Pittsford Performance Care provides neurologic evaluation and treatment for persistent concussion and post-concussion syndrome for patients in Rochester and Western New York. 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.
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.
Dizziness 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.
Dysregulation 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.
Most 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.
The initial evaluation establishes baseline capacity markers across the neurologic systems relevant to your presentation. This includes vestibular and oculomotor testing, autonomic assessment, sensorimotor evaluation, and a review of symptom history and prior care. The evaluation identifies the primary constraint and produces a sequenced care plan — what must be restored first, and what objective criteria determine readiness to progress.
Patients leave the initial evaluation with a clear understanding of which system is limiting recovery and what the recovery sequence looks like. Progress is measured objectively at the start and at discharge.
What to Expect at Your First EvaluationPittsford Performance Care serves patients throughout Rochester and the surrounding communities in Monroe County. The practice is located in Pittsford, NY, and is accessible to patients from across the greater Rochester region.
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 Evaluation