I think you should get on with your life. Just learn a few accommodations on rough rides. I do not think they cause damage, just inflammation and anxiety. Anxiety is the hardest part of PCS to treat. I'd say your struggle is 20% physical and 80% anxiety.

Learn to moderate your life and move forward.

What country are you in?

On top of Mark's advice, you could perhaps consider an anti-inflammatory diet. Some of us have become less sensitive and prone to relapse thanks to it. You can use the search engine to find more informatiin about it.

Thank you, ill look into it.

Ben,

Take some earplugs with you on the train. You might not be able to eliminate a bump but you can eliminate the edginess to noise...the more symptom overload you can keep at a manageable level the better your system can tolerate that which you can't change, keep the glass half full sort of.

Pay attention to your thoughts that accompany whatever makes you think possible damage can occur. If your thoughts go directly to a worst case outcome, I'll never get over this bump, the need to bolt from the situation, racing thoughts etc you can chalk that up to anxiety. Anxiety is a very tricky foe but once identified can be slowed down with accurate assessments/identifiable facts from past similar incidents. Deal in fact.

Bud

Thanks, I'll keep that in mind. I guess I'm just pretty spooked with all these recent cte studies after my years of playing hockey and basketball and even like just rough housing as a kid

Your risk of CTE was established by your hockey and other injuries. They were far worse than bumps from riding in a train or other everyday life activities. If a rough train ride could cause CTE, the world would have an epidemic from the rough trains of the last century.

The only impacts you should be concerned with are true impacts. Falling on ice and hitting your head. Getting assaulted to the head. falling down stairs. walking into a wall or overhead beam.

Everyday bumps are well within the tolerance of the head and brain.

A more important risk is the long term effects of living with anxiety. That can effect your heart, raise blood pressure and other things.

There is a risk stepping out your front door. But, we have been adapting to these many risks since we first learned to walk and fell down.

You will be fine. Give yourself a break and move on with your life.

Alright thanks! I actually saw a neurologist today and she gave me the same reassurance you did and said she thinks my risk for cte would be very low so that made me feel a bit better.

However I have one last question if you don't mind, I've noticed that any time I do any form of moderate exercise (20-30 minute walk, exercise bike, light weight lifting), it causes me this weird queezy feeling and makes my brain fog much worse for around an hour or so after I stop

This is definitely very concerning for me as I have to walk quite a bit every day so if you had any insight on what this could potentially be indicative of it would be greatly appreciated.

Thank you for the response, i am 18 years old living Montreal, Canada