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

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Old 10-13-2019, 08:15 PM #1
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Default Hit on a head after concussion and possible relapse?

Hello everyone,

I could use your advice - Iím two months post-concussion and still have a bunch of symptoms (dizziness, lightheadness, feeling like a zombie, brain fog, headaches , noise/light sensitivity).. yesterday, while getting something of the fridge, the big empty plastic water bottle fell on my head ( could only happen to me),it hurt for a while..but since then I feel extremely nauseated, really out of it and even more lightheaded.. could it be another concussion ? Should I be getting another CT scan done ( I had two of them 2 months ago)?
Please help
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Old 10-13-2019, 09:42 PM #2
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NO, NO, and NO. Even the biggest empty plastic water bottle would not hurt you. Your 'could only happen to me' explains your negative attitude that is feeding your anxiety.

Why would you think a CT Scan is warranted?

They do not do CT Scans for anxiety.
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Old 10-14-2019, 10:18 AM #3
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Thanks, Mark. Just feels like any activity brings back symptoms or makes them worse. I guess since I am not feeling any better and itís been 2 months, I guess my feeling was that There could be an undiagnosed problem or there are things Iím not supposed to be doing. My Neuro was very vague about the whole recovery getting better process. The only med she prescribed was Amitriptyline for headaches which Iím scared of taking after reading the side effects and if I limit reading or watching something, or any other strenuous activities, my headaches are bearable (Or taking CBD oil occasionally).
Thank you so much for your reply!
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Old 10-14-2019, 01:03 PM #4
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Depending on how your concussion happened, you could also have neck muscle tightness or strains or trigger points in the muscles..these can cause headaches..and vision issues. Much info online about trigger points, drs just don't tell us about that...or they don't know, they'd rather RX a drug..

Often neck muscle tightness and trigger points creep up on us and we don't notice it until proper therapy starts to help or resolves it..

You might be overly focused on these possible head issues - when some quality PT and soft tissue therapy is needed.
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Old 10-14-2019, 07:13 PM #5
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Low dose amitriptyline is well tolerated before bed as an aid to sleep and to reduce headaches. You might try a low dose before bed. I think the low dose is 5 or 10 mgs.
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Old 10-15-2019, 01:08 PM #6
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Thank you for your replies. Really appreciate it. Just got back from my 2 month follow up; she thinks itís too early in the process to see anyone else ( 3-6 month window) as I mentioned Neuro optometrist and Neuro otholoryngologist to her. When would it be a right time to see other specialist? Isnít the sooner the better? I guess brain needs to time to heal, but how much time? Thank you again for your contributions.
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Old 10-15-2019, 01:08 PM #7
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Sorry for typos
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Old 10-15-2019, 01:16 PM #8
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A PT evaluation for soft tissue factors can work with your current care..
Most head hits the neck/muscles are involved also...

Many Drs are specialized now (some good some not so good) so they don't consider the whole picture..they only look at what they specialize in..
It's up to the patient to seek out other treatment options & providers sometimes..
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Old 10-15-2019, 08:33 PM #9
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You sound like you are under a lot of stress. Do you have any low stress activities you can do to occupy your time and mind?

A specialist that might be worthwhile is a behavioral optometrist who works with TBI patients. NORA has a referral system.
Home | Neuro-Optometric Rehabilitation Association

Your neuro might not be ready to refer you but behavioral optos are not usually an insurance benefit anyway so you need to decide for yourself. (unless this was a work injury)

Many of us do not hold many neuros in high esteem. They tend to struggle with concussion care. Since there are no direct treatments that MDs can prescribe in most cases, they tend to be tentative.

Finding a way to reduce your stress and anxiety levels is the most important thing you can do for yourself. A little bit of anxiety will magnify your symptoms many times over. Some struggling with stress and anxiety reject meds until they finally are exhausted and give in and start recovery. I am anti meds except as a short term effort to reduce stress and anxiety levels.

We recommend serious supplement regimens to help the brain endure stress. The vitamins sticky has a good regimen. B12 is the first start. A B-50 complex contains folic acid which also helps.

Anti inflammatory diets are popular as brain inflammation is an issue to consider.
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