Traumatic Brain Injury
Traumatic Brain Injury
Traumatic Brain Injury and Concussions have been more and more understood in the last 10 years. The most important message to pass on about concussions is that you can never take it too seriously. Over the past 8-10 years, A LOT of new information has come out, changing how we manage concussions in-office. Up until that point, high school, college, and professional athletes would suffer a mild traumatic brain injury (mTBI), or all the way up to a severe concussion with a loss of consciousness, and proper post-injury care was minimal and causing long-term debilitating neurological problems.
A few rules to go by:
Rule one, no two concussions are the same. This is because all athletic injuries involving a hit to the head are unique, and everyone’s brain is unique. However, common symptoms, of concussions include, but are not limited to, dizziness, headaches, sensitivity to light and sound, easily agitated, blurred vision, seeing abnormal colors or shapes, anxiety, depression, and even personality changes.
Rule two, make sure you get checked.
Make sure the practitioner is well informed about concussions and qualified. At HML we have training to rule out a concussion and understand the latest guidelines on post-concussive care. Because guidelines change every 4 years at the minimum, it can be challenging to keep up with the latest information for some practitioners. Because of that, some practitioners may overlook symptoms of concussion and the individual may not get the necessary care needed.
Rule three, it takes a village. Because concussions can be very complex, it is a good idea to have multiple cooks in the kitchen. Functional Neurologist, Medical Neurologist, Optometrist, Physical Therapist, Counselor, and even a Nutritionist.
Lastly, one HUGE piece we see overlooked in ALL patients that we have (had) the blessing of working with that had a concussion is addressing inflammation. When the brain takes a hit to the head, the brain’s immune system turns on. That is a good thing at first, it starts the healing process. However, this immune system doesn’t have a good off switch and can be detrimental if not addressed. At HML, all of our care plans with concussions involve a functional medicine workup. This workup involves specific anti-inflammatory and anti-oxidative supplements and diet changes to turn this immune response down.
In our experience, there is a good portion of people whom suffer from what was called Post-Concussion Syndrome, now called Persistent Concussion Symptoms (PCS). PCS is largely caused by long-term inflammation and must be addressed. Research shows that PCS can wreak the most havoc within a time window of 5-20 years after the initial injury! And to top all of that off, quite a few people suffer multiple concussions, which create a compounding effect of PCS. All of this occurs from changes in one of the major brain-supporting cells called microglia. The microglia change physical form and become less effective; this is called microglial priming. Once microglia are primed, it is the equivalent of hard-boiling an egg; the physical structure cannot be changed back. This does create long-term problems; however, with the correct diet, supplements, and lifestyle changes, it can be managed.
Concussions can be scary, and at times go overlooked. If you are suffering from persistent concussive symptoms, or know someone who is, we offer consultations to see if there is anything, we can do for you or your loved one! Call 816-768-6000 or schedule right here: https://hmlfunctionalcare.janeapp.com
FAQs About Traumatic Brain Injury (TBI)
Can functional neurology help with TBI symptoms years after the injury?
Yes. Neuroplasticity (the brain’s ability to adapt and rewire) means improvement is possible even long after an injury. We have helped patients who were still experiencing symptoms years after their initial trauma.
What TBI symptoms can you treat?
We commonly treat headaches, cognitive fog, memory issues, balance problems, dizziness, light and sound sensitivity, sleep disturbances, and mood changes related to brain injury.
How is functional neurology different from standard concussion management?
Standard concussion management often involves rest and watchful waiting. Functional neurology takes an active rehabilitation approach: identifying specific neurological deficits and using targeted therapies to restore function.
Do you treat post-concussion syndrome?
Yes. Post-concussion syndrome, where symptoms persist beyond the expected recovery window, is one of our areas of focus. We offer a dedicated evaluation and treatment approach for these patients.
What does a TBI evaluation at HML involve?
Your initial evaluation includes a comprehensive neurological examination, review of your injury history and current symptoms, and may include RightEye testing to assess visual and cognitive processing. We then build a personalized rehabilitation plan.