If an ongoing post-concussion syndrome or TBI condition occurs, it should be vigorously treated. We offer a number of modalities of treatment for the consequences of severe traumatic brain injury. These treatments include hyperbaric oxygen therapy, perispinal etanercept injections, and neurobiofeedback. Fully treating the condition allows the person to recover their strength and fight off other unforeseen stressors such as idiopathic depression or a new concussion.
A concussion is a traumatic brain injury that alters the way your brain functions. Effects are usually temporary but can include headaches and problems with concentration, memory, balance and coordination.
Although concussions usually are caused by a blow to the head, they can also occur when the head and upper body are violently shaken. These injuries can cause a loss of consciousness, but most concussions do not. Because of this, some people have concussions and don’t realize it.
Concussions are common, particularly if you play a contact sport, such as football. But every concussion injures your brain to some extent. This injury needs time and rest to heal properly. Most concussive traumatic brain injuries are mild, and people usually recover fully.
The signs and symptoms of a concussion can be subtle and may not be immediately apparent. Symptoms can last for days, weeks or even longer.
Common symptoms after a concussive traumatic brain injury are headache, loss of memory (amnesia) and confusion. The amnesia, which may or may not follow a loss of consciousness, usually involves the loss of memory of the event that caused the concussion.
Headache or a feeling of pressure in the head
Temporary loss of consciousness
Confusion or feeling as if in a fog
Amnesia surrounding the traumatic event
Dizziness or “seeing stars”
Ringing in the ears
Nausea
Vomiting
Slurred speech
Delayed response to questions
Appearing dazed
Fatigue
Some symptoms of concussions may be immediate or delayed in onset by hours or days after injury, such as:
Concentration and memory complaints
Irritability and other personality changes
Sensitivity to light and noise
Sleep disturbances
Psychological adjustment problems and depression
Disorders of taste and smell
Symptoms in children
Head trauma is very common in young children. But concussions can be difficult to recognize in infants and toddlers because they may not be able to describe how they feel. Nonverbal clues of a concussion may include:
Appearing dazed
Listlessness and tiring easily
Irritability and crankiness
Loss of balance and unsteady walking
Crying excessively
Change in eating or sleeping patterns
Lack of interest in favorite toys
Your brain has the consistency of gelatin. It’s cushioned from everyday jolts and bumps by cerebrospinal fluid inside your skull. A violent blow to your head and neck or upper body can cause your brain to slide back and forth forcefully against the inner walls of your skull.Sudden acceleration or deceleration of the head, resulting from certain events such as a car crash or being violently shaken, also can cause brain injury.These injuries affect brain function, usually for a brief period, resulting in signs and symptoms of concussion.
A brain injury of this sort may lead to bleeding in or around your brain, causing symptoms such as prolonged drowsiness and confusion that may develop right away or later.Such bleeding in your brain can be fatal. That’s why anyone who experiences a brain injury needs monitoring in the hours afterward and emergency care if symptoms worsen.
Epilepsy. People who have had a concussion double their risk of developing epilepsy within the first five years after the injury.
Cumulative effects of multiple brain injuries. Evidence exists indicating that people who have had multiple concussive brain injuries over the course of their lives may acquire lasting, and Postconcussion syndrome. Some people begin having postconcussion symptoms — such as headaches, dizziness and thinking difficulties — a few days after a concussion. Symptoms may continue for weeks to a few months after a concussion.
Post-traumatic headaches. Some people experience headaches within a week to a few months after a brain injury.
Post-traumatic vertigo. Some people experience a sense of spinning or dizziness for days, week or months after a brain injury.
Second impact syndrome. Experiencing a second concussion before signs and symptoms of a first concussion have resolved may result in rapid and usually fatal brain swelling.
After a concussion, the levels of brain chemicals are altered. It usually takes about a week for these levels to stabilize again. However, recovery time is variable, and it’s important for athletes never to return to sports while they’re still experiencing signs and symptoms of concussion.
Tests your doctor may perform or recommend include:
After your doctor asks detailed questions about your injury, he or she may perform a neurological examination. This evaluation includes checking your:
Vision
Hearing
Strength and sensation
Balance
Coordination
Reflexes
Your doctor may conduct several tests to evaluate your thinking (cognitive) skills during a neurological examination. Testing may evaluate several factors, including your:
Memory
Concentration
Ability to recall information
Brain imaging may be recommended for some people with symptoms such as severe headaches, seizures, repeated vomiting or symptoms that are becoming worse. Brain imaging may determine whether the injury is severe and has caused bleeding or swelling in your skull.
A cranial computerized tomography (CT) scan is the standard test to assess the brain right after injury. A CT scan uses a series of X-rays to obtain cross-sectional images of your skull and brain.
Magnetic resonance imaging may be used to view bleeding in your brain or to diagnose complications that may occur after a concussion. An MRI uses powerful magnets and radio waves to produce detailed images of your brain.
Insurance does not yet cover HBOT for traumatic brain injury. We are able to accept the following forms of payment: personal checks, cash, Visa, Mastercard, American Express, and Discover.