i dont even know if there was a point in going at this point. I basically told them my life story since my concussion. All they really want me to do is get more sleep he said. he prescribed me some Amitriptyline HCL for sleep but after reading side effects i doubt ill take it and just go with Melatonin. i get about 5 hours a night he said should for 7 regularly

One thing he did do though is give me 3 shots in my head at the point of impact where i was getting headaches.....is this normal? he said it will stop the sharp pains and the shots actually kinda hurt.

overall i delt with his 4 year medical student for the first 40 minutes as she took notes and did tests and he came in for 10 minutes and sent me on my way. he wants to see me in 4 months. he didnt feel the need for another scan since my CT was ok and i passed all his tests for motor skills and other tests.


does this sound about right for my first session. he kind of gave me the attitude that he didnt need to listen to me because he knew what was going on and pretty much let me know only time will heal.

i was hoping for a MRI or something or a steroid type pill to help fix my eye symptons if that even exists

Sorry to hear you thought your neuro exam was less than you expected. You are fortunate he had a med student to take down such a complete history. The short time you spent with the neuro is usually all anybody gets.

The shots may have been Botox or a steroid. You should keep a record of your appointments and any treatments/shots.

Your eye condition needs to be checked by a neuro-ophthalmologist or a specialist such as that.

There are no specific treatments for PCS. Sleep helps but more important are the daytime activities. Quiet rest or quiet activities are the best way to heal.

An MRI would have been a waste of time and money.

Low dose amitriptyline should not be a problem. Have you been taking magnesium and calcium supplements to help with sleeping?

My best to you.

thanks for the reply your always helpfull

i get calcium and magnesium in my multi i take daily and the only thing i take for sleep is Melatonin. the Amitriptyline he prescribed was 25mg

my next step is to get my eyes checked im really thinking its the root of all my problems

A calcium and mag supplement will be much better. The RDA they use for multi's leave the dose very small.

10 mgs of amitriptyline is often helpful with the insomnia and head aches.

How much B-12 and folate (folic acid) are you getting from your multi?

The injured brain needs extra nutrition. The myelin sheath around the nerve fibers and axons is often damaged. It needs B-12 and Omega's to heal plus other substances.

18mcg/300% for B12
400mcg/100% for folic acid

do you think it would be wise to add more for each?

I'm taking norotryptyline which is supposedly very similar to amytriptyline, so I'm told. I have noticed no side effects, and I'm up to 50 mg a day. It gives me some relief from headache, but it does not help with the light/sound sensitivities, which are the primary cause of my headaches and that hitting a wall sensation when I've had too much stimulation. It also helps with my insomnia, not that it makes me tired, but when I decide to go to sleep, it helps me fall asleep and stay that away. If I don't choose to go to bed, though, I can remain wide awake all night if I allow it to happen. Which, sometimes I do. then I fix a big breakfast for my family and go to bed EASILY!

My impression of neurologists is that they don't get out much, and couldn't buy people skills if they tried. My newest one is much better on those fronts, but he's a lot like the others in that he feels he is a keeper of secret knowledge that us plebes aren't good enough to learn, but should simply listen to him and be happy. Still, he's an upgrade from the work comp neuro. I think your visit is right on course, for the most part; neurologists tend not to do more than triage and, if necessary, surgery for physical damage in the brain. If they can't see it on a CT, they don't treat it. Much.

Hang in there and definitely work on the vitamin supplements, there are a lot of good suggestions here and it takes an effort to track down all the things on the list, but it's worth it. Our bodies, and brain, do the best healing work in medicine, if fed properly.

Yes, you should be getting 1000 mcgs of B-12. Even more if your body is not absorbing it well. There are blood tests to determine the levels of all of the substances you need for brain health. B-12, folate, D3, magnesium, calcium, other trace minerals and trace metals can all be tested with a blood test. You need to be at the upper end of the normal range for each.

You need to understand the traditional medicine concepts are way behind the curve on nutrition for healing.

I take 19 pieces of supplements each morning plus my meds.

Dmom has expertise with nutritional absorption. She may chime in with her comments.