Pittsford Performance Care

03/12/2026

Why Do Concussion Symptoms Sometimes Persist?

Most people expect concussion symptoms to resolve within a few weeks.

But many patients experience dizziness, headaches, fatigue, brain fog, or visual sensitivity that continue for months.

When that happens, people are often told:

• “Everything looks normal.”
• “You just need more time.”
• “Try to reduce stress.”

In reality, persistent concussion symptoms often occur because one or more neurologic systems has not yet fully reintegrated after injury.

The brain must coordinate several systems simultaneously:

• vision
• vestibular (balance)
• body position and movement
• autonomic regulation

When one of these systems becomes the primary constraint, the brain works harder to stabilize the mismatch, increasing energy demand at a time when concussion has already reduced metabolic efficiency.

We wrote a guide explaining:

• why symptoms sometimes persist
• how these neurologic systems interact
• what evaluation should focus on during recovery

You can read the full guide here:

Why concussion symptoms sometimes persist and how recovery is restored. https://www.pittsfordperformancecare.com/site/persistent-concussion-guide

03/11/2026

Happy Birthday Nick! Thank you for making PPC such a special place.

Behind the scenes … You maintain the facility and manage resource. You keep the team energized and cohesive. You clear the path for personal and clinical success. You keep the office dynamic light and stress free. Most of all - you keep our ship on course. Thank you for protecting our today”s and tomorrow”s so we can continue serve the community as we have together for the last 17 years.

Today we celebrate you !

PPC

02/22/2026

Most concussions heal in a few weeks.
Some don’t.

If symptoms keep cycling…
If school tolerance stalls…
If exercise triggers setbacks…
If your athlete feels “almost better” for months…

It may not be a time problem.

It may be a sequencing problem.

In persistent concussion cases, the issue is often not ongoing injury, it’s an unresolved neurologic system that hasn’t been restored to capacity.

When load increases before that system is ready, regression happens.

At Pittsford Performance Care, we follow one rule:

Capacity before load.

Recovery isn’t defined by “feeling better.”
It’s defined by tolerating full school, full sport, and real-world demand, without crashing 24–48 hours later.

If your athlete is in the first 24 hours, the first week, or stuck weeks later…

We created a Concussion Guide outlining what to consider early, and what to watch for if recovery stalls.

Comment “GUIDE” or send us a message and we’ll share it with you.

Persistent concussion is frustrating.
But when sequencing is correct, it is often solvable.

11/20/2025

Home from college? Still dealing with an injury that never fully healed?

Fall is the season when momentum and injuries collide and too many athletes get stuck in “wait and see” mode.

At Pittsford Performance Care, we take a neurologically-driven approach that identifies the real problem fast, accelerates recovery, and protects performance.

Our athletes return to play 39% faster than national benchmarks.

PPC Fall Newsletter

We just released our Fall Newsletter, packed with:

• A collegiate athlete case spotlight (18-month injury resolved)
• A preview of a medical case review currently under journal review
• How neurologic recalibration accelerates performance and recovery
• What makes PPC different (“We See What Others Don’t”)
Take a look: see how a smarter neurologic approach transforms outcomes.

👇 Read the Fall Newsletter + Schedule Your Break-Home Injury Evaluation 👇

https://mailchi.mp/01cf8a15fb70/ppc-fall-newsletter?e=e1ef8541df&fbclid=IwY2xjawOJwCtleHRuA2FlbQIxMQBicmlkETFzRThkeUxrS3lvaTVyMjZwc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHrAZA8GZrUNpRWPMh3pLdfwJZGLnmyzvrHoCQNZagU4FDabHfWmPHVbi91J1_aem_F0rfSfCDQIQBfasDnHRgXw

11/03/2025

Excite to share our Fall Newsletter. Please enjoy and share!

Fall brings the energy of a new sports season, packed fields, cool evenings under the lights, and student athletes giving their best to the game. At Pittsford Performance Care, we share that excitement, but we also know this is the time when injuries are most likely to interrupt momentum.

10/10/2025

🏆 Here’s to Sectionals — Just 2 Weeks Away! 🏊‍♀️🏃‍♀️🏈

This time of year is packed with fall athletes sharpening their edge before the big stage. And something pretty incredible happened recently:

In just the last two weeks, three new athletes came to the practice after injuries were holding them back:

💧 A female swimmer struggling to train at full capacity.
🏃‍♀️ A female cross country runner limited by pain during peak season.
🏈 A quarterback with sidelining shoulder pain who returned with more velocity and accuracy than before the injury.

All three not only got their injuries fully resolved… they each set personal records upon their return.

That’s what happens when you restore neurologic readiness, address the root cause, and unlock the body’s potential ... fast.

🔥 Sectionals are coming. Let’s go !!!

09/29/2025

Not every recovery follows the textbook.�Some injuries linger. Some symptoms refuse to fade. Families tell us:

�✨ “We tried everything, then we found you.”
At Pittsford Performance Care, we specialize in the complex:

* Chronic pain that won’t release
* Concussion symptoms that won’t resolve
* Cases where “rest and wait” isn’t enough

We welcome these challenges. Because your story isn’t over, and neither is your recovery.

📍 Local care. National-level expertise.�💬

Reach out, we’re here for the hard cases

09/23/2025

Fatigue is the Silent Injury Risk

From Dr. Luckey

Lately, I’ve noticed more injuries that can be traced back to one factor: fatigue.

I’ll always endorse hard, explosive work and mental toughness. These stresses build resilience. But overtraining often comes from too much time under demand, not from effort itself.

In fact, many athletes benefit from training harder and more precisely, for shorter durations. This builds durability in a very different, and often more effective, way.

Still, remember this: physical and neurologic recovery only happen in deep sleep. When schedules are filled with social, cognitive, and physical demands, strategic rest is as important as the training itself.

Train smart. Recover deep. Perform better.

—Dr. Luckey

08/24/2025

Ankle injuries are a common culprit of performance delays and increased injury risk.

Ben knows that story all too well.

After his first ankle injury sophomore year, he was cleared to return — but he knew it didn’t feel right. Despite clearance, the same joint sustained non-contact sprains three more times — always with the same drill.

It became a cycle: Time off → Rehab → Clearance → Re-injury.
Frustrated and losing valuable time, Ben and his family sought another approach — us.

By junior year, when another severe sprain left him on crutches, we got to work. After just four visits, Ben was back on the field and able to finish the season strong. He’s been at full strength ever since.

The difference? We focused on restoring his neurologic readiness and joint integrity — not just the clock on a return-to-play timeline.

Now Ben is healthy, confident, and preparing to step onto the college lacrosse field next fall. And we’re rooting for him every step of the way.

't

08/18/2025

Meet Bradley.

22 years old. Fit. Former high-level collegiate hockey player.

In his teens, Bradley battled spinal stress fractures and chronic low back pain—managed with bracing, time off, and too often pushing through the injury. In college, a labral tear led to FAI surgery. The repair was flawless, but pain and performance struggles remained.

That’s when his orthopedic surgeon recommended us.
I’m grateful for that recommendation—and for Bradley’s family, who willingly traveled more than four hours round-trip for every appointment.

After just one visit, Bradley felt something he hadn’t in years—connected to his lower half and moving like an athlete again. Five follow-ups later, he’s back performing at a high level and finally free from the dysfunction that held him back.

Delayed recoveries are common in situations like this—and are becoming even more common with the growing demands placed on today’s pediatric athletes.

08/12/2025

Thrilled to help Emma reach her goal of World Champion. All the ingredients are there. Honored to play a small role. # Pittsford

08/06/2025

🎯 CASE CLOSED: Chronic Hamstring Pain in a Collegiate Pitcher

We closed out care today with a high school senior—an elite-level pitcher—who’s been battling chronic hamstring painfor the past 18 months.

No acute injury.�No findings on MRI.
�Just persistent pain and tightness that worsened over time eventually limiting her to just 2–3 innings before she had to pull herself from the mound.

She had tried everything: rest, rehab, therapy, even changes to her pitching mechanics. Nothing worked.

During her initial neurologic evaluation, we uncovered a vestibular dysfunction, a common finding in unilateral and rotational athletes. When this system is miscalibrated, it often leads to asymmetric muscle tone and reflexive spasm in an attempt to stabilize faulty vestibulospinal reflexes.

Over just three visits, we recalibrated her system.

Last week, she threw over 70 pitches at full velocity with no pain during or after performance. She now enters her collegiate career ready, healthy, and confident.
�This was a special case to work on—and a perfect reminder that the answer is often neurologic, not orthopedic.

🧠💪
�We see what others don’t.