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Pang Physical Therapy

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Mobile PT Therapy | Expert Physical Therapy for Headaches, Concussions & Vestibular Disorders in San Diego

Pang Physical Therapy offers expert PT therapy for headaches, concussions & vestibular disorders, providing personalized PT care in your home.

08/14/2025

Ever wonder why some people bounce back from a concussion while others are stuck with symptoms for months or even years? 🤔

For too long, the standard advice was: rest and wait.

But we now know that doesn’t work for everyone, especially when the nervous system hasn’t fully recalibrated.

What’s exciting is this:

New research shows that when people get personalized concussion care, more than 80% recover fully. Even if it’s been 1 to 6 years. That’s huge. 💡
(Source: study published in the Journal of Head Trauma Rehabilitation)

And no, this isn’t just more rest. It means real assessment:

1️⃣ How’s your balance system (vestibular)?

2️⃣ Are your eyes working together (oculomotor)?

3️⃣ Is your body compensating during movement?

4️⃣ Can your brain handle stimulation and focus?

These things paint a full picture, not just “how bad is your headache?”

Because those lingering symptoms (dizziness, fatigue, irritability, brain fog) they’re not random. They usually connect to a system that’s off track and needs retraining. 🎯

Save this post if it resonated. Share it with someone who might need this reminder. 💜

08/12/2025

Every time one of these big migraine surveys comes out, it feels more like confirmation than news.

It’s not shocking that so many people still feel dismissed, under-treated, or stuck in the system.

What’s powerful is finally having the data to back it up.

Curious what the numbers actually say? It’s all in the slides.

08/11/2025

After a concussion, most people are told to just rest...

No screens, no movement, stay in a dark room and wait it out.

That might help in the first 24–48 hours. But after that? Rest alone often isn’t enough.

In fact, too much of it can slow things down.

Recovery isn’t passive; it’s active. Your brain needs the right kind of input to start healing: visual, balance, and cognitive challenges. Gently. With guidance.

So if you’re still dizzy, foggy, or getting headaches weeks later, that’s your brain asking for more than rest.

That’s where active rehab comes in. 💡

➡ Ocular therapy if the eyes aren’t tracking right.
➡ Vestibular work for balance.
➡ Cognitive rehab for memory or processing.

Sometimes it’s one system. Sometimes it’s all three.

And yes, even if the concussion happened months or years ago, the brain can still improve.

If you’ve been resting but still not recovering, there’s more that can be done.

Let’s talk about it. 💬

08/07/2025

People ask me this one a lot: “Hey, is it okay to fly after a concussion?”

Most people think, I’m just sitting in a chair for a few hours, how bad could it be?

But flying does a lot more to your system than you’d expect. Especially when your brain’s still trying to recalibrate.

Here’s what I usually tell people:

First off, cabin pressure. Even though planes are pressurized, oxygen levels are lower than what we’re used to on the ground.

For someone recovering from a concussion, that can absolutely make symptoms worse. 😵‍💫

Then there’s the turbulence, motion, and constant shifting your brain has to process.

If your vestibular system is already sensitive, that motion can trigger dizziness, headaches, nausea, or just make you feel off for days.

And don’t forget the overstimulation. Crowded terminals, flashing signs, noise, scrolling screens everywhere. 😵

So how do you know if it’s safe?

I usually say this:

➡ If screens or visual motion still trigger symptoms, you might want to wait.
➡ If symptoms have flared up recently, it’s better to delay travel if possible.
➡ But if flying is necessary, plan ahead with a few basics: Sunglasses, noise-canceling headphones, stay hydrated, and plan quiet time when you land.

Got a trip coming up and not sure how to prep for it post-concussion?

Send us a message. We’ll help you figure it out step by step. Or save this post for later.

08/05/2025

I’ve had this conversation a lot lately. Someone asks why skipping sleep makes their migraines spiral. 😣

And I get it. On the surface, it just feels like you’re more tired, more sensitive.

But here’s the thing: it’s not just about fatigue.

Lack of sleep actually changes how your brain processes pain.

When you’re sleep-deprived, your brain’s built-in filters (the ones that help regulate pain signals) go a little haywire.

It’s like the volume k**b on discomfort gets turned way up.

For people already dealing with chronic migraine or recovering from a concussion, that matters a lot.

The nervous system’s already on high alert. And poor sleep pushes it further into overdrive. ⚠️

What I often explain is that sleep isn’t just about rest. It’s a major piece of how the brain resets and regulates itself. 💤

And no, I don’t expect anyone to magically fix their sleep overnight.

Honestly, just starting to recognize the link between sleep and symptom flare-ups is a huge first step.

Once we notice the patterns, we can begin building strategies that make the nervous system feel safe again. And that’s when real progress starts to happen.

If migraines and poor sleep seem to feed off each other, it might be time to take action.

Reach out, or feel free to save or share this with someone who’s in it right now.

08/04/2025

Ever walk into a store and suddenly feel dizzy or off-balance?

Like your brain can’t quite keep up with all the noise, lights, and movement? 😵‍💫

You’re not imagining it, and you’re definitely not alone.

This is actually a common issue, especially after a concussion or vestibular dysfunction.

Read the slides to learn more.

07/31/2025

The other day, someone asked me,

“Can I drink after a concussion?”

Real life doesn’t stop after a concussion, right?

You still want to go out, celebrate a birthday, feel normal.

And I get it, you also don’t want to screw up your recovery. 😬

But here’s the thing:

📌 After a concussion, especially early on, your brain’s already in survival mode. It’s doing all this invisible, behind-the-scenes work to stabilize itself.

Even small stuff can hit harder than usual: lights, crowds, screens... and yeah, alcohol too. 🍷

Alcohol messes with the central nervous system. It also affects your vestibular system, which is your sense of balance.

If you’re already feeling off, dizzy, or foggy, alcohol can amplify all that.

And sleep? Alcohol disrupts that too. Which is a big deal, because deep, quality sleep is where your brain actually repairs itself. 🛌💤

So when people ask, “Is it safe?” I usually say: if you’re still feeling symptoms, it’s probably not a good idea. Not yet.

If you’re unsure what’s safe after a concussion, reach out.

07/29/2025

Let’s talk about a question I hear all the time:

“Can migraines be cured?” 🤔

If you’ve been dealing with them for a while, you’ve probably tried everything...

Medications. Supplements. Diet changes. Botox. Maybe even alternative therapies.

So now you’re wondering, “am I missing something? Is this just how life’s going to be?” 😞

And I get it. The word “cure” holds a lot of hope.

But here’s where I think we need to shift the conversation.

For some people, migraines do go into remission.

For others, they become less frequent, less intense, or more predictable. And that alone can be life-changing. 🙌

But when we chase the idea of a total cure, sometimes we overlook the real work that actually helps people feel better long-term.

I’m talking about things like:

➡ Learning why your system is so reactive in the first place.

➡ Noticing your patterns, triggers, sleep, stress, posture.

➡ And then, retraining your nervous system to respond differently over time.

The goal isn’t to just suppress the next migraine… it’s to understand the system underneath it.

That’s where I’ve seen the most progress with the people I work with.

So, if you’ve tried everything and you’re still stuck, there’s probably a layer that hasn’t been explored yet.

And that might be exactly where the shift begins.

Ready to explore that next layer?

Or even just start asking different questions?

We’d love to help. DM us anytime, or save this post for later.

07/28/2025

I’ve been having a lot of conversations lately with people who are scared to move their bodies again after a concussion or after months of dealing with chronic dizziness or fatigue. 😔

And I get asked a lot: “How do I even start again? And is it safe?”

The answer is: yes, it’s possible.

But it has to be strategic.

📌 What we use is a framework called graded exposure, paired with pacing and nervous system feedback.

We’re not throwing you back into workouts. We’re rebuilding tolerance.

You start with what I call the “minimum effective dose.”

That might be five minutes of walking, calm environment, no distractions. Just to see how your system responds. 🚶‍♀️

From there, we increase things gradually: intensity, complexity, time, or even the type of movement (like adding in coordination, balance, or eventually light cardio).

Most people I work with have never been given a plan. 😨

They’ve either been told to rest in the dark or to just “go back to normal” when they’re clearly not ready.

What actually moves the needle is a process that lives in the middle. Where movement promotes healing without overwhelming the system. ⚖️

If that sounds like something that would help you, DM us to get started.

07/24/2025

Can I be real for a second? 😐

I can’t tell you how many times I heard,
“Have you tried magnesium?”
“Cut out dairy.”
“Could be your posture…” 🙄

And sure, I tried it all.

Every new thing brought a little hope. And every failed attempt brought more burnout. 😔

Because here’s what no one tells you:

You can be doing everything “right”… and still not feel better.

You can follow the plan, avoid the triggers, and the migraines still come.

It starts to mess with your head.

You start thinking:

Is it me? Am I missing something? Is my body just broken?

That was me. For years.

I’d cancel on people. Miss work. Hide in the dark.

What finally helped wasn’t one magic treatment.

That’s why I do the work I do now. Because I know what it’s like to be on that edge. To feel like you’ve tried everything and still end up back in the same dark room. 😔

So if you’re there right now… if you’re tired of symptom-chasing…

Reach out.

07/21/2025

You ever have one of those days where your neck feels stiff and heavy, and by the afternoon, boom… the headache creeps in? 🤕

A lot of people think, “Is that even connected?”

Short answer: yes. It absolutely can be.

Check the slides to learn more.

07/17/2025

Here’s something I hear a lot:

“I hit my head, but felt fine after… so I didn’t do anything.” 😬

And yeah, if there’s no headache, dizziness, or confusion, it’s easy to assume you’re fine.

But here’s the catch: concussion symptoms don’t always show up right away.

It’s common for them to be delayed by hours or even days. And when they do show up, they’re not always obvious.

People often assume it’s stress… or lack of sleep… or too much screen time.

But what’s really happening? Your brain may still be recovering.

Symptoms can include:

➡ Brain fog or trouble focusing.

➡ Light or sound sensitivity.

➡ Mood changes or irritability.

➡ Dizziness or balance issues.

➡ Sleep disruptions.

So if you’ve hit your head, getting the right care early on can make a big difference.

👉 Not sure if your symptoms are from a past head injury? Or still feeling off weeks later? Reach out. We’re here to help. Or just save this post so you have it when you need it.

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San Diego, CA

Opening Hours

Monday	10am - 4pm
Tuesday	10am - 4pm
Thursday	10am - 4am
Friday	10am - 4pm

Telephone

+14084617676

Website

https://pangphysicaltherapy.com/

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