What to Expect at Your First Visit
Your first visit at Pittsford Performance Care focuses on understanding why your symptoms may be persisting — and which neurologic systems may be affecting your recovery. Depending on your presentation, the evaluation may include assessment of concussion-related, vestibular, visual, autonomic, and movement-related systems. The goal is not a generic protocol but a clear picture of what is driving your symptoms.
Why Patients Seek Evaluation
Many patients come to Pittsford Performance Care when symptoms have not resolved as expected — often weeks or months after an initial injury or onset. The most common presentations include:
If you have been experiencing persistent concussion symptoms or unexplained dizziness or vestibular dysfunction, a neurologic evaluation can help identify which systems are involved and what a structured recovery path may look like. Learn more about neurologic concussion care in Rochester, NY.
What the Evaluation May Assess
The evaluation at Pittsford Performance Care is individualized — not a rigid checklist. Based on your symptom history and presentation, the clinician may assess one or more of the following neurologic systems:
Vestibular Function
Assessment of inner ear and central vestibular processing, including gaze stability, positional testing, and balance under varied sensory conditions.
Visual and Oculomotor Function
Evaluation of eye movement control, visual tracking, convergence, and how the visual system interacts with balance and spatial orientation.
Autonomic Regulation
Assessment of heart rate and blood pressure responses, exercise tolerance, and signs of dysautonomia that may be contributing to fatigue or exertional symptoms.
Balance and Coordination
Functional balance testing and coordination assessment to identify cerebellar, proprioceptive, or sensorimotor integration deficits.
Sensorimotor Integration
Evaluation of how the nervous system integrates sensory input from the visual, vestibular, and proprioceptive systems to produce coordinated movement.
Symptom Pattern and Recovery History
A structured review of your symptom timeline, prior interventions, and recovery trajectory to identify patterns that guide clinical decision-making.
Not every system will be assessed at every visit. The evaluation is guided by your presentation and what is most clinically relevant to your recovery.
What to Bring to Your Visit
Having the following items ready will help your evaluation proceed smoothly.
Government-issued identification.
If applicable. We recommend contacting your insurer in advance to confirm coverage.
MRI or CT reports if available. Bring the written report; imaging discs are also welcome.
Including dosages and how long you have been taking each medication.
A brief written summary of when symptoms began, what has changed, and what has been tried is extremely helpful.
If a movement or balance assessment is likely, comfortable athletic clothing is recommended.
What Happens After the Evaluation
The goal of the first visit is to identify the primary factors affecting your recovery and determine the most appropriate next clinical steps. By the end of your evaluation, you should have a clearer understanding of what is driving your symptoms and what a structured path forward may look like.
Recommendations following the evaluation may include one or more of the following, depending on your presentation:
Targeted treatment strategies addressing the specific neurologic systems identified during evaluation
Home-based exercises or recovery strategies to support progress between visits
Additional evaluation if the clinical picture warrants further assessment
Coordination with other providers — such as your primary care physician, neurologist, or ophthalmologist — when appropriate
Outcomes vary by individual. No specific result can be guaranteed. The evaluation is designed to identify clinical factors and guide care — not to provide a predetermined treatment plan.
For Patients Traveling From Outside Rochester
Pittsford Performance Care serves patients across Monroe County and the broader Western New York region.
We regularly evaluate patients from the following communities:
Patients also travel from other parts of Western New York and surrounding regions when persistent concussion or dizziness symptoms have not resolved with traditional care. If you are coordinating travel from outside the immediate area, please contact us and we can help arrange scheduling to minimize your trip.
About the Clinician
Evaluations at Pittsford Performance Care are conducted by Dr. Robert Luckey, a clinician specializing in persistent concussion, vestibular dysfunction, autonomic dysregulation, and neurologic recovery. Dr. Luckey has over 20 years of clinical experience and has developed structured evaluation and care frameworks used in the management of complex post-concussion and dizziness presentations.
Some patients searching for the practice use the name Dr. Lucky — Dr. Robert Luckey and Dr. Lucky refer to the same clinician at Pittsford Performance Care.
Schedule a Neurologic Evaluation
If you are experiencing persistent concussion symptoms or unexplained dizziness that has not resolved with prior care, a neurologic evaluation can help clarify what is driving your symptoms and what a structured recovery path may look like.