Pittsford Performance Care

08/06/2025

🎯 CASE CLOSED: Chronic Hamstring Pain in a Collegiate Pitcher

We closed out care today with a high school senior—an elite-level pitcher—who’s been battling chronic hamstring painfor the past 18 months.

No acute injury.�No findings on MRI.
�Just persistent pain and tightness that worsened over time eventually limiting her to just 2–3 innings before she had to pull herself from the mound.

She had tried everything: rest, rehab, therapy, even changes to her pitching mechanics. Nothing worked.

During her initial neurologic evaluation, we uncovered a vestibular dysfunction, a common finding in unilateral and rotational athletes. When this system is miscalibrated, it often leads to asymmetric muscle tone and reflexive spasm in an attempt to stabilize faulty vestibulospinal reflexes.

Over just three visits, we recalibrated her system.

Last week, she threw over 70 pitches at full velocity with no pain during or after performance. She now enters her collegiate career ready, healthy, and confident.
�This was a special case to work on—and a perfect reminder that the answer is often neurologic, not orthopedic.

🧠💪
�We see what others don’t.

08/04/2025

🧠 Post-Concussion Brain Fatigue: The Invisible Wall

One of the most persistent and misunderstood symptoms after a concussion is brain fatigue.
Not just tiredness. Not just needing sleep.
We’re talking about the kind of mental exhaustion that makes basic tasks feel like climbing a mountain.

Here’s what many don’t realize:

The brain generates energy through the Krebs cycle, a finely tuned system that turns nutrients into usable fuel.
But following a concussion, this energy system is radically compromised.

Why? Because one of the first things a concussion triggers is inflammation and inflammation disrupts the very cycle that keeps the brain powered and performing.

👉 Clean scans often miss this.

👉 Standard timelines don’t account for it.

👉 And many patients are left feeling frustrated, exhausted, and dismissed.

At Pittsford Performance Care, we specialize in restoring neurologic energy systems.
Because true recovery isn’t just about time—it’s about targeted care that matches the complexity of the brain itself.

🔹 Brain fog
🔹 Pressure
🔹 Dizziness
🔹 Fatigue

These are not “just stress.”
They’re signs the brain is still in crisis and that it needs a new plan forward.

We see what others don’t.
Persistent Post-Concussion Recovery. Redefined.

07/30/2025

We are excited to share options. Clinical inefficiencies for an expedited recovery from the cascade following mTBI or persistent post concussions syndrome do exist.

07/30/2025

🚨 Persistent Post-Concussion Syndrome (PPCS) isn’t rare. It’s just rarely solved.

We’re currently working with 20 active cases of persistent post-concussion symptoms—each one unresponsive to traditional care and well beyond the expected recovery timeline.

🧠 These aren’t just statistics. These are students, athletes, and professionals whose lives have been paused by symptoms that didn’t go away when they were told they would.

At Pittsford Performance Care, we’ve quietly become the destination for the most complex neurologic recoveries.

We see what others don’t.
Data driven. Brain guided. Proven in the toughest cases.

If you or someone you love has been told “just give it time,” but time isn’t helping—let’s talk.

We welcome individuals suffering from Post Concussion Syndrome to Schedule a discovery call or Visit pittsfordperformancecare.com

07/28/2025

07/28/2025

Pain is often the symptom. But what if it’s not the problem?

At Pittsford Performance Care, we look deeper than the muscle or joint.
Because sometimes, pain isn’t about the injury—it’s about the brain protecting itself.

👉 Patients: Have you ever felt like your body just wouldn’t let go of the pain, even when the tests came back “normal”?

👉 Practitioners: What signs make you pause and wonder if the issue is neurologic—not just structural?

Let’s shift the conversation.

Relief starts when we understand the brain-body connection.

07/12/2025

🏃‍♂️💥 We’re Elevating the Return-to-Play Standard 💥🏃‍♀️

At Pittsford Performance Care, we’ve treated thousands of athletes—many navigating the complex path back to sport after injury or surgery. One question always matters most:
"Am I ready?"

We’re excited to announce the launch of an internal study validating our Performance Readiness Index (PRI) — a neurologically grounded tool designed to help answer that question with precision, safety, and confidence.

The PRI captures subtle neurologic readiness markers that standard timelines and orthopedic exams can miss. It’s a new layer of insight for clinicians, athletes, and families alike—helping guide safer, more confident return-to-play decisions.

🔬 Interested in being part of the study?
We’re currently enrolling participants aged 12–35 with no history of concussion and no known visual dysfunction.
Current athletes are especially encouraged to participate as the PRI has exciting implications for sports performance, injury prevention, and training optimization.

🧠 Study Led by:

Dr. C. Robert Luckey
Dr. J. Gaffney
Dr. M. Fink

This is a step forward in how we protect, prepare, and empower athletes—because readiness is neurologic before it’s physical.

📩 Message us if you're interested in participating or want to learn more!

06/30/2025

The deeper I research pediatric neural development, the more I’m impacted by our human design. It’s like a durable stack of dominoes. Hit the first one and watch. It’s almost mesmerizing. It’s when this process gets interrupted, it needs swift attention. -based recovery

06/23/2025

📣 Meet Kerrigan

Not all concussions look the same — and not all recoveries follow a straight line.

Kerrigan, a bright and athletic teen, came to us nearly a year after suffering a concussion. She had seen multiple specialists but was still struggling with crushing fatigue, dizziness, racing heart episodes, and difficulty focusing.

👉 Standard tests showed nothing abnormal. But her symptoms were very real.

At Pittsford Performance Care, we used functional neurologic testing to uncover what others missed:

✅ Subtle brainstem dysfunction
✅ Autonomic imbalance (a form of dysautonomia called POTS)
✅ Visual tracking and reflex imbalances affecting her gait and focus

With a precise, non-invasive care plan — based on brain region profiling, oculomotor rehab, and vestibular recalibration — Kerrigan made a full return to school, social life, and daily function.

Her case is a powerful reminder:

🧠 Just because a scan is normal doesn’t mean the brain is functioning well.

When we look deeper, we often find a path to healing.

📍 Interested in learning more about how we help teens recover from post-concussion symptoms like POTS, brain fog, and fatigue?

🔗 [Link to full case study or your clinic’s landing page]
📞 585-203-1050🌐 www.pittsfordperformancecare.com

06/09/2025

What a Spring Season! 💪🏽

We had so much fun cheering on all the amazing Sectional Athletes we had the privilege of caring for this spring! Your hard work and grit make it easy to give our best.

A huge congratulations to those still competing and proudly representing at States—we’re behind you all the way! 👏🏽🔥

Let’s finish strong! 💥

05/31/2025

🧠 What if it’s not Dyslexia? Ethan’s Story.

Meet Ethan — a bright, determined 14-year-old recently diagnosed with dyslexia. His parents were told he’d have to work harder, read slower, and rely on accommodations for the rest of his academic journey.

But something didn’t sit right.

His biggest struggles weren’t just with reading… they were with fatigue, tracking words on a page, and feeling mentally drained after only a few minutes of schoolwork.

At Pittsford Performance Care, we took a different approach. Using targeted functional neurologic testing, including RightEye eye-tracking technology, we uncovered a very different story:

❌ Not a classic dyslexia profile

✅ A functional reading disorder linked to eye movement inefficiency, visual fatigue, and poor neurologic coordination
In just 3 weeks of focused intervention, Ethan’s reading speed increased by 69%, comprehension improved, and the frustration was replaced with confidence.

📊 We call this Functional Alexia — and it’s often mistaken for dyslexia.

If your child has a diagnosis that doesn’t explain the full picture, you’re not alone. And you’re not without options.

📍 Want to learn more?
Message us or visit: www.pittsfordperformancecare.com
📞 585-419-8816
📄 If you would like access to the full case review, please contact us directly.

05/27/2025

🧠 A Breakthrough Approach to Chronic Vomiting Syndrome 🚨

At Pittsford Performance Care, we recently published a clinical case review detailing a swift and successful intervention for Refractory Cyclic Vomiting Syndrome (CVS) of 13 year duration — a condition marked by persistent, debilitating nausea and vomiting that often challenges conventional treatment.

Using a functional neurologic approach, we uncovered underlying brain-based dysfunctions—including vestibular imbalance, autonomic dysregulation, and neurogenic inflammation—and crafted a care plan focused on neuroplasticity, autonomic retraining, and metabolic support.

If you or someone you know is living with unexplained chronic vomiting, loss of appetite, or has been diagnosed with gastroparesis, it’s important to understand that these symptoms can often have an underlying neurologic premise—and may respond to the right kind of care.

📩 Message us if you'd like to read the full Case Review.