Pittsford Performance Care provides neurologic evaluation and treatment for persistent concussion and post-concussion syndrome. Located in Pittsford, serving the greater Rochester area. Care is directed by Dr. Robert Luckey, a clinician specializing in neurologic rehabilitation for persistent concussion, dizziness, and complex neurologic conditions.
Persistent concussion symptoms often involve multiple neurologic systems including vestibular, visual, autonomic, and sensorimotor networks. Evaluation focuses on identifying the primary neurologic constraint affecting recovery.
Many patients seeking care have symptoms lasting weeks or months after an initial concussion. The clinical model at Pittsford Performance Care focuses specifically on persistent concussion and post-concussion syndrome.
Evaluation and treatment are directed by Dr. Robert Luckey, who specializes in neurologic rehabilitation for persistent concussion, dizziness, and complex neurologic conditions.
Pittsford Performance Care regularly evaluates and treats student athletes from Pittsford Sutherland, Pittsford Mendon, and other Monroe County schools. Concussion is the most common neurologic injury in youth sports, and early specialist evaluation significantly reduces the risk of prolonged recovery.
Our return-to-sport protocol is grounded in objective neurologic outcome measures — not symptom self-report alone. Athletes progress through a structured sequence that confirms neurologic readiness at each stage before advancing to full contact activity.
Evaluation and treatment for concussion in middle and high school athletes, with communication support for school return-to-learn protocols.
Objective neurologic criteria guide each stage of return to sport. Athletes do not advance based on symptom resolution alone.
Athletes whose symptoms have not resolved within 4 weeks receive a full neurologic constraint evaluation to identify the system limiting recovery.
Graded exertion testing identifies the heart rate threshold at which symptoms are provoked, guiding safe progressive rehabilitation.
The following conditions are commonly evaluated at Pittsford Performance Care. Each involves a distinct neurologic system and requires targeted assessment to identify the constraint limiting recovery.
Symptoms that continue beyond the expected recovery window — typically two to four weeks — often indicate an unresolved neurologic constraint. Identifying that constraint is the starting point for structured recovery.
Persistent Concussion GuideA clinical pattern of persistent neurologic symptoms following mild traumatic brain injury. Post-concussion syndrome is not a single diagnosis but a presentation requiring system-level evaluation to identify the primary driver.
Post-Concussion Syndrome GuideDizziness following concussion can arise from vestibular, visual, cervicogenic, or autonomic sources — or from a combination of these systems. Evaluation differentiates the source to guide targeted treatment.
Understanding Dizziness GuideOculomotor deficits, convergence insufficiency, and visual-vestibular mismatch are common after concussion and frequently underdiagnosed. Visual system evaluation is a standard component of the neurologic assessment.
Inability to tolerate physical exertion without symptom provocation is a hallmark of autonomic dysregulation after concussion. Graded exertion testing identifies the threshold and guides progressive rehabilitation.
Exercise Intolerance GuideDysregulation of the autonomic nervous system after concussion can produce fatigue, heart rate variability, orthostatic intolerance, and anxiety. Autonomic evaluation is integrated into the standard neurologic assessment.
Autonomic Dysfunction GuideMost concussions resolve within two to four weeks. When symptoms persist beyond that window, recovery has typically stalled because one or more neurologic systems remain dysregulated — not because the injury is permanent or untreatable.
The systems most commonly involved in persistent concussion include the vestibular system, which governs balance and spatial orientation; the visual system, which coordinates gaze stability and oculomotor function; the autonomic nervous system, which regulates heart rate, blood pressure, and energy availability; and sensorimotor integration, which coordinates movement and proprioceptive feedback.
When these systems are dysregulated, they create a pattern of symptoms that persists regardless of rest. Identifying which system is the primary constraint — and restoring its capacity before increasing demand — is what resolves the stall.
Pittsford Performance Care is located at 3800 Monroe Ave, Suite 22, Pittsford, NY 14534 — directly accessible to patients from Pittsford and surrounding communities including Brighton, Fairport, Victor, Penfield, and Webster. The practice is within 20 minutes of most Rochester neighborhoods.
Because persistent concussion and complex dizziness conditions often require specialized evaluation, the practice regularly sees patients traveling from other parts of New York and the Northeast. Patients from across Western New York frequently visit Pittsford Performance Care for focused neurologic evaluation when symptoms have not resolved with traditional care.
If you are experiencing persistent concussion symptoms and have not found resolution through standard care, a neurologic evaluation can identify the constraint limiting your recovery and establish a clear path forward.
Schedule EvaluationLocal patients can book a neurologic evaluation at our Pittsford office. Out-of-area patients can request a clinical case review from anywhere in the country.
A comprehensive evaluation identifies the primary constraint driving your symptoms. Most patients leave with a clear diagnosis and a structured recovery plan.
Submit your case for a structured clinical review. Receive a detailed analysis of your symptom pattern, likely constraint profile, and recommendations for your care team — wherever you are.
Start a Case ReviewNo referral required · Most evaluations 60–90 minutes · Outcome-measured care