View Single Post
Old 08-27-2008, 12:21 PM
pydy9916 pydy9916 is offline
Junior Member
 
Join Date: Aug 2008
Location: New York
Posts: 7
15 yr Member
pydy9916 pydy9916 is offline
Junior Member
 
Join Date: Aug 2008
Location: New York
Posts: 7
15 yr Member
Default

Quote:
Originally Posted by goodscout View Post
Hi --

I am suffering with PCS after taking a fall and banging my head on the ice last December (8.5 months ago). It has been, at times, debilating and I am beginning to feel like this may never go away. I had a couple of CT scans and an MRI which have been negative. I have seen a chiropractor, a cranialsacral therapist and physical therapist, and nothing seems to help. I live in Boston and went to the head trauma center at MGH, and they basically told me the only recourse for PCS is to wait it out.

I wake every day with a head-throbbing (from the point of impact -- back of my head), stiffness in my shoulders and back, and nausea. On a good day the nausea goes away after a few hours, and on bad days it is coupled with an overall fogginess that with me all day. And, to add insult to injury, I am no longer able to tolerate the smell of coffee, even if it's just someone carrying a cup into the room.

At the six month mark, I had a brief respite of feeling much, much better. For about four weeks, I felt like I got my life back. I started to work out a little, and the neurologist put me in physical trherapy to get some strength in my upper back and electrical stim for my tight neck. After a couple of weeks (and yes, probably overdoing it with projects at home after six months on hold....) the symptoms returned, with even greater intensity. Today I felt so miserable (could barely hold up my head, throbbing "heavy" head and nausea) I went into the ER. They did another CT scan, and a spinal tap to check pressue on the brain and to rule out other conditions. Both were negative.

So, a couple of questions for this group....Does anyone see any (even mild) activities that contribute to a relapse? Also, has anyone tried alternative therapies (accupuncture. osteopathic doctors) with any success? I am currently not on any meds execpt Ibuproben.

I have tried to have a good attitude about this so far, but I will admit that I am starting to panic that this is going to be my life. I don't go out at night, have not worked out in months (even riding a bike seems daunting) don't drink and basically live pretty simply. I have two young children and it is all I can do to keep the home fires burning. My spouse is wonderful and jumps in 200% if I am having a rough day. I'm just hoping for a light at the end of the tunnel.

Thanks for your feedback.
Hi..sorry for your pain! I practice in headache medicine and there are a couple of things I think are going on..you have moved into the chronic headache phase of post concussive syndrome since you are more than six months out..but the good news is that the sooner you get treatment the quicker the headaches will come under control. The longer you wait the more difficult it becomes..people who have this headache for a few years are harder to treat.

So what to do? Find a neurologist who specializes in headaches..until you get in ask your doctor to put you on Elavil..low dose 10mg at night an hour before bed. this is the drug of choice for post concussion headache AND treats neck pain. You might have to increase the dose slowly and give it 90 days to have the full benefit. I suspect you have some aspect of whiplash to the neck going on..start physical therapy at the same time and get off the ibuprofen. This causing analgesic rebound headache syndrome.

Over time, chronic pain results in low level nausea.

Alternative methods unfortunately don't work too well for this type of headache..medication, regular sleep (go to bed and get up same time every day) and rest is the best bet.


Good luck,
Mary Kay
pydy9916 is offline   Reply With QuoteReply With Quote