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

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Old 03-19-2013, 01:12 PM #1
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Default Need help with inability to use computer, read or watch TV

I have had PCS for 4 months, following a mild concussion which turned into a severe relapse 10 days later when I started pushing myself again.

I have been doing acupuncture, some cranial sacral work, nutrient IV's and supplements (fish oil, gingko, etc), but many of the PCS symptoms still persist.

I'm still unable to use a computer, watch TV or read for any length of time. I also can't be around crowds or more than a few close friends (can't handle complex social interaction).

I would like to know what others have done that helped with these types of symptoms (especially the computer, reading problems). I've seen some posts on vision therapy, but don't know if that's what I need - my actual vision is okay.

Thanks!
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Old 03-19-2013, 01:46 PM #2
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Default How do you know your eyes are okay?

Have you been to a neuro-ophthalmologist or a neuri-optometrist? That is the only way to know that your eyes are really okay. I had my eyes checked directly after my accident, and nothing was wrong with my actual eyes. It's the connection between your eyes and your brain that could be the problem. There are several possible treatments, including vision therapy.

I have to wear sunglasses all the time. I can only be on the computer for short amount of time, though it's getting better. I also use eyedrops, and that does help me. I had nine different things wrong with my vision per the neuro optometrist. Other people can speak to other possible reason for your symptoms, but it really could be your eyes.
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Old 03-19-2013, 01:47 PM #3
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Hello,
Perhaps if you explain a bit more what happens when you do these things... you say it's not your vision so what happens? Do you get a headache? My problems with computers, reading and tv are that my eyes get fatigued, blurry and sore and also my brain can't handle it and I get a headache or confused. I know my eyes are part of my problem though but maybe not yours.

The answer is probably as simple as.. don't do it until your brain feels it can handle it. Quiet environments with low stimulation are the best way to heal. As you get better overall, with proper nutrition, supplements, rest, then you will be able to tolerate all the things you mentioned a little bit longer and then longer as time goes on.

There may be suggestions to make some of those things a little easier or ease the symptoms you're getting so let us know what they are and we will see what others say.

CC
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I'm a 39 year old, female, accountant. On July 2, 2012 I crashed my bike at the end of a 65KM road ride. I was fine that day but woke up the next morning to my current world.

Ongoing symptoms include: dizziness, blurred vision, light and noise sensitivities, cognitive problems, uncontrollable emotions/depression/anxiety, headaches (but they're getting better), mental and physical fatigue, difficulty communicating and sleep disturbances.

Currently seeing a fabulous Neuro Psychologist and vestibular physiotherapist and hoping to soon see a neuro ophthalmologist. I am currently doing 20 minute stationary bike rides daily, 20 minutes of meditating, 15 minutes of Lumosity and lots of resting. I have not been able to work or drive since the accident.

The things that have helped me the most since the accident are vestibular therapy, gel eye drops (for blurred vision, sensitivity and dryness), amitriptyline (10mg), and meditating. I am finally starting to see some slight improvements and am hopeful!

My brain WANTS to heal itself... I just have to let it and stop trying to get better!
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Brain patch (03-21-2013)
Old 03-19-2013, 02:12 PM #4
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From my own recent experience of these symptoms going away, I restricted my TV viewing to 1 hour before bed, and limited my use of the computer to 10 minutes at a time. Also turning the brightness down on the devices is important as well.
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Old 03-20-2013, 12:12 PM #5
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Quote:
Originally Posted by cyclecrash View Post
Hello,
Perhaps if you explain a bit more what happens when you do these things... you say it's not your vision so what happens? Do you get a headache? My problems with computers, reading and tv are that my eyes get fatigued, blurry and sore and also my brain can't handle it and I get a headache or confused. I know my eyes are part of my problem though but maybe not yours.


CC
My brain can't handle it (computer, reading, TV) and I also tend to get an achey feeling in the area behind the eyes and even deeper into the brain behind that. Sometimes the achiness is also on top of the head or near the forehead.

I also get fatigued from these activities, although I also have Chronic Fatigue Syndrome so I've had pretty severe fatigue from that for many years. But I'm much more tired since the head injury. My husband has been working from home for 4 months taking care of me.

I've been taking clonazepam and doxepin to help me sleep, because I started having severe sleep problems after the concussion. I wonder if these drugs might be making it harder to recover. But I need sleep to recover!

Can you tell me what is involved with the vision therapy? How do I know I need if I need it?

Thanks
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Old 03-20-2013, 10:44 PM #6
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Default Go to a neuro-optometrist or a neuro-opthamologist!

That is the only way to find out if your eyes are causing some of your problems. If you are having vision-related problems, they may give you glasses with prisms or prescribe vision therapy. Don't wait like i did! I wasted months of my recovery not knowing what was wrong and doing vestibular therapy when my eyes were really most of the problem!
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Old 03-22-2013, 05:06 PM #7
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Quote:
Originally Posted by DFayesMom View Post
That is the only way to find out if your eyes are causing some of your problems. If you are having vision-related problems, they may give you glasses with prisms or prescribe vision therapy. Don't wait like i did! I wasted months of my recovery not knowing what was wrong and doing vestibular therapy when my eyes were really most of the problem!
I made an appointment with a neuro-optometrist to see if I need vision therapy.

I would think that the vision therapy doesn't address symptoms like inability to be in complex social situations (groups of more than 3 or so), or the extreme fatgue I've had with PCS. Did you have any of these other symptoms? Did vision therapy help with them or did they just go away?

Thanks
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Old 03-22-2013, 05:29 PM #8
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Getting prisms and doing vision therapy has been enormously helpful..lifechanging. But I still struggle with noise and public spaces. If you can reduce the brain load from vision dysfunction, you free more space for other cognitive activities. The noise factor is SLOWLT getting better..but still a huge challenge. I am trying to slowly expose myself to more and more noise to allow the brain to make new pathways. That is the only solution, I think. Build up the tolerance level. It really is about baby steps.

You will improve but it is hell getting there.
Hang in there!
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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.

Last edited by Mokey; 03-22-2013 at 05:30 PM. Reason: Typo
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Old 04-02-2013, 01:47 PM #9
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Default Vision testing taxed my brain

I saw the vision doctor Sat. and she did about 45 minutes of testing. The next day, my brain felt a whole lot worse -- like it was taxed too much. I'm still in the process of recovering. Had to cancel the second testing session for this week and moved it to next week.

Did any of you with PCS who had vision testing done find that it "strained" your brain and set you back a bit?

I'm concerned because the next testing session is for 75 minutes. I'm also concerned that the therapy itself may be too taxing for my brain. What was your experience?
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Old 04-02-2013, 02:11 PM #10
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Yes...the testing was difficult but at the same time gave me hope that FINALLY there was something concrete I could do to get my brain better. I did home based vision therapy(very simple to the point of where I could tolerate it. Only a few minutes a day) and then went to in office sessions....usually with massive headaches at the beginning. Once I got prisms, it improved a lot. Still doing vision therapy and still determined to improve to help reading, etc. vision is a huge resource drain on the brain so if it is messed up, not a lot of extra brain energy to function on other things. Good luck. Take it very slow!
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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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