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


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Old 03-17-2018, 11:16 AM #1
SunglassesAtNight SunglassesAtNight is offline
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Default Difficulty coping with PCS

Hi,
I’m a nurse on a psych unit and have had three head and neck injuries in three months. After the last assault, I had what I thought was a severe pain fog and couldn’t think fast enough or remember things. I’ve had a rapid decline and am having terrible headache pain, spend 95% of my day under my blanket and can’t tolerate noises or hearing people speak. I have a speech delay and just thinking causes so much more pain. I am on SSRIs and trazodone for insomnia pre assaults. My pain is horrific and I’m not able to rest and nrecover and the doc my L/I approved said he wasn’t okay with prescribing me any pain meds because of my psychotropics, risk of serotonin syndrome and cons depression. All of which I get and know. I’m getting worse and can’t stand the pain and my current psychiatrist isn’t preferred for workman’s comp. I’m having behavioral changes too, probably linked with the suspected PTSD which has complicated my concussion course. I have a son with autism who needs me but I can’t tolerate any noise, whisper anything and I know he’s worried about me and unable to communicate it and is actin up including raising voice and pushing ect. I’m having a hard time here.
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Old 03-17-2018, 01:53 PM #2
Mark in Idaho Mark in Idaho is offline
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Mark in Idaho Mark in Idaho is offline
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SAN,

Welcome to NeuroTalk. Sorry to hear about your struggles.

80% of concussions have an upper neck injury that causes concussion like symptoms and makes concussion symptoms worse. Getting help for you upper neck is important. There are somethings you can do for yourself. Avoid any head forward positions when sleeping or napping. That puts a strain on C-1 and C-2. A PT, upper cervical chiro or osteopath may be able to help with some gentle traction and mobilization and upper cervical specific treatments.

Assaults often include multiple impacts so your brain and neck likely has suffered a lot of trauma. A multi discipline approach would be worthwhile.

Some have found help with specifically tinted lenses, often to block blue light.

You could get a complete hormone and thyroid assessment. Add a B-12, folate, D3, magnesium and other blood work.

Please read the Vitamins sticky at the top. Follow the link to the update. Ignore the comments about 5-HPT. It cannot be taken with an SSRI or other serotonin active meds.

Many of us use foam earplugs. Mack's makes good one.

You brain is failing in its filtering function. It normally can block out a lot of stimuli but this function often fails with concussion.

Your proper sleep is very important. The magnesium can help. If you are serotonin deficient, you would likely be melatonin deficient. They both come from the L-Tryptophan to 5-HTP to serotonin/melatonin pathway.

Have you had any imaging done? DTI MRI, SWAN MRI, Imaging down to C-3 with an upper cervical specialist to read the images?

The challenge you have is the L/I issues in Washington. Sorry to hear that. What part of Washington are you? Maybe we can help point you to good help.

I don't know the process to get a doctor outside the system. It may be worthwhile to contact a l/I Work Comp attorney. I would highly encourage it. This firm looks capable. Seattle Worker's Comp Attorneys | Brain Injury | Emery Reddy A case analysis is free.

You should be icing your neck with an on and off regimen. Anti-inflammatories should help. Ibuprophen (400 mgs) can be taken as often as every 3 hours (3200 mgs per day) 400 mgs 3 times a day is usually needed to maintain the anti-inflammatory effect.

I hope you can find some good concussion help. Work injury doctors are usually not that helpful. Your pre-existing issues complicate things. Sorry for that.

My best to you.
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Mark in Idaho

"Be still and know that I am God" Psalm 46:10
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Old 03-19-2018, 10:09 PM #3
Tomokari Tomokari is offline
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Greetings Mark. I don’t think this moment could get any better. I’m in high school and I had a pretty bad concussion from playing football in elementary. Since I didn’t think a concussion was a possibility i didn’t heal. During the two years after I endured pure hell. I was foggy, spaced out, confused, and ******* ******. Sounds pretty familiar right? I also fell into a deep depression because of this which was not fun. My personality changed a bit also. I also did get a few taps or bumps on the head which didn’t help at all.

I’ve been on many forums before but I’m glad I ran into this one. For a few months i’ve Practically been symptom free but today I was playing basketball in gym and a ball came out of nowhere and got me in the head. I just felt a little tingle when it hit but I didn’t feel much pain. As I usually would I would get foggy or get a headache. But I’m probably good due to the fact that the brain must actually shake and hit the skull in order to receive a concussion.

I wanted to know what you think would help the fog spaced out feeling. That feeling is what gives me so much anxiety everyday. I would also like to know any tips you may have for concussion recovery. Thanks!
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