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


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Old 07-31-2013, 03:06 AM #1
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Default Exercise plan

Okay so I don't really have symptoms anymore besides ear ringing, I feel overall pretty normal, I feel a weird pressure in my head but that's all. I have no attained an exercise bike, and need some help devising a plan. The most activity I have done in the last 10 months is daily walks. I also want to get back into normal running and sports, but I just don't know how to do it.

I was thinking I will start at maybe 10 minutes medium pace on the exercise bike, and increase by 1 minute every day providing I have no increase in symptoms. But returning to running, how do I do this? Do I just go for a run in see if I have a return in symptoms?

I don't know.
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Old 07-31-2013, 02:25 PM #2
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The exercise bike won’t bounce your head around like running would, so I’d do the exercise bike first, just as you suggest, slowly working your way back into aerobic activity.

If you don't have any residual problems with dizziness or vertigo, don't have any type of gait disorder, and the bike activity is well tolerated, I’d suggest a 5-10 minute slow jog around the block to get started. Rest for a day or so and monitor for any increase in the tinnitus or head pressure. If this is well tolerated, just slowly increase the activity.
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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition.

Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life.
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Old 07-31-2013, 03:05 PM #3
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Thanks for the advice. Regarding tinnitus I find that it gets worse randomly, sometimes when I am just laying down in a dark room it will just flare up. I think i will have it for the rest of my life. But is it a reliable indicator of whether I should be doing things or not? I'm not sure.
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Old 08-01-2013, 05:41 AM #4
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Default Listen to your body

Your body will give you sound feed back and it will certainly let you know if you have done too much. I remember the first time I was feeling pretty good and decided to go for a 5 mi run. I came back w the most paralyzing headache, obviously too much.

This is a stretch (literally) but I have started doing yogaat a yoga studio, non jarring and it is so good for my body. I highly recommend it. I am in really great shape. When I do run, I don't wear a watch and try to do it for the pleasure of being out in the fresh air.

Aug 12 I will be 2 years post TBI accident I still have tinnitus, at which point I have to shut down. I put something over my eyes which seems to help in addition to the dark room w no TV or other sound.
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Old 08-02-2013, 04:25 AM #5
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My advice would be to do 10 mins and stay at that level for a month before increasing the time, providing it doesn't provoke symptoms.

I am a bit concerned you still have head pressure and are thinking of exercising, in my case fatigue, head pressure and headaches all got worse with exercise.

In my case I am doing 45 minutes on a crosstrainer without symptoms, but it has taken me nine months to get to this level. I tried exercise in the past (with hindsight well before I was ready) but kept getting symptoms, so I took a break for several weeks before trying again.

I feel that I can step up my gym work but think its wiser to stay at a level that doesn't cause symptoms. It has to be a gradual return to exercise.
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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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