More Than Meets the Eye: Troubleshooting Visual Symptoms After Concussion with Dr. Paul Brewer | E21

Life After Impact: The Concussion Recovery Podcast

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Dr. Brewer brings his expertise as a neuro-optometrist to explain how visual processing problems are often overlooked in concussion recovery despite causing significant symptoms. He shares insights on integrating visual, vestibular, and proprioceptive systems to create lasting improvements for patients with post-concussion syndrome.
• 20/20 vision only measures clarity, not eye tracking or binocular function
• Many post-concussion symptoms stem from poor integration between sensory systems
• Light sensitivity can come from multiple causes including dry eyes
• Cervical (neck) issues can cause visual problems and vice versa
• Too many sensory errors overwhelm the cerebellum, causing fatigue and emotional dysregulation
• Standard vision therapy exercises can worsen symptoms if they don't address the right problems
• Peripheral vision processing often becomes impaired after concussion
• The brain's ability to filter information is compromised, creating sensory overload
• Integrating multiple sensory systems creates more significant improvement than treating each in isolation
You can find Dr. Brewer at Diverge Performance in Boise, Idaho, or online at divergeperformance.com.

Instagram: @divergeperformance
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Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!
What topics do you want to hear more about? What questions do you have? Email us at [email protected]
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Website: lifeafterimpact.com
Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

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1. Visual-Vestibular Integration in Concussion (00:00:00)

2. Dr. Brewer's Path to Neuro-Optometry (00:06:12)

3. Understanding Visual Acuity vs. Eye Function (00:12:09)

4. Eye Movements and Binocular Vision Explained (00:17:21)

5. Vision, Vestibular, and Proprioceptive Systems Integration (00:22:52)

6. Understanding the Cervical Ocular Reflex (00:28:15)

7. Light Sensitivity: Causes and Assessment (00:35:43)

8. Peripheral Vision Processing After Concussion (00:43:18)

9. Finding Specialized Care for Vision Issues (00:50:30)

10. Closing Thoughts and Contact Information (00:58:50)