Frequently Asked Questions


Q: What types of conditions does your office treat?

 We diagnose and treat:

· Acute Concussion & Post-Concussion Syndrome

· Acute & Chronic Dizziness/ Vertigo

· Motion Sickness

· Cognitive Impairments & Fatigue

· Balance Disorders

· Migraine/Tension Headaches

· Neck/Arm Pain and Lower Back/Leg Pain

Q: Does your office participate with insurances?

     Our office participates with most insurance carriers for vestibular rehabilitation and chiropractic services. Your benefits will be verified prior to your first visit. Depending on your coverage and the increasing limitations insurance companies are imposing with visits and procedures, some of the advanced technology and procedures that our office utilizes may not be covered or may be limited in coverage.

     We understand that dealing with insurance companies is often frustrating. We also believe that you should not have to choose between healthcare you need and healthcare that your insurance company deems necessary. If required, we offer affordable, interest-free payment plans for any patients or services that are not covered to allow you to receive the care necessary to improve your condition. If we do not participate with your insurance, we will gladly provide you with the necessary paperwork for you to submit to your insurance carrier for potential reimbursement. We have found that often the out-of-pocket patient cost for out-of-network benefits are similar to in-network benefits due to the high deductible plans that most insurances are offering.

Q: How can I schedule an appointment?

    Scheduling an appointment at our office is easy and convenient. You can contact us during normal business hours, or simply click the "schedule online" button on our home page and you will be directed to our scheduling site where you will see the days and times available for you to choose an initial vestibular (concussion, dizziness, imbalance) appointment, initial chiropractic appointment, initial cognitive rehabilitation appointment, or reschedule an existing appointment. This process was designed to save our patients valuable time and allow us to spend more time with each patient. It also allows for appointments to be booked after business hours. If you have any questions, please feel free to contact us via email at info@carolinaconcussion.com or leave a message at (919) 435-7396 and we will promptly get back to you shortly. 

Q: Does your office do ImPACT testing?

     No, our office does not use the ImPACT testing software. The ImPACT test does not diagnose concussion injuries and is best used as a screening tool to indicate when additional assessment is needed. This is where our office comes in. Carolina Concussion & Physical Medicine offers the assessment necessary to diagnose concussions and creates customized treatment plans for both the physical and cognitive impairments caused by concussion injuries. 

    Prior to assessment, most patients have not had an ImPACT baseline test or a post-injury ImPACT test. This is not a problem. An ImPACT test is not necessary to diagnose and treat concussion injuries. 

Q: What age ranges does your office treat?

     We treat individuals from 5 years old to 95 years young.  

Q: What is the vestibular system and how is it treated?

     Your vestibular system is comprised of 3 parts: Visual (brain), Vestibular (inner ear) and Proprioception (joint and muscle sensors). All three parts work together to allow you to move about with proper balance and a normal perception of your surroundings. When one or more of these systems fail, symptoms such as dizziness, motion sickness, nausea, imbalance and headaches can arise. 

Vestibular rehabilitation is an evidence-based treatment aimed to restore impairments of the vestibular system. Our office also utilizes chiropractic manipulation to improve proprioception and relieve neck pain, back pain, and headache symptoms. 


Q: How long does it take to begin to see my symptoms improve?

     The brain and vestibular system are quite complex. Many factors must be considered in diagnosis and prognosis. Factors such as age, history of injuries, current health status and length of time the condition has persisted are a few variables that can affect and determine the length of your treatment program. 

The length of time it takes to see significant symptom improvement varies from person to person. Usually, patients experience some symptom improvement after the first few visits. With the utilization of advanced technology combined with extensive clinical experience, we have seen patient symptoms begin to improve within days or weeks even in cases where the condition has persisted for years. Patient compliance is a significant factor affecting the length of treatment time. Customized home exercises are required to be performed daily to aid in continued improvement of the condition. 

Q: Once I complete the program, will my symptoms return?

       Although there is no guarantee that past symptoms will never return, protocols have been developed to decrease the probability of a relapse. Once a customized treatment plan has been completed and all objective exam and testing is normal, at-home exercises are used to transition to maintain progress. Whether your condition is vestibular or musculoskeletal in nature, periodic maintenance visits are necessary to ensure that optimal function is maintained and the chances of relapse are reduced. The frequency of these maintenance visits will vary between each individual and will be discussed during your re-examination visit. The majority of patients opt for a maintenance plan as they have made an investment of both time and money into improving their condition and understand that ongoing maintenance care is the best way to maximizing that investment. 

Q: What is Cognitive Fatigue & Cognitive Rehabilitation Therapy?

    Cognitive fatigue, or mental fatigue, is a feeling of “tiredness” or “fogginess” that can make daily activities feel more challenging and is very common following a brain injury. After a TBI, the brain has to work harder to focus and think, resulting in more energy expenditure and exhaustion. Cognitive Rehabilitation Therapy (CRT) aims to target specific areas of the brain that are impairing cognitive function to create a customized treatment plan with fun and dynamic activities. The goal is to improve the cognitive system or find solutions to allow for compensation strategies for the individual.