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


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Old 03-26-2013, 12:44 AM #1
beckster3366 beckster3366 is offline
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Default PCS - getting better?

Hi everyone,
I am a fairly long-time lurker but I just now decided to bite the bullet and join this forum. I can't begin to express what a comfort it has been to read the posts here and realize that I am not alone in my struggle with PCS. A brief history about myself before I ask my questions of you all.

I suffered a blow to the head by falling (whilst inebriated, unfortunately) on a cement staircase in early November of this past year. Because I felt embarrassed by how I hurt myself and because I did not realize the severity of my injury, I continued much of my daily activity/life for the first few days after the injury. Daily migraines, sensitivity to light and sound, and a poor result on the Impact test alerted me and my doctors to the fact that I was probably concussed. I took a few weeks off of exercising (I am a collegiate athlete), then jumped right back into things only to have all the symptoms come raging back. I have since had to withdraw from university, completely cease any and all athletics and exercise, and have been living at home trying to get better. I suffer from the usual PCS symptoms - headache, occasional nausea, difficulty concentrating, pain over and behind my left eye, mood swings, sensitivity to some light and loud noises, etc. Over the last few months I have gone through changes in severity of headache with little discernible pattern - some days I feel symptom-free, other days i am forced to stay in bed with the lights off due to such bad head pain. I have seen numerous doctors and am on a cocktail of various headache/known PCS meds as well as a healthy dose of supplements like D3, Omega 3, B12, etc. I try to limit reading, studying, and media as much as possible. In essence, I am trying to do all the right things. Yet, the process of healing has been incredibly difficult, frustrating, and seemingly slow - especially considering the fact that I have never had a concussion before.

The last couple of days, however, have felt different to me. I don't know if it's my mind playing tricks on me or what, but I have started to believe somehow that I am getting better. My headaches have been lighter than usual but this has certainly happened before (I had a few days in January in particular where I felt good as new and thought I was on the road to recovery, only to be hit with horrible headaches soon after). I am certainly not symptom free, my left eye aches as I type this as a matter of fact, but something inside me wants to believe that this is finally turning around.

I know I am rambling here, but I guess what I wanted to ask is - for those of you who perhaps have cases similar to mine, who have suffered a first-time concussion or a case of PCS - how did you know when you were getting better? At what point did you begin to proceed with your normal life? My doctors tell me, for instance, that the pain around my left eye may be something that will remain with me permanently. If I don't know whether the headaches/symptoms I am experiencing now will ever fully go away...at what point would you think it's smarter to resume my life activities and assume that I've healed as much as I'm going to? It has been almost 5 months now since I hit my head and I know from lurking on this site that people with PCS have suffered for shorter and longer times but the general consensus is a 4-6 month healing process, which I am nearing the end of. I guess what I'm looking for is any reassurance/guidance/(God willing!) success stories that anyone in a situation similar to mine can share. Thank you all so much for your time, I apologize for such a rambling post
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Old 03-26-2013, 04:10 AM #2
Mark in Idaho Mark in Idaho is offline
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beckster,

What do you mean by "cocktail of various headache/known PCS meds" ? Are you in school and attending daily ? Are you getting good sleep ?

There are a lot of things that can make it difficult to recover from a concussion. Identifying over-stimulation issues can help.
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Last edited by Mark in Idaho; 03-26-2013 at 04:55 AM.
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Old 03-26-2013, 07:24 AM #3
DFayesMom DFayesMom is offline
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Default I had the same headaches and they went away!

I had the exact same pain behind and above my eye that you have. It did go away, so there is hope for that. I don't think that everyone that has PCS has the same cause of their problems that I do, but I want to make sure you know every avenue you can take to get better.

I have a plethora of eye related problems due to my concussion (read my siggy for details), and if you haven't already seen a neuro-ophthalmologist, I would if I were you. I should've seen one way back in October, but unfortunately my doctors weren't on top of things and I wasn't capable of being my own advocate at that point. You need to make sure that vision problems aren't contributing to your headaches or any other symptoms you might be having, because there are separate ways addressing vision-related issues.

Also, have you checked to make sure you don't have an injury to your neck that could be a contributing factor to your headaches? Some of the headaches that I was having were due to a gap between my C2 and C3 vertebrae. I saw a physical therapist who was trained in the Mulligan technique, and she fixed me right there in one minute. She also taught me how to fix it myself if the problem were to recur, which I have done a handful of times. I had had these terrible headaches for a month and a half, so this physical therapist was like an angel to me. Neck injuries can come along with concussions and cause headaches, so just be aware of that!

You would think that the pain behind and above my eye was caused by my vision-related issues, but it was actually caused by the neck injury. Once my neck was fixed, those headaches went away. I think this could be a good lead for you! I hope that it is anyway.

Good luck! I hope you start feeling better soon.
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I have recovered my cognitive function, and I've overcome severe vertigo through sensory integration therapy. Wellbutrin has helped me escape depression. I have recently had a few stress-related migraines, as well as headaches stemming from eye strain. I'm also dealing with tinnitus, lack of stamina, extreme light sensitivity, and eye pain. Diagnosed with 9 different vision issues: convergence insufficiency, pursuit eye movement deficit, egocentric visual midline shift, photophobia, visual information processing delays, accommodative insufficiency, saccadic eye movement deficit, lack of coordination, and central peripheral visual integration deficit.

*First concussion: October 2010. I was pregnant and got rear ended. I associated my mild PCS symptoms with baby brain and blamed my light sensitivity on allergies and dry eyes.
*Second concussion: December 2011. I hit my head on a wooden beam, saw stars but did not lose consciousness, and I had very disturbing PCS symptoms but didn't go to the doctor.
*Third concussion: August 2012. I caused a car accident as a result of PCS symptoms. Thankfully no one was injured but me. My husband confronted me, and I finally sought help and took medical leave from work. My symptoms worsened, and I developed severe vertigo.
*Fourth concussion: November 2012. I was riding in a car with a friend and we were hit head on by a driver who lost control of her car. I didn't have a big increase in PCS symptoms.
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Old 03-26-2013, 08:22 AM #4
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I had a constellation of PCS symptoms. I also had pain behind my eyes, headaches, scalp pain, trigeminal neuralgia type pain affecting my face and teeth.These symptoms started to dissipate in about a year. Stress and too much activity definitely made them worse. Even doing minor housework would trigger an attack. Rest is incredibly important for the brain to heal. Do not jump back into your normal activities too soon. I was unable to take too much time of work, and I believe that slowed my recovery.
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Old 03-26-2013, 10:56 AM #5
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Default Lumosity

I wanted to say that if you think you feel like you're getting better, you probably are. I found it helpful to keep a journal to track my progress, rating every day, so I could look back and see myself getting better. Lumosity.com has also been very helpful to me, though you really have to watch overdoing it on the computer. I am in no way affiliated with luminosity.com! I realize that I seem to be promoting it a lot on the site, but that's because I really do feel like it helped me and I want people to know about it. It does cost money, but I thought it was reasonable. I was actually able to quantify my improvement by playing the games on the site everyday.
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I have recovered my cognitive function, and I've overcome severe vertigo through sensory integration therapy. Wellbutrin has helped me escape depression. I have recently had a few stress-related migraines, as well as headaches stemming from eye strain. I'm also dealing with tinnitus, lack of stamina, extreme light sensitivity, and eye pain. Diagnosed with 9 different vision issues: convergence insufficiency, pursuit eye movement deficit, egocentric visual midline shift, photophobia, visual information processing delays, accommodative insufficiency, saccadic eye movement deficit, lack of coordination, and central peripheral visual integration deficit.

*First concussion: October 2010. I was pregnant and got rear ended. I associated my mild PCS symptoms with baby brain and blamed my light sensitivity on allergies and dry eyes.
*Second concussion: December 2011. I hit my head on a wooden beam, saw stars but did not lose consciousness, and I had very disturbing PCS symptoms but didn't go to the doctor.
*Third concussion: August 2012. I caused a car accident as a result of PCS symptoms. Thankfully no one was injured but me. My husband confronted me, and I finally sought help and took medical leave from work. My symptoms worsened, and I developed severe vertigo.
*Fourth concussion: November 2012. I was riding in a car with a friend and we were hit head on by a driver who lost control of her car. I didn't have a big increase in PCS symptoms.
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Old 03-26-2013, 11:48 AM #6
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Playing the types of brain games on Luminosity helps build new neural pathways. I tried playing them after my car accident, but using the computer too much made me feel dizzy and nauseous.
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Old 03-26-2013, 12:29 PM #7
Mark in Idaho Mark in Idaho is offline
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Lumosity games do not necessarily build new neural pathways. Many just cause lazy neural pathways to become better functioning. Many brains have rarely tried to use the functions that are exercised by Lumosity and other brain training programs.

Establishing new neural pathways is a slow and long process. It takes months and years to establish new pathways. Just consider how long it takes an infant to establish them as the infant grows through childhood to adulthood.

The person who was comatose for a long period often needs to awaken neural pathways that were dormant during the coma. Once these dormant pathways are reawakened, then there is a concerted effort to establish new pathways for pathways lost to the injury. This is a slow and long process.

Lumosity is good exercise for gaining new skills or strengthening weak skills but it is not a healing/recovery program.Often, by gaining new skills or strengthening weak skills, one can develop work-arounds and accommodations to overcome lost functions. That is the key focus on brain injury rehabilitation.
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Old 03-26-2013, 12:59 PM #8
beckster3366 beckster3366 is offline
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Quote:
Originally Posted by Mark in Idaho View Post
beckster,

What do you mean by "cocktail of various headache/known PCS meds" ? Are you in school and attending daily ? Are you getting good sleep ?

There are a lot of things that can make it difficult to recover from a concussion. Identifying over-stimulation issues can help.
Mark,
Sorry about that, I definitely should have been more clear. I have been on all sorts of different meds over the last 5ish months but I've found that Amantadine has helped the best with removing that general fogginess that I had and so that has become a staple, as has Zoloft, of which I have been on a low dose of for only about a month so I'm not sure if I can say it's working or not.

On the advice of my doctor, I withdrew from this semester of college and spend most of my days resting at home; scrapbooking, sitting outside, listening to audiobooks, etc. I do try to stay away from media as much as possible but do get on my computer at times like this to research and find support.
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Old 03-26-2013, 01:03 PM #9
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Quote:
Originally Posted by DFayesMom View Post
I had the exact same pain behind and above my eye that you have. It did go away, so there is hope for that. I don't think that everyone that has PCS has the same cause of their problems that I do, but I want to make sure you know every avenue you can take to get better.

I have a plethora of eye related problems due to my concussion (read my siggy for details), and if you haven't already seen a neuro-ophthalmologist, I would if I were you. I should've seen one way back in October, but unfortunately my doctors weren't on top of things and I wasn't capable of being my own advocate at that point. You need to make sure that vision problems aren't contributing to your headaches or any other symptoms you might be having, because there are separate ways addressing vision-related issues.

Also, have you checked to make sure you don't have an injury to your neck that could be a contributing factor to your headaches? Some of the headaches that I was having were due to a gap between my C2 and C3 vertebrae. I saw a physical therapist who was trained in the Mulligan technique, and she fixed me right there in one minute. She also taught me how to fix it myself if the problem were to recur, which I have done a handful of times. I had had these terrible headaches for a month and a half, so this physical therapist was like an angel to me. Neck injuries can come along with concussions and cause headaches, so just be aware of that!

You would think that the pain behind and above my eye was caused by my vision-related issues, but it was actually caused by the neck injury. Once my neck was fixed, those headaches went away. I think this could be a good lead for you! I hope that it is anyway.

Good luck! I hope you start feeling better soon.
Oh my goodness, that gives me a lot of hope, thank you so much!! I certainly will look into the Mulligan technique! I suppose my only concern would be in how drastic that technique is? Is it more of a chiropractic sort of POP or a gentle type of thing? I ask because I am an swimmer and I do have a high amount of ligament laxity (am double jointed all over) which results in a number of other injuries I've had to deal with along with a high inflammatory response to being adjusted in any way. Due to years and years of swimming (and childhood mild scoliosis) I am very hunched and my neck protrudes forward quite a bit which is something that most physical therapists and chiropractors probably would be VERY concerned to see but I've found that any adjustments in that area that are too extreme only send me farther forward in my hunch in the long term. Anyway, I'd just love to know a little more about how you were able to discover the injury to your neck and what the technique was like? Thanks so much, I really appreciate your help. You are the first person I've "met" who had pain around/behind her eye and it is a comfort to know I'm not alone! All the best
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Old 03-26-2013, 01:17 PM #10
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Default My 2 cents

I honestly don't know how much Luminosity helped me to recover lost skills, but I do know that it allowed me to see myself getting better. That I know with absolute certainty. If you have an interest in being able to quantify your recovery and see it in numbers, luminosity is great for that. My confidence had been completely decimated by postconcussion syndrome and Lumosity really helped give me confidence as I began to regain lost abilities. So it was helpful from a psychological perspectove, but I also think there were specific games that challenged me and did help me with specific skills I had lost, whether or not there is any science to back this up yet.

I would do some more research into the science behind it, but unfortunately my eyes won't allow for it! My time spent online is very minimal these days. I talked to my doctor today and apparently the therapy I'm doing can cause a spike in light sensitivity, so I can stop blaming myself so much for my current relapse!
__________________
I have recovered my cognitive function, and I've overcome severe vertigo through sensory integration therapy. Wellbutrin has helped me escape depression. I have recently had a few stress-related migraines, as well as headaches stemming from eye strain. I'm also dealing with tinnitus, lack of stamina, extreme light sensitivity, and eye pain. Diagnosed with 9 different vision issues: convergence insufficiency, pursuit eye movement deficit, egocentric visual midline shift, photophobia, visual information processing delays, accommodative insufficiency, saccadic eye movement deficit, lack of coordination, and central peripheral visual integration deficit.

*First concussion: October 2010. I was pregnant and got rear ended. I associated my mild PCS symptoms with baby brain and blamed my light sensitivity on allergies and dry eyes.
*Second concussion: December 2011. I hit my head on a wooden beam, saw stars but did not lose consciousness, and I had very disturbing PCS symptoms but didn't go to the doctor.
*Third concussion: August 2012. I caused a car accident as a result of PCS symptoms. Thankfully no one was injured but me. My husband confronted me, and I finally sought help and took medical leave from work. My symptoms worsened, and I developed severe vertigo.
*Fourth concussion: November 2012. I was riding in a car with a friend and we were hit head on by a driver who lost control of her car. I didn't have a big increase in PCS symptoms.
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