Return to Work (RTW) strategies are based on symptoms and the neurocognitive, visual, vestibular and physical assessments. To expedite recovery, patients may initially need to reduce both physical and cognitive exertion. Restricting work during initial stages of recovery may be indicated to help facilitate recovery. Repeated evaluation of both symptoms and cognitive evaluation should be conducted throughout the recovery process and recommendations should be adjusted accordingly.
Increased rest and limited exertion are important to facilitate the patient’s recovery. Patients should be cautious when returning to driving, especially if the patient has problems with attention, processing speed, or reaction time. Patients should also be advised to get adequate sleep at night and to take daytime naps or rest breaks when significant fatigue is experienced. Symptoms typically worsen or re-emerge with exertion.