What is Concussion?

Concussion is often a dramatic and alarming injury that presents suddenly and usually resolves quickly. However, it can occasionally have longer lasting effects including reduced concentration, prolonged headaches, dizziness, as well as potential behavioural and emotional consequences.

Concussion is not an injury that can easily be diagnosed with current imaging techniques, and therefore requires a systematic and holistic management approach by individuals who are experienced in dealing with such injuries. It is particularly topical at present given the number of recent high profile concussions occurring in the elite sporting environment.

What is Our Concussion Clinic?

The Concussion Clinic offers rapid access to a group of skilled adult and paediatric healthcare professionals including Sports Doctors, Physiotherapists, Osteopaths, Neuro-radiologists, Neurologists, Vestibular (balance) Therapists, Psychologists and Neuropsychologists as required.

The clinic caters for Children (12 years and over), as well as adults and is coordinated by a group of clinicians experienced in the management of concussion and its associated conditions.

Who Can Help?

Sports Doctor support

The Sports Doctor will make an initial assessment of the concussion, based on history, examination and specialist “neurocognitive” testing. This will provide a baseline and highlight any symptoms which may require onward investigation or referral for specialist input, i.e. Brain MRI for persistent headache.
The Doctor will provide initial advice on symptom management, return to school/work and return to sport. Follow up appointments may be necessary to assess recovery and facilitate a successful return to a normal active life.

Physiotherapy and Osteopathy support

Physiotherapists and Osteopaths can work with you to help with the physical symptoms of concussion from headache and dizziness to visual disturbances and balance disorders.
Manual therapy, exercise therapy and return to play advice are used to return patients suffering from concussion back to sport and daily activities safely and effectively.

Our Team

Dr James Thing, Canary Wharf

Dr James Thing is a Sport and Exercise Medicine consultant who has a specialist interest in sports concussion. He works as a pitch side doctor at Harlequins FC (Rugby Union) and has worked with the England U16 rugby team. He was awarded the Bauerfeind Travel fellowship in 2013 and attended the Boston Children’s Hospital Paediatric Concussion Clinic, one of the world’s first paediatric sports concussion centres.

Richard Skudder, Osteopath, Kensington

Richard Skudder is an Osteopath with a special interest in neck injuries, functional neurological issues including dizziness and concussion. Richard qualified with a first and prizes in 2002, It was at this time he first developed an interest and started specialising in this area, he has been successfully treating these issues both in elite sport and the general population since. He has taught Osteopathy in both the UK and New Zealand.