I have to second Mark in all he has said! I have had multiple impacts throughout the past 3 years, (2 work related and most recent a car accident). Each time it has been a harder, longer, more painful recovery.

I'm sure you have a great love for horses and for ridding. However, is it worth the risk of a lifetime of PCS? It's an individual decision that only you can make. However, you should know that doing so, even when you feel healed, makes a lifetime with this a possiblity.

As for trying to find milder exercises for now, consider your symptoms. If balance and vestibular problems are an issue, chose wisely! You don't want to accidently fall and hurt yourself more. The trick for me seems to be finding activities that don't up my heart rate. (Increase in heart rate for me= immediate return of symptoms, disabling me for the rest of the day). I have been mostly taking walks. (I used to do cardio and weights 45 minutes a day, and hate how lethargic and gross I feel... however pushing it is SO not worth how it makes me feel after!).

I think I may give swimming a try, just have to find a pool.

The best advice is to listen to your body. If the activity you chose makes you feel worse afterwards, you are slowing down your recovery and need to step back. This is NOT a situation of no pain, no gain...

Hope you can find something that works for you

Just wanted to add a note for everyone to be careful with swimming. I am a triathlete and swimming is by far one of the most intense exercises of the three I do. Sometimes while doing it, you can feel it's easier than you feel it was when you get out of the pool. Just a comment. Take it slow.

Freezer (or anyone else),

I was thinking of trying some light exercise in the pool as an alternative to walking - maybe just walking in the pool, doing a couple of easygoing lengths of breast stroke, etc. Have you found even light pool activities to be as intense as walking? I'm really just looking for low-impact (ideally no impact) ways to move my body and get a bit of blood circulation going. While I have been mostly symptom-free at rest over the last week, I find that even short walks can still cause or contribute to symptoms, or at least the "fringe" of my earlier symptoms, coming back (mild intermittent headache, sleep disturbance, a bit of wooziness or feeling "off").

Any thoughts? The only alternatives I can think of are (1) to continue going for daily short + slow walks in the hope that the benefits of some light exercise outweigh the annoying but usually mild symptoms that result, and (2) to avoid walking or swimming altogether for 2-3 weeks, in the hope that having some sustained time with minimal or no symptoms will make light exercise easier down the road (I now seem to be OK with light household activities).

Hello Greenfrog,

I have been exercising in the pool for over a year now and have found it so helpful for my sanity and health.

At first I would just walk very slowly in the shallow end next to the wall in case of dizziness. At times I would have to hold on.

This is a better alternative to going on regular walks because of the resistance.

Once I was able to move a bit more, I added front lunges and side lunges along the length of the pool.

I also added some sculling,both front and back, and would hold on the wall for kicking.

I would recommend just holding onto the wall before you progress to a kickboard because the strain on the neck and upper shoulder muscles.

I would do one minute of kicking hard and one minute of rest. And the good thing is you can just put your head down on your folded arms to rest.

I held off on the strokes for a long time. It was months before I would swim freestyle and I would only do 25 yards at a time. I would try not to breathe so as to not turn my head.

Never any flip turns at all! Still haven't done one in 1.5 years.

Also, I found breaststroke to really bring on the symptoms... If I do it I don't put my head under.

Backstroke can be scary and forget about butterfly



Just take it really slow.. At first I would just go for 15 minutes because the dizziness can come on quickly and be quite scary. Its amazing how being the least bit hypoxic can make you feel like you will pass out.

Leg lifts holding on to the wall are great too. Stretches are so nice to do in the pool. I found that I was able to stretch better in the pool than at home.

About 1.5 years after my concussion my workout at the pool is pretty simple.
I try to break it up 10 minutes walking, 10 minutes lunges, 10 kicking and try to repeat. I probably swim only about 10 minutes tops.

As a swimmer for 10 years it can be discouraging to not even be able to enter the older ladies aerobics class

Just don't expect much, and I agree with the other poster about how you can easily over exert yourself swimming.

Just stick to walking and resistance and toning exercises, maybe there will even be a belt at your pool you can wear if you need to go in the deep end.

Good luck and one more thing. Have someone go with you at first, I was dizzy a lot in the beginning. I would be walking halfway across the pool and would feel it coming on and would hustle to the wall. Sounds comical now but it was terrifying.

Also, I had a seizure and about 11 months and all my tests were negative for them so you never know. I don't want to scare anyone but just please don't swim alone. Not worth it.

greenfrog - sorry, i don't have any specifics for you becasue I haven't been in the pool since my concussion, but walking in the pool would be good. I woudl thinik it would get your heartrate up more than just walking in the air though. But yes, low impact it is!

Thanks - I actually just got back from a short walk in the pool in my parents' condo. I'm just going to keep experimenting to see if I can find something that works. I think exercise / physical movement is so important, and I miss the de-stressing benefits that go along with it. I'm hoping to find some level of activity that I can sustain, even if it's an extremely gentle one to start.

Hi and welcome, this is a great site for support! Mark said it all.

I too have PCS from a horse accident, it's been 15 months for me and no riding in sight yet. Because I did not have the proper guidance in the beginning, I have to back track now and see what helps. With that in mind, I would suggest the following:

See a neurologist (if you haven't already) to rule out any other possible issues (vestibular, etc)

Call your Brain Injury Association asap (don't wait any longer), they are amazingly helpful and will assign a case manager free of charge to help your particular situation. They send you articles and info, including the best Dr's near you to see. I was finally referred for NeuroPsych testing and that person referred me to the sports medicine Dr I am seeing now. Plus they are just incredibly supportive.

Find a respected sports med Dr (perhaps from BIA), they are more helpful than a regular primary Dr. That person will help guide you as to what exercise (if any right now) you should be doing. They will monitor your condition as you progress and can advise you.

It is true that first you should be symptom free before starting back on an exercise program, so start with staying in your healing process (I like Mark's example of his dog) before worrying about more. I know it is frustrating...I am only allowed to do leisurely walks, no exercise while I get my symptoms back down. It feels disgusting...but it doesn't pay to push it. It will set you back even more.

There is a report on the protocol for returing to a sport and the first step is NO SYMPTOMS for at least 24 hrs before you can begin Step 2 which is LIGHT exercise 10 min per day and only if you remain symptom free, etc. So it is a potentially slow process, just to prepare you.

Riding a horse on pain meds is not a good idea (even without a concussion) and could create worse symptoms that you may not feel right away. It isn't just about not feeling pain.

You may not be clear on your judgement and awareness right now either, so your movements on the horse may not be the same (your horse will feel you being off too). It was wise to send your horse off, so you are not tempted. My horses are here at home and I still don't feel ok enough to work them on the ground let alone get on.

Though I am getting better, my reaction time is slower and that leaves me vulnerable, and my boys are well behaved. Just to prove that point, when standing next to my horse, he spooked (very unusual for him) in place and slammed his hoof into my foot. Now my foot has slight nerve damage because of the way he hit it. The funny thing was, at that moment I was thinking how perhaps I was feeling up to starting some ground work with him....guess he knew I wasn't ready yet and said so! haha!

Bottom line is: don't guess on the exercise, get reliable info from someone who actually understands concussions and can guide you properly. Then healing will take place faster.

Hope this is helpful in some way!

Jeni