peachey,

Sorry to hear you are still struggling so.

Have you had an EEG and/or EKG ? Have you been tested for adrenal function?

Adrenal-cortical hyperfunction is not uncommon to TBI. I suffer from it in a mild form.

Have you been seen by a Physiatrist who has the resources of a NeuroRehab Hospital ? NeuroRehab Hospitals often have Neuro-Psychologists on staff.

If you feel you need to build some muscle tone, there are exercises that do not cause rising in BP and pulse. An exercise band attached to a door knob or such can be used to do slow pulls. You want the resistance to be such that you fatigue after just a few pulls. Say you want to work your bicep. Start your pull with your arm extended and slowly pull to full flexion. The pull should take 5 to 10 seconds for the full range. It is like a slow moving isometric exercise. TRX is a form of exercise that uses body weight as the resistance. It may be able to be adapted to your needs.

You will need to figure out how much effort you can put in before you cause a heart rate increase. Resting between each set may be all it takes.

I hope this helps.

May best to you.