Women and Concussions: Understanding the Gender Differences

Research has increasingly shown that concussions affect women differently than men, with implications for diagnosis, treatment, and recovery. At Revivo, our Toronto-based physiotherapy and neurology clinic, we emphasize the importance of recognizing these gender differences to provide tailored and effective care for all our patients. This post explores the unique aspects of concussions in women, including the reasons behind these differences, and the impact on management strategies.

Gender Differences in Concussion Incidence and Symptoms

Higher Incidence Rates: Studies suggest that women are more susceptible to concussions in certain sports compared to men, even when participating in similar activities. For instance, in soccer and basketball, women report higher rates of concussion.

Symptom Severity: Women often report more severe symptoms following a concussion, including longer-lasting headaches, greater cognitive disturbances, and more pronounced emotional symptoms like anxiety and depression.

Recovery Time: Evidence indicates that women may take longer to recover from concussions, necessitating more extended periods of rest and a more gradual return to daily activities and sports.

Reasons Behind the Gender Differences

Neck Strength: Women typically have less neck strength and muscle mass compared to men, which may contribute to a greater risk of concussion as the head is less stabilized during impact.

Hormonal Influences: Hormonal fluctuations throughout the menstrual cycle can impact concussion risk and recovery. For example, injuries occurring during certain phases of the cycle, when progesterone levels are higher, may result in more severe symptoms and prolonged recovery.

Differences in Reporting: Women are generally more likely than men to report symptoms of concussions and seek medical care, which could contribute to the observed differences in incidence and recovery times.

Tailoring Concussion Treatment for Women

Individualized Assessment: Healthcare providers should consider gender-specific factors when assessing concussions, including the phase of the menstrual cycle at the time of injury and the potential impact of hormonal contraceptives.

Tailored Rehabilitation Strategies: Rehabilitation programs should be customized to address the specific needs and symptoms of women, considering the potential for longer recovery periods and the severity of symptoms.

Education and Awareness: Raising awareness about the gender differences in concussions among athletes, coaches, and medical professionals can help ensure that women receive prompt, appropriate care and that preventive measures are in place.

Research and Advocacy: Continued research into the gender differences in concussions is essential for developing targeted treatment strategies. Advocacy for more women-specific concussion research can help close the gap in understanding and care.


Recognizing and addressing the unique aspects of concussions in women is crucial for effective treatment and recovery. At Revivo, we are committed to providing personalized, gender-sensitive care for concussion patients, taking into account the latest research and clinical guidelines. By understanding the gender differences in concussions, we can better support our patients through their recovery journeys, ensuring that everyone receives the optimal care they need.

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