Concussion & Head Injury in Dallas

Head injuries are common. Getting the right plan early shortens downtime and prevents setbacks. We provide expert diagnosis, I-PAS oculomotor/vestibular assessments, I-PAS training when appropriate, and individualized concussion rehab. When clinically indicated, we order MRI or CT and integrate results into your plan.

Care, Simplified

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Common Symptoms

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Dizziness, nausea, ringing in the ears

Distruped Sleep - Dallas DFW

Blurred or double vision light sensitivity

Distruped Sleep - Dallas Spine Center TX

Memory lapses or trouble focusing

Distruped Sleep - Dallas Spine Center TX

Irritability, mood swings, disrupted sleep

Distruped Sleep - Dallas Spine Center TX

Weakness, numbness, slurred speech, or bladder changes

Emergency: Call 911 for severe/worsening headache, loss of consciousness, repeated vomiting,
slurred speech, seizures, new weakness/numbness, or concerning neck pain after trauma.

Concussion & Head Injury - Comprehensive Spine Center Of Dallas

Understanding
Concussions & mTBI

A mild traumatic brain injury (mTBI) occurs when acceleration deceleration and rotational forces disrupt normal brain function. Loss of consciousness may or may not occur. Symptoms can be immediate or delayed. Routine imaging can be normal even when neurologic function is affected —that’s why we combine skilled exam, I-PAS metrics, and targeted rehab to drive recovery.

Our Diagnostic Approach

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Focused clinical evaluation

Targeted history, symptom inventory, neurologic exam, balance/ocular screening, exertional response, and cervical assessment.

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I-PAS assessments

Standardized eye-movement, vestibular, and reaction-time testing to objectively profile impairment.

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Imaging (MRI/CT)

Ordered when necessary for red flags, atypical recovery, or suspected structural injury.

I-PAS Assessments & Training

I-PAS captures saccades, smooth pursuit, vestibulo-ocular reflex, optokinetics, and reaction time. We translate those findings into I-PAS training—gaze-stability, smooth-pursuit/saccade drills, and visual-vestibular progressions—integrated with vestibular-ocular rehab and cervical therapy.

The result: objective benchmarks that guide safe return to school, work, sport, and driving. 

I-PAS Assessment Care Specialist Dallas TX

Treatment Options

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Conditions We Treat

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What to Expect at Your Visit

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Same-day or next-day exam

Same-day or next-day intake & focused neurologic exam

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I-PAS assessments

I-PAS assessments and/or neurocognitive testing if helpful for decisions

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Right-sized plan

Activity guardrails, symptom pacing, home measures

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Rehab start

Vestibular-ocular & cervical interventions; I-PAS training when appropriate

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Milestones

Milestones → return-to-learn/work/play with objective criteria

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Documentations

Clear findings, plan, and functional progression

Why Early Evaluation Matters

Early, exam-led plans beat passive rest. Sub-symptom aerobic exercise, I-PAS-guided training, vestibular-ocular progressions, and cervical mobility/strength typically restore function faster and reduce persistent symptoms. We advance by criteria—not the calendar—so gains stick and setbacks are rare.

For Athletes, Parents, Coaches, Employers

Return-to-Learn/Work

Staged cognitive loading, screen-time pacing, and accommodations; updated as tolerance improves.

Return-to-Play/Drive

Criteria-based progressions using I-PAS metrics, symptom scores, and exertional checkpoints.

Documentation

Objective notes tracking capacity and milestones—useful for schools, teams, and HR.

Our Care Team

Dr. Scott Farley Orthopedic Surgeon Dallas

Scott Farley, DO

Board-Certified Orthopedic Surgeon

Dr. George Radiologist & Neuroradiologist Dallas Spine

George Farley, MD

Board-Certified Radiologist & Neuroradiologist

Dr. Arash Bidgoli Pain Management & Rehabilitation Specialist Dallas

Arash Bidgoli, DO

Board-Certified Pain Management & Rehabilitation Specialist

What Our Patients Have to Say

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Request Your Same-Day Concussion Evaluation

Don’t wait in pain — our expert spine specialists are available for same-day evaluations.

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Request Your Same-Day Concussion Evaluation

Or call 214-782-9222

Frequently Asked Questions

Do I need a scan (MRI/CT) to diagnose a concussion?

Usually not. Concussions are primarily a clinical diagnosis supported by tools like I-PAS and selective neurocognitive testing. We order MRI/CT when necessary for red flags, atypical recovery, or suspected structural injury. Your visit outlines exactly what we’ll do and why—see What to Expect and symptom patterns in Concussion (mTBI).

What is I-PAS, and how do you use it?

I-PAS objectively measures eye movements, vestibular reflexes, and reaction time using standardized stimuli. We leverage those metrics to target impairments and deliver I-PAS Training that improves gaze stability, pursuit, and saccades. It complements vestibular-ocular rehab and cervical care. Explore how training plugs in at I-PAS Training and review testing details under I-PAS Assessments.

How soon should I start activity after a concussion?

Soon—within sub-symptom limits. We begin graded aerobic exercise early, then layer vestibular-ocular and cervical work, adding I-PAS Training when appropriate. Advancement is criteria-based, not calendar-based, to prevent setbacks. See the structure of your plan in Concussion Rehabilitation and how we pace progress and testing in What to Expect.

Do you do baseline or post-injury computer tests?

Yes—selectively. Validated computerized testing can quantify memory, processing speed, and reaction time for baseline or post-injury comparisons. We use it when it meaningfully informs your plan, alongside exam findings and I-PAS metrics. Integration points appear in Concussion Rehabilitation and visual-vestibular metrics guiding I-PAS Training.

What symptoms should prompt urgent evaluation?

Severe or worsening headache, repeated vomiting, slurred speech, seizures, new weakness or numbness, or concerning neck pain require urgent evaluation. Otherwise, schedule a same-day or next-day clinic visit for guardrails and a rehab start. Immediate steps and escalation rules are outlined in What to Expect, with persistent-symptom guidance in Post-Concussion Syndrome.

How do you decide return-to-learn or return-to-play?

We combine symptom stability, I-PAS and neurocognitive metrics, clean vestibular-ocular and cervical screens, and graded exertion tolerance. Each stage has pass/fail criteria; we don’t advance if symptoms spike or metrics regress. School/work notes and team letters reflect milestones. Step-by-step details are in Return-to-Learn and Return-to-Play, with testing cadence in What to Expect.

Ready to start recovery?

Contact us and set up your doctor visit today to start your journey to pain-free living.