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How long does it take to recover from a concussion?
patient guideJanuary 8, 2025

How long does it take to recover from a concussion?

Most people recover from a concussion within 7-10 days, but recovery time varies. Learn about factors that affect healing and what to expect during your recovery journey.

Shift Concussion Management•4 min read

Quick Answer

Most adults and teenagers recover from a concussion within 7-10 days, though recovery times vary significantly. Children and adolescents may take longer (up to 4 weeks), while some individuals experience symptoms for months. The key to optimal recovery is proper rest, gradual return to activities, and professional guidance.

Typical Recovery Timeline

Week 1: Initial Rest Phase

  • Days 1-2: Strict physical and cognitive rest
  • Days 3-7: Gradual introduction of light activities if symptoms allow
  • Monitoring: Track symptoms daily

Most people begin to feel better during this first week with appropriate rest and activity modification.

Week 2: Gradual Return

  • Progressive return to daily activities
  • Introduction of light exercise (if symptom-free at rest)
  • Continued symptom monitoring

Many people are back to normal activities by the end of week two, though some still need modifications.

Beyond Week 2

  • 10-30% of people experience symptoms beyond 2 weeks
  • Persistent Post-Concussion Symptoms (PPCS) - symptoms lasting beyond 4 weeks in adults or 10 weeks in children
  • Requires specialized rehabilitation approach

Factors That Affect Recovery Time

Personal Factors

Age:

  • Children and adolescents often take longer to recover than adults
  • Older adults may also experience prolonged recovery

Concussion History:

  • Multiple prior concussions can lead to longer recovery times
  • Recent concussions (within the past year) increase risk of prolonged symptoms

Pre-existing Conditions:

  • History of migraines may extend recovery
  • Mental health conditions (anxiety, depression) can complicate recovery
  • Learning disabilities or ADHD may affect symptom resolution
  • Sleep disorders can prolong symptoms

Injury-Related Factors

Severity:

  • Initial symptom severity correlates with recovery length
  • Loss of consciousness doesn't necessarily predict recovery time
  • Post-traumatic amnesia duration may indicate longer recovery
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Symptom Type:

  • Vestibular symptoms (dizziness, balance problems) often take longer to resolve
  • Vision problems may require specialized treatment
  • Cognitive symptoms in students can affect return to learn timeline

Recovery Approach

Rest vs. Activity:

  • Initial rest (24-48 hours) is crucial
  • Too much rest beyond a few days can actually slow recovery
  • Gradual activity progression helps normalize brain function

Compliance:

  • Following medical advice improves outcomes
  • Pushing through symptoms delays recovery
  • Proper return-to-activity protocols reduce re-injury risk

Recovery Stages

Stage 1: Symptom-Limited Activity (Days 1-2)

  • Physical and cognitive rest
  • Light activities of daily living only
  • No screens, reading, or vigorous activity

Stage 2: Light Activity (Days 3-7)

  • Walking, light household chores
  • Short periods of screen time
  • Gradual return to work/school (modified)

Stage 3: Moderate Activity (Week 2+)

  • Increased daily activities
  • Longer periods at work/school
  • Light aerobic exercise (if symptom-free)

Stage 4: Return to Full Activity

  • Resume normal routine
  • Return to sports/high-risk activities
  • Only when cleared by healthcare provider

Warning Signs of Complicated Recovery

Seek professional help if:

  • Symptoms worsen instead of improve
  • New symptoms emerge weeks after injury
  • No improvement after 10-14 days of appropriate rest
  • Significant impact on daily functioning persists
  • Mental health concerns develop or worsen

Special Populations

Children and Adolescents

  • Longer recovery is normal (2-4 weeks average)
  • Return to learn must precede return to play
  • Parental support crucial for recovery compliance
  • School accommodations often necessary

Athletes

  • Must be symptom-free before beginning return-to-sport protocol
  • 5-7 day graduated return to full contact
  • Medical clearance required before competition
  • "When in doubt, sit it out" applies to practices too

Older Adults

  • May take longer to recognize and report symptoms
  • Higher risk of complications
  • Falls prevention important during recovery
  • Social support crucial for compliance

Optimizing Your Recovery

Do:

  • ✓ Follow your healthcare provider's recommendations
  • ✓ Rest in the first 24-48 hours
  • ✓ Gradually increase activities as tolerated
  • ✓ Stay hydrated and maintain good nutrition
  • ✓ Get adequate sleep (7-9 hours for adults)
  • ✓ Avoid alcohol during recovery
  • ✓ Communicate with your employer/school about accommodations

Don't:

  • ✗ Return to sports/high-risk activities without medical clearance
  • ✗ Push through worsening symptoms
  • ✗ Stay in bed for days unless advised
  • ✗ Resume contact sports within the first week
  • ✗ Drink alcohol during recovery
  • ✗ Drive if experiencing vision or concentration problems

Key Takeaways

  • Most people recover within 7-10 days with proper care
  • Children and adolescents may take 2-4 weeks - this is normal
  • Recovery time varies based on age, injury severity, and concussion history
  • Initial rest (24-48 hours) is crucial, but prolonged rest can delay recovery
  • Gradual return to activities under professional guidance optimizes recovery
  • Persistent symptoms beyond 4 weeks require specialized rehabilitation

When You Need Professional Help

Consider seeing a concussion specialist if:

  • Symptoms persist beyond 10-14 days
  • You're unsure how to progress your activities
  • You need accommodations for work or school
  • You're an athlete planning to return to sport
  • You have a history of multiple concussions

Get Expert Guidance: Schedule an assessment with Shift Concussion Management in Guelph, Ontario for personalized recovery planning and support.

Related Articles:

  • What is a concussion?
  • What are common concussion symptoms?

Article authored by Kailin Walter, DC, Director of Program Development at Shift Concussion Management. Last updated January 2025.