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


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Old 04-25-2013, 07:23 AM #1
isobel_london isobel_london is offline
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Question Exercise helping? Or is it the holistic approach?

Hi everyone,

I'm new here, but I've been watching the boards ever since my TBI (cycling accident: me + car door = unconscious 10 minutes, hospitalised, amnesia, the lot) in October last year. I've suffered PCS ever since, in spite of my doctors telling me that it would be unlikely to last more than 3 months. My GP has finally agreed to refer me back to the hospital to see a neurologist, but basically said she was only doing it to get me off her back. SO FRUSTRATING.

Anyway, I'm medicated (20mgs Amitriptyline per day), but that wasn't really working, and the headaches were seeping back through, and affecting my day-to-day life again. At the same time I also realised, to my horror, that I'd put on 20lbs since the accident - a combination of comfort eating, and not cycling every day as I used to.

So, in a full-on holistic approach, I went on a healthy-eating diet, quit drinking, quit caffeine, started seeing an osteopath, and also started going to the gym. 10lbs down and going strong! More importantly I've also had a week with only approx. 2 hours of headaches, rather than three weeks ago, when I'd estimate I was suffering at least 75% of the time.

HOWEVER, the thing I wanted to raise is - the gym is the thing that makes the headaches disappear like magic. Honestly, a workout usually clears me for 12 hours, and a spin class for 24 hours! And I'm back to cycling to and from work too, and that's making a difference as well, especially to how I am by the end of the working day.

Has anyone else experienced exercise improving their PCS? Is it just a short-term thing, or does it have a longer-term healing effect? Or am I actually just reaping the rewards of no caffeine and booze?!

Really interested to hear what everyone thinks!

Isobel
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Old 04-25-2013, 10:26 AM #2
PCS Mikey PCS Mikey is offline
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Hi isobel,

I, too, used to love exercise, but with my injury, exercise actually causes bad migraine type headaches. These headaches have not lessened in the 3 years since the return of my symptoms.

Even last night I tried to ride my road bike on my indoor trainer for 45 minutes in first gear. Before bed and now this morning, I'm getting a bad headache. 3 years later and this still sucks.

Neurologist and PsyNP have me on 100mg of Nortriptyline, which got rid of the daily headache and emotional roller coaster from this injury, but nothing I can take allows me to try to stay healthy.

I realize that I'll never get back to where I was, but I'd really be happy with 25%.

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May 31, 2009: Concussion from syncope due to low blood volume resulting from severe dehydration. Occurred after finishing my 9th marathon. 100% of symptoms cleared by August 2009.

December 15, 2009: Major surgery due to diverticulitis. 6 weeks after surgery, dizziness, fog, cognitive difficulty, anxiety, some panic, lots of headache. These symptoms largely gone, but still cannot exercise above a very low threshold otherwise resulting in severe headache and cognitive fog. Same for overwhelming odors.

Meds: Nortriptyline and Naratriptan as needed to rid severe headaches (exertional migraines).
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Old 04-25-2013, 12:56 PM #3
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I am quite the opposite. I don't really have many symptoms or headaches now thankfully, but the one sure way to bring them back is by going to the gym, as I discovered once again last week.
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.
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Old 04-25-2013, 03:46 PM #4
Tpont21 Tpont21 is offline
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I agree with you mouse I have relapsed multiple times due to weightlifting. I had to give up the one thing I truly love doing for myself- working out. Now I'm restricted to walking. I'm hoping the neuropsych I'm seeing next week can provide me with some more guidance of what I can and can't do.

That's great to hear that exercise helps you. For the majority of us this is not the case. All head injuries are different.

My best to you on your recovery.
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I was in a snowboarding accident on January 19, 2013. I caught an edge on my snowboard while carving down the mountain without a helmet. I smacked the back of my head hard on the ground. I was not knocked out and it took about a week for symptoms to come into full effect.

Since my accident I have been in a cycle of feeling better and then relapsing. It has happened many times. Although I think the overall trend is slowly traveling up. My symptoms included headaches, anxiety, sensitivity to light and noise, dizziness, fatigue, confusion, trouble concentrating, brain fog, loss of social interest, irritability, and mood swings.

Many symptoms have since resolved and I am left with slight dizziness, sensitivity to large crowds and busy environments, small amounts of anxiety, and brain fog off and on.

I am currently under the care of a neuropsychologist at the UPMC Sports Medicine Concussion Clinic. I am also undergoing balance/vestibular physical therapy to help with my remaining symptoms.
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Old 04-25-2013, 05:05 PM #5
DFayesMom DFayesMom is offline
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Default I'm thinking it's the holistic approach that's working for you

Every brain is different, so you never now, but I seriously would be surprised if the exercise is helping. I am still working up to working out again, even though Many of my symptoms have been gone for a while now. I'm very paranoid! Just be careful not to overdo it with the exercise. If you feel like you're doing too much, stop. You may be having progress because of other factors and I just wouldn't want you to have a setback! They are no fun! That said, I'm glad you are doing so well! Yay!
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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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