Main Causes of Persistent Concussion Symptoms (PCS) | Ep. 5
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- Опубликовано: 17 май 2024
- Concussion Doctor explains the main causes of PCS (Persistent Concussion Symptoms).
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I’m hyper sensitive to any head trauma now after 4 years of symptoms. Light bumps to my head give me flair ups for days. Would this treatment cure that?
This is the most common question I get recently so I've pinned this comment so that others can see and hopefully benefit from this response. I also think I need to do a video on this! So thank you for your question. Here goes:
Concussion is a stressor on the nervous system. Just as many injuries and mental stressors are. Persistent Concussion Symptoms (PCS) are not thought to be due to ongoing BRAIN INJURY, but rather dysfunctions in one or more of the 5 physiologic systems (as discussed in the video).
Why does this impact some people and not others? The "Cliff" example:
Imagine there is a cliff and you are standing 500 feet away from the edge of the cliff and someone pushes you (stressor)..you would not fall off the cliff. Now imagine that you are standing 1 foot from the edge of the cliff and someone pushes you (stressor)...you fall off. 70% of concussion patients recover within a couple weeks and 30% end up with persistent symptoms. The thinking is that concussion injury exposes your dysfunctions (i.e., how close you were to the cliff prior to the injury). So if you come into the injury already having gut health issues, neuro-inflammation, neck dysfunction, or other issues, it's as if you're standing very close to the edge of the cliff. You may feel perfectly fine before the concussion and so you think that your struggles are entirely because of the concussion...but they're not! Concussion was simply the catalyst that pushed you over the edge. We see the same thing with mental stress and mental breakdowns....these chronic issues develop over years...then there's a catalyst.
Now, for your question. Let's say you climb and crawl your way out of that cliff, or perhaps you fell off the cliff but caught a tree branch towards the top...so your recovery was worse than expected but not horrendous. You climb back up on top of the cliff and you stop because you feel ok now. What you don't realize is that you are still standing right at the edge of the cliff! So any minor stressor, whether physical or mental, is enough to push you back over the edge again. Your nervous system is on edge, it senses danger everywhere; you have ongoing neuroinflammation, neck issues, gut issues, etc. You feel fine most of the time but you are one small bump away from falling off the edge again. So these little bumps are not thought to be additional concussions - they are just exposing the fragility of your nervous system. So how do we fix it?
Well, the same way we fix Persistent Symptoms! We need to build resilience in the system. We need to get you 500 feet away from the edge of that cliff by addressing your underlying dysfunctions (balance your autonomic system, get rid of the gut and inflammatory issues, etc etc. etc.). So your question was - would this program/protocol work in your situation and the answer is yes...because the principles and fundamentals are the same. Fix the underlying issues to create a resilient and strong nervous system.
Hope this helps :)
@@CompleteConcussions thank you for the animated and thought out response this gives me hope. I’m going to sign up and see what this is all about for myself.
@@Aaron4Giants welcome aboard!
bro same here, road bumps, even stepping certain ways for awhile did this to me. We twinnenems when it comes to this. legit ran over a speed bump under 5 mph and was out for a week lmao
@@marcobenedetto1668 yeah dude it’s no joke I don’t even hug people anymore
one doctor told me I had a sinus infection 😠 no-one seems to want to help me , the most help I have found is here on RUclips , saying diet, exercise ect .
Thank you for this information. I suffer long term conditions from concussions. Through the years, I have had a few. 2 severe, some milder or unreported. In grade 6, kneeling on the back of the chair to say prayers, I out of the blue fainted. Straight back onto the cement floor. I lay unconscious for 15 - 20 minutes until my mother arrived at the school. I was awakened with smelling salts. Never saw a Dr, but spent the next week in bed vomiting. Could barely walk to the bathroom. As an Equestrian jumper from 12 - 19, took many falls, English helmet or not. At the age of 25, I was in a severe car accident. Unconscious a short time. On my own, I saw a neurologist, physiotherapy and traction therapy. Compressed my C3-C5. Also beatings from my ex-husband, some around my head. In my early 40's while snorkelling off Mauie, a wave caught me and I needed 40 stitches to my head. Now I suffer severe migraines and am on disability. Have neurological problems, causing pain and shaking. I had to take an early retirement at 58. I fall a great deal and vertigo is severe, I have also lost a great deal of my hearing. I have to sell my home and move to a small independent apartment at a senior home. After listening to you speak, I am more than convinced, I suffer from years of concussion, after concussion. I will be bringing this up with my Dr. next week. Thank you!
I'm an occupational therapist in a neurology clinic. Your videos have helped me so much to treat, and advocate for my patients. It is so hard to find concussion information out there and I always show/recommend your videos to my patients for education.
Thank you so much for the kind words and support :).
I was electrocuted at work and never lost consciousness but this is so helpful, my body is stuck in fight or flight. Coming up 1 year now but making progress with great content like this.
Look into the vagus nerve if you haven’t already. It is the nerve that controls the “rest and digest response”
what are you doing to treat this?
I am so grateful for the work you’re doing sir. I’ve lost so much happiness to concussions with no answers out there. Thank you
Thanks for making these videos. Super helpful!!!
Thank you for your excellent presentation on this subject.
I definitely have a lot of stress and anxiety
Suffered multiple mTBI’s as a kid in sports, car wreck, then OEF/OIF 2001-2006 with around 5-6 with x2 being class 3 just in my last deployment. Dealt with post concussive syndromes, mild epilepsy for apprx 5yrs before finally getting cleared, 6 months of speech therapy, and headache/migraines ever since. Disabilities started subsiding and was able to control most for a while. Last couple years, speech getting worse, tremors getting worse and have uncontrollable shaking occasionally, headaches migraines worsening and more frequent, random numb spots on my legs and arms, photophobia, bruised pituitary and hypothalamus from last class3 concussion May2006 and MRI Sep 2006, severe nerve pain in my cervical, lumbar (spinal fusion L3-sacrum), and hips that radiates into my groin, my T12/T11 feel bruised making it hard to sit and lay down too long. Everything seems to always worsen when my body feels with inflammation, and obvious daily stressors. Currently waiting on new neurology and neuropsychology appts. Haven’t seen one in over a decade because I ignorantly thought I was better and would be good. I obviously thought wrong.
Thank you for this 🙏
Thank you! Experiencing concussion, hospitalization 7 day now it has been 5 weeks. In workman’s comp .all the symptoms mentioned I have, doc says I should I be better, heads due to high blood pressure, I rest and do nothing just like you said, my head is so bad pain pressure and it is hard to do anything.
Thank you so much for the education.
You're welcome! Time to start exercising, changing diet, etc. Check out our Concussion Fix program if you need some extra help (Google it and read some reviews and see what you think)
Very helpful 👍🏾
I was struck by a car as a pedestrian from the rear. I did not fall but my head turned sharply to the side I was hit. It was a horrible experience being told by a neuropsychologist coming in the door. “I bet you wouldn’t have memory loss if you didn’t have a law suite “ I expressed to him the light and sound sensitivity. He told me to use my cell phone to find my way home from the neighborhood park. He prevented my from getting the treatments I need. Close to 3 years later I’m improving do to follows God sent individuals on RUclips who care about people suffering . 🙏
Sorry to hear about your experience! There are answers out there and concussion is recoverable! So please keep your head up and never stop looking :)
Extremely helpful. I bumped the top of my head pretty hard after missing a basement clearance going up the steps. Went to ER the day after due to some dull pain in back of head. Catscan was clean. After second day I started getting some of the symptoms that you describe. I was told to limit screen time, get some rest, but exercise if I was up to it. I contacted my PCP about three days after the catscan saying that I’m still having some slight mild symptoms, he said if they persist that he’ll do an MRI.
This lecture is very perfect and helpful. please add some tips or treatments. Thank you!
You have described how I have been struggling with for the last 13years. I am disabled benefit since 2016 and have not worked since 2011. I have signed up for Monday workshop, I hope it help as I am a care for my wife who is chronically ill.
I had car accident four years ago and I am still dealing with symptoms like headaches, dizziness and lacking normal balance. It seems the Dr. don't know how to help. it is sad.
Thank you. These are symptoms I an having
Thanks a lot.
Your videos have been quite helpful in my recovery, Sir. I wish that you had clinics in California!
we do! clinics.completeconcussions.com
Three days after I hit my head and was diagnosed with a concussion, I was at my doctors office getting my allergy shot. I had an appointment for another issue so I saw my doctor. My blood pressure was sky high. My pulse was high. I could not keep my eyes open because of florescent lights in the office. I must have looked drunk. My partner had driven me in. I told him I was dizzy. He asked me if it was vertigo or dizzinesss. I had no idea. I told him about my headaches, and pressure behind my right eye. The doctor wanted to prescribe blood pressure meds and he said I had a sinus infection. Huh. . I said, no thank you to the drugs and was rather puzzled by the sinus infection. I felt most if not all my symptoms were from whiplash and the blow to my head. So far I have not been able to find a medical person willing to help me recover. Yes I am getting better but it’s been six months. Too bad there are not more doctors trained in recognizing symptoms and getting their patients to the right care. Oh and heart applications, hot flashes, outbursts of anger, and great sadness have followed me throughout my recovery. I am getting better….great video….
Hi Diane - sorry to hear about your recovery struggles - your story is not uncommon. You should check out our virtual care program called the Concussion Fix (link: concussiondoc.io/offer/the-concussion-fix/ ) it has been extremely effective for people who are in your position - struggling for months to years and then getting to full recovery with this program. It's the full picture in a remote care setting. Check it out :)
Thanks for this video! Very helpful. Does this program include live sessions with experts?
Yes it does! Every week :)
Thank you
Do you do 1-1 consultations? I had a concussion a couple of days ago and worried about progression because it's not the first one for me. And last one had devastating effects on my life.
OMG THIS IS SO MEEEEEEE!!!!!! Where are you located?
I had a bad one a year ago and I have issues with lower extremities and sometimes cold numb feet is there a correlation? Do you have advice on this I been to every doctor under the sun
Hey Doc! Been listening to your pod. Great stuff! You’re amazing. I have one question: I’m doing the exercise program, and I’ve done the buffalo treadmill with a doctor who follows your program. However, some days I forget about not being active - I go a little too hard when playing soccer with my friends for example. After such an episode, I’m wiped out. What should I do in a situation like this? And is it normal that episodes like these bring on big set backs? It’s taking me ages to recover
Did you pass the Buffalo test?
@@CompleteConcussions No. I made it to about 135 bpm heart rate
@@khabib8196 Then it's likely that you are just surpassing your threshold. This means that you are not yet ready for soccer. YOu need to be on an exercise program of continuous cardio exercise for 15-20 mins per day below 135. Then you should be re-tested every 1-2 weeks and given a new threshold. you should not go back to intervals/weight training/soccer until you are able to fully pass buffalo.
@@CompleteConcussions Ok! Thank you so much for your reply! I'm an up and coming muay thai fighter and YOU have helped me SO much!
Hi, The symptoms that I have are brain fog and sometimes it’s hard to concentrate and I’m thinking it’s because of inflammation based on what he said. It might be also possible that I got a whiplash since a basketball hit the back of my head.
What can I do to treat the symptoms?
What are your thoughts on TBI and dizziness
Hey Doc. Why do little taps on the head cause such a resurgence in symptoms when healing?
How do I sign up for the workshop?
Good morning! May I seek your advise? Since young up to adult , I always experienced bumping my head on jeepney & tricycle railings, cabinet door, cleaning below the stair case..now when i have a small bump on door latch, i can feel my head becomes numb. And on the area where i always bump, there is a different sensation. I am afraid to be paralyzed. What shall i do? Thank u
Hi there. Glad I found you. What would you recommend for my daughter who is 22 and now gets concussions from the slightest bump. She is sadly on #10 now. Trying to find good care and a way to help her not be so susceptible. Thank you!
Those are usually NOT concussions. The symptoms are the same however the mechanism of injury is too light to be causing concussion injuries. I'm actually going to do a video on this shortly because I've been getting this question a lot. But essentially this means that there is dysfunction in the same systems that cause PCS - and the same treatments are required to stop this from happening. Check out the Concussion Fix program in the video description and that should do the trick!
Do you ever use cannabinoid therapy to treat the neuroinflammation and oxidative stress?
I needed thia ive been suffering from PPCS and TBI doctors and nueros have no answers
would you recommend doing light physical activity even if it flairs symptoms up?
I had a bad fall backwards about 2 months ago from syncope and have been dealing with symptoms although I think at this point it’s mainly coming from my neck with my stabilizer muscles deeply weakened and feeling just “out of it” and shakiness deep within my neck. Had a TBI initially but bleeding is fully resolved and hairline fracture in skull is almost healed. Been seeing a chiropractor in conjunction with vision therapy, exercising 30 min a day, good diet, and have been started doing exercises like chin tucks and isometrics to improve strength. I know increasing frequency and incorporating exercises into lifestyle is important and something you touched on in the past, is it bad to do too many exercises where I wear the muscles out or should I continue to do it as frequently as possible to start feeling normal. Desperate to fully recover as soon as possible as I’m a dental school student and the neck is greatly utilized.
Ps love your videos by the way I watch em everyday with hopes of feeling normal soon and it’s been really helpful
Also as I’ve been continuing getting chiropractor treatment and progressing with stabilization exercises I’ve been experiencing a clicking or popping in both my ears when I raise my head from a chin tucks although it’s painless. Just wanted to get your thoughts on the possible significance of this and if this could go away soon? Thanks in advance!
U know now I probobably sound crazy but I was doing some boxing training and I came to the stage how I should learn to take a punch so I pretended that I took a punch and I shakes my head pretty harsh and now I feel kinda dizzy and I did it multiple times so is it ok or should I do something
Are you still practicing at your clinic? Would love to make an appointment with you ,you are obviously very knowledgeable.
No I am not. The only place i interact directly with patients now is on our Concussion Fix platform: concussiondoc.io/offer/the-concussion-fix/
Sir what is the basic cost of treatment for concussion at your clinic
I had a bicycle accident on September 26 and I was complexly knocked out on a bike trail. I did not wake up until I was in the hospital. I am 61, good health and I recently had a much more minor incident on 9/30. On10/7 I started feeling groggy, having a hard time to stay awake. I am vacation because my Manager felt I was struggling. Tomorrow at 10am I take a Fitness for duty test so I can start working again. I am very focused on this and I want to feel better. I am really getting frustrated physically and my mind is not where it needs to be. Can you give me some workouts that will help me with both issues?
Ive been to physical therapy for 9 months now. I had whiplash and a concussion to the back of the head. I cant drive past 40 minutes and get regular intense headaches. I have done therapy on the eyes and neck, as well as treated balance. Improvement has been made but there seems to be some glass ceiling. The bad days are BAD. I just found your Videos and hope they help. Any advice?
Hi Joseph - when rehab/physical therapies aren't working, it is a telltale sign that you haven't built the foundational elements yet - these are autonomic nervous system dysregulation, inflammation, gut, hormones, mental health/mindset, nervous system hyperactivity, etc. Sign up for the workshop in the video description on this video and you'll see how this works. Building the foundation is the most frequently skipped step and the NUMBER 1 cause of failed rehab...the only way to get better is to go back to the start and build it the foundation and address those issues!
Dr Marshall, people I know that have had on going PCS/TBI suspected CTE say that they have had a DTI-MRI and have found white matter and lesions in those that have had 1 or 2 concussions and one of the people I’m referring to is as young as 14yrs old, the other is in 40’s with early dementia dx or cognitive decline. Both have had clean MRI and CT.
Is lesions and white matter not considered Brian damage from concussion(s)?
Id like to know also
The problem is that DTI doesn't show concussion specifically. DTI findings could be due to depression, anxiety, PTSD, chronic pain, etc. There is even evidence to demonstrate that increased stress and low socioeconomic status will cause similar findings on DTI as concussion. So the point is that just because you have findings on DTI, it does not necessarily reflect ongoing injury to the brain. It could be because you are stressed about your recovery...it could be because you have ongoing neck pain and headaches....it all looks the same and that's why the literature does not support doing these types of imaging studies clinically for concussion and PCS patients.
@@dr.cameronmarshall1032 I did not know that.
I will say the 2 individuals I’m referring to are definitely NOT low on socioeconomics BUT they both did have headaches. I also know that because concussion treatment is still in it’s infancy is why they may have been stressed because they were not getting treated properly despite one of the individuals going to “ the best concussion specialist docs in the country “, so the factor of inadequate care treatment should definitely not be discounted for an individual doing a DTI- MRI after injury . The fact that they didn’t feel the need to even consider a DTI-MRI after symptoms that were never present before like headaches is another HUGE variable to not dismiss. Another factor to not dismiss is that most low socioeconomic individuals typically do not know about an DTI-MRI let alone the basics of treatment of concussion.
I think more studies need to be developed.
As always I appreciate you work in this field Dr Marshall.
@@lisachristinaconfirmed5067 The point I am making is that we just don't know enough about the findings on DTI to make any individual conclusions. The recommendation is to not use them at all in clinical care because the findings can be misconstrued as being due to ongoing brain injury/damage when it may not represent that at all.
I’ve been dealing with concussion symptoms for almost 2 months. I was doing jiu jitsu and hit my head on the mat and blacked out for a split second. Been having headaches, dizziness, neck pain, and recently feels like my blood pressure has been strange as well.
Are you okay now?
I have a head concussion due to an accident I have ongoing dizziness until now for 8 months I got it 2 weeks after my concussion is that normal?
Hey concussion doc. I just had a question about diet, my diet is 100% clean. Oatmeal in the morning, chicken rice and broccoli for dinner. I just wanted to know is it ok to go back to drinking protein shakes. It has no dairy but does have gluten. Didn’t know if this is bad for the inflammation you talked about on your one pod cast.
it depends whether you're sensitive to gluten or not!
Do you happen to offer any courses that could be attributed towards CEUs for a physical therapy license? I appreciate all your information and have been implementing this in education for patients of mine - it has been very helpful thus far!
Yes we do! close to 60 CEUs :) members.completeconcussions.com/offer/course/
I’m starting to get pretty distraught. 7 weeks ago I had a mild concussion from standing up quickly and hitting my head on ductwork. At first I didn’t feel too bad but the next two days I was exhausted. Then over the next few weeks I had a new symptom which made me feel slightly off balance when walking but not every day and ever time I walked . This causes massive anxiety. Then last week it felt like i developed a knot or kink in the back of my neck on the right side which felt like a dull infection in the top of my neck on the right side . It came and went for a week . Felt like a tension headache. Now I’m feeling tired again and I have brain fog . It’s so disappointing because I feel like this concussion is changing constantly and I’m still not better . I eat super healthy, prior to my injury I ran 75 miles per month and I sleep like a baby . Even now , thank god I sleep well but I feel like some days at work I’m floating and I get tired . Please for the love of god help me
Start slamming protien shakes mix with water they taste gross but seem to help alot. Also slam alot of flaxseed capsules and vitamin c zinc. Exercise 30 min cardio with other light excercises & eat alot walnuts they seem to help.
I have been experiencing constant pressure headaches for a few months now not sure which one is causing it
Hey im really thankful for your videos, I just had a MTBI yesterday while a sparring session in boxing and I feel like my thought process and the speed that I usually had while understanding complex topics has decreased in a very scary way for me. So I'm really concerned and would like to know if it affected my inteligencie in any way and if im ever getting it back. Thanks for your help and best wishes ^_^
Concussion does not typically affect intelligence however it can result in short periods of impaired cognitive function. There is also some (controversial) evidence that repeated concussions can lead to earlier cognitive decline.
@@dr.cameronmarshall1032thank you a lot for your answer 🙏🙏
I’ve been cognitively impacted by Boxing too. I’m every bit as intelligent but getting to the answer takes longer. My concussion happened 2 years ago and I’m about 80% cognitively.
Hi Doctor, this is really helpful. Thank you. I got an accidental knee to the back of the head doing BJJ four months ago. Had nausea, headaches, dizziness but no memory loss of blackouts. Since then I've been getting concussed/symptoms from very tiny knocks (eg baby or dog hitting my face but quite lightly or jumping into the pool or going over speed bumps. Best way to describe the feeling following these little knocks is I feel hungover for two days with headaches when looking at screens. Can last up to 3 or 4 days and then I go back to normal until I get another little knock again). It is really affecting quality of life. All scans show no sign of anything sinister on the brain. What would you recommend? I would very happily pay you for a virtual session as I am based in Australia, if your time allowed. Thanks for any tips. Nick
Hi Nick - this is usually a reflection of one (or more) of these 5 systems being dysfunctional. Small perturbations can throw these systems off and you get a recurrence of symptoms. The way forward is to address each of the 5 systems so that they are more resilient to future perturbations. Your best bet is honestly the Concussion Fix program. Even virtual sessions with me would take just as long and I'd basically be charging you 1 on 1 rates while explaining you everything that is in the program anyways. It will cost you 100x for the same thing! So check out Concussion Fix program link in description.
I'm currently having your same symptoms, please let me know if you fix then and if so how so I can get my life back too
@@goldeagle8051 check out the Concussion Fix program! No travel required!
The exact same thing happened to me. Accidental knee to the back of my head while doing bjj. I healed from the concussion but now even small bumbs can trigger the symptoms
I had a mountain biking accident and ended up in the hospital. Apparently I had fractures in my skull and internal discharge of the fluid in the brain. It was coming out through my nose. That was taken care of (thru a drain on my back) and I was told the fractures will heal by themselves, no surgery required. Before they released my from the hospital, they found a blood clot so I’m on a blood thinner now. It’s been 4 weeks since my accident and my head hurts but I think my neck hurts more. I have serious vision problems, so it’s difficult to walk. Is there anything in your program I could apply to my situation? I’ve been just sitting/laying around waiting to get better but it seems like I’m just getting weaker…
Sorry to hear about your injury Sylvia! It sounds like a bad one. The neck is heavily involved in vision so some of your vision issues could be due to the neck issues. Given the severity of your injury and your current symptoms, I'd be working on getting in to see a neuro-optometrist, a good PT/chiropractor for your neck, and find a concussion-trained clinician to run a Buffalo Concussion Treadmill test to start you on subsymptom threshold exercise (provided you are allowed to exercise). I think our Concussion Fix program could be a fit for all the other things like reducing inflammation, working through set-backs, gut issues, hormone issues, sleep issues, etc. I wish you all the best!
Hey doc, I am post 4 days and one of my symptoms is vertigo which is making it a challenge to exercise. Any recommendations on what I can do? Also, I'm doing some cognitive exercises on a daily bases and it's making me tired. Is that normal?
Find a concussion-trained clinician to help you! You'll likely have to address the vertigo first!
What is the side effects of bruise brain and left brain bruising injury?
Hey doctor! One of my biggest struggles with pcs is knowing how to balance doing not too little and not too much, Do you have any tips for making sure I don’t under-do or over-do things?
This one is a challenge! We have systems that we use for this both physically and cognitively. It's a little much to explain here but it is in our concussion fix program if you are interested! concussiondoc.io/offer/the-concussion-fix/
Complete Concussion Management Thank you! You should make a video about it!
@@CompleteConcussions
Please Dr, is Hyperbaric Oxygen Therapy used to treat traumatic brain injuries?
@@preciousigbokwe6097 Not concussions - it is used...but the evidence shows that it shouldn't be. People still do them because they can charge you a fortune for it. Does it work? No...not at all.
Is the hyperbaric chamber helpful for concussions?
no. The evidence shows that it is no better than placebo/sham
Can i get ocd after concussion in pcs ?
i beleive i have had a concussion.... i have c.i. (convergence insufficiency) . My doctor is of no help. I need help.
Dr y my memory is not ok .l haved 5 years ago happen my car accident traumatic end lm have bad memory 😢
Doctors in our country don't give a damn about concussion. Waiting for the life to end is our last remaining choice.
Do individuals who experience concussion-like symptoms from small non-concussive blows to the head (e.g., on-off persistent symptoms not due to a novel concussion), fall into one group in particular?
This is likely just unresolved PCS that mostly hangs around at a subclinical level - most of the time things are fine, but unbeknownst to the individual they are sitting right on the edge of the cliff and the slightest stressor can push them over the edge. This stressor can be mental (i.e., close call, increased work stress, argument with spouse) or physical (i.e., small bump to the head or a bumpy drive in a car) and it sets off all their symptoms again. This is not another concussion but rather falling off the cliff they were hanging on. The same dysfunctions that lead to this relapse are the same ones that drive persistent symptoms - Autonomic, inflammation/hormones/gut, visual/vestibular, neck, or mental health. So in some it could be an anxiety response...in others fight or flight...in others an inflammatory cascade...in others, neck dysfunction. The only way to get rid of this and prevent it from happening is to fix the underlying systems so that you can move away from the cliff - ie., you increase your resilience to these stressors. Make sense?
I had a car accident (toppling of a bolero car) four to five topples as per the friend who drove the car. I was knocked down for hours. I do not remember how long. I had difficulty sleeping. I hardly slept for 2-3 hrs in a night. I had difficulty waling because I experienced imbalance while walking plus I had speech impairment- struggled talking properly. I now forget things often. It happened in 7 years ago though. Suggestions please
Concussion fix program to address underlying symptom drivers!
How do treat persistent post concussion syndrome
Want to visit a neurologist for my 13year post concussion symptoms but im scared of not getting the help i need as scans will probably come back normal idk
Neurologists are generally not the right way to go with post concussion syndrome. Find well trained concussion rehab professionals (or check out our concussion fix program - google it and read some reviews :)
I’ve had concussion symptoms since 2014.
Dr Marshall. what if it is not “anxiety” causing the cognitive issues what if it’s stemming from the true shearing and stretching of axons and neurons?
stretching and sheering of axons is the cause of concussion. The net result is an energy deficit which lasts for 3 to 4 weeks and then recovers. Symptoms beyond this time are not thought to be due to this anymore....there are 5 potential causes of ongoing symptoms. Anxiety is only one possibility. Put another way...If the diagnosis is concussion (and not more serious brain injury), persistent symptoms are not due to brain injury but rather those 5 causes as discussed in the video
@@CompleteConcussions got it thank you. How does one know they have a more serious brain injury other than a “concussion” with clean CT and MRI?
Didn’t know pupils constrict based off noise.? The systematic side of the brain when hit (fight or flight) is when your brain and nervous system then releases adrenaline which causes your body to go into survival mode (fight or flight)
Still have concussion symptoms, unfortunately i couldn't finish watching the videi, cause my ears have low tolerance to noise.
watch it in sections if you need :)
Hi my daughter had a concussion in 2018 when she was 14 from a hockey game where the wooden stick hit it her in her nose and frontal lobe area very hard. After this she was diagnosed with AMPS, a chronic pain condition which she still suffers from today at the age of 19. Her mental health has gone completely downhill and has even now been diagnosed with Schizophrenia last year. What can we do to help her. The doctors say the mental health and the pain go hand and hand, but my concern is her mental health is so far out of control.
My daughter also has schizophrenia
I blacked out on a Jan.26th this year and fell down our stairs (12) and I have no memory of it or for the next 2 weeks. I tested negative for Amicron but my husband had it the week before (he tested positive) and I tested negative for it butI had the same symptoms but 10 times worse than he did. I am not vaccinated for Covid becauseI have a genetic blood clotting disorder. My husband had both vaccinations and this is is second time to have covid. I was on covid medications and I read where this medication can cause blackouts. If my stairs has not been carpeted two doctors told me I would have possibly died or suffered a broken neck or spine so possibly being paralyzed. I did not know for 5 weeks that I had had a concussion and have amnesia. I do not get hungry anymore. I have lost 20 lbs since Jan. I have had unexpected emotional days when I cry lot. My have trouble remembering things that zip used to know. I separated my left shoulder and broke a bone under my tendons. I had about 4 sore places on myI also cut my right eye and two places on my right leg. I have numbness in my right foot and tingling in my right leg. I have vertigo still today after having PT twice for my balance and vistubular twice. I am sure I have a neck injury. I am 70:years old. I had about 4 sore places on the top of my head but no really bumps or knots. At the hospital they did a cat scan but no covid test. I never had a headache from this. I rarely have headaches ever. I was told that I would have to wait until June to see a TBI doctor at Vanderbilt in Nashville because I could not see a TBI doctor at Fort Sanders in Knoxville for 6- 8 months and Dr. Wilson said at my age zzneeded .I got to see a doctor who treats the football players here when having concussions. Dr. Wilson with UT Orthopedics. He was awesome and got me started on PT right away. It has been almost 8 months and I know I have not healed.
Dr. Wilson said I needed to start treatment right away at my age. I could not see a doctor at the TBI clinic at Fort Sanders in Knoxville for 6-8 months. So I am not sure I have been treated properly for my injury yet. I did see a psychologist at the Patricia Neal Center in Knoxville and was tested and did fine on the test. This concussion had been a mystery to me from the time I found out that Zia had had one. The paramedic wrote on medical that zI passed the test for having a concussion by answering all their questions correctly. The last thing I remember is drying my hands in the bathroom and hearing my husband talking on his phone in the next room to a client. When he came out to tell me something he could not find me and figured I had gone downstairs to bed because ai was so sick. When he got to the top of the stairs he saw me in a heap at the bottom with my eyes open so he was not sure I was alive until he saw me blink. I was bleeding from my face and my leg so he did not know what to think. He called an ambulance and we got to Leconte hospital around 8:30 pm. I was headed back home at 5:30 am with no explanation.
I have severe headaches. Tried everything with meds, exercise, most everything that is prescribed. what to do? Cannot do anything when it happens. I am a celiac patient so gluten is not in my diet. I tend to overdue when I feel good but severe headache happens. Trying to find the cause. have had a concussion since January.
Post-Concussion headaches are most commonly neck related...
Would love to see you make a video about subconcussive head impacts. All the literature about them is very poor.
I have!
@@CompleteConcussions Can't find the video. Can I get the link?
I had a blow in the back of my head and had a concussion 2 weeks ago.
I went back to work January 23rd. The only things I feel now is still lethargy, and like I'm walking in space, my balance in still off a little and I have a little challenge falling asleep and normally I sleep like a rock! Why is it taking so long to come back ?? I need more sleep to completely heal plus change in my sister and my eyes ate a little blurry, especially in front of the computer.
If you still have symptoms, NO MATTER WHAT THEY ARE, it's due to dysfunction in one or more of the 5 systems discussed in the video. Fatigue/lethargy tends to be rooted in autonomic dysfunction and neuroinflammation. Balance could be neck-related, vestibular-related, or visual related. If you address ALL the areas in the right way, you will get better!
Doc does flying affects pcs or gets symptoms worse ?
Not as far as we know. The studies that have been done show that there's no effect if you fly within the first 2-3 days after injury. One study showed that in the VERY early post-injury phase (i.e., professional athletes that fly within 6 hours of suffering a concussion) ended up taking a bit longer to recover. But the other studies that have looked at 24-48-72 hours have found no effect of flying. So it it doesn't impact brain physiology in those very early phases, the chances of it having a significant impact on PCS would be extremely low. Now, in saying that, this does not mean that travelling can't increase/flair symptoms (because it can - jet lag, lots of movement, anxiety/stress, crowds, etc.) - but this is all just temporary and should not materially affect PCS. Good luck!
@@CompleteConcussions thank you doc for answering me
I have a question regarding heart palpitations:
I'm 99% sure that my PCS stems from autonomic nervous system dysregulation. If my pulse goes above 115 bpm, i will begin to feel pain in my head. To fix this i have started exercising (walking) with a pulse 10% below my threshold for 45-60 mins per day. After a week of doing this, i increased my exercise pulse by 10 bpm. It all seemed to go well, as i didn't get a headache while walking or after. However, when i returned from my walk, my heart started pounding really hard. It has now been 4 days, and the heart palpitation has not gone away. It is especially bad when i lie down, which really affects my sleep.
So my question is: Is this a sign that i exceeded my pulse threshold or is it likely an anxiety related issue? Also do you know if anything can be done to help this issue?
I really appreciate these videos - they have helped me figure out why i still have symptoms more than two months after the injury and have given me hope that one day i will be back to normal.
Make sure you rule out any cardiac issues for sure! If all that is good to go then you likely just overdid it - and without knowing anything about you or your case, I'm noticing that your exercise program is far too long. 20-30 mins max and go up in HR gradually (not time). If could also be that you have a greater autonomic dysfunction issue that needs a much different strategy if present. Check out concussion fix program if you want more info on how to do this properly!
@@CompleteConcussions Thank you for answering! I just had and ECG and blood test done, to rule out cardiac issues.
Will lower my workout time to 20-30 mins. And it's only once per day, right?
In Denmark (where i live) we don't have any concussion clinics and almost all medical professionals still seem to believe that rest is the best treatment. So i'm really left on my own to figure out how to get better.
Small question - do you believe it's safe to do a Buffalo concussion treadmill test by yourself? I have read several published articles about it, and i think i understand how it's done, but i'm a bit reluctant to attempt it by myself.
I'm definetly gonna sign up for you concussion fix program. Also going to your workshop on friday (tomorrow) :)
@@AcMetal10 Wait, I'm confused. 20-30 minutes with both warm-up and cooldown included, or 20-30 minutes of active exercise only?
100%
A week and a day out from initial concussion from falling 8 feet from a frame ladder.
It’s unreal. But legit
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Would you start treatment with a chiropractor, osteopath or physiotherapist in the case of vaccine induced concussion symptoms? 🌞👍
Probably neither. Vaccine induced concussion symptoms are most likely due to neuroinflammation and/or autonomic dysregulation. This would be better addressed by a naturopathic doctor and/or functional medicine doctor
@@CompleteConcussions Sorry I don't understand, you recently replied to me about vaccine injury symptoms similar to a concussion are treated the good news you said was similarly treated to an actual concussion...?
@@pinkformarie yes - in some ways - concussion symptoms can be due to: autonomic nervous system dysregulation, inflammation, gut, hormones, visual/vestibular dysfunction, neck dysfunction, and mental health issues. A physio, chiro, osteopath can help with concussion (if they have good training) - but they are more likely going to be able to help with the visual/vestibular, and neck related issues. Vaccine-related injuries are not likely to affect visual/vestibular/neck but more likely to affect autonomics, inflammation, etc. So, yes, some of the treatment is the same - but physio, chiro, osteopath are not likely to the right choice since they are not the ones that typically deal with the autonomics and inflammation side of things. HOpe this helps to clarify!
I thought the brain and cell death from brain/head injuries was permanent ? Has anyone worked with this gentleman ? Thank you
Concussion (mild TBI) does not typically result in cell death. More severe forms of brain injury (moderate & severe TBI) result in permanent cell death, yes. But concussion is unlike these more serious forms of brain injury in that they do not cause structural damage to the brain. Concussion is a functional injury that affects cellular metabolism for a period of time.
So what happens if you have PTSD, adhd, anxiety before having a concussion.
It tends to make it worse. This would be a major treatment target if this is your case
I have pcs for 6 months now I need some help
Sorry to hear that :(. Check out the Concussion Fix program. It's super effective: concussiondoc.io/offer/the-concussion-fix/
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I was beaten for many years by my husband who left me with our daughter to go fly his plane. I would wake up with with throw up on on my self, thank goodness we had a live in nanny to care for our daughter. But I I left after 5 years with a lot of careful planning, finally getting a divorce and full custody of my child. One year later he caught me outside my home and kicked me in the head, I could not see out of my left eye for six months. This was in 1985 doctors did not know what to do. What do you think the should have been done. I still have night mares. And have had professional therapy.
I also meant to say that fell one week ago hitting my granite counter and can't get my head and neck quit hurting.
No ones taking about the damn Tinnitus & other permanent things that develop on top on all these. 😢
All this talk of the symptoms and you saying it's treatable but what exactly do we do? Kind of a waste of 20 mins
This is part of a series...watch the next videos
Please help with my PCS. Can a concussion case someone to not smile or laugh anymore? I had a concussion about 3 years ago and have not laughed since. I also struggle when visiting an aquarium. I get headaches looking through the glass. I appreciate any suggestions, thank you.