Wendy,

Is this Dr. Bley ?

- if so - He is a fully trained Osteopathic, Youth Sports Medicine Doc
- He most likely is offering Musculoskeletal Manipulation therapy options;

Neither of which you really need or want at this stage of your recovery...

Mark has a good Supplement listing in these threads that is very useful to help your system in recovery; Ice to your neck is actually what you need most of all, while arranging an evaluation by a Physiatrist/Physical Medicine / Rehabilitation specialist, to plan out a recovery course.

Your doc is most likely diagnosing the "Migraines" as they are common occurences to concussion injured persons.... and Nortritylline does take some time to reach a steady state in each person who takes it; so you may need periodic adjustments in the dose or not, dependent on time and usuage; keep up with the Neurologist on that point. You may even find its not for you and need something different - you and the doc will decide that.

The way you described your injury is very clear, you did receive head and neck injury, including the concussion; and its not unusual to have negative findings on imaging studies. Sometimes, later studies have to be done, as/if new findings occur just to assure nothing new has evolved; again, that will be up to you and your main doc (your gatekeeper).

The vision, the hearing troubles, the fatigue, are all part and parcel of the post-concussive state - your body is telling you : it is time to STOP what you are doing , REST, and that means everything you have seen everyone here state is necessary..........it is the most important part of recovery at this time of your injury phase.

Now, FMLA - go back to your doc, and ask them for temporary, long term, intermittent FMLA, for the Headaches, and ask them to include the fatigue, and any other distressing symptom you have been experiencing. Why? Because, you do not know what is to come; no one does. And if you gather that bit of support paperwork up front , now, it will save you stressful time later.

What does that give you - it gives you the full use of your FMLA time available, 26 weeks, useable, intermittently; so if you have a half day of work and it gets bad, you have the paperwork protection to go home; if you are up all night and can't function to go to work, you have the paperwork to miss a day . Of course, HR will use your sick time or however things work at your work site, but you have the proper paperwork already in place for your head injury protection.

Best wishes.

Wendy,

new symptoms can show up as late as 6 to 8 weeks after the injury. Stressing your brain can makes this even more likely. The injured brain struggles to heal up the injured parts/cells. When it finally gives up trying to heal those areas/cells, it shuts them down and they get absorbed by your body system. This is why good quiet rest is so important to good recovery.

Any yoga positions with the brain lower than the heart can put stress on the brain. They should be avoided.

While I was researching relief from my intractable head aches, I found that some head aches respond to Melatonin. Mine usually respond to aspirin, acetaminophen/paracetamol, or the two combined. This time, nothing gave me relief.

Try some Melatonin. It is easy to take compared to other meds/supplements.

In my research, I have found very few concussion specialists who are any more than sports medicine docs who have pulled together a multi-disciplinary team to grab as much opportunity to bill the entire care of a team. They form this team around the standards set by ImPACT, Head Minder, and other Computerized Neurocognitive Assessment tools. They end up with captive patients who are not allowed to return to play until they have completed the full protocol.

It appears that sports medicine/concussion clinics are the new boutique medical clinics for this decade.

Good brain nutrition is important because the brain usually is damaged in the myelin, axon and glymph tissues. Low stress living and good nutrition allows the tissues to heal.