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A MOA Living concussion specialist will reach out to you within 24 hours to discuss your situation and next steps.
Book Online Now →Concussion & mTBI Recovery · Toronto
Specialized, evidence-informed concussion rehabilitation at Bloor & Christie. We treat the whole person — neurologically, structurally, and emotionally — with programs tailored to your stage of recovery.
Recognized by
Complete Concussions NetworkUnderstanding Concussion
A concussion is classified as a mild traumatic brain injury (mTBI), but its effects on the body and brain can be anything but mild — especially without the right care. It typically results from a direct blow or rapid jolt to the head, face, neck, or body.
The force causes the brain to move rapidly within the skull, disrupting normal cellular activity and neurological communication — triggering what researchers call the neurometabolic cascade: a complex chain reaction affecting neurotransmission, blood flow, inflammation, and energy metabolism simultaneously.
While many people recover within days to weeks, a significant portion experience post-concussion syndrome (PCS) — symptoms persisting months or longer that disrupt work, school, relationships, and quality of life.
"Even seemingly minor impacts can cause lasting effects, especially if left untreated or improperly managed. The right care, started early, makes a measurable difference in long-term outcomes." — CISG Consensus Statement, 2023
The Science
The neurometabolic cascade — established by Giza & Hovda (2001) and updated in CISG 2023 consensus — explains why concussion affects multiple systems and why a multi-modal treatment approach is clinically necessary.
Sudden ionic shifts and glutamate flooding disrupt normal brain signalling within minutes, producing confusion, fatigue, and cognitive slowing. (Giza & Hovda, 2001)
Cerebral blood flow drops 20–30% while metabolic demand increases — creating a critical mismatch. This energy crisis is why premature return to activity risks re-injury.
Microglial activation triggers localized inflammation contributing to headaches, photosensitivity, and prolonged recovery without appropriate clinical management.
ATP production fails as mitochondria become compromised. Neurons cannot restore ionic balance — the root of the post-concussion "energy crash" most patients describe.
The autonomic nervous system becomes destabilized, disrupting heart rate variability, sleep, digestion, and stress response — explaining why concussion feels like a whole-body condition.
Axonal stretching and fascial compression — particularly in the skull, cervical spine, and jaw — create persistent mechanical dysfunction that imaging cannot detect but manual therapy directly addresses.
Our 360° Recovery System
We combine manual therapy, structural correction, neuroregulation, and mindset support — addressing root causes of dysfunction, not just surface symptoms.
Signature Therapy
Targets deep structural tension and compression in bones and fascia originating from impact. Our certified practitioners identify hidden structural imbalances driving concussion symptoms and gently release them, improving neurological function at its mechanical source. Included in all programs.
Vestibular & Visual
VOMS and SCAT6 screening identifies vestibular-ocular dysfunction — the source of dizziness, balance problems, and visual disturbances. Progressive rehabilitation protocols restore stability, gaze control, and spatial orientation. Evidence-based per CISG 2023 consensus guidelines.
Hands-On Therapy
Targeted fascial and myofascial release addresses muscle tightness around the cervical spine, occiput, and TMJ that amplifies concussion symptoms. Supports lymphatic and circulatory flow and calms an overstimulated nervous system. Insurance-eligible with RMT receipt.
Cellular Recovery
Deep tissue penetration reduces neuroinflammation, stimulates mitochondrial function, and enhances cerebral blood flow — directly countering the neurometabolic cascade. Particularly effective for post-traumatic headaches, fatigue, and sleep disruption. Included in Recover and Rebuild programs.
Mind-Body
Neuroscience-informed hypnotherapy activates the parasympathetic nervous system, enhances neuroplasticity, and addresses the cognitive-emotional sequelae of concussion — anxiety, identity disruption, fear of re-injury, and trauma encoding. Included in Recover and Rebuild programs.
Evidence-Based Coaching
Recovery happens between sessions. Our coaching protocols — grounded in current research — give you tools, knowledge, and daily practices that accelerate healing.
Understanding your injury removes fear and improves compliance with recovery protocols. Research shows educated patients recover faster. (McCrory et al., BJSM 2023)
The post-concussion brain is in a metabolic crisis. Targeted nutritional support reduces neuroinflammation, supports mitochondrial repair, and restores neurotransmitter balance.
Contrary to old guidelines, sub-threshold aerobic exercise begun early significantly improves recovery outcomes. (Leddy et al., BJSM 2019 — Buffalo Concussion Protocol)
Sleep is the brain's primary repair mechanism. Concussion commonly disrupts circadian rhythm and sleep architecture — and poor sleep significantly prolongs recovery.
Clinical Protocols
MOA Living follows internationally validated concussion return protocols — the same guidelines used by NHL, NCAA, and FIFA — adapted for each patient's unique presentation and pace.
The 6-stage Return to Play (RTP) protocol follows the Concussion in Sport Group (CISG) 2023 Consensus Statement. Each stage requires 24 hours symptom-free before progression. MOA Living supervises each stage clinically — assessing symptom response, heart rate tolerance, and vestibular function at each transition.
The Return to Work (RTW) protocol addresses cognitive reintegration — the neurological demands of knowledge work, communication, decision-making, and sustained attention that are equally taxing to the recovering brain. Based on Cancelliere et al. (2014) and WSIB Ontario guidelines.
For students, parents, or anyone whose "work" is daily life — managing a household, caring for children, or navigating school — this protocol guides safe cognitive and social reintegration without triggering relapse.
Nutritional Support
The post-concussion brain is in metabolic crisis — energy starved, inflamed, and biochemically disrupted. What you eat directly influences the speed and quality of neurological recovery.
MOA Living's nutrition coaching is informed by current research on omega-3 fatty acids, anti-inflammatory diets, mitochondrial support, and gut-brain axis optimization for mTBI recovery.
Your Recovery Plan
No two concussions are the same. Your care plan is built around your symptoms, timeline, and goals — not a generic protocol.
Phase 01 · Assessment
Phase 02 · Active Care
Phase 03 · Return to Life
Frequently Asked
How much does concussion rehabilitation cost at MOA Living?
Initial assessment: $225 (75 min). Subsequent sessions: $225 (60 min). Tune-up sessions: $115 (30 min). Programs range from $900 (Reset – 3 sessions) to $1,575 (Recover – 6 sessions) to $2,700 (Rebuild – 12 sessions). Many sessions are insurance-eligible.
What is post-concussion syndrome (PCS)?
PCS refers to symptoms persisting weeks or months after a concussion — including headaches, brain fog, dizziness, mood changes, and sleep disruption. It affects 10–15% of concussion patients. MOA Living's Recover and Rebuild programs are specifically designed for PCS.
How long does concussion rehabilitation take?
Acute concussions often resolve in 3 sessions (Reset Program). Subacute or PCS cases typically require 6 sessions (Recover). Complex chronic PCS may need 10–12 sessions (Rebuild). Your 75-minute assessment sets a realistic, personalized timeline.
Is concussion therapy covered by insurance in Toronto?
RMT and osteopathic sessions are eligible for extended health coverage. Official receipts provided for every visit. MVA patients may have additional auto insurance coverage. No referral required — book directly online or by phone.
What does the Return to Play protocol involve?
MOA Living follows the CISG 2023 6-stage RTP protocol: symptom-limited rest → light aerobic → sport-specific → non-contact drills → full-contact practice → return to competition. Each stage requires 24 hours symptom-free before progression. Clinical documentation is provided.
Do I need a referral to book a concussion assessment?
No referral is needed. Book directly at moaliving.janeapp.com or call 647-247-6004. Early intervention significantly improves outcomes — we recommend booking as soon as possible after any head impact, even if symptoms seem mild.
About Our Clinic
MOA Living offers Toronto's most comprehensive concussion recovery programs — from the 3-session Reset ($900) to the 12-session Rebuild ($2,700) — at 799 Bloor Street West, steps from Christie TTC. Programs include Matrix Repatterning, vestibular-visual rehabilitation, clinical hypnotherapy, concussion nutrition coaching, and structured Return to Play / Return to Work protocols based on CISG 2023 consensus guidelines.
Post-concussion syndrome (PCS) affects an estimated 10–15% of concussion patients, with symptoms lasting months or longer. MOA Living's Recover and Rebuild programs are specifically designed for subacute and chronic PCS — addressing the neurological, structural, emotional, and metabolic dimensions of recovery that standard physiotherapy alone cannot reach.
MOA Living is one of the few Toronto clinics providing formally supervised Return to Play (RTP) and Return to Work (RTW) concussion protocols. We follow CISG 2023 and Cancelliere et al. (2014) guidelines, provide clinical documentation for employers, school boards, coaches, and physicians, and coordinate medical clearance referrals for Stage 5 RTP contact. Included in Recover and Rebuild programs.
MOA Living integrates evidence-based concussion nutrition coaching — omega-3 DHA supplementation, anti-inflammatory diet protocols, magnesium support, and gut-brain optimization — alongside sleep coaching, exercise prescription (Buffalo Concussion Protocol), and breathwork into every program. Recovery happens between sessions; our coaching ensures it does.
Transparent Pricing
Every journey is different. Choose the program that matches where you are — and know you can adjust as you recover. All programs begin with a 75-minute assessment.
Acute Recovery
3 sessions · Ideal for recent concussions (< 4 weeks)
$300 per session avg · Includes assessment
Program includes
Subacute & PCS
6 sessions · Best for 4 weeks – 6 months post-injury
$262 per session avg · Best value for most patients
Everything in Reset, plus
Chronic & Complex PCS
10–12 sessions · For long-term or treatment-resistant PCS
From $225 per session · Flexible scheduling
Everything in Recover, plus
Insurance coverage: RMT and osteopathic sessions are eligible for extended health benefits. Official receipts provided for every visit. MVA patients may have additional coverage through auto insurance. No referral required.
Book a 75-minute initial assessment ($225). We'll run a full evaluation, map your symptoms, and build your personalized program — safely and with compassion.
799 Bloor Street West, Toronto ON · Steps from Christie TTC · Free street parking · 647-247-6004