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


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Old 07-20-2013, 07:19 PM #1
dagma1 dagma1 is offline
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Default Any meds help headache?

Are there any meds that can help this terrible, terrible headache?

OTC does nothing, I had some vicodin left over from my accident, was given it for my shoulder and neck, but that doesn't touch it either.

The only thing that helps is lying down in a dark room, am going to see my Dr next week so am just wondering if anyone has had success with any other med, just to take some of this pain away?

When I get up in the AM usually no headache as of course my brain hasn't been stimulated but as the morning goes by here it comes no matter what I'm doing, even just sitting.

I'm hoping there is some kind of relief or do I just tolerate it and hope it clears up?
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Old 07-20-2013, 08:13 PM #2
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Check your blood pressure. It may be a contributing factor. Blood pressure lowering meds sometimes help such a propranolol.

Try icing the back of your neck too.
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Old 07-20-2013, 08:32 PM #3
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Sounds like you may have migraines like me. There are meds that may help. I've had tremendous luck with triptans (sumatriptan, i.e. Imitrex). Ask your doctor.

Blood pressure may be a factor, so yes have that checked. FWIW my BP is normal (on medications), and I still get the migraines.

Vicodin is more of a general pain reliever. It may provide some incidental relief, or none at all. It doesn't really target the specific cause, which are the blood vessels in your forehead, and the serotonin imbalances that cause the headaches in the first place.

Again, check with your physician to see if is in fact migraines, or some other kind of headache. Knowing that, you can proceed with the appropriate treatment.
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Passenger in auto wreck, mTBI:
  • CHRONIC FATIGUE SYNDROME
  • MYALGIA (generalized muscle pain)
  • MIGRAINE HEADACHES
  • INSOMNIA
  • ANGER & SELF-CONTROL (going "Frontal")
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Old 07-20-2013, 08:58 PM #4
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Thank you Mark and kenjhee,

Will see what my BP is at the Dr's appt. Will ice the back of my neck this evening
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Old 07-21-2013, 04:10 AM #5
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Dagma,

You need to be able to take your own BP. Home BP kits are less that $30. The wrist BP systems are OK but the upper arm cuff BP systems are much better.

Then when you get a head ache, you can check your BP to see if it is a cause.
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Old 07-21-2013, 09:47 AM #6
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I can have a three day headache...so I understand! I have had some success taking Zomig (a Tryptin) with Tylenol 3. I have been prescribed nortryptiline which apparently has a preventative effect... But I am Leary about the drowsiness side effect. May go for it after my recent episode!
Good luck.
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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 07-21-2013, 10:36 PM #7
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Amitriptyline and nortriptyline are both preventives (you take them every day whether you have a headache or not) that are commonly prescribed for post-concussive headache. They do both often make people drowsy, dizzy, etc. For me, amitriptyline was the first thing that really interrupted my headaches that had gone on for six months post-concussion.

However, due to the side effects, I was not able to tolerate a high enough dose of amitriptyline to eradicate the headaches completely. I now take topamax as a preventive and find that it works much better for me.

A natural remedy is to put ice packs on your head and neck while putting your feet in hot water.

Hope you're able to find some relief soon.
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mTBI and PCS after sledding accident 1-17-2011

Was experiencing:
Persistent headaches, fatigue, slowed cognitive functions, depression
Symptoms exacerbated by being in a crowd, watching TV, driving, other miscellaneous stress & sensory overload
Sciatica/piriformis syndrome with numbness & loss of reflex


Largely recovered after participating in Nedley Depression Recovery Program March 2012:

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Eowyn Rides Again: My Journey Back from Concussion

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Old 07-21-2013, 11:47 PM #8
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Default Headache relief....

[QUOTE=dagma1;1001500]Are there any meds that can help this terrible, terrible headache?
Hi,
Your description makes me wonder if its something you are ingesting...food or supplements just before the onset of the headache....

Make some notes...if you start to see or imagine a pattern emerging try removing one (only) substance and see what happens....

I have some experience with this so feel free to ask questions...

Best regards and good luck...

Tarasco

When I get up in the AM usually no headache as of course my brain hasn't been stimulated but as the morning goes by here it comes no matter what I'm doing,
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Old 07-22-2013, 02:23 PM #9
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From my own experience I didn't like Amytriptyline because it made me drowzy, so I am not in a position to evaluate its effectiveness.

However Cymbalta at 60mg has been an excellent migraine preventative which doesn't cause drowzyness thus allowing me to work. I also no longer need to use Sumatripan as a result of increasing the Cymbalta dossage.
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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 07-26-2013, 12:19 AM #10
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I'm sorry your in so much pain. I can relate. For the past two years I have been dealing with headaches (all day every day) and migraines (on a weekly basis). I have been on Gabapentin (generic for Neurontin) for the past year and ten months. It has made the pain more bearable, and has made a big difference over time. I was also on Nortriptyline (generic for Pamalor) for over a year. The Nortriptyline helped alot with the ice pick headaches. I have tried Imitrex but that seems to make the headaches worse before it gets better.

My neurologist has said that I am a prime candidate for Botox injections to treat the headaches and migraines. Have not done it yet, but as long as everything goes as planned with the insurance company I should be getting the first set of injections in the next few weeks. My neurologist said that the Botox treatment tend to work for about 2/3rds of her patients. I will post on here how it works for me.

I hope this information was helpful, and I hope you get some relief soon. Keep us posted.
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I'm a 26yr old woman living in California. In August 2011 I was in a wake-boarding accident. At first I was diagnosed with a minor concussion. After a few weeks it became clear that there was something more going on, and I was diagnosed with PCS. Since then I have been diagnosed with mTBI with Post Traumatic Migraine.

Two years later I am still dealing with headaches and migraines on a daily basis as well as cognitive deficiencies, personality changes and mood swings. Before my injury I was a full time student working towards my BA. Since the injury I have been forced to take time off school for speech therapy and practically had to learn how to read again. I am now back at school part time, taking no more then one class a semester.

I am improving, though at a very very slow rate. I have confidence that in the next few years my headaches will no longer be a daily issue that interferes in my life. I have accepted that some of the cognitive issues and personality changes will never go away. I am taking things one day at a time and at the same time trying to get to know myself again. My family and husband have been very supportive, but sometimes I want to talk with someone who understands exactly what I am going through. What I am looking for is a bit of support and friendly advice, and to give the same in return.
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