Management of headache, sleep and mood symptoms
  • Clearance to return to contact sport only after full resolution of symptoms

Specialist Concussion Care in Melbourne CBD

If you have sustained a head injury or are not recovering as expected, book an appointment with Dr. Liam West, our Specialist Sports and Exercise Physician at Melbourne CBD Physiotherapy and Sports Medicine Clinic. You can also learn more about our complete Sports Medicine service.

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Meet Dr. Liam West — Specialist Sports and Exercise Physician

Dr Liam West is a Specialist Sport and Exercise Medicine (SEM) Physician and Head Doctor of Hawthorn Football Club. He brings extensive experience across AFL, Athletics (Track and Field) and Football (Soccer), with specialist expertise in bone, muscle, tendon and joint injuries. Liam served as Sports Doctor for the Australian Athletics Team at the 2018 & 2022 Commonwealth Games, and holds a Masters of Sports and Exercise Medicine and Fellowship of the Australasian College of Sport and Exercise Physicians.

Book with Dr. Liam West  |  Read Liam’s Full Biography

Related Conditions

Adolescent Sports Injuries  |  Joint Injuries (Shoulder & Knee)  |  Bone Fractures  |  Exercise for Chronic Medical Conditions

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Frequently asked questions

Most people with uncomplicated concussion do not need imaging. CT or MRI is reserved for cases where more serious injury — such as intracranial bleeding — is suspected.

Return to contact sport should only occur once you are completely symptom-free at rest and through a graded, supervised protocol. Returning too early significantly increases the risk of a further concussion.

Most people with uncomplicated concussion do not need imaging. CT or MRI is reserved for cases where more serious injury — such as intracranial bleeding — is suspected.

A history of multiple concussions is an important consideration in ongoing sport participation and long-term brain health. Dr. West can provide individualised advice based on your injury history, symptoms and sporting goals.

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