Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 02-28-2013, 09:21 AM #1
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Default Chronic Headaches since head injury...

Has anyone developed chronic headaches tension\migraine since their concussion. I have been dealing with this for over a year now. The headaches some at different times but I have noticed when i need to tackle things mentally that are somewhat involved or with multiple steps, physical exertion that get your heart rate up like cardio etc.. are all triggers but I will have headaches even withou these triggers.

I was prescribed medicine for migraine sufferers only problem I dont have history of these headaches and no family members do either.

I cant imaging having to deal with this for the rest of my life. Anyone else dealing with chronic headaches after a concussion and what do your doctors tell you\treat you with?

Thanks
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Old 02-28-2013, 11:21 AM #2
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Default Migraine headaches

Hi Jinga,
Yes I deal with migraine headaches all the time. Some are so severe I loose my vision and throw up. Some can last for a few days. I have had migraine headaches since my first concussion back when I was 18 or 19. They have become a part of my life that I have to manage. I tried all kinds of different meds for these but had serious side effects. What works best for me is Lortab and Phenergan. The Lortab is for pain and the Phenergan is for nausea. Now that I have chronic pain and need pain coverage all the time I am on MS Contin. It is a long acting morphine that works for 12 hours at a time. It is also easy on the liver because it has no Tylenol. I have found since being on the full coverage med that I have less migraines. Be careful about taking too much Tylenol. I used to take extra strength excederin and Lortab. Don't do this. I ended up with liver failure from this. sorry you are suffering this horrible condition. Find a good pain specialist.
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Had MVA in 2006 resulting in post concussive syndrome manifested by cognitive impairment, chronic pain/ fatigue. Chronic pain of head, neck, back, left leg.
Other problems include REM sleep behavior disorder, nocturnal frontal lobe epilepsy, chronic migraines associated with nausea/vertigo, episodes of passing out, hypoglycemia, liver dysfunction (had accidental overdose of acetaminophen in 2009) had liver and kidney failure, hernia, degenerative disc disease with compression of nerve root, PTSD, and other problems associated with functioning problems from traumatic brain injury (light, sound sensitive, easily overloaded, easily distracted, cannot focus, anxiety problems etc.)
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Old 02-28-2013, 04:51 PM #3
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I used Maxalt for a while, which worked well for the most part. But, it really isn't meant to be used more than once a week. I was recently switched to an anti-epileptic med, which is also very effective as a daily anti-migraine med. Topamax is the medication.
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In March 2006, I had a partial left temporal lobectomy to remove my seizure focus. It worked well to control complex partial seizures, but left me hyper-sensitive to light and sound. Migraine headaches increased in severity as well as frequency.

In March 2007, I slipped on the ice and fell upon the left side of my head. The effects were mild TBI, a moderate concussion. The TBI effects increased light and sound sensitivity further, as well as migraine headaches. Seizure disorder got shaken up, requiring new medications to control complex partial seizures.

The long-term effects of these brain issues are very poor short-term memory; difficulty regulating emotions; major depression; anxiety; easily overwhelmed; word-finding difficulty as well as mixing up my words (but not recognizing my mistakes) and an extremely difficult time with decision-making. I also got divorced and am the secondary co-parent of our two daughters. That was a huge blow to me!
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Old 03-01-2013, 03:08 AM #4
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Can't give you any help except to say that I have had a migraine every day for 4 years. Today is an especially bad day because the weather is changing. I am staying up late because I know that the pressure of my pillow will kill my head and I have to be sufficiently exhausted in order to get past it. If you look up migraine without aura, that is me except it is not unilateral and it is every day. Honestly, I don't know if I have just had one long migraine for four years or if I just keep waking up with one. I have had a few days where for most of the day I do not have any migraine symptoms, and I walk around wondering why the world is so beautiful and why it is so absolutely perfect, and then the pain returns and I realize that there is such a thing as life without pain or whatever other weirdness is caused by the migraine/PCS. Those are the best and the worst days. Anyways, good luck, let me know if you find any magic pil so that I can join the cured band wagon
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Fell off a horse in late winter of 2009 blacked out for a couple seconds, had amnesia for 10 hours (still don't remember this time), had 2 CT scans, 2 MRI's, 1 MRA all negative. Since the first concussion I have continually knocked my head into different things purely by accident or from being stupid. These many concussions over a short period of time have caused
constant migraines, nausea, and dizziness/lack of balance.
Migraine triggers are:
light sensitivity (especially to florescent or bright lights)
sound sensitivity (especially to high pitched or loud sounds)
temperature sensitivity (especially to cold or extreme heat)
activity (especially if breathing increases or head is jostled)
pressure on head (sinuses, hats, headbands, sunglasses, pony-tails)
lacks or quality (food, sleep, water)
tension (stress, tight muscles, tired eyes, sickness)
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Old 03-01-2013, 07:25 AM #5
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Through PCS I also had migraine with aura. My feet went cold, I got tension waves through my body, fatigue and the light/noise sensitivity would worsen. This resulted in deep crushing headaches and very bad insomnia. It wasn't properly treated for 3 months until I looked up an article on Post Concussion Headaches which advised they should be treated with migraine medication. Thankfully the headaches went and also the head pressure has gone for 3 days now, I just hope it lasts. Just need the fatigue, insomnia and noise/light sensitivity to go now as well.http://www.practicalpainmanagement.c...rders?page=0,1

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Old 03-01-2013, 10:41 AM #6
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I have different types of headache after the brain injury...and sometimes migraines. Both are horrible. i take Zomig for both if they are coming on bad. Less headaches as time goes on...but they certainly come after I have done too much!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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Old 03-01-2013, 10:43 AM #7
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Margarite....I was like that for four years...when I was diagnosed with celiac disease (an autoimmune disease that prevents you from absorbing nutrients and thus causes all sorts of different problems), the daily migraines disappeared within a few weeks of going on a strict gluten free diet for life. Just saying that the daily migraine may related to something other than the brain injury. Oh joy!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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