How do you approach the management of post-concussion syndrome with symptoms including vertigo, headaches, persistent fatigue, and/or mood symptoms?

Each persistent post-concussion symptom that you listed has interventions that can be helpful. For vertigo, I recommend referral to vestibular therapy. I also use our behavioral health providers very regularly in the PPCS population. Because a concussion is a neuro-psychiatric condition, therapy is incredibly helpful. For headaches, I will use medications such as amitriptyline or topiramate if appropriate. Fatigue may be treated with stimulant medication (off-label), and if mood symptoms are sev...