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


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Old 06-18-2013, 05:32 PM #1
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Default Do i need to see a neuro optometrist?

Hi everyone! I posted previously that i saw a neurooptamologist and all was clear.

Then i realized that for post traumatic vision its best to ser an optometrist specializing in vision therapy. So i found one and the exam is $200.

The only issue i have is light sensitivity which gets worse with headache. So i would like to ask your opinion if i do necessarily need to see an optometrist for vision therapy? Im just so broke now and dont know if i can afford $200 right now

Thank you so much
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Old 06-18-2013, 06:36 PM #2
Mark in Idaho Mark in Idaho is offline
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I suggest you talk to the optometrist and ask if there is a therapy for your light sensitivity. Increase exposure to bright light by constantly pushing you into brighter and brighter light may not be appropriate right now. But, you need to make this decision based on what the optometrist says.

I wonder which come first. Do you get a head ache from exposure to light then the continued light makes the head ache worse ?

Or, are there other triggers that cause your head aches ?
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Old 06-18-2013, 06:41 PM #3
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Thank you Mark!

The headache comes first then the light sensitivity. But ive noticed actually its getting better.

I have chrinic headaches and chronic light sensitivity. I dont think light is a trigger. When my headaches get worse the light sensitivity gets worse too.

Thank you.



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Originally Posted by Mark in Idaho View Post
I suggest you talk to the optometrist and ask if there is a therapy for your light sensitivity. Increase exposure to bright light by constantly pushing you into brighter and brighter light may not be appropriate right now. But, you need to make this decision based on what the optometrist says.

I wonder which come first. Do you get a head ache from exposure to light then the continued light makes the head ache worse ?

Or, are there other triggers that cause your head aches ?
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Old 06-19-2013, 07:00 AM #4
DFayesMom DFayesMom is offline
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Default Setbacks

I was diagnosed by a neuro op, but I had a setback BECAUSE of my vision therapy. If it feels like you are doing too much, insist on scaling back, and don't do anything that seems to increase your eyestrain. I've suffered two setbacks now because of it. The alternative to vision therapy is waiting and resting, which could take a long time. I had to stop vision therapy to rest and then I will consider light therapy I guess when I've reached an acceptable level of pain.
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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 06-19-2013, 10:11 AM #5
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Quote:
Originally Posted by bluehiroko View Post
Thank you Mark!

The headache comes first then the light sensitivity. But ive noticed actually its getting better.

I have chrinic headaches and chronic light sensitivity. I dont think light is a trigger. When my headaches get worse the light sensitivity gets worse too.

Thank you.
I used to very bad headaches and light/noise sensitivity and this will not stop on its own. Are you taking medication for the headaches? They seem to be migraines possibly if you are getting light sensitivity with headache.

My headaches stopped with Cymbalta mostly, but if not Imigran. If you aren't taking medication to resolve these symptoms you need to give it some thought.
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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 06-19-2013, 06:24 PM #6
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Thanks for your reply! Why wont the symptoms stop on thier own? Thank you.

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I used to very bad headaches and light/noise sensitivity and this will not stop on its own. Are you taking medication for the headaches? They seem to be migraines possibly if you are getting light sensitivity with headache.

My headaches stopped with Cymbalta mostly, but if not Imigran. If you aren't taking medication to resolve these symptoms you need to give it some thought.
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Old 06-20-2013, 02:18 PM #7
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I am only reflecting on my own experience, the light and noise sensitivity, headaches, fatigue, low mood, hypercusis were solid for about 3 months in my case, they only reduced with a medication called Cymbalta.

I imagine headaches, light sensitivity etc are temporary for most people with PCS, but in my case I needed medicinal help. I still have headaches, fatigue and sore eyes 8 months on, so goodness knows how I would be if I hadn't taken medication.

I had a really tough day at work today, worked 8-6 and drove about 250 miles starting at 7am. The result is a headache tonight that will not go away despite the Cymbalta, but not for much longer because the Imigran I have taken will eradicate it.

So things are going away in my case - but not on their own!
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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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