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Updated: Feb 5, 2026
Vision Training Methods for Sports Concussion Mitigation and Management
Published on: May 5, 2015
Factors Associated with Sport-Related Post-concussion Headache and Opportunities for Treatment
Johna K Register-Mihalik1,2,3, Christina B Vander Vegt4,5, Michael Cools4,6
1Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 125 Fetzer Hall, CB# 8700, Chapel Hill, NC, 27599, USA. johnakay@email.unc.edu.
Purpose Of Review:
The purpose of this review is to (1) describe factors both pre- and post-injury that are associated with post-concussion headache, (2) describe the influence of post-concussion headache on recovery following concussion, and (3) provide potential post-concussion treatment options that may reduce the burden of headache, as well as other symptoms to facilitate recovery.
Recent Findings:
Various factors may be associated with post-concussion headache presentation. These may include pre-injury or historical factors such as sex, family and self-history of headache and migraine, concussion history, and mood disorders. In addition, post-injury presentation factors for consideration may include injury mechanism, symptom clusters, cervicogenic dysfunction, and post-concussion physiologic dysfunction. Despite this complex interplay of factors, many treatment options may improve headache symptoms and recovery post-concussion including rehabilitation programs focusing on deficits such as visual-vestibular dysfunction, sub-symptom threshold exercise, and potential pharmacological interventions. Concussion is a complex injury that results in a variety of sequelae with headache being one of the most common. Understanding factors related to post-concussion headache presentation and the available options for treatment may improve patient care and outcomes post-concussion.
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