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Brain injury blog, concussion blog

The Cognitive FX Blog

Your source for everything you need to know about traumatic brain injury and concussions.

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Brain Safety & Care  |  Concussions  |  Traumatic Brain Injury

Post-Traumatic Headaches: Causes and Treatment Options

Headache pain is the most common symptom after a traumatic brain injury, with up to 90% of patients experiencing this symptom for at least a few days after suffering a concussion. These headaches can also develop after other causes of head trauma, such as bacterial and viral brain infections, carbon monoxide poisoning, “chemo” brain, transient ischemic attack, and COVID-19. 

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Concussions  |  Education & Resources  |  Traumatic Brain Injury

Head Injury Treatment: Diagnosis, Symptoms, and Recovery

Head injuries vary wildly in severity. You could suffer anything from debilitating brain damage to a few days of feeling “off” before returning to normal. You might suffer a moderate traumatic brain injury and feel no lasting effects, or suffer from persistent symptoms after “just” a mild TBI. 

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment

Yes, a Concussion Can Cause Difficulty Breathing (and More)

Have you ever caught yourself holding your breath while doing something challenging? Or feeling lightheaded and breathing faster when you stand up after sitting for a long time? Maybe you often have rosy cheeks without a reasonable cause, like exercise.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment

Do CT Scans Show Concussions or Post-Concussion Syndrome?

Diagnosing a concussion can be a challenging process. There is no definitive test to confirm the diagnosis with 100% certainty. Instead, doctors often rely on subjective descriptions of symptoms and simple neurological examinations to check systems such as vision, balance, and cognition. 

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Adult  |  Brain Injury Awareness  |  Concussions  |  Patient Stories

How This Family of Eight Overcame Long COVID Symptoms

You’d think a family of eight with the foresight to pull their children out of school earlier than the rest of the nation would be safe during the COVID-19 pandemic. Instead, seven out of the eight family members contracted the coronavirus at the very beginning of the pandemic, back when testing was frustratingly difficult to obtain, and our knowledge about the disease was limited.

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Brain Injury Awareness  |  Concussions  |  Education & Resources

5 risks of untreated concussions

Concussions, a type of traumatic brain injury (TBI), pose potentially significant health issues no matter their severity. Despite this, as many as five in 10 concussions aren’t reported or detected.

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Rest and Concussions: Why Taking Brain Breaks Is Good for You

Have you ever gotten stuck in a task, set it aside for a while, and then discovered that it somehow seemed easy when you came back to it? If so, you’ve experienced the power of strategic breaks to re-energize your brain. If you’re recovering from a traumatic brain injury, these breaks play a vital role in revitalizing your brain throughout the day. 

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Post-Concussion Menstrual Cycle Changes? You’re Not Alone

 

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Brain Injury and Exercise: How Cardio Intervals Help Patients Recover

If you’ve been struggling with lingering symptoms after a brain injury and even a mild jog is enough to trigger misery, then you might flinch at the idea of high-intensity interval training as a recovery method. But there is a way to exercise while keeping your symptom levels down.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment

Can a Chiropractor Help with Post-Concussion Syndrome?

If you have post-concussion syndrome (PCS), then you likely know how difficult it is to get an accurate diagnosis and comprehensive treatment. Many medical doctors don’t have the resources to treat PCS effectively, or they rely exclusively on pharmaceuticals that help some symptoms while making others worse. So when you find a healthcare provider who (a) actually knows what post-concussion syndrome is, and (b) claims to treat it, then it’s worth following up.

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions  |  Post Concussion Treatment

Post-Concussion Syndrome Neck Pain: Causes & Treatment Options

Many people have neck pain after a concussion or whiplash injury. It may show up immediately after your injury or weeks to months afterward. That pain may involve stiffness, tension, sharp pain, and pain associated with certain movements or behaviors (e.g., looking at your phone). The pain may feel deep or superficial.

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Why Post-Concussion Syndrome Causes Tingling Hands (And What to Do)

Tingling hands following a concussion (mild traumatic brain injury, or mTBI) might sound relatively minor, but for anyone who’s had the misfortune to experience this symptom, it can be painful, puzzling, and disruptive to daily activities.

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Concussions  |  Education & Resources  |  Healthy Food & Habits  |  Post Concussion Treatment

The Best Natural Remedies for Post-Concussion Syndrome Symptoms

Many doctors’ first response to a concussion is to recommend resting in a dark room until symptoms go away. And if that doesn’t work (and it won’t for up to 30% of post-concussion patients), their next step is often to prescribe medications for the symptoms that haven’t gone away.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Mental Health Support After a Brain Injury

How to Find a Good Post-Concussion Syndrome (PCS) Support Group

Post-concussion syndrome is an “invisible” illness.

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Brain Safety & Care  |  Concussions  |  Education & Resources

The 5 Types of Glasses for Post Concussion Syndrome: A Patient Guide

Following concussions and traumatic brain injuries (TBIs), impaired vision and vision-related symptoms are common. Signs and common symptoms include blurred vision, light sensitivity, light-related headaches, eye movement issues, and more.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment

37 Symptoms of Old Head Injury and How to Treat Them

Any head injury — including concussion — can cause symptoms that last for years after the injury. Up to 30% of post-concussion patients experience symptoms beyond the expected three-month recovery window. Other types of brain injury, such as severe traumatic brain injury (TBI), transient ischemic attack (TIA), certain viral or bacterial illnesses, carbon monoxide poisoning, surgery, and chemical exposure can result in lingering symptoms, too.

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Which Type of Head Injury Doctor to See for Your Concussion or TBI

The type of head injury doctor you need to see depends on the type of injury you’ve experienced and how long ago the injury occurred. Doctors who excel at concussion treatment, for example, are often not the doctors you would see for a skull fracture. 

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

What to Expect for Concussion, Severe TBI, and ‘Non-Traumatic’ Hypoxic Brain Injury Recovery

Brain injury recovery is hard. The severity of your injury, which parts of your brain were affected, and how they were affected, all factor into things such as how much you can recover and how long it will take.

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Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

A Complete Guide to Post-Concussion Syndrome

Post-concussion syndrome, also known as persistent post-concussion symptoms (PPCS), occurs when concussion symptoms persist for months or years after you sustain a mild traumatic brain injury (mTBI) or another type of brain trauma. If you or a loved one received a post-concussion syndrome (PCS) diagnosis, you're probably wondering if it's treatable. (Short answer: yes!) You may also want to know how long recovery takes, what you can do to alleviate symptoms, and whether what you're experiencing is "normal." We treat hundreds of post-concussion patients every year and regularly answer these questions for our patients. This guide will help you understand post-concussion syndrome in depth by answering a number of questions, including:

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Traumatic Brain Injury

Post-Concussion Stomach Problems: Loss of Appetite, Food Sensitivity, Acid Reflux, and More

When people think of concussion symptoms, they often think of the obvious ones: headaches, drowsiness, fogginess. What they don’t expect are gastrointestinal issues.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment

Feeling Cold, Hot, or Fevered After a Head Injury: Why It Happens and What You Can Do

If you’ve experienced a concussion or traumatic brain injury, you may already know that a bewildering array of symptoms can occur days, months, and even years after the injury. 

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Why Concussion Can Lead to Blood Pressure Changes and POTS

Severe traumatic brain injury (TBI), concussion (mild traumatic brain injury or mTBI), and other head trauma can cause high blood pressure, low blood pressure, and other circulatory system changes. Head injury may lead to dysfunction in the autonomic nervous system (a condition known as dysautonomia), which in turn can cause blood pressure dysfunction and other symptoms to persist for months or years after the injury. Some patients experience a particular type of dysautonomia known as postural orthostatic tachycardia syndrome (POTS), which we discuss further in the post.

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

The Patient’s Guide to Post-Concussion Heart Rate Increase, Heart Palpitations, and More

Perhaps this sounds familiar: You wake up from a relaxing nap expecting to feel refreshed, but instead, your heart is pounding for no reason. Or you stand up after a few hours on the couch and feel lightheaded and unstable. Maybe your resting heart rate is now 90, even though it used to be 65.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Traumatic Brain Injury

Cognitive Therapy for Brain Injury: What It Is and How It Can Help with Severe TBI or Concussion

If you’ve had a severe or mild traumatic brain injury (severe TBI or mild TBI) that’s left you with post-concussion syndrome (PCS), just thinking can be taxing. Cognitive health is “the ability to clearly think, learn, and remember,” but a brain injury can disrupt these processes, either temporarily or in the long term. This can make day-to-day functioning a challenge, to say the least. 

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

How to Get the Best Vestibular Therapy for Concussion Symptoms

Dizziness. Nausea. Balance problems. Car-sickness. These are a few of the unpleasant symptoms of vestibular dysfunction after a head injury. Fortunately, they don’t have to be permanent; most patients make rapid improvement with a good therapist. 

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Female Concussion Patient? How to Navigate Hurdles on the Road to Recovery

Recovering from a head injury is an emotional, difficult journey whether you’re male or female. On that journey, women face a few hurdles that men do not. Today, we’d like to talk about those hurdles and a few ways you can handle them as they come.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Dry Needling and Acupuncture for Concussion: Can They Relieve Your Symptoms?

Dry needling and acupuncture can help relieve certain post-concussion symptoms. They are not a cure-all, either for acute concussion or post-concussion syndrome, but if you suffer from headaches, neck and back pain, or nausea, keep reading.

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Traumatic Brain Injury

How to Talk to Your Doctor About Hormone Imbalance (Including After Head Injury)

At our post-concussion treatment clinic, patients sometimes present with short- or long-term hormone dysfunction after brain injury. While we don’t treat hormonal imbalance at our clinic, we often make referrals for it and communicate with our patients’ physicians about their condition.

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions  |  Education & Resources

How a Brain Injury Can Cause Hormone Dysregulation (And What to Do About It)

Low energy, difficulty concentrating, brain fog, anxiety, depression, memory problems...

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Healthy Food & Habits

The Truth About Alcohol, Caffeine, and Post-Concussion Recovery

Some doctors say it’s absolutely unsafe to drink liquor when you’re recovering from a concussion. Others say it’s safe, but it might set back your recovery. Still others say, “Why not substitute a fancy coffee for your favorite cocktail on your next night out?” (Please don’t do this. We’ll explain why later in this post.)

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

What Can a Neurologist Do for Post Concussion Syndrome?

What should you do when your concussion symptoms don’t go away?

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

Concussions Can Result in Post-Traumatic Stress Disorder (PTSD): Learn Why and What Can Help

Anxiety. Depression. Irritability. Dramatic mood swings. Difficulty sleeping and concentrating.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Long-Term Anxiety After a Concussion: Why You Feel This Way and How to Move Forward

There is a whole world of hurt and pain for patients who experience mental health symptoms after a concussion. Not all of them realize that concussions can cause anxiety, and those who do know it don’t know why it’s happening or how to fix it. Many visit psychiatrists who prescribe medication that may just make things worse (something we’ll explain in depth later in the post). 

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Concussions  |  Mental Health Support After a Brain Injury  |  Post Concussion Treatment  |  Traumatic Brain Injury

Depression After a Concussion: Why You Feel This Way and How to Start Healing

“No one ever told me my concussion could cause depression.”

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Traumatic Brain Injury

Quiz: Do I Have a Concussion? (Plus What to Do About It)

Note: While this quiz will give you some insight into your current conditions, your results are only as good as your answers. It is not a substitute for seeing a doctor and is not official medical advice. If you’re experiencing any of the signs of severe traumatic brain injury (TBI), seek medical attention immediately. Otherwise, feel free to use this quiz as a starting point to determine if you need further care. Also note that, while we may record your responses, it is not linked with any personally-identifying information.

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

How Physical Therapy for Post-Concussion Syndrome Can Help Patients

There is no exact time frame for recovering from a mild traumatic brain injury (mTBI), otherwise known as a concussion. The majority of people who sustain an acute concussion recover within a few weeks. For a small percentage, however, concussion symptoms persist for weeks, months, or even years after their brain injury. This condition, known as post-concussion syndrome (PCS), leaves frustrated patients searching for answers and concussion treatment options that might help. 

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Flying with a Concussion: How to Travel Safely and Minimize Symptoms

[Note: This article was written during the coronavirus (COVID-19) pandemic. We recommend that you check the Centers for Disease Control and Prevention (CDC) for travel advisories and health information when making travel decisions.]

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Post-Concussion Nausea: Why You Feel Sick & What to Do About It

We can all agree that nausea is terrible. If it’s a one-time thing because you ate expired yogurt, well, it’s not the end of the world — you’ll be back to normal in a day or two. But nausea that lasts for days? Or comes back every time you exercise? It’s awful.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

Football Concussions: Prevention, Diagnosis, and Recovery

The topic of football concussions is a controversial one. If you’re a football player worried about the long-term health of your brain, it can be confusing to wade through all the information out there. Opinions range anywhere from people claiming that all the worry about football concussions is ruining the game to those who want to ban tackle football, at least for children, permanently. 

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

Functional Neurology: What It Is and What Patients Need to Know

Modern traditional medicine has transformed the way we diagnose and treat disease and injury. And in most cases, it is extremely effective. But it doesn’t always provide the solutions patients need to improve their quality of life, especially when they suffer from poorly characterized ailments (such as unexplained chronic pain, fibromyalgia, or movement disorders).

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

fMRI vs. SPECT Scan for the Brain: Know Your Options

If you’re struggling to recover after a brain injury, dealing with healthcare providers is often a frustrating process. Unless you have a clear, severe injury, they might be dismissive of your symptoms or just may not have enough treatment options to help you. Oftentimes, they’ll order an MRI or a CT scan.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Post-Concussion Brain Fog: Why Your Brain Can’t Keep Up

Brain fog is one of the most common symptoms of a concussion. On lists of warning signs of a concussion, it might be listed as “trouble concentrating,” “slowness in thinking,” or even “difficulty remembering and learning new information.”

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

The Link Between Concussions and Attention Deficit Disorder

Attention deficit hyperactivity disorder (ADHD) is difficult enough to handle alone. When you add concussions into the mix, it can feel overwhelming. The relationship between ADHD, concussions, and post-concussion syndrome is still being researched, but that doesn’t mean there’s no good info or treatment options for patients who need them.

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Light Sensitivity: What Causes It and What You Can Do About It (Especially if It’s Concussion Related)

Light sensitivity (photophobia) can manifest in different ways for different people. For example, you might:

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Concussions  |  Life After EPIC Treatment  |  Patient Stories  |  Post Concussion Treatment  |  Traumatic Brain Injury  |  Young Adult

How 14 Years of Unexplained Chronic Illness Turned Out to Be Concussion-Related: A Former Figure Skater’s Story

I started figure skating competitively when I was eight years old. I loved the feeling of flying across the ice, the “wind” racing across my skin, vaulting into the air and sailing through a landing. Like many, I dreamed of the Olympics, and I poured every ounce of energy into training.

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions  |  Traumatic Brain Injury

Sports Concussions: How to Handle Physical, Mental, and Emotional Recovery

Dealing with a concussion can be a confusing and frustrating experience. Unlike straight-forward illnesses that can be diagnosed by a simple lab test, there is no easy, one-size-fits-all test to diagnose concussions. Not everyone experiences the same symptoms, and the road to recovery is unpredictable. 

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Concussions  |  Patient Stories  |  Post Concussion Treatment  |  Young Adult

From Wrestling Concussions to Rock n’ Roll: How This Guitarist Found Healing from Post-Concussion Syndrome

Chris Nicastro’s head was pounding. He opened his eyes, wincing at the bright lights from the bathroom vanity. It took a few moments for him to remember where he was: sprawled on the floor after fainting out of the blue. As he realized he hit his head — now for the fourth time — his heart sank. Another concussion.

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions  |  Traumatic Brain Injury

How Do You Know If You Have a Concussion?

If you’ve been reading about concussion diagnosis and symptoms and feel confused, that’s pretty normal. Most advice about concussions feels vague. It’s hard to know what applies to you. And if you’re like most patients, you may be second-guessing yourself and unsure of whether to see a doctor after your injury.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Post-Concussion Syndrome & Extreme Fatigue: Why You’re Exhausted and How to Make It Better

It’s not uncommon for people in today’s society to be tired. The demands on our time seem to be never ending. However, there’s a difference between being tired from being on the go all of the time and the feeling of extreme fatigue.

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Concussions  |  Education & Resources  |  Healthy Food & Habits  |  Traumatic Brain Injury

Exercise After a Concussion: When Is It OK and What If It Makes You Feel Worse?

If you’ve recently suffered a concussion, you might be confused about when and how to return to exercise. Maybe you were told to avoid all physical activity until you feel better. But what if that time never comes?

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Post Concussion Syndrome & Sleep: Why You’re Suffering and What to Do About It

When you get a concussion, you may worry about when it’s safe to sleep. You might even have a friend or a family member wake you up every few hours. And while that is sometimes necessary (if you have a severe injury and have not yet received medical attention), most of the time, it’s better to sleep as much as you can while you heal.

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Post-Concussion Syndrome Tests: Know If You Have PCS

If you’re searching for answers and think you might have post-concussion syndrome (PCS), the path to diagnosis can be challenging. Few medical professionals are experts on the condition, and many lack the most sophisticated diagnostic tools. Many doctors will make a diagnosis based on concussion symptom history and a quick physical examination. Others will supplement their findings with imaging or computerized testing.

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Concussions  |  Life After EPIC Treatment  |  Patient Stories  |  Post Concussion Treatment  |  Traumatic Brain Injury  |  Young Adult

After Five Years of Failed Treatment, This Former Player Overcame Her Soccer Concussion Symptoms — Here’s How

When Sam Pembleton arrived at Cognitive FX for post-concussion syndrome treatment, she was shaking. Her nerves were so bad that she couldn’t speak to the other people in the waiting room. When they put her in the MRI machine, she panicked. It took several tries just to get through the scan.

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Can an MRI Detect Post-Concussion Syndrome?

A regular MRI (magnetic resonance imaging) looks at brain structure and integrity. While it is helpful for diagnosing structural brain damage, it can’t often be used to detect post-concussion syndrome (PCS). However, a specialized form of MRI called functional neurocognitive imaging (fNCI) can detect PCS. 

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

Post-Concussion Syndrome Treatment: Therapy & Medications

In post-concussion syndrome (PCS), a patient with a mild traumatic brain injury (mTBI) experiences persistent symptoms from the injury. If left untreated, the symptoms might last months, years, or even decades after the event.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Medication for Post-Concussion Syndrome: Does It Work?

Many doctors aren’t aware that concussions can cause long-lasting symptoms, a condition commonly called post-concussion syndrome (PCS). As a result, they treat common symptoms rather than the underlying condition, which often involves prescription medications for each symptom. If you do manage to get a diagnosis, then the default treatment is often still medication — not because it’s the most effective option, but because many healthcare providers don’t have the connections or resources to offer other options.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Neuroplasticity Therapy: How It Helps Brain Injury Recovery

Neuroplasticity, from a clinician’s view, is the ability of the brain to change and heal itself. From a neuroscience perspective, neuroplasticity is the brain's ability to affect the synaptic transmission of information in response to external stimuli.

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Brain Safety & Care  |  Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

How to Find the Best Concussion Clinics Near You

The medical community can be painfully slow to adopt best practices, and concussion care is no exception. Many doctors and clinics recommend “cocooning” — i.e., rest and inactivity in a dark room until symptoms disappear — even though research shows that is not the best way to treat a concussion.

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Multiple Concussions: Long-Term Effects and Treatment Options

If you’re like the majority of people who have had a concussion, then you likely recovered a few weeks afterward and have felt fine ever since then. Concussive symptoms typically resolve in 7 to 10 days (sports-related concussions) or within 3 months (non-athletes). But not everyone is that fortunate: up to 30% of post-concussion patients have lingering symptoms that don’t go away with time and rest. And even if you do recover and walk away with no long-term symptoms, it isn’t without consequence: You will always be more susceptible to another concussion than someone who hasn’t had one, particularly during the first year after your concussion. It takes less force to sustain a repeat concussion within a year of the previous concussion and it’s likely to take more time to resolve. Repeated subconcussive jarring or shaking to the head can contribute to this situation as well.

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Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

How to Treat a Concussion Beyond Resting at Home

If you visit a doctor for a concussion, you might be told to lie down in a dark room until all your symptoms go away. Many doctors learned that rest was the best way for patients to heal safely from a concussion, but that is no longer best practice. In fact, research shows that active management of concussion has better outcomes. And in our experience treating thousands of patients, many of whom had symptoms that lasted for months or years, we know that “rest until you feel better” can be frustratingly ineffective.

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Concussions  |  Post Concussion Treatment  |  Traumatic Brain Injury

Concussion Symptoms: Causes, How Long They Last, and When to Get Help

Concussion symptoms can be confusing. They don’t always show up right away, they can come and go, and they don’t always go away without extra therapy. We treat concussion patients every day and answer these questions for our patients regularly. That’s why we’ve put together a guide to concussion symptoms, including:

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Traumatic Brain Injury

Relationships After a Concussion: Healthy Relationships Parents & Kids

Parents love their children and want to provide the best possible support and care for their children. When your child or teen has a concussion or is trying to cope with long-term concussion symptoms, it can be challenging to know what to do and how much to do for your child. We understand watching your loved one be in pain, sort through the frustration and changes that come with experiencing a brain injury is not an easy adjustment for you.   Naturally, we want to reduce the suffering of those we love, we begin to do more things for them with the intention to help them get better faster, or to reduce their level of stress. Sometimes the desire to take care of them can shift the relationship dynamic to a more codependent relationship. As children become young adults, it is important to instill a sense of interdependence, a space that encourages the teen to learn to be independent with support, guidelines, and a safety net. This empowers them to grow into healthy independent adults. This is also true for those who have a concussion and are learning what they are truly capable of. 

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions

Concussion Prevention When You Hit The Slopes

Did you know that concussions are among of the top injuries sustained while skiing and snowboarding? Beginners and professionals alike need to be equipped with the tools to stay safe on the slopes.

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Brain Injury Awareness  |  Concussions  |  Post Concussion Treatment

What Does Post-Concussion Symptoms Mean?

Concussions occur as the result of a rapid movement of the head and neck which causes the brain to shift and impact the skull. This sudden movement causes injury to the delicate structures, cells, neurons and blood vessels inside your brain. The impact of the injury can cause both physical and chemical changes in your brain and affect how it functions because it alters the systems in your brain. Medical professionals usually describe concussions as a mild form of TBI (Traumatic Brain Injury or mTBI) but, even the “mildest” concussions can cause serious effects and impact a person’s quality of life.

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Concussions  |  Education & Resources

Diagnosing Concussion with functional NeuroCognitive Imaging

What imaging is used to diagnose a brain injury? After a concussion or any hit to the head, you go to the doctor, and they tell you might have a concussion, but that it is no big deal because your symptoms will just go away with some rest right? Sometimes, but not usually. It would be nice to know exactly how you are feeling to provide the best overall treatment and a new imaging technology can do that. A Functional Magnetic Resonance Image (fMRI) is an imaging technique used to diagnose concussion and recognizes changes in the brain while you are asked to engage in cognitive tasks. Most people have heard of an MRI and but fewer have heard of a functional MRI (fMRI). So what are they and what is the difference between them? MRI produces static images of the anatomy of the brain and a functional MRI produces images of what is going on inside the brain as it is working.   Functional NeuroCognitive Imaging (fNCI) fNCI is a unique form of a fMRI that uses specific tests to measure how the brain is functioning. fNCI is over 98% accurate at diagnosing concussions. In the past, concussions have been subjectively diagnosed by either giving the individual a post-concussion symptom scale (PCSS) to rate the severity of their symptoms or by asking the patient if they went unconscious after getting hit. 

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

What to do When Concussion Symptoms Last a Long Time?

Currently, many doctors and other medical professionals tell their patients that the majority of people who have a concussion will recover in a short amount of time (under a month). However, new studies are showing that the risk for long-term symptoms is much higher than doctors and concussion specialists previously thought. Before seeking treatment at Cognitive FX, the majority of our almost 1,000 patients struggled with their symptoms for years. We have treated patients who suffered needlessly from post-concussion symptoms for many decades. Among the oldest concussions we’ve treated was a concussion from 60 years ago. Many of these patients had given up hope that recovery was possible. They saw their symptoms as a permanent part of their lives and futures. However, our research and patient improvement reports continue to prove that patients can drastically improve from their post-concussion symptoms. So what should you do if you fall into this growing percentage of the population with long-term PCS? Below are the first steps you can take toward your recovery.

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Concussions  |  Education & Resources  |  Post Concussion Treatment

Connection Between Concussion Symptoms and Brain Function

The brain loves taking the path of least resistance. This is true for blood flow and also for sending the communication signals in the brain when neurons are firing. Even a simple task requires different brain regions to work, or function, together at whatever you are trying to accomplish, be it reading this post, driving, writing, singing a song, or doing something as simple as opening your eyes, yawning, or breathing. Overall, when we are talking about brain function, we are talking about the ability for the neurons, the blood flow, and other systems in your brain to work and communicate with one another to do their job. After mTBI, injured regions of the brain can swell. Because the brain wants to take the path of least resistance, it will use different neuronal pathways to avoid the areas where there is inflammation. This change restricts blood flow in one or more regions of your brain, causing other regions to compensate for the regions that are injured. This means that different regions are over-exerting themselves to complete the work of the injured brain regions. Think of it as a receptionist who, on top of completing her own responsibilities, now has to do the job and work of the accounting department and the CEO. This imbalanced blood flow is what we call dysregulation, or dysfunction.

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Brain Injury Awareness  |  Concussions  |  Education & Resources

New Concussion Guide Now Available

Over the last few months our team has been working on a new booklet to raise the level of awareness and education around concussions.

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Concussions  |  Education & Resources  |  Post Concussion Treatment

Shifting from Post-Concussion Syndrome to Post-Concussion Symptoms

What comes to mind when you think of the word “syndrome?” Many commonly known syndromes are often associated with genetic factors or medical diseases that are often lifelong or have lasting effects. Because we know that many post-concussion symptoms are treatable, Cognitive FX agrees with the recent change in terminology and diagnosis that replaced post-concussion syndrome with the more accurate title of post-concussion symptoms. What was post-concussion syndrome? According to the latest International Classification of Diseases (ICD-10), post-concussion syndrome included “subjective physical complaints (i.e. Headache, dizziness), cognitive, emotional, and behavioral changes. These disturbances can be chronic, permanent, or late emerging” (King,  Crawford,  Wenden, Moss, & Wade, 1995). More specifically, post-concussion syndrome referred to a cluster of problems that emerge or worsen after receiving a concussion, with symptoms lasting longer than three months.

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions  |  Traumatic Brain Injury

8 Fall Prevention Tips for your Grandparents

Adults 65+ years have the highest rates of traumatic brain injury (TBI) deaths, according to the New York Department of Health. Regardless of your age now, we all get older, even if we don’t want to. You can also think about your parents and grandparents, and the importance of helping those you love prevent an injury. Through these tips, you can learn how to reduce the risk of the elderly, or yourself from a concussion or brain injury. While a brain injury cannot fully be prevented here are some suggestions.  Here are some tips to help prevent falls, specifically for the elderly:

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Concussions  |  Education & Resources  |  Post Concussion Treatment

When Does a Concussion Become Post-Concussion Syndrome?

A concussion is defined as “the result of the forceful motion of the head or impact causing a brief change in mental status (confusion, disorientation, or memory loss), with or without a loss of consciousness.”

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Concussions  |  Education & Resources  |  Traumatic Brain Injury

Is a Concussion a Brain Injury?

As Susan A. Connors said, “No brain injury is too mild to ignore or too severe to lose hope, but all brain injuries – including concussion – should be taken seriously.” Yes. a concussion is considered a brain injury.   Many may not realize a concussion is a brain injury because it is called "mild," but it is vital that we recognize that ANY damage to the brain is a brain injury. We take concussions very seriously here at Cognitive FX and we specialize in concussion treatment along with treatment for other neurological diseases.  No matter how normal a person with a concussion may appear, a concussion can have significant impact on an individual’s life and their ability to function. We are finding that the right treatment protocols can bring improvement, even for individuals who have been diagnosed with Post-Concussion Syndrome. 

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Brain Injury Awareness  |  Brain Safety & Care  |  Concussions

To Sleep or to Drive? – Driving Drowsy Prevention Week 2017

Drowsy driving prevention focuses on "Stay alert, arrive alive." The national sleep foundation is helping to raise awareness of drowsy driving and the risks of driving when you are tired. 

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Concussions  |  Education & Resources  |  Post Concussion Treatment

New Strategies to Improve Outcomes of Concussion Treatment

Dr. Mark Allen, and Dr. Alina Fong presented at Pink Concussions 4th conference Pink 4 hosted in Rome, Italy after the Pediatric Aquired Brain Injury Conference.  This presentation explores important topics related to concussion research and development which leads to better concussion treatment, and treatment outcomes.  

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Brain Safety & Care  |  Concussions

5 Ways to Prevent a Brain Injury

According to the CDC, “there are around 2.8 million TBI (Traumatic Brain Injury)-related emergency department visits, hospitalizations, and deaths each year in the United States. TBI contributed to the deaths of almost 50,000 people. TBI was a diagnosis in more than 282,000 hospitalizations and 2.5 million ER visits. These consisted of TBI alone or TBI in combination with other injuries.” 

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Brain Injury Awareness  |  Concussions  |  Education & Resources  |  Post Concussion Treatment

Can One Treat the Long-Term Effects of Concussion?

About a year ago I did an interview over the phone with a sports-talk radio show in Texas. The topic was concussion in high school football (Texas is all about high school football). I talked about treatment for long-term concussion effects and how new therapies are available that can be extremely effective. I also mentioned research that shows treatment effectiveness even when the concussion (or concussions) happened years earlier.

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Concussions  |  Education & Resources  |  Traumatic Brain Injury

What is NeuroVascular Coupling?

Neuro refers to brain cells, also known as Neurons; Vascular means the blood supply or blood flow which is the same as the vascular system; and Coupling means connection. NeuroVascular Coupling (NVC) is the connection between neurons and their vascular supply, which is their energy source required to function properly.

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Concussions  |  Education & Resources  |  Traumatic Brain Injury

Imaging Technologies Used to Diagnose a Concussion

There are a variety of imaging technologies that can be used to look at a brain injury or a concussion, and are used in unique ways to address and review specific concerns with a head injury. These imaging technologies each have their place and use in addressing and understanding not only a brain injury and concussions but many injuries that may occur throughout our bodies. It is important to know that not all imaging technologies are alike or able to clear detect and diagnose a concussion.

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Brain Safety & Care  |  Concussions  |  Education & Resources

Know Your Concussion Myths and Facts

We know that there are millions of individuals who suffer from concussions yearly. There is no better time than now to expand our knowledge and application of research to help individuals recognize there is hope and recovery when addressing brain injury. There is a lot of information available about concussions and mTBI (mild Traumatic Brain Injury) and we want to share what recent research has taught us when it comes to concussion myths and facts.  Concussion Myth: To get a concussion one must pass out or hit their head. mTBI is defined as “the result of the forceful motion of the head or impact causing brief change in mental status (confusion, disorientation or memory loss) or loss of consciousness for less than 30 minutes.” Notice here the definition mentions forceful motion OR impact OR loss of consciousness. Concussion Fact: You can get a concussion without passing out and/or without hitting your head. Since the brain is essentially floating in water and connected to our spinal cord via the brain stem one can get a concussion from forceful motion of the head, like whiplash. Yes, hitting your head can increase your risks of having a concussion but you do not have to pass out or receive a hard hit to sustain a concussion.

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Concussion Treatment Versus No Treatment

At Cognitive FX we use both subjective and objective testing to discover how effective the treatment of a concussion is. During EPIC Treatment we use two fNCI scans one to definitively show where you were injured and another to understand how effective your concussion treatment has been. Our research shows the comparison between patients who go through our concussion treatment or receive no EPIC treatment at all. How effective is EPIC Treatment?  At Cognitive FX we use fNCI (functional NeuroCognitive Imaging) to diagnose concussion(s), create a concussion treatment plan, and evaluate treatment effectiveness. The advantage of fNCI is that it is able to reveal indicators or “neuromarkers” of a concussion. These neuromarkers give us an idea of how severe the concussive effects are and which areas of the brain are most affected. The example below is an illustration of one of the known concussion neuromarkers and compares a patient who scores high on that neuromarker (more impairment) to one who scores low (less impairment).

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Brain Safety & Care  |  Concussions  |  Post Concussion Treatment

What is EPIC Concussion Treatment?

By Mark Allen, Director of Research The Enhanced Performance in Cognition - EPIC concussion treatment provided at Cognitive FX is a highly effective approach to concussion rehabilitation. We have developed an optimal program for recovery that typically lasts about 1 week, with intensive daily therapy. Each day includes a cycle through specific therapies for each patient guided by her/his brain activation images (fNCI).

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Concussions  |  Education & Resources  |  Post Concussion Treatment  |  Traumatic Brain Injury

Difference Between fMRI and MRI Scans

fMRI (functional Magnetic Resonance Imaging) is often a more sensitive method for detecting brain injury such as concussion than a standard MRI (Magnetic Resonance Imaging) brain scan. fNCI (functional NeuroCognitive Imaging) which is an advanced form of fMRI is particularly effective when detecting and understanding brain injury. This may be especially important for certain classes of patients—such as those with mild traumatic brain injury (mTBI)—who display clear symptoms of a concussion with cognitive and neurological impairment but show no obvious brain tissue damage on standard MRI scans.

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