Post-Concussion Syndrome Treatment for Symptoms That Are Still Here Months or Years Later

A standard MRI shows your brain’s structure, and after a concussion the structure usually looks fine. But a concussion can disrupt neurovascular coupling: the signaling that delivers blood and oxygen to brain regions in the moment they are working. When a region starts working, nearby vessels are supposed to dilate within about a second to deliver extra oxygen and glucose. Research on persistent post‑concussion symptoms points to this regulation staying dysregulated in specific regions: the region is intact, but it is running on an unreliable fuel line. Tasks that used to be effortless, like reading, screens, or a noisy room, now drain the system and trigger symptoms. Because brain structure usually looks normal, a structural MRI often reads as normal.

No. fNCI is not a stand-alone diagnosis; we use many different data points to assess the severity of an injury. fNCI is a measurement tool: it maps which of your brain’s functional systems are working inefficiently so therapy can be aimed at those systems instead of guessing. The method behind it is published in peer‑reviewed literature (Wing et al., The Open Neuroimaging Journal, 2017, based on 270 concussion patients).

Cognitive FX is an outpatient clinic in Provo, Utah. Researchers at Amsterdam UMC and UMC Groningen, not Cognitive FX, followed 64 of its patients and published the results (van Doorn et al., Tijdschrift voor Neuropsychologie, 2024). One month after treatment, 69% had a meaningful improvement in symptoms. Six months after treatment, 77% of the patients measured had a clinically meaningful reduction in symptoms. It was an observational study. Our methods are published in peer‑reviewed journals, our prices are public, and a YouTube engineer filmed his entire week here. Individual results vary.

Cognitive FX in Provo, Utah publishes its prices: $13,000 for one week of EPIC treatment, $24,700 for two weeks, and $1,500 for a stand‑alone fNCI functional MRI scan, credited toward EPIC if you continue. The clinic is out‑of‑network. Patients receive a superbill after treatment, and some recover part of the cost through out‑of‑network benefits. Reimbursement varies by plan and is not guaranteed.

No single treatment works for everyone. Current concussion guidelines favor active, individualized rehabilitation aimed at the systems driving your symptoms, such as vestibular, vision, cognitive, and physical therapy, rather than prolonged rest. Cognitive FX in Provo, Utah delivers those therapies together in one intensive program, planned from a functional MRI scan, for adults whose symptoms have lasted three months or longer.

Yes. Most patients at Cognitive FX in Provo, Utah come for treatment between 6 months and 4 years after their injury, still dealing with symptoms that affect work and daily life. A free case review from home checks whether your history and symptoms fit what the treatment helps before you commit to anything or book travel.

An intensive outpatient program delivers several therapies in full days over a short period, instead of one or two weekly sessions over months. At Cognitive FX in Provo, Utah, the EPIC program runs one or two weeks, about 9 to 5 with rest breaks, and combines cognitive, physical, occupational, vestibular, and vision therapy on one plan built from an fNCI functional MRI scan.

Treatment at Cognitive FX in Provo, Utah starts with an fNCI functional MRI scan on Day 0, reviewed with you the same day. Days 1 to 4 are full days of cognitive, physical, occupational, vestibular, and vision therapy with structured rest. Day 5 brings a second scan and a home program with scheduled follow‑ups. The typical wait from an accepted case review to the treatment week is about six weeks, because the clinic limits how many patients it takes per week.

A standard MRI shows brain structure, which usually looks normal after a concussion. A functional MRI measures brain activity while you work. At Cognitive FX in Provo, Utah, the fNCI scan measures 56 brain regions during cognitive tasks and compares the pattern to a normative database. Cognitive FX uses it as one measurement among several to plan therapy, not as a stand‑alone diagnosis. A stand‑alone scan costs $1,500.

Weekly physical therapy often helps one symptom group, such as dizziness or neck pain, while cognitive, visual, or fatigue symptoms remain. If you have tried PT and are still limited, ask whether those other systems have been assessed. Cognitive FX in Provo, Utah combines cognitive, physical, occupational, vestibular, and vision therapy in one intensive week, and its free case review tells you whether that is likely to help.

Ask any clinic five things: how many of its patients are months or years past their injury, which disciplines are on the team and whether they share one plan, how often you will be treated, what it costs in total, and what outcome data it publishes. Hospital concussion clinics are often a good choice for recent and sports injuries billed to insurance; an intensive program fits people whose symptoms have outlasted standard care. Cognitive FX, an outpatient clinic in Provo, Utah, publishes its prices, its team, and an independent outcome study so you can check all five.

Cognitive FX treats adults with post‑concussion syndrome at 280 W River Park Drive, Suite 110, Provo, Utah 84604, 15 minutes from Provo Airport and 45 minutes from Salt Lake City International. The one‑ or two‑week outpatient program is for people whose symptoms have lasted three months or longer. Utah residents with a recent concussion usually start with a primary care or sports medicine physician, or a local vestibular physical therapist.

Cognitive FX is a single clinic in Provo, Utah, and most of its patients fly in for a one‑ or two‑week outpatient program after local care has not been enough. If you are within three months of your injury, start with a local concussion clinic, vestibular physical therapist, or neuro‑optometrist. The Cognitive FX case review is free and done from home, so you learn whether the trip makes sense before booking travel.

Recovery continues for months after the treatment week at Cognitive FX, and dips along the way are normal. Patients leave Provo with a home program and scheduled video follow‑ups, and those who do the home program keep more of their gains. In the independent Dutch study, group‑level improvements were still present six months later. Some patients do relapse, and we will be straight with you about that risk in your consult.

During the week, often yes. Treatment days at Cognitive FX in Provo, Utah run about 9 to 5, and full days of therapy are demanding for an injured system, so symptom flares during and right after the week are common. That is why the schedule builds in recovery blocks, and why we coach the two to three months after the week as part of treatment.

Because the intensity matters. Most patients cannot get more than one or two therapy sessions a week at home, spread across offices that do not talk to each other. At Cognitive FX in Provo, Utah, every discipline works in one building, full time, off one scan, for a week. The case review happens before any travel, from home, free.

Yes, we treat adolescents with persistent post‑concussion symptoms, with a parent present throughout. If your teen is months past a concussion and still struggling with school, screens, or sport, that is what the case review screens for.