Concussions are a type of mild traumatic brain injury (mTBI) that can result in a wide range of symptoms, from headaches and fatigue to difficulty concentrating and changes in mood. While many people recover with rest and time, others experience persistent symptoms that interfere with daily life. As awareness of concussions grows, so does the demand for safe, effective treatment options.
One therapy gaining increased attention is Hyperbaric Oxygen Therapy (HBOT). This non-invasive, oxygen-based therapy is being explored as a supportive option for individuals experiencing lingering post-concussive symptoms. In this blog, we’ll explore traditional treatment paths, emerging therapies, and why HBOT is becoming a compelling part of the conversation.
“Among the most promising developments is hyperbaric oxygen therapy (HBOT), which has shown potential in treating persistent post-concussion symptoms.”
American Orthopaedic Society for Sports Medicine
Traditional Concussion Treatment Options
Treatment for concussions typically follows a conservative, symptom-guided approach. Standard strategies may include:
- Physical and cognitive rest: Avoiding strenuous activity, screen time, and mentally demanding tasks during early recovery.
- Gradual return to activity: Reintroducing physical and cognitive activity in stages under clinical supervision.
- Medication: For headaches, sleep disturbances, or mood symptoms.
- Vestibular and vision therapy: For balance issues or visual disturbances.
- Cognitive therapy: To address memory, concentration, or executive function challenges.
While many patients improve with these approaches, a subset develops Post-Concussion Syndrome (PCS)—symptoms that persist for weeks, months, or even years after the initial injury.
Challenges in Managing Persistent Symptoms
Patients with prolonged post-concussive symptoms often experience a mix of:
- Physical issues like fatigue, headaches, dizziness, or light/noise sensitivity
- Cognitive difficulties such as brain fog, memory issues, or slowed thinking
- Emotional changes like irritability, anxiety, or depression
- Sleep disturbances including insomnia or oversleeping
These symptoms can severely impact quality of life. Conventional treatment options often fall short once a concussion becomes chronic. This is where HBOT has entered the picture as a promising, evidence-informed option.
What Is HBOT?
Hyperbaric Oxygen Therapy involves breathing 100% oxygen in a pressurized chamber. By increasing atmospheric pressure (usually to 1.5–2.0 ATA), HBOT allows more oxygen to dissolve into the plasma, delivering higher concentrations to injured tissue—particularly the brain.
This can:
Improve oxygenation in areas of the brain impacted by the injury
- Reduce inflammation
- Promote neuroplasticity
- Support tissue repair and angiogenesis
- Encourage mitochondrial and metabolic recovery
Why HBOT for Concussions?
1. Supports Neurological Healing
HBOT has been shown to promote neurogenesis (growth of new neurons), stimulate neuroplasticity (the brain’s ability to rewire), and help recover damaged tissue in the penumbra zone—the area surrounding injured brain cells.
2. Improves Cognitive Function
Clinical studies have reported improvements in memory recall, focus, and overall cognitive performance following a course of HBOT sessions. Many patients also note reduced brain fog and quicker mental processing.
3. Reduces Inflammation and Oxidative Stress
HBOT can moderate inflammatory and oxidative stress pathways, which are believed to play a role in prolonging concussion symptoms.
4. Non-Invasive and Drug-Free
For patients seeking a natural, low-risk approach, HBOT offers an alternative that doesn’t involve pharmaceuticals or invasive procedures.
5. Potential for Long-Term Improvements
Even in chronic cases—months or years after the initial injury—HBOT has shown the potential to produce measurable changes in brain function, suggesting that healing can still occur beyond the acute phase
What Does a Typical HBOT Protocol for Concussion Look Like?
While protocols may vary by provider, research-supported treatment plans often include:
- Session Count: 40 sessions for PCS; 60 sessions for moderate-to-severe TBI
- Frequency: 3-5 days per week
- Duration: 60 minutes per session
- Pressure: 1.5 to 2.0 ATA, adjusted based on individual needs
According to studies such as Boussi-Gross et al. (2013) and Hadanny et al. (2018), this regimen has led to significant functional and cognitive improvements
Is HBOT Right for You?
If you or someone you love is struggling with lingering concussion symptoms, HBOT may be worth exploring. It’s particularly relevant for:
- Individuals with Post-Concussion Syndrome
- Athletes with repeat concussions
- Children or teens who haven’t responded to conventional therapy
- Veterans or accident survivors with persistent cognitive or mood changes
While HBOT is not a cure-all and results can vary, it offers a unique therapeutic pathway focused on brain repair, not just symptom management.
Final Thoughts
As awareness of concussion recovery continues to evolve, so must the range of treatment tools we offer patients. HBOT represents a scientifically plausible, increasingly validated option that targets the neurological root of concussion-related dysfunction.
It’s important to work with a knowledgeable provider who understands how to apply HBOT safely and effectively for brain-related conditions. Clinics like MD Hyperbaric incorporate evidence-based protocols, medical oversight, and comprehensive intake screening to ensure HBOT is used appropriately.
If you’re researching concussion treatment options and want to go beyond conventional rest and medication, HBOT may offer a new frontier of hope.
If you’re curious about whether HBOT is a good fit for you, consider booking a Discovery Call. Understanding the experience is the first step toward making an informed decision.
Disclaimer: This article is for informational purposes only and does not constitute medical or insurance advice. Please consult a qualified healthcare provider for personal recommendations and check with your insurance company for current policy details.