✅ Concussion Treatment · ICBC MVA Accepted · Direct Billing · Same-Week Appointments · Langley BC

Langley & Brookswood BC · Concussion Assessment & Rehab

Concussion Treatment in Langley BC — Sports Concussion, Post-Concussion Syndrome & Vestibular Rehabilitation

At Olive Physiotherapy & Sports Injury Clinic in Langley BC, our experienced team provides evidence-based concussion treatment and post-concussion rehabilitation for athletes, motor vehicle accident patients, and anyone suffering from persistent concussion symptoms — including those in Aldergrove, Clayton Heights, Cloverdale, Willoughby, Murrayville, and Downtown Langley City.

  • ✓SCAT5 & VOMS assessment — sport concussion tools
  • ✓ICBC motor vehicle accident concussion — $0 patient fee
  • ✓Vestibular rehab · Cervical manual therapy · Sub-symptom aerobic exercise
  • ✓Same-week appointments — Langley, Brookswood, Willoughby, Aldergrove
  • ✓Direct billing for most extended health plans — no paperwork for you
  • ✓Physiotherapy · Registered Massage Therapy · Acupuncture — all under one roof
✔ ICBC Authorized✔ $0 Patient Fee✔ CPTBC Registered✔ Direct Billing✔ CMTBC · CTCMA

Book Your Concussion Assessment

Langley & Brookswood · Same-day availability

VOMS
Assessment Tools
ICBC $0
MVA Concussion
3 Disciplines
Physio · RMT · Acu
Same Week
Langley Appointments
★★★★★
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What Is a Concussion — and Why Does Early Treatment Matter?

A concussion is a mild traumatic brain injury (mTBI) caused by biomechanical forces — whether from a direct blow to the head or from the acceleration-deceleration forces of a motor vehicle accident. Importantly, a concussion does not require loss of consciousness. The resulting neurological disruption typically produces symptoms spanning cognitive, physical, emotional, and sleep domains.

Consequently, the Berlin Concussion in Sport Group Consensus Statement and subsequent updates recommend that prolonged rest beyond 48 hours is not supported by current evidence. Instead, early sub-symptom exercise and active, targeted rehabilitation — addressing the vestibular system, cervical spine, and visual-motor pathways individually — consistently produces faster recovery and reduces the risk of persistent post-concussion syndrome (PPCS).

At Olive Physiotherapy in Langley BC, our concussion rehabilitation team uses validated clinical tools — SCAT5, VOMS, and the Buffalo Concussion Treadmill Test — to design an individualized, progressive program tailored to your specific symptom profile and functional goals.

Key clinical fact:

A 2017 Cochrane review found that sub-symptom aerobic exercise initiated within days of concussion — compared to strict rest — significantly reduced symptom duration and improved quality of life at 4-week follow-up.

Concussion therapy session at Olive Physio Langley for neurological recovery

Headaches

Most common post-concussion symptom

Dizziness & Vertigo

Vestibular system disruption

Cognitive Fog

Memory, concentration difficulty

Visual Sensitivity

Light and screen sensitivity

Balance Impairment

Proprioceptive disruption

Sleep Disturbance

Both insomnia and hypersomnia

Concussion Rehabilitation — Three Disciplines Working Together at olive physiotherapy

At olive physiotherapy in Langley, physiotherapy, RMT, and acupuncture are coordinated as a single multidisciplinary concussion rehabilitation program — each discipline addressing a distinct component of your recovery simultaneously.

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Physiotherapy

CPTBC-registered physiotherapists assess the cervical spine, vestibular system, and visual-motor pathways — then deliver manual therapy, sub-symptom aerobic exercise, and vestibular rehabilitation targeting your specific concussion symptom profile.

ICBC MVA concussion · $0 patient fee · Direct billed

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Registered Massage Therapy

CMTBC-registered RMTs address the concurrent cervical soft tissue injury found in most concussions — releasing paraspinal guarding, suboccipital muscle tension, and compensatory upper thoracic patterns that contribute to post-concussion headache and neck pain.

ICBC MVA RMT · $0 patient fee · Direct billed

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Acupuncture

CTCMA-registered acupuncturists provide medical acupuncture for post-concussion headache management, neurogenic inflammation reduction, and modulation of central sensitization — particularly effective for patients with chronic post-concussion headache.

ICBC MVA acupuncture · $0 patient fee · Direct billed

All three disciplines covered under ICBC Enhanced Care for motor vehicle accident injuries — $0 patient fee, billed directly.

📅 Book Concussion Assessment

Concussion Rehabilitation Protocol — What to Expect at olive physiotherapy

Every concussion is different. Consequently, every rehabilitation program at olive physiotherapy is built from a thorough assessment — not a fixed protocol — ensuring that each component targets your specific symptom pattern.

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SCAT5 & VOMS Assessment

SCAT5 (Sport Concussion Assessment Tool 5) evaluates symptom severity, cognitive function, balance, and coordination. The Vestibular/Ocular Motor Screening (VOMS) tool identifies vestibular and visual-motor dysfunction — determining which rehabilitation pathways are required for your specific presentation.

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Sub-Symptom Aerobic Exercise

The Buffalo Concussion Treadmill Test establishes your aerobic exercise threshold — the intensity at which symptoms begin to worsen. Progressive sub-symptom aerobic activity below this threshold reduces recovery time and is the evidence-based standard for concussion rehabilitation.

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Vestibular Rehabilitation

Gaze stabilization exercises, balance retraining, and vestibular habituation address dizziness, visual sensitivity, and balance impairment. See our dedicated vestibular rehabilitation page and vertigo treatment page.

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Cervical Spine Manual Therapy

The cervical spine is concurrently injured in the vast majority of concussions. Joint dysfunction at C0–C3 and suboccipital muscle hypertonicity contribute independently to headache and dizziness. Manual therapy and exercise targeting this component produces symptom improvement even when central mechanisms are also present.

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Visual-Motor & Oculomotor Rehab

Smooth pursuit, saccadic eye movement, and convergence exercises address the visual disruption that produces reading difficulty, screen sensitivity, and visual crowding. These exercises retrain the visual-motor reflex and reduce visual-triggered symptom exacerbation.

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Graduated Return-to-Play / Return-to-Learn

The Berlin 6-stage graduated return-to-play protocol guides progression from complete rest through full contact sport — with objective symptom and performance criteria required at each stage. A parallel return-to-learn protocol is used for youth and student athletes. See our sports injury rehab page.

Serving: Langley City · Aldergrove · Clayton Heights · Cloverdale (Surrey) · Brookswood · Willoughby · Murrayville · Downtown Langley and surrounding communities. ICBC MVA concussion · WorkSafe · Direct billing for all major extended health plans. See all direct billing insurers →

Variant A — Authority / Evidence Frame

Clinically Proven Concussion Recovery — SCAT5 Assessment, Sub-Symptom Exercise & Vestibular Rehab at olive physiotherapy Langley

Our experienced physiotherapists have helped hundreds of patients in Langley, Aldergrove, Willoughby, and Cloverdale recover from sports concussions and MVA concussions using validated clinical protocols — SCAT5, VOMS, Buffalo Concussion Treadmill Test, and Berlin graduated return-to-play.

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Concussion Conditions Treated at olive physiotherapy — Langley, Aldergrove & Willoughby

From acute sports concussions to months-long post-concussion syndrome — olive physiotherapy provides assessment-led, individualized rehabilitation for every stage of concussion recovery.

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Sports Concussion

Hockey, soccer, football, rugby, basketball, equestrian, and all contact sports in Langley and Brookswood. Return-to-play programming using the Berlin 6-stage protocol.

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MVA Concussion — ICBC

Post-concussion symptoms from motor vehicle accidents are covered under ICBC Enhanced Care — $0 patient fee, MVA rehab billed directly.

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Persistent Post-Concussion Syndrome

Symptoms lasting beyond 4 weeks — vestibular, cervical, and visual-motor contributors identified and treated systematically, even for patients symptomatic for months.

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Youth & Adolescent Concussion

Age-specific return-to-learn and return-to-sport protocols. Parents included in assessment, planning, and school communication.

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Workplace Concussion — WorkSafe

Concussions from occupational falls or impacts covered under WorkSafeBC for approved claims — $0 patient fee, billed directly. Also see work injury rehab.

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Post-Concussion Vestibular Dysfunction

Dizziness, BPPV, and balance impairment following concussion — addressed through our vestibular rehab and vertigo treatment programs.

Concussion Treatment FAQ — Langley & Brookswood BC

Common questions about concussion physiotherapy at olive physiotherapy. Call 672-888-0077 if your question isn’t here.

A concussion is classified as a mild traumatic brain injury (mTBI). The distinction between ‘concussion’ and ‘TBI’ is primarily one of severity — concussions involve temporary neurological disruption without structural brain damage visible on standard CT or MRI imaging. More severe TBIs involve structural injury. In Langley BC, physiotherapy at olive physiotherapy targets the peripheral contributors to concussion symptoms — the cervical spine, vestibular system, and visual-motor pathways — which are treatable regardless of whether symptoms are recent or longstanding.
Current evidence from the Berlin Concussion in Sport Group (2017 and 2023 updates) recommends limiting rest to a maximum of 24–48 hours. After that window, progressive sub-symptom activity should begin under clinical supervision. Prolonged complete rest is associated with physical deconditioning, anxiety, and symptom chronicity. At olive physiotherapy in Langley, an individualized sub-symptom exercise plan is established at your first appointment using the Buffalo Concussion Treadmill Test protocol.
Recovery timelines vary significantly. Most straightforward sports concussions resolve within 10–14 days with appropriate active management. Approximately 15–30% of patients develop persistent post-concussion syndrome (PPCS) with symptoms extending beyond 4 weeks — particularly when the cervical spine or vestibular system is concurrently involved. At olive physiotherapy, early targeted treatment addressing all symptom contributors consistently reduces recovery duration compared to rest alone. Patients in Langley, Aldergrove, Willoughby, and Cloverdale can typically be seen within the same week of contacting us.
Yes. Post-concussion symptoms following a motor vehicle accident are covered under ICBC Enhanced Care. Physiotherapy, registered massage therapy, and acupuncture for MVA-related concussion are billed directly to ICBC at olive physiotherapy — $0 patient fee. Treatment can begin within 12 weeks of your accident without a physician referral. Call us at 672-888-0077 or see our dedicated ICBC page at olivephysio.ca/icbc-physiotherapy-langley-bc/
Yes. Concussions sustained in the workplace are covered under WorkSafeBC for workers with approved claims. Physiotherapy is billed directly to WorkSafeBC at olive physiotherapy — $0 patient fee for qualifying claims. Your claim must be active and approved before treatment begins. olive physiotherapy serves workers across Langley, Murrayville, Brookswood, and Clayton Heights. See olivephysio.ca/worksafe-physiotherapy-langley-bc/
Post-concussion syndrome (PCS) refers to concussion symptoms persisting beyond 4 weeks. Many patients with PCS have specific, treatable peripheral contributors: upper cervical spine joint dysfunction generating headaches, vestibular system dysfunction producing dizziness and balance impairment, and visual-motor dysfunction causing reading difficulty and screen sensitivity. At olive physiotherapy in Langley, physiotherapy targeting these peripheral sources produces meaningful symptom improvement even in patients who have been symptomatic for 3–12 months. Patients often arrive having been told that time is the only treatment — in most cases, targeted physiotherapy achieves what time alone has not.
At Olive Physiotherapy in Langley, concussion rehabilitation is multidisciplinary. Acupuncture from our CTCMA-registered practitioners is used for post-concussion headache management and neurogenic inflammation reduction. Registered massage therapy from our CMTBC-registered therapists addresses the cervical soft tissue component — which contributes significantly to post-concussion headache and dizziness. Both modalities are covered under ICBC Enhanced Care for MVA concussions. See olivephysio.ca/acupuncture-langley/ and olivephysio.ca/rmt-langley/
The evidence supports beginning physiotherapy assessment as soon as possible — ideally within the first 3–5 days following concussion. Early assessment establishes a baseline, identifies which symptom contributors require treatment, and initiates safe sub-symptom activity. Early intervention is associated with significantly shorter recovery timelines. At olive physiotherapy in Langley BC, same-week appointments are typically available. Call 672-888-0077 or book online at olivephysio.ca/book-now/
The Vestibular/Ocular Motor Screening (VOMS) is a validated clinical tool that assesses five oculomotor and vestibular domains: smooth pursuit, saccades, near point of convergence, horizontal vestibular-ocular reflex, and visual motion sensitivity. Each domain is scored for symptom provocation. VOMS results identify which visual-motor and vestibular pathways are disrupted — directing treatment toward gaze stabilization, convergence exercises, or vestibular habituation accordingly. At olive physiotherapy in Langley, VOMS is administered alongside SCAT5 at the initial concussion assessment.
Yes. Olive Physiotherapy in Langley provides concussion assessment and rehabilitation for youth and adolescent athletes. Age-appropriate protocols are used, including return-to-learn programming coordinated with the patient’s school. Parents are included throughout the assessment and rehabilitation planning process. Youth concussion often requires a longer monitored return-to-play process — managed step-by-step at olive physiotherapy. Same-week appointments are available for young patients in Langley, Willoughby, Brookswood, and surrounding Langley communities.

View all FAQs → olivephysio.ca/frequently-asked-questions/

More From Olive Physiotherapy — Langley BC

Expertise You Can Trust — Regulated Health Professionals in Langley

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CPTBC Registered

All physiotherapists are registered with the College of Physical Therapists of BC — regulated health professionals.

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CMTBC Registered

Our RMTs are registered with the College of Massage Therapists of BC — meeting all insurer credentialing requirements.

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CTCMA Registered

Our acupuncturists are registered with the College of TCM Practitioners & Acupuncturists of BC.

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ICBC Authorized

olive physiotherapy is an ICBC Authorized Provider — physiotherapy, RMT, and acupuncture for MVA injuries billed directly at $0.

Your Takeaway — Start Your Concussion Recovery in Langley This Week

Concussion symptoms are not something you simply have to wait out. At Olive Physiotherapy & Sports Injury Clinic in Langley BC, our experienced team has helped hundreds of patients — athletes, MVA survivors, workers, and students — recover from concussions faster and more completely through targeted, evidence-based, multidisciplinary rehabilitation.

Whether your concussion happened yesterday or six months ago, whether it was on the ice in Langley, on a worksite in Murrayville, or in a car accident in Cloverdale — our team is ready to assess and treat you. Book with one of our experienced, registered therapists who has helped patients just like you get back to the life they love.

  • ✔ICBC MVA concussion — $0 patient fee, billed directly
  • ✔WorkSafeBC workplace concussion — $0 patient fee
  • ✔Direct billing for extended health plans — Pacific Blue Cross, Sun Life, Manulife & more
  • ✔Same-week appointments — Langley, Aldergrove, Willoughby, Brookswood, Cloverdale
  • ✔No physician referral required — call or book online
  • ✔Physiotherapy · RMT · Acupuncture — all coordinated under one roof

Book Your Concussion Assessment

Bring your ICBC claim number if car accident — we handle all billing

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