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New Research on Progesterone as a “Healing Hormone” Provides Hope for Brain Injury
January 2, 2015 0 comments Blog, TBI Carrick Brain Centers
Progesterone is naturally present in small but measurable amounts in the brains of males and females. Human brain tissue is packed with progesterone receptors, and lab studies suggest that progesterone is crucial for the normal development of neurons in the … Continued
Progesterone is naturally present in small but measurable amounts in the brains of males and females. Human brain tissue is packed with progesterone receptors, and lab studies suggest that progesterone is crucial for the normal development of neurons in the brain and exercises a protective capacity in relation to damaged brain tissue.
Twenty-five years ago, neuroscientist Donald Stein, PhD, began to become intrigued by findings that women’s brains had a higher success rate in recovering from traumatic brain injuries. This was also during a time when most brain damage was seen as irreversible. Stein began a series of tests and investigations and was one of the first to discover the neuro-protective properties of progesterone.
With traumatic brain injury, or TBI, the initial injury, as localized as it may be, causes a domino effect of inflammatory factors that trigger swelling, tissue breakdown, and programmed cell death. Progesterone, unlike treatments that target one spot in the brain, or one pathway, works at multiple genes, multiple pathways, and multiple receptors. Best of all, not only does it curtail the destructive inflammatory torrent, but, as a developmental hormone that is involved through the entire gestation of the fetus, it is uniquely structured to revive the damaged areas.
Most recently, he and his lab conducted their first human trial. Results were so successful that progesterone treatment is now being tested in two nationwide phase-three trials and also internationally in more than 20 countries. There are also promising possibilities for progesterone to work its magic in conditions such as stroke, pediatric TBI, and brain tumors.
In association with the Pediatric Emergency Care Applied Research Network (PECARN) and the University of Michigan, Stein’s lap is investigating the effect of progesterone on younger TBI victims. He observes that there is currently not much that can be done for kids with severe brain injuries, but progesterone-based treatments must proceed very carefully to avoid any harmful side effects.
Stein’s research using progesterone to treat stroke-victims is much more developed. When rats were administered the hormone after having an induced stroke, results showed 70% less brain damage than that suffered by rats in the control group and 50% to 60% greater functional recovery. Stein and his team are also finding that outcomes prove even more successful when progesterone is combined with vitamin D.
Though not often regarded as such, vitamin D is a hormone as well and, like progesterone, acts on many different biochemical pathways. When combined, the two hormones become more effective and help lessen brain damage in stroke-induced rats, while increasing functional recovery. In addition to supporting recovery from stroke and TBI, there is also a distinct possibility that a synthetic version of progesterone might help shrink brain tumors. Mice treated with high-dose progesterone had a 50% reduction in neuroblastoma tumor size after only eight days, without any of the harsh side effects of chemotherapy drugs.
Stein also envisions the use of progesterone in a modified form as a potent aid in combat situations, and notes, “In a military situation, if you can help it, you don’t want to have to start an IV and keep it going. You want something that you can get in quickly and easily, that can be used in all conditions, from -40 degrees to 120 degrees, that is highly stable so you don’t need to replace it every two weeks, and that lasts in the system until you can get the injured person to a hospital. And that’s what we’re trying to develop.”
Stein, who is also an Emory Professor and director of the Emergency Medicine department’s Brain Research Laboratory, says, “Seeing our work in worldwide clinical trial is exciting, but what would really be gratifying would be to know that the work we did actually ended up helping a lot of people to live more healthy and fulfilling lives.”
Not only does progesterone hold a great deal of hope for the future of medicine, it is also cheap, easy to administer, and doesn’t require highly sophisticated technology. If studies continue to prove its worth as a viable remedy, its global application would not be hindered by concerns around cost or availability.
Sources:
How Carrick Brain Centers Helped Glenn Beck’s TBI
November 12, 2014 0 comments Blog, TBI Carrick Brain Centers
Glenn Beck might not have wanted America to know all his personal health issues, but because he is a celebrity in the public eye, people noticed that something was terribly wrong. Beck knew for years that he had a strange … Continued
Glenn Beck might not have wanted America to know all his personal health issues, but because he is a celebrity in the public eye, people noticed that something was terribly wrong. Beck knew for years that he had a strange disorder, but he didn’t know, nor did his doctors, exactly what he had or what to do about it — that is, until he underwent some experimental treatment at Carrick Brain Centers.
Beck revealed some of his problems to his audience over the years: his eyesight difficulties and vocal cord paralysis. But he didn’t discuss all his ailments, such as the excruciating pain he felt in his hands, arms, feet and legs. The pain was so debilitating it was difficult for him to fulfill his role as a media personality. Just as a frightened Beck was losing hope of keeping his quality of life, his condition worsened. He started having seizure-like episodes where his hands would shake and his feet (and sometimes his whole body) would curl up.
Neither Beck nor his doctors connected Beck’s decade-long lack of a full sleep cycle with his physical problems. Beck actually liked functioning on only two to four hours of nightly sleep, not realizing the importance to the body of maintaining regular REM sleep. Without it, humans can develop brain disorders such as Alzheimer’s and Parkinson’s, according to the National Institutes of Health. If a person’s sleep needs go unmet, a sleep debt occurs, and the body cannot function normally. Beck was no longer functional, and he had to find relief or possibly continue his decline.
Beck heard that Carrick Brain Centers had worked “miracles” before, so he paid the Texas center a visit. Beck called staff clinician Dr. Cagan Randall a “medical cowboy” because he saved the day by giving Beck hope. Beck coined the term partly because of the innovative procedures used at the center and partly because of the cowboy boots Dr. Randall wears. The doctors at Carrick Brain Centers found that Beck suffered from an autoimmune disorder and adrenal fatigue, among other issues. They told Beck they could not only stop what was happening to him; they could reverse any damage.
After months of treatment that included changing his sleeping and eating habits, electric stimulation, hormone treatment, physical therapy and going into the off vertical axis rotational device, a piece of equipment that looks as if it might be more at home in an astronaut training center, Beck has indeed reversed his degenerative illness. Beck went from scoring in the bottom 10th percentile in a traumatic brain injury test before treatment at Carrick Brain Centers to achieving a score in the 90th percentile after treatment, which indicates a healthy result.
Whenever an experimental, nontraditional medical procedure is carried out, prominent members of the medical community typically critique it. So it is no surprise that this case has doubters. Nevertheless, if you ask Glenn Beck whether he is happy that he tried something new, he’ll surely respond with a resounding “yes.” After years of undergoing traditional treatment from doctors who were as baffled as Beck, doctors who gave him a prediction that any sort of normal functioning ability would end in five to 10 years, Beck, with a renewed lease on life, is happy he tried an alternative.
Sources:
Traumatic Brain Injury: What It’s Really Like
July 7, 2014 0 comments Blog, Stories Carrick Brain Centers
Imagine you are in an accident. You hit your head – hard – but you seem to be alright. Not too long afterwards you feel almost normal again, and resume your normal daily activities. You just have a lingering headache, … Continued
Imagine you are in an accident. You hit your head – hard – but you seem to be alright. Not too long afterwards you feel almost normal again, and resume your normal daily activities. You just have a lingering headache, some neck soreness, but you assume that’s normal in this situation – it’ll surely fade soon.
But a week or so later, you’re not so sure you’re alright after all. You’ve started having difficulty concentrating, and you seem to get confused more easily. Maybe it’s just the stress of the accident catching up with you. You try to rest and take it easy, to see if that will help. But you start to notice other problems cropping up now, too.
You’re exhausted all the time, and irritable, too. Your head still hurts, and there seems to be something wrong with your eyes – your vision seems blurry, and you’re more sensitive to light than usual. You even start feeling dizzy and nauseous. What is going on?
Now the problems are really affecting your daily life. It’s hard to interact normally with your own family, let alone with coworkers. And getting any real work done? Forget it – between the pain, the brain fog, and the emotional upheaval you’re now experiencing, you’re lucky if you can even make it in to the office. The infuriating part is that you look perfectly normal to others – they can’t understand why you’re having all these issues when everything seems fine on the surface.
Finally, you decide to get help. Something is definitely not right. You seek out a neurologist at Carrick Brain Centers to take a close look at the damage that accident must have done.
At Carrick Brain Centers, doctors do a complete physical exam in order to pinpoint any brain impairments and determine which secondary tests should be performed. They discover that you have indeed suffered a traumatic brain injury, and immediately begin putting together a customized plan of action.
Using therapies meant to help your brain repair itself, by encouraging you to perform activities that target the impacted areas of your brain, your doctors help you to rebuild those damaged neural pathways as quickly as possible. Your symptoms – physical, mental, and emotional – all start to lessen, until your life is your own again.
Finally, you’re free from the debilitating pain. You can think clearly again, and feel as though you’ve been liberated from a cloud of confusion and roiling emotions. You don’t have to deal with the nausea and the dizziness, the blurry vision and the exhaustion, any more. Your family is so relieved to have you back to your regular self again – and so are you.
You return to work with a new outlook, a fresh enthusiasm after being so beaten down for so long. Your coworkers all remark how much better you seem – and you are thrilled to be back.
Because you are back. You’re you again. And being you has never felt so wonderful.
If you are experiencing any of the symptoms mentioned above, contact Carrick Brain Centers. With years of experience behind us, and the latest technology to help us, we would love to make your life better, too.
NFL Agrees to Ditch $675 Million Concussion Damages Cap
July 1, 2014 0 comments Concussions Carrick Brain Centers
Following a federal judge’s concern that there wouldn’t be adequate funds to cover damages, the NFL agreed to remove a proposed $675 million cap on damages in its answer to a concussion lawsuit brought by former players. According to ESPN … Continued
Following a federal judge’s concern that there wouldn’t be adequate funds to cover damages, the NFL agreed to remove a proposed $675 million cap on damages in its answer to a concussion lawsuit brought by former players. According to ESPN legal analyst Roger Cossack, the cap has been the main sticking point in an agreement between the NFL and retired players.1
U.S. District Judge Anita Brody originally denied preliminary approval of the NFL’s proposed deal in January. The $675 million monetary award fund was designated to last 65 years and cover claims from retired players suffering from concussion-related health issues including Lou Gehrig’s disease, dementia and other neurological disorders.2
Since more than 20,000 players are expected to seek damages (more than 4,500 have already filed suit), it’s obvious why the NFL was eager to maintain the cap. Player’s on the other hand want to ensure that there will be enough money to cover their claims for years to come – you can’t predict when past injuries will start taking a toll.3
According to Christopher Seeger, an attorney for plaintiff’s in the concussion lawsuit, “Some of the players were concerned and asking questions about whether they could be in a deal if they weren’t sure there’d be money there for them 40 years from now if they get sick, God forbid … That’s what drove these changes.”3
Concussion Treatment for Athletes at Carrick Brain Centers
At Carrick Brain Centers, we have treated numerous elite athletes with breakthrough therapies such as our patented Off Vertical Axis Rotational Device (OVARD). Our patients include NFL players, who suffer from the long-term effects of concussion (traumatic brain injury) and other neurological disorders. Former Dallas Cowboy and ESPN analyst Darren Woodson came to Carrick Brain Centers following a13-year NFL career.
Says Woodson, “I had a lot of questions, I needed some answers or someone to tell me why is this happening to me. Why am I having these fears?” During a consultation with Dr. Cagan Randall, Staff Clinician at Carrick Brain Centers, Woodson says he learned “Some of these fears can be put aside, some of these fears aren’t as bad as you think they could be.”
One of the symptoms that Woodson and other patients experience following traumatic brain injuries is feeling like they are in a “brain fog.” Woodson typically experienced this fog midday, around noon or 1 o’clock. Because he works as an ESPN analyst, living with the fog was a challenge, since he needs to remember so much information and can’t forget people’s names.
Darren Woodson: “There is hope.”
After concussion treatments at Carrick Brain Centers, Woodson says that one thing he knows following the process is that “there is hope.” Today his energy and stamina have returned, “it feels normal.” Adds Woodson, “That is one thing that has been really impressive after the treatments, throughout the day I’m holding onto information. I’m not getting fatigued after 1 o’clock in the afternoon … and I’m strong throughout the day.”
Learn more about former Dallas Cowboy Darren Woodson’s journey in this short video:
Carrick Brain Centers Talks with ESPN
ESPN contributor Calvin Watkins reported how Carrick Brain Centers is working with former pro athletes to “work through their health issues.” Watkins shared this insight from Carrick Brain Centers Chief of Neurology Andre Fredieu, “Our evidence-based diagnostic tools and protocols utilize multiple therapeutic modalities to enable us to achieve measurable results in the quickest possible time, relieving debilitating symptoms and returning the patient to a measurably better quality of life.”1
If you would like information on breakthrough therapies and concussion treatment programs at Carrick Brain Centers, please contact us for a confidential consultation at 1-855-444-2724.
Photo Source: © pixelcaos – Fotolia.com
Resources:
1. Watkins K. “Concussion case good for ex-Cowboys.” June 25, 2014. ESPN.com website, www.espn.com. Available at http://espn.go.com/blog/dallas/cowbo...for-ex-cowboys. Accessed July 1, 2014.
2. Associated Press, “Judge rejects initial approval.” As reported on ESPN.com website, www.espn.com. Available at http://espn.go.com/nfl/story/_/id/10...on-settlement; updated April 16, 2014. Accessed July 1, 2014.
3. Associated Press. “NFL to remove $675 million cap.” As reported on ESPN.com website, www.espn.com. Available at http://espn.go.com/nfl/story/_/id/11...ssion-damages; updated June 26, 2014. Accessed July 1, 2014.
Carrick Brain Centers Offering PTSD Treatment to Texas Veterans
June 19, 2014 0 comments Blog, PTSD Carrick Brain Centers
Carrick Brain Centers is currently offering veterans who are Texas residents the opportunity to receive treatment for PTSD at no out of pocket cost to the veteran. No formal diagnosis is required and strictest confidentiality will be maintained. Carrick Brain … Continued
Carrick Brain Centers is currently offering veterans who are Texas residents the opportunity to receive treatment for PTSD at no out of pocket cost to the veteran. No formal diagnosis is required and strictest confidentiality will be maintained.
Carrick Brain Centers is a private facility, and is not affiliated with the government or VA. A limited number of spots are available, but our team hopes to help as many of our heroes as possible. Contact Kara Williams at 940-735-2618 or kwilliams@carrickbraincenters.com for more information and to check availability.
According to the National Center for PTSD, approximately 5.2 million U.S. adults deal with post-traumatic stress disorder – or PTSD – in a given year.1 Unfortunately, many people who suffer from the disorder are either afraid to ask for help or run into roadblocks when they try to seek PTSD treatment.
PTSD symptoms can occur following a trauma such as military combat, traumatic brain injury (TBI), sexual abuse, natural disaster, terrorism act, vehicle accident and others. The incidence of PTSD is higher for those who have served in the military (experts estimate that 11-20 percent of veterans of the Iraq and Afghanistan wars suffer from PTSD), than the general population (7 to 8 percent incidence rate in the population).1
Double Whammy: PTSD and TBI
Members of the military and accident victims may also be suffering from symptoms of a TBI (concussion), which can make diagnosis and treatment of both conditions challenging. This is especially true because PTSD and TBI sufferers often experience similar symptoms such as trouble sleeping, depression, anger and anxiety.1,2
Since people who have experienced TBIs should avoid certain medications, it’s crucial that a physician who specializes in TBI and PTSD evaluates the patient, so a proper diagnosis and treatment plan can be developed. Depending on the patient, a treatment plan may be needed for PTSD, TBI or both
Listen to the story of Carrick Brain Center patient, U.S. Army, Sergeant, Ret., Ryan Newell:
Ryan Newell, U.S. Army Veteran from Carrick Brain Centers on Vimeo.
Overcoming Barriers to PTSD Treatment
The biggest hurdle to PTSD recovery is simply not being treated. Because there are a number of stigmas associated with PTSD, many people battling the disorder are afraid to seek help. This is one more challenge that our members of the military (and other U.S. citizens) face.
Admitting he or she needs treatment for PTSD is one of the bravest things a person can do, whether the trauma resulted from combat, abuse or some other event. The longer the patient waits to seek help, the longer it will take him or her to recover and learn to cope with PTSD symptoms.
PTSD Treatments Help Millions, Everyday
It’s important to stress that successful PTSD treatments are available. PTSD therapy and treatment plans can help many patients recover completely and teach others the coping mechanisms they need to better manage daily life. Some treatment options may include:
Psychotherapy or “talk” therapy.
Cognitive behavioral therapy.
Medication (typically administered for depression).2
Stimulation therapy (involves stimulation of the central nervous system).
According to the National Center for PTSD, certain types of therapy can help PTSD patients in a variety of ways, such as:
Coming to terms with the trauma.
Developing skills to cope with negative thoughts and feelings.
Reestablishing relationships with friends, colleagues and loved ones.
Setting manageable goals pertaining work, school and everyday life.1
At Carrick Brain Centers, we focus on addressing the physiological aspects of PTSD and TBI through non-pharmacological, non-invasive therapies. Our team of board certified neurologists, nurses and therapists use a combination of evidence-based diagnostics and cutting edge technologies in our PTSD and TBI treatment plans.
Start Healing Today
Most patients with PTSD can find relief if they seek treatment. Veterans and the general population can find a number of resources at the U.S. Department of Veterans Affairs, National Center for PTSD website. You can learn more about the groundbreaking PTSD and concussion treatments at Carrick Brain Centers on our website or by calling 1-855-444-2724.
June is PTSD Awareness Month and June 27, 2014 is PTSD Awareness Day. If you or someone you know is suffering from PTSD, it’s not too late start treatment.
Contact your family physician, local veterans center or Carrick Brain Centers to get help today. Contact Kara Williams directly, at 940-735-2618 or kwilliams@carrickbraincenters.com to learn about the no-cost treatment program available to Texas veterans. You can also learn more on the TexVet.org website.
Photo Source: © tashatuvango – Fotolia.com
Resources:
1. U.S. Department of Veterans Affairs, National Center for PTSD website, National Center for PTSD website. Accessed June 16, 2014.
2. “What is post-traumatic stress disorder, or PTSD?” National Institutes of Health, National Institute of Mental Health website, www.nimh.nih.gov. Available at http://www.nimh.nih.gov/health/publi...sd/index.shtml. Accessed June 16, 2014.
Kids Safety: Helmets Significantly Reduce Concussion and Brain Injury Risk
June 10, 2014 0 comments Blog, Youth Sports Carrick Brain Centers
Now that summer vacation has shifted into high gear, kids of all ages are enjoying the outdoors on their bicycles, skateboards, in-line skates and scooters. Activities on wheels are popular among kids, but they can also be dangerous – especially … Continued
Now that summer vacation has shifted into high gear, kids of all ages are enjoying the outdoors on their bicycles, skateboards, in-line skates and scooters. Activities on wheels are popular among kids, but they can also be dangerous – especially without a properly fitted helmet.
In fact, the National SAFE KIDS Campaign says that bicycles injure kids more often than any other consumer product except motor vehicles. And according to Johns Hopkins Medicine, “The most common (and often most serious) injury sustained with a bike, on in-line skates, scooters, or while skateboarding, is a head injury.”1
On the upside, public awareness about the dangers of concussions and head injuries is rising. A recent study in the Journal of the American Medical Association attributes an increase in emergency room visits for concussions to this fact.
Unfortunately, only 40 percent or less of children wear helmets while riding their bikes.1 Skateboard-related injuries resulted in more than 78,000 hospital emergency room visits by kids 19-years-old or younger in 2011.2 And Longboarding can be even more dangerous. In addition, skateboarders can suffer concussions and even death as a result of a head injury or collision with cars.
These facts and statistics could be drastically altered if parents, guardians and other authority figures would educate kids to use helmets whenever participating in wheeled sports. According to the National Highway Traffic Safety Administration:
Kids who wear bicycle helmets can reduce the risk of head and brain injury by 85 to 88 percent.3
While statistics may vary for other wheeled sports, 85 to 88 percent is nonetheless significant. Helmets can reduce the risk of concussions and brain injury when used by athletes in all wheeled sports, period.
Don’t Risk It, Helmets Can Reduce Injuries and Save Lives
While some kids who suffer from concussions and brain injuries will fully recover, many will not. Why take the risk? It’s also important to realize that helmets don’t come in one-size-fits-all.
In order to work optimally, your child’s helmet should be:
The right size (an adult helmet won’t protect a child as well).
Fitted and adjusted properly.
Designed for the sport at hand or multi-sport use. Read labels carefully.
Meet or exceed Consumer Product Safety Commission standards.
Replaced at least every 5 years, and when outgrown, damaged or recommended by the manufacturer.2
It also helps to have a serious talk with the child about risks associated with not wearing a helmet and other precautions they should follow during wheeled sports. If possible, visit the parks and trails they frequent.
When choosing skateboard parks, opt for locations that are professionally managed and employ adult supervision. Ask about safety policies and emergency procedures to determine whether they take safety seriously.
If your child is going to ride a bike, skateboard or scooter, or go in-line skating, a helmet is the most important piece of safety equipment they should use. Don’t let them leave home without it.
Photo Source: © Sunny studio – Fotolia.com
Resources:
1. “For Parents: Bicycle, In-Line Skating, Skateboard, and Scooter Safety.” Johns Hopkins Medicine, Health Library. www.hopkinsmedicine.org/healthlibrary. Available at http://www.hopkinsmedicine.org/healt...ety_85,P00818/. Accessed June 10, 2014
2. “Skateboarding Safety.” American Academy of Orthopaedic Surgeons, OrthoInfo website, http://orthoinfo.aaos.org. Available at http://orthoinfo.aaos.org/topic.cfm?topic=a00273. Accessed June 10, 2014.
3. “Demonstrating Bicycle Helmet Effectiveness: A How-to Guide.” March 2009. National Highway Traffic Safety Administration. Available at http://www.nhtsa.gov/DOT/NHTSA/Traff...les/811110.pdf. Accessed June 10, 2014.
4 Steps You Can Take to Improve Balance and Avoid Falls
June 3, 2014 0 comments Blog, Concussions Carrick Brain Centers
The ability to balance naturally declines with age and can also deteriorate after a head injury. Regardless of the cause, it’s important to incorporate balance training into fitness and rehabilitation programs to improve overall health and prevent falls. Falls can … Continued
The ability to balance naturally declines with age and can also deteriorate after a head injury. Regardless of the cause, it’s important to incorporate balance training into fitness and rehabilitation programs to improve overall health and prevent falls.
Falls can be deadly, especially to the elderly. TV’s beloved Ann B. Davis – Alice of “The Brady Bunch” – was 88 years old, and reported to be in good health, when she passed away after a fall at her home this past weekend. The icon suffered a subdural hematoma and never regained consciousness.
According to the Centers for Disease Control and Prevention (CDC), one in three adults ages 65 and above falls each year, and “falls are the leading cause of both fatal and nonfatal injuries,” in older adults. The CDC also reports that 2.3 million older adults were treated in emergency rooms after nonfatal fall injuries, of which 662,000 were consequently hospitalized.1
French researchers who studied the benefits of fall-prevention exercises in seniors found that these exercise programs reduced injury-causing falls by 37 percent. In addition, falls resulting in serous injury were reduced by 43 percent and broken bones reduced by 61 percent.2
If your or a loved one’s balance has declined due to aging or head trauma, such as a traumatic injury (TBI), talk with your physician about including balance training into your wellness or treatment plan. Some simple steps you can take to start improving your balance include:
1. Test your balance regularly. Your treating physician or therapist may perform tests to determine how much your balance and equilibrium has declined. To test your balance at home, grab a sturdy chair (and a “spotter” if you’re the least bit unsteady) and place it on a flat, steady surface.3
Hold hands above the chair in case you need to steady yourself, then close your eyes and stand and balance on one foot. Count the number of seconds you are able to balance without needing to step the raised foot down. According to Vonda Wright, MD, the “shorter your balance time, the ‘older’ your equilibrium is.”3
Wright says that without balance or exercises to boost equilibrium, you can expect to balance less over time as you age:
22-year-olds can expect to balance 22 seconds or more.
30-year-olds average 15 seconds.
40-year-olds average 7.2 seconds.
50-year-olds average 3.7 seconds.
60-year-olds will falter right away.3
Test yourself on a regular basis to see how your treatment or exercise regime is benefiting your balance and if you’re making progress. Patients with vertigo may also require vestibular therapy along with balance training as a part of their overall therapy plan.
2. Take core-focused exercise classes. Along with balance training, look into exercise classes that focus on building strength in the stomach or core muscles. The more strength you have in your core, the more successful you will be at maintaining balance. Classic core-focused exercise programs include yoga, Pilates and tai chi.
3. Add variety and improve balance with a multi-component exercise plan. If you want to amp up the variety and balance benefits in your exercise routine, add other forms of exercise over time, such as strength training. Along with core routines, look for programs that can help you improve endurance, strength and flexibility.4
Along with helping to prevent falls, regular exercise can enable you to: React faster; build muscle to protect joints and bones; strengthen bones; improve brain function; and enhance coordination.4
4. Practice balancing during daily tasks. If you miss your workout once in awhile, make a habit to practice balancing while doing everyday tasks. Balance on one foot while: watching TV, brushing your teeth, washing dishes, listening to music, etc. A little practice time here and there can help keep your balance in check when your schedule heats up.
At Carrick Brain Centers we treat patients suffering from a variety of neurological conditions. Balance training and therapy are key components of the brain injury and concussion treatment plans we develop for patients. To learn more about balance training programs and brain injury rehabilitation at Carrick Brain Centers, contact us for a confidential consultation at 1-855-444-2724.
Photo Source: © Paul Hakimata – Fotolia.com
Resources:
1. “Falls Among Older Adults: An Overview.” Centers for Disease Control and Prevention website, www.cdc.gov. Available at http://www.cdc.gov/homeandrecreation...dultfalls.html. Accessed June 3, 2014.
2. El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. “The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomized controlled trials.” BMJ 2013; 347: f6234. Available at http://www.bmj.com/content/347/bmj.f6234; published Oct. 29, 2013. Accessed June 3, 2013.
3. Wright V, Winter R. “FITNESS AFTER 40: How to Stay Strong at Any Age.” Published by AMACOM Books. 2009.
4. LeWine H, MD. “Balance training seems to prevent falls, injuries in seniors.” Oct. 31, 2013. Harvard University, Harvard Health Blog. Available at http://www.health.harvard.edu/blog/b...s-201310316825. Accessed June 3, 2014.
3 Steps to Helping Kids with TBI Make Friends and Improve Social Abilities
May 28, 2014 0 comments Blog, TBI Carrick Brain Centers
Making friends can be difficult for children under any circumstances. Research shows that for kids who have experienced a traumatic brain injury (TBI), developing strong friendships is especially important.1 Parents can help improve social outcomes for kids with TBIs if … Continued
Making friends can be difficult for children under any circumstances. Research shows that for kids who have experienced a traumatic brain injury (TBI), developing strong friendships is especially important.1 Parents can help improve social outcomes for kids with TBIs if they teach them about friendship and find a variety of opportunities for their child to meet new people.
According to a recent study, having a best friend can help a child with TBI improve social abilities and handle rejection more easily. The study, “Friendship Quality and Psychosocial Outcomes Among Children with Traumatic Brain Injury,” compared 41 children who had TBIs with 43 children who had orthopedic injuries (OI).1
Researchers found that “Children with TBI reported significantly more support and satisfaction in their friendships than children with OI.” They also revealed that for kids with TBI who suffered social rejection, “friendship support buffered against maladaptive psychosocial outcomes, and predicted skills related to social competence.”1
Teach and Enable Kids with TBI to Make Friends
As a parent or guardian of a child recovering from a concussion or TBI, taking a proactive approach to teaching the child how to make friends, explaining what friendship really means and identifying opportunities where they can make friends is crucial. These steps can really make a difference in the child’s long-term ability to handle and feel comfortable in social situations.
If you have a child with TBI, consider taking the following steps to ease the way toward his or her friendship building.
1. Lead by example and discuss. Kids learn how to approach life by watching their parents and other respected elders. How parents interact with other people, is ultimately the actions they will model. What scenarios can you think of that will show what it takes to be a good friend – or at least friendly?
Saying hello to a stranger.
Complimenting someone on how he or she looks or something they did well.
Smiling!
Picking up a small gift for someone who is having a difficult time.
Writing a thank you note to acknowledge something special a loved one did for you.
Saying thank you or other kind words to a store clerk, waiter, postman or the like.
After each experience, reinforce the importance of being kind, polite and doing nice things for others. And remember to compliment the child for doing the same. This will help develop good friendship (and human being) habits.
2. Practice being social and friendly. Before inserting the child with a brain injury into a group, social situation, do a little role playing. Take turns being the person who approaches the other and talk about acceptable ways to interact, such as:
Listening closely.
Showing interest through eye contact.
Asking questions to learn more about the person.
Illustrating how friendships start with give and take – don’t monopolize the conversation, but don’t be too quiet either.
Kids need to find that even balance. It’s also important that they learn that it takes time and trust to build friendships, they don’t happen overnight and it isn’t always easy.
3. Find or create opportunities to interact. Talk with your child about their interests and what activities they enjoy doing with other people. Try to focus on activities that are collaborative vs. combative, then seek out events or activities where they can meet other children. Some opportunities include:
Children’s activities arranged through a place of worship.
Day camps doing activities they enjoy and where they can excel.
Team sports that require a group effort.
Play dates at your home with kids from the neighborhood, school or place of worship. Be sure to plan a fun activity or two in advance so the kids have something to focus on and look forward to.
Musical activities, such as a choir, orchestra or band, depending on the child’s interests.
Car pools, where parents take turns driving kids to scheduled or impromptu events.
Visits to local parks where children they know play and interact.
Repeated exposure to different social scenarios will help a child with a head injury to become more at ease with making friends over time. Once you identify activities and groups where the child blossoms and grows, the long-term implications for positive psychosocial outcomes will progress as well.
Photo Source: © Andres Rodriguez – Fotolia.com
Resources:
1. Heverly-Fitt S, Wimsatt MA, Menzer MM, Rubin KH, Dennis M, Taylor HG, Stancin T, Gerhardt CA, Vannatta K, Bigler ED, Yeates KO. “Friendship Quality and Psychosocial Outcomes among Children with Traumatic Brain Injury,” [abstract]. Journal of the International Neuropsychological Society. Available at http://journals.cambridge.org/action...e&aid=9267778; published online May 19, 2014. Accessed May 28, 2014.
JAMA Study Shows an Increase in ER Visits for Concussions
May 20, 2014 0 comments Concussions Carrick Brain Centers
A new study from The Journal of the American Medical Association found that emergency room visits for concussions, have increased 29 percent in the past four years. The recently published study, “Trends in Visits for Traumatic Brain Injury to Emergency … Continued
A new study from The Journal of the American Medical Association found that emergency room visits for concussions, have increased 29 percent in the past four years. The recently published study, “Trends in Visits for Traumatic Brain Injury to Emergency Departments in the United States,” revealed that a dramatic rise in ER visits occurred between 2006 and 2010. 1
While the exact causes of the jump are still unclear, it is thought that increased public awareness about concussions is a likely contributor. Researchers believe this could be a positive sign, signaling that the dangers of concussions are becoming better known.1
A common misconception is that concussions generally only affect professional athletes, especially those in high contact sports like boxing, hockey and football. There is now a growing awareness that it isn’t just pro athletes that sustain concussions,. In fact, toddlers and seniors were the two groups that saw the largest increase in ER visits, according to the study. 1
Atrophy Found in Brains of Athletes
Although athletes are not the only ones who need to worry about concussions, a second study found that college football players, especially those who had experienced concussions, had atrophy in a brain region critical to creating new memories. The study scanned the brains of 25 football players who had a concussion, 25 players who did not have a concussion, and 25 students who did not play football.2
The study, “Relationship of Collegiate Football Experience and Concussion With Hippocampal Volume and Cognitive Outcomes,” revealed that the hippocampi of players who had been diagnosed with concussions had atrophied, a disturbing development. The atrophy was also seen in players who hadn’t previously been diagnosed with a concussion, but who likely experienced repeated, smaller hits.2
Researchers don’t know whether this atrophy is permanent, but they warn that any amount of atrophy is significant. This news only increases the need for more public awareness on preventing, detecting and treating concussions.2
Know the Symptoms of a Concussion
While concussions (also known as traumatic brain injuries) are serious injuries, symptoms of the condition can be subtle, and often go undetected. After a traumatic brain injury, symptoms may include:
Headache or a feeling of pressure in the head.
Temporary loss of consciousness.
Confusion.
Amnesia surrounding the traumatic event.
Dizziness.
Nausea .
Slurred speech.
Fatigue.3
Watch for Delayed Symptoms
Some concussion symptoms may not be obvious right away, instead manifesting over the course of hours or days. These can include:
Problems with memory and concentration.
Irritability and other personality changes.
Sensitivity to light and noise.
Problems with taste and smell.
Disturbances in sleep patterns.3
When to Act
If you or a loved one experience a head injury and exhibit symptoms of a concussion, you should seek emergency medical care immediately. Anyone who has a concussion should avoid vigorous physical activity while exhibiting symptoms, and athletes should be evaluated by a health care professional before returning to play.
If you want to learn more about the breakthrough concussion treatments and therapies at Carrick Brain Centers, contact us. Call 1-855-444-2724 to schedule a confidential consultation today.
Photo Source: © guynamedjames – Fotolia.com
Resources:
1. Marin J, Weaver M, Yealy D, Mannix R. “Trends in Visits for Traumatic Brain Injury to Emergency Departments in the United States.” JAMA. 2014; 311(18): 1017-1919. Available at http://jama.jamanetwork.com/article....icleid=1869198. Accessed May 19, 2014.
2. Singh R, Meier T, Kuplicki R, Savitz J, Mukai I, Cavanagh L, Allen T, Teague TK, Nerio C, Polanski D, Bellgowan, PSF. “Relationship of Collegiate Football Experience and Concussion with Hippocampal Volume and Cognitive Outcomes. JAMA. 2014;311(18): 1883-1888. Available at http://jama.jamanetwork.com/article....icleid=1869211. Accessed May 19, 2014.
3. “Concussion: Symptoms.” Mayo Clinic website, www.mayoclinic.org. Available at http://www.mayoclinic.org/diseases-c...s/con-20019272. Accessed May 19, 2014.
Managing Dysphagia After a Traumatic Brain Injury
May 14, 2014 0 comments TBI Carrick Brain Centers
Patients recovering from traumatic brain injury (TBI) can suffer from additional health issues post-injury. Dysphagia (difficulty swallowing food or liquids) is one of the most common health challenges following a TBI.1 If you or a loved one suffers from dysphagia, … Continued
Patients recovering from traumatic brain injury (TBI) can suffer from additional health issues post-injury. Dysphagia (difficulty swallowing food or liquids) is one of the most common health challenges following a TBI.1 If you or a loved one suffers from dysphagia, follow your physician’s treatment plan closely to avoid additional health complications.
Dysphagia should always be taken seriously, because it can lead to malnutrition and aspiration of food or liquids into the lungs. Aspiration can lead to pneumonia, which at its worst can be deadly.1
Multiple Factors Contribute to Post-TBI Dysphagia
Dysphagia due to traumatic brain injury can occur for a number of reasons, which is why it is so commonplace. Patients may experience swallowing difficulties due to:
Medication that inhibits the swallowing function or causes GERD (gastroesophageal reflux disease) that damages or scars tissue in the esophagus.
An injury to the throat or esophagus that results during intubation.
Long-term intubation or tracheostomy after injury.
Weakening of swallowing muscles that aren’t used for a prolonged period.1,2
If the patient needs to undergo multiple surgeries to treat a brain injury the odds of experiencing dysphagia increase. In addition, the more severe the injury is, the longer it typically takes for the patient to regain the ability to swallow food or drink orally vs. getting nourishment through a feeding tube.1,2
Some Factors Increase Length of Feeding Tube Use
Other factors increase the likelihood that TBI patients will need to use a feeding tube for a longer period of time. Along with severity of injury, advanced age, tracheostomy placement and loss of voice diagnosed at admission also contribute to prolonged dysphagia and the longer necessity of feeding tube use.2
Patients with TBI may be challenged with memory or behavioral problems, which can complicate recovery, too. With the right treatment plan and a dedication to following therapy recommendations, most patients can overcome post-TBI dysphagia.
Some basic components included in treatment plans for post-TBI dysphagia may include:
Instruction in safe swallowing techniques.
Education on type, consistency and temperature of foods and drinks to introduce and at what time.
Guidance on how to eat, such as take small bites, eat slowly, don’t talk until after swallowing, etc.
A strategy or plan to use if the patient chokes or coughs after swallowing.
Use of memory aids to remind patient to practice safe swallowing techniques.
Participation in dysphagia treatment groups to reinforce education and learn new strategies.
Special accommodations for patients with memory or behavioral issues.
There Is Hope for Post-TBI Dysphagia Patients
Every patient’s brain injury is unique to him or her. So, be sure to maintain an open dialogue with doctors and therapists to monitor recovery and adjust treatment when necessary.
If you or a loved one is suffering from dysphagia following a brain injury, try to stay positive. It may take time and some good therapy, but most post-TBI dysphagia patients recover eventually.
Photo Source: © Valua Vitaly – Fotolia.com
Resources:
1. Mackay LE, Morgan AS, Bernstein BA. “Swallowing disorders in severe brain injury: risk factors affecting return to oral intake.” Arch Phys Med Rehabil. 1999 Apr; 80(4): 365-71.
2. Mandaville A. “A Retrospective Review of Swallow Dysfunction in Patients with Severe Traumatic Brain Injury,” [abstract]. Dysphagia; 14 Jan. Available at http://link.springer.com/article/10....55-013-9509-2; [published online Jan. 14, 2014]. Accessed May 13, 2014.
Pretty interesting.
New Research on Progesterone as a “Healing Hormone” Provides Hope for Brain Injury
January 2, 2015 0 comments Blog, TBI Carrick Brain Centers
Progesterone is naturally present in small but measurable amounts in the brains of males and females. Human brain tissue is packed with progesterone receptors, and lab studies suggest that progesterone is crucial for the normal development of neurons in the … Continued
Progesterone is naturally present in small but measurable amounts in the brains of males and females. Human brain tissue is packed with progesterone receptors, and lab studies suggest that progesterone is crucial for the normal development of neurons in the brain and exercises a protective capacity in relation to damaged brain tissue.
Twenty-five years ago, neuroscientist Donald Stein, PhD, began to become intrigued by findings that women’s brains had a higher success rate in recovering from traumatic brain injuries. This was also during a time when most brain damage was seen as irreversible. Stein began a series of tests and investigations and was one of the first to discover the neuro-protective properties of progesterone.
With traumatic brain injury, or TBI, the initial injury, as localized as it may be, causes a domino effect of inflammatory factors that trigger swelling, tissue breakdown, and programmed cell death. Progesterone, unlike treatments that target one spot in the brain, or one pathway, works at multiple genes, multiple pathways, and multiple receptors. Best of all, not only does it curtail the destructive inflammatory torrent, but, as a developmental hormone that is involved through the entire gestation of the fetus, it is uniquely structured to revive the damaged areas.
Most recently, he and his lab conducted their first human trial. Results were so successful that progesterone treatment is now being tested in two nationwide phase-three trials and also internationally in more than 20 countries. There are also promising possibilities for progesterone to work its magic in conditions such as stroke, pediatric TBI, and brain tumors.
In association with the Pediatric Emergency Care Applied Research Network (PECARN) and the University of Michigan, Stein’s lap is investigating the effect of progesterone on younger TBI victims. He observes that there is currently not much that can be done for kids with severe brain injuries, but progesterone-based treatments must proceed very carefully to avoid any harmful side effects.
Stein’s research using progesterone to treat stroke-victims is much more developed. When rats were administered the hormone after having an induced stroke, results showed 70% less brain damage than that suffered by rats in the control group and 50% to 60% greater functional recovery. Stein and his team are also finding that outcomes prove even more successful when progesterone is combined with vitamin D.
Though not often regarded as such, vitamin D is a hormone as well and, like progesterone, acts on many different biochemical pathways. When combined, the two hormones become more effective and help lessen brain damage in stroke-induced rats, while increasing functional recovery. In addition to supporting recovery from stroke and TBI, there is also a distinct possibility that a synthetic version of progesterone might help shrink brain tumors. Mice treated with high-dose progesterone had a 50% reduction in neuroblastoma tumor size after only eight days, without any of the harsh side effects of chemotherapy drugs.
Stein also envisions the use of progesterone in a modified form as a potent aid in combat situations, and notes, “In a military situation, if you can help it, you don’t want to have to start an IV and keep it going. You want something that you can get in quickly and easily, that can be used in all conditions, from -40 degrees to 120 degrees, that is highly stable so you don’t need to replace it every two weeks, and that lasts in the system until you can get the injured person to a hospital. And that’s what we’re trying to develop.”
Stein, who is also an Emory Professor and director of the Emergency Medicine department’s Brain Research Laboratory, says, “Seeing our work in worldwide clinical trial is exciting, but what would really be gratifying would be to know that the work we did actually ended up helping a lot of people to live more healthy and fulfilling lives.”
Not only does progesterone hold a great deal of hope for the future of medicine, it is also cheap, easy to administer, and doesn’t require highly sophisticated technology. If studies continue to prove its worth as a viable remedy, its global application would not be hindered by concerns around cost or availability.
Sources:
How Carrick Brain Centers Helped Glenn Beck’s TBI
November 12, 2014 0 comments Blog, TBI Carrick Brain Centers
Glenn Beck might not have wanted America to know all his personal health issues, but because he is a celebrity in the public eye, people noticed that something was terribly wrong. Beck knew for years that he had a strange … Continued
Glenn Beck might not have wanted America to know all his personal health issues, but because he is a celebrity in the public eye, people noticed that something was terribly wrong. Beck knew for years that he had a strange disorder, but he didn’t know, nor did his doctors, exactly what he had or what to do about it — that is, until he underwent some experimental treatment at Carrick Brain Centers.
Beck revealed some of his problems to his audience over the years: his eyesight difficulties and vocal cord paralysis. But he didn’t discuss all his ailments, such as the excruciating pain he felt in his hands, arms, feet and legs. The pain was so debilitating it was difficult for him to fulfill his role as a media personality. Just as a frightened Beck was losing hope of keeping his quality of life, his condition worsened. He started having seizure-like episodes where his hands would shake and his feet (and sometimes his whole body) would curl up.
Neither Beck nor his doctors connected Beck’s decade-long lack of a full sleep cycle with his physical problems. Beck actually liked functioning on only two to four hours of nightly sleep, not realizing the importance to the body of maintaining regular REM sleep. Without it, humans can develop brain disorders such as Alzheimer’s and Parkinson’s, according to the National Institutes of Health. If a person’s sleep needs go unmet, a sleep debt occurs, and the body cannot function normally. Beck was no longer functional, and he had to find relief or possibly continue his decline.
Beck heard that Carrick Brain Centers had worked “miracles” before, so he paid the Texas center a visit. Beck called staff clinician Dr. Cagan Randall a “medical cowboy” because he saved the day by giving Beck hope. Beck coined the term partly because of the innovative procedures used at the center and partly because of the cowboy boots Dr. Randall wears. The doctors at Carrick Brain Centers found that Beck suffered from an autoimmune disorder and adrenal fatigue, among other issues. They told Beck they could not only stop what was happening to him; they could reverse any damage.
After months of treatment that included changing his sleeping and eating habits, electric stimulation, hormone treatment, physical therapy and going into the off vertical axis rotational device, a piece of equipment that looks as if it might be more at home in an astronaut training center, Beck has indeed reversed his degenerative illness. Beck went from scoring in the bottom 10th percentile in a traumatic brain injury test before treatment at Carrick Brain Centers to achieving a score in the 90th percentile after treatment, which indicates a healthy result.
Whenever an experimental, nontraditional medical procedure is carried out, prominent members of the medical community typically critique it. So it is no surprise that this case has doubters. Nevertheless, if you ask Glenn Beck whether he is happy that he tried something new, he’ll surely respond with a resounding “yes.” After years of undergoing traditional treatment from doctors who were as baffled as Beck, doctors who gave him a prediction that any sort of normal functioning ability would end in five to 10 years, Beck, with a renewed lease on life, is happy he tried an alternative.
Sources:
Traumatic Brain Injury: What It’s Really Like
July 7, 2014 0 comments Blog, Stories Carrick Brain Centers
Imagine you are in an accident. You hit your head – hard – but you seem to be alright. Not too long afterwards you feel almost normal again, and resume your normal daily activities. You just have a lingering headache, … Continued
Imagine you are in an accident. You hit your head – hard – but you seem to be alright. Not too long afterwards you feel almost normal again, and resume your normal daily activities. You just have a lingering headache, some neck soreness, but you assume that’s normal in this situation – it’ll surely fade soon.
But a week or so later, you’re not so sure you’re alright after all. You’ve started having difficulty concentrating, and you seem to get confused more easily. Maybe it’s just the stress of the accident catching up with you. You try to rest and take it easy, to see if that will help. But you start to notice other problems cropping up now, too.
You’re exhausted all the time, and irritable, too. Your head still hurts, and there seems to be something wrong with your eyes – your vision seems blurry, and you’re more sensitive to light than usual. You even start feeling dizzy and nauseous. What is going on?
Now the problems are really affecting your daily life. It’s hard to interact normally with your own family, let alone with coworkers. And getting any real work done? Forget it – between the pain, the brain fog, and the emotional upheaval you’re now experiencing, you’re lucky if you can even make it in to the office. The infuriating part is that you look perfectly normal to others – they can’t understand why you’re having all these issues when everything seems fine on the surface.
Finally, you decide to get help. Something is definitely not right. You seek out a neurologist at Carrick Brain Centers to take a close look at the damage that accident must have done.
At Carrick Brain Centers, doctors do a complete physical exam in order to pinpoint any brain impairments and determine which secondary tests should be performed. They discover that you have indeed suffered a traumatic brain injury, and immediately begin putting together a customized plan of action.
Using therapies meant to help your brain repair itself, by encouraging you to perform activities that target the impacted areas of your brain, your doctors help you to rebuild those damaged neural pathways as quickly as possible. Your symptoms – physical, mental, and emotional – all start to lessen, until your life is your own again.
Finally, you’re free from the debilitating pain. You can think clearly again, and feel as though you’ve been liberated from a cloud of confusion and roiling emotions. You don’t have to deal with the nausea and the dizziness, the blurry vision and the exhaustion, any more. Your family is so relieved to have you back to your regular self again – and so are you.
You return to work with a new outlook, a fresh enthusiasm after being so beaten down for so long. Your coworkers all remark how much better you seem – and you are thrilled to be back.
Because you are back. You’re you again. And being you has never felt so wonderful.
If you are experiencing any of the symptoms mentioned above, contact Carrick Brain Centers. With years of experience behind us, and the latest technology to help us, we would love to make your life better, too.
NFL Agrees to Ditch $675 Million Concussion Damages Cap
July 1, 2014 0 comments Concussions Carrick Brain Centers
Following a federal judge’s concern that there wouldn’t be adequate funds to cover damages, the NFL agreed to remove a proposed $675 million cap on damages in its answer to a concussion lawsuit brought by former players. According to ESPN … Continued
Following a federal judge’s concern that there wouldn’t be adequate funds to cover damages, the NFL agreed to remove a proposed $675 million cap on damages in its answer to a concussion lawsuit brought by former players. According to ESPN legal analyst Roger Cossack, the cap has been the main sticking point in an agreement between the NFL and retired players.1
U.S. District Judge Anita Brody originally denied preliminary approval of the NFL’s proposed deal in January. The $675 million monetary award fund was designated to last 65 years and cover claims from retired players suffering from concussion-related health issues including Lou Gehrig’s disease, dementia and other neurological disorders.2
Since more than 20,000 players are expected to seek damages (more than 4,500 have already filed suit), it’s obvious why the NFL was eager to maintain the cap. Player’s on the other hand want to ensure that there will be enough money to cover their claims for years to come – you can’t predict when past injuries will start taking a toll.3
According to Christopher Seeger, an attorney for plaintiff’s in the concussion lawsuit, “Some of the players were concerned and asking questions about whether they could be in a deal if they weren’t sure there’d be money there for them 40 years from now if they get sick, God forbid … That’s what drove these changes.”3
Concussion Treatment for Athletes at Carrick Brain Centers
At Carrick Brain Centers, we have treated numerous elite athletes with breakthrough therapies such as our patented Off Vertical Axis Rotational Device (OVARD). Our patients include NFL players, who suffer from the long-term effects of concussion (traumatic brain injury) and other neurological disorders. Former Dallas Cowboy and ESPN analyst Darren Woodson came to Carrick Brain Centers following a13-year NFL career.
Says Woodson, “I had a lot of questions, I needed some answers or someone to tell me why is this happening to me. Why am I having these fears?” During a consultation with Dr. Cagan Randall, Staff Clinician at Carrick Brain Centers, Woodson says he learned “Some of these fears can be put aside, some of these fears aren’t as bad as you think they could be.”
One of the symptoms that Woodson and other patients experience following traumatic brain injuries is feeling like they are in a “brain fog.” Woodson typically experienced this fog midday, around noon or 1 o’clock. Because he works as an ESPN analyst, living with the fog was a challenge, since he needs to remember so much information and can’t forget people’s names.
Darren Woodson: “There is hope.”
After concussion treatments at Carrick Brain Centers, Woodson says that one thing he knows following the process is that “there is hope.” Today his energy and stamina have returned, “it feels normal.” Adds Woodson, “That is one thing that has been really impressive after the treatments, throughout the day I’m holding onto information. I’m not getting fatigued after 1 o’clock in the afternoon … and I’m strong throughout the day.”
Learn more about former Dallas Cowboy Darren Woodson’s journey in this short video:
Carrick Brain Centers Talks with ESPN
ESPN contributor Calvin Watkins reported how Carrick Brain Centers is working with former pro athletes to “work through their health issues.” Watkins shared this insight from Carrick Brain Centers Chief of Neurology Andre Fredieu, “Our evidence-based diagnostic tools and protocols utilize multiple therapeutic modalities to enable us to achieve measurable results in the quickest possible time, relieving debilitating symptoms and returning the patient to a measurably better quality of life.”1
If you would like information on breakthrough therapies and concussion treatment programs at Carrick Brain Centers, please contact us for a confidential consultation at 1-855-444-2724.
Photo Source: © pixelcaos – Fotolia.com
Resources:
1. Watkins K. “Concussion case good for ex-Cowboys.” June 25, 2014. ESPN.com website, www.espn.com. Available at http://espn.go.com/blog/dallas/cowbo...for-ex-cowboys. Accessed July 1, 2014.
2. Associated Press, “Judge rejects initial approval.” As reported on ESPN.com website, www.espn.com. Available at http://espn.go.com/nfl/story/_/id/10...on-settlement; updated April 16, 2014. Accessed July 1, 2014.
3. Associated Press. “NFL to remove $675 million cap.” As reported on ESPN.com website, www.espn.com. Available at http://espn.go.com/nfl/story/_/id/11...ssion-damages; updated June 26, 2014. Accessed July 1, 2014.
Carrick Brain Centers Offering PTSD Treatment to Texas Veterans
June 19, 2014 0 comments Blog, PTSD Carrick Brain Centers
Carrick Brain Centers is currently offering veterans who are Texas residents the opportunity to receive treatment for PTSD at no out of pocket cost to the veteran. No formal diagnosis is required and strictest confidentiality will be maintained. Carrick Brain … Continued
Carrick Brain Centers is currently offering veterans who are Texas residents the opportunity to receive treatment for PTSD at no out of pocket cost to the veteran. No formal diagnosis is required and strictest confidentiality will be maintained.
Carrick Brain Centers is a private facility, and is not affiliated with the government or VA. A limited number of spots are available, but our team hopes to help as many of our heroes as possible. Contact Kara Williams at 940-735-2618 or kwilliams@carrickbraincenters.com for more information and to check availability.
According to the National Center for PTSD, approximately 5.2 million U.S. adults deal with post-traumatic stress disorder – or PTSD – in a given year.1 Unfortunately, many people who suffer from the disorder are either afraid to ask for help or run into roadblocks when they try to seek PTSD treatment.
PTSD symptoms can occur following a trauma such as military combat, traumatic brain injury (TBI), sexual abuse, natural disaster, terrorism act, vehicle accident and others. The incidence of PTSD is higher for those who have served in the military (experts estimate that 11-20 percent of veterans of the Iraq and Afghanistan wars suffer from PTSD), than the general population (7 to 8 percent incidence rate in the population).1
Double Whammy: PTSD and TBI
Members of the military and accident victims may also be suffering from symptoms of a TBI (concussion), which can make diagnosis and treatment of both conditions challenging. This is especially true because PTSD and TBI sufferers often experience similar symptoms such as trouble sleeping, depression, anger and anxiety.1,2
Since people who have experienced TBIs should avoid certain medications, it’s crucial that a physician who specializes in TBI and PTSD evaluates the patient, so a proper diagnosis and treatment plan can be developed. Depending on the patient, a treatment plan may be needed for PTSD, TBI or both
Listen to the story of Carrick Brain Center patient, U.S. Army, Sergeant, Ret., Ryan Newell:
Ryan Newell, U.S. Army Veteran from Carrick Brain Centers on Vimeo.
Overcoming Barriers to PTSD Treatment
The biggest hurdle to PTSD recovery is simply not being treated. Because there are a number of stigmas associated with PTSD, many people battling the disorder are afraid to seek help. This is one more challenge that our members of the military (and other U.S. citizens) face.
Admitting he or she needs treatment for PTSD is one of the bravest things a person can do, whether the trauma resulted from combat, abuse or some other event. The longer the patient waits to seek help, the longer it will take him or her to recover and learn to cope with PTSD symptoms.
PTSD Treatments Help Millions, Everyday
It’s important to stress that successful PTSD treatments are available. PTSD therapy and treatment plans can help many patients recover completely and teach others the coping mechanisms they need to better manage daily life. Some treatment options may include:
Psychotherapy or “talk” therapy.
Cognitive behavioral therapy.
Medication (typically administered for depression).2
Stimulation therapy (involves stimulation of the central nervous system).
According to the National Center for PTSD, certain types of therapy can help PTSD patients in a variety of ways, such as:
Coming to terms with the trauma.
Developing skills to cope with negative thoughts and feelings.
Reestablishing relationships with friends, colleagues and loved ones.
Setting manageable goals pertaining work, school and everyday life.1
At Carrick Brain Centers, we focus on addressing the physiological aspects of PTSD and TBI through non-pharmacological, non-invasive therapies. Our team of board certified neurologists, nurses and therapists use a combination of evidence-based diagnostics and cutting edge technologies in our PTSD and TBI treatment plans.
Start Healing Today
Most patients with PTSD can find relief if they seek treatment. Veterans and the general population can find a number of resources at the U.S. Department of Veterans Affairs, National Center for PTSD website. You can learn more about the groundbreaking PTSD and concussion treatments at Carrick Brain Centers on our website or by calling 1-855-444-2724.
June is PTSD Awareness Month and June 27, 2014 is PTSD Awareness Day. If you or someone you know is suffering from PTSD, it’s not too late start treatment.
Contact your family physician, local veterans center or Carrick Brain Centers to get help today. Contact Kara Williams directly, at 940-735-2618 or kwilliams@carrickbraincenters.com to learn about the no-cost treatment program available to Texas veterans. You can also learn more on the TexVet.org website.
Photo Source: © tashatuvango – Fotolia.com
Resources:
1. U.S. Department of Veterans Affairs, National Center for PTSD website, National Center for PTSD website. Accessed June 16, 2014.
2. “What is post-traumatic stress disorder, or PTSD?” National Institutes of Health, National Institute of Mental Health website, www.nimh.nih.gov. Available at http://www.nimh.nih.gov/health/publi...sd/index.shtml. Accessed June 16, 2014.
Kids Safety: Helmets Significantly Reduce Concussion and Brain Injury Risk
June 10, 2014 0 comments Blog, Youth Sports Carrick Brain Centers
Now that summer vacation has shifted into high gear, kids of all ages are enjoying the outdoors on their bicycles, skateboards, in-line skates and scooters. Activities on wheels are popular among kids, but they can also be dangerous – especially … Continued
Now that summer vacation has shifted into high gear, kids of all ages are enjoying the outdoors on their bicycles, skateboards, in-line skates and scooters. Activities on wheels are popular among kids, but they can also be dangerous – especially without a properly fitted helmet.
In fact, the National SAFE KIDS Campaign says that bicycles injure kids more often than any other consumer product except motor vehicles. And according to Johns Hopkins Medicine, “The most common (and often most serious) injury sustained with a bike, on in-line skates, scooters, or while skateboarding, is a head injury.”1
On the upside, public awareness about the dangers of concussions and head injuries is rising. A recent study in the Journal of the American Medical Association attributes an increase in emergency room visits for concussions to this fact.
Unfortunately, only 40 percent or less of children wear helmets while riding their bikes.1 Skateboard-related injuries resulted in more than 78,000 hospital emergency room visits by kids 19-years-old or younger in 2011.2 And Longboarding can be even more dangerous. In addition, skateboarders can suffer concussions and even death as a result of a head injury or collision with cars.
These facts and statistics could be drastically altered if parents, guardians and other authority figures would educate kids to use helmets whenever participating in wheeled sports. According to the National Highway Traffic Safety Administration:
Kids who wear bicycle helmets can reduce the risk of head and brain injury by 85 to 88 percent.3
While statistics may vary for other wheeled sports, 85 to 88 percent is nonetheless significant. Helmets can reduce the risk of concussions and brain injury when used by athletes in all wheeled sports, period.
Don’t Risk It, Helmets Can Reduce Injuries and Save Lives
While some kids who suffer from concussions and brain injuries will fully recover, many will not. Why take the risk? It’s also important to realize that helmets don’t come in one-size-fits-all.
In order to work optimally, your child’s helmet should be:
The right size (an adult helmet won’t protect a child as well).
Fitted and adjusted properly.
Designed for the sport at hand or multi-sport use. Read labels carefully.
Meet or exceed Consumer Product Safety Commission standards.
Replaced at least every 5 years, and when outgrown, damaged or recommended by the manufacturer.2
It also helps to have a serious talk with the child about risks associated with not wearing a helmet and other precautions they should follow during wheeled sports. If possible, visit the parks and trails they frequent.
When choosing skateboard parks, opt for locations that are professionally managed and employ adult supervision. Ask about safety policies and emergency procedures to determine whether they take safety seriously.
If your child is going to ride a bike, skateboard or scooter, or go in-line skating, a helmet is the most important piece of safety equipment they should use. Don’t let them leave home without it.
Photo Source: © Sunny studio – Fotolia.com
Resources:
1. “For Parents: Bicycle, In-Line Skating, Skateboard, and Scooter Safety.” Johns Hopkins Medicine, Health Library. www.hopkinsmedicine.org/healthlibrary. Available at http://www.hopkinsmedicine.org/healt...ety_85,P00818/. Accessed June 10, 2014
2. “Skateboarding Safety.” American Academy of Orthopaedic Surgeons, OrthoInfo website, http://orthoinfo.aaos.org. Available at http://orthoinfo.aaos.org/topic.cfm?topic=a00273. Accessed June 10, 2014.
3. “Demonstrating Bicycle Helmet Effectiveness: A How-to Guide.” March 2009. National Highway Traffic Safety Administration. Available at http://www.nhtsa.gov/DOT/NHTSA/Traff...les/811110.pdf. Accessed June 10, 2014.
4 Steps You Can Take to Improve Balance and Avoid Falls
June 3, 2014 0 comments Blog, Concussions Carrick Brain Centers
The ability to balance naturally declines with age and can also deteriorate after a head injury. Regardless of the cause, it’s important to incorporate balance training into fitness and rehabilitation programs to improve overall health and prevent falls. Falls can … Continued
The ability to balance naturally declines with age and can also deteriorate after a head injury. Regardless of the cause, it’s important to incorporate balance training into fitness and rehabilitation programs to improve overall health and prevent falls.
Falls can be deadly, especially to the elderly. TV’s beloved Ann B. Davis – Alice of “The Brady Bunch” – was 88 years old, and reported to be in good health, when she passed away after a fall at her home this past weekend. The icon suffered a subdural hematoma and never regained consciousness.
According to the Centers for Disease Control and Prevention (CDC), one in three adults ages 65 and above falls each year, and “falls are the leading cause of both fatal and nonfatal injuries,” in older adults. The CDC also reports that 2.3 million older adults were treated in emergency rooms after nonfatal fall injuries, of which 662,000 were consequently hospitalized.1
French researchers who studied the benefits of fall-prevention exercises in seniors found that these exercise programs reduced injury-causing falls by 37 percent. In addition, falls resulting in serous injury were reduced by 43 percent and broken bones reduced by 61 percent.2
If your or a loved one’s balance has declined due to aging or head trauma, such as a traumatic injury (TBI), talk with your physician about including balance training into your wellness or treatment plan. Some simple steps you can take to start improving your balance include:
1. Test your balance regularly. Your treating physician or therapist may perform tests to determine how much your balance and equilibrium has declined. To test your balance at home, grab a sturdy chair (and a “spotter” if you’re the least bit unsteady) and place it on a flat, steady surface.3
Hold hands above the chair in case you need to steady yourself, then close your eyes and stand and balance on one foot. Count the number of seconds you are able to balance without needing to step the raised foot down. According to Vonda Wright, MD, the “shorter your balance time, the ‘older’ your equilibrium is.”3
Wright says that without balance or exercises to boost equilibrium, you can expect to balance less over time as you age:
22-year-olds can expect to balance 22 seconds or more.
30-year-olds average 15 seconds.
40-year-olds average 7.2 seconds.
50-year-olds average 3.7 seconds.
60-year-olds will falter right away.3
Test yourself on a regular basis to see how your treatment or exercise regime is benefiting your balance and if you’re making progress. Patients with vertigo may also require vestibular therapy along with balance training as a part of their overall therapy plan.
2. Take core-focused exercise classes. Along with balance training, look into exercise classes that focus on building strength in the stomach or core muscles. The more strength you have in your core, the more successful you will be at maintaining balance. Classic core-focused exercise programs include yoga, Pilates and tai chi.
3. Add variety and improve balance with a multi-component exercise plan. If you want to amp up the variety and balance benefits in your exercise routine, add other forms of exercise over time, such as strength training. Along with core routines, look for programs that can help you improve endurance, strength and flexibility.4
Along with helping to prevent falls, regular exercise can enable you to: React faster; build muscle to protect joints and bones; strengthen bones; improve brain function; and enhance coordination.4
4. Practice balancing during daily tasks. If you miss your workout once in awhile, make a habit to practice balancing while doing everyday tasks. Balance on one foot while: watching TV, brushing your teeth, washing dishes, listening to music, etc. A little practice time here and there can help keep your balance in check when your schedule heats up.
At Carrick Brain Centers we treat patients suffering from a variety of neurological conditions. Balance training and therapy are key components of the brain injury and concussion treatment plans we develop for patients. To learn more about balance training programs and brain injury rehabilitation at Carrick Brain Centers, contact us for a confidential consultation at 1-855-444-2724.
Photo Source: © Paul Hakimata – Fotolia.com
Resources:
1. “Falls Among Older Adults: An Overview.” Centers for Disease Control and Prevention website, www.cdc.gov. Available at http://www.cdc.gov/homeandrecreation...dultfalls.html. Accessed June 3, 2014.
2. El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. “The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomized controlled trials.” BMJ 2013; 347: f6234. Available at http://www.bmj.com/content/347/bmj.f6234; published Oct. 29, 2013. Accessed June 3, 2013.
3. Wright V, Winter R. “FITNESS AFTER 40: How to Stay Strong at Any Age.” Published by AMACOM Books. 2009.
4. LeWine H, MD. “Balance training seems to prevent falls, injuries in seniors.” Oct. 31, 2013. Harvard University, Harvard Health Blog. Available at http://www.health.harvard.edu/blog/b...s-201310316825. Accessed June 3, 2014.
3 Steps to Helping Kids with TBI Make Friends and Improve Social Abilities
May 28, 2014 0 comments Blog, TBI Carrick Brain Centers
Making friends can be difficult for children under any circumstances. Research shows that for kids who have experienced a traumatic brain injury (TBI), developing strong friendships is especially important.1 Parents can help improve social outcomes for kids with TBIs if … Continued
Making friends can be difficult for children under any circumstances. Research shows that for kids who have experienced a traumatic brain injury (TBI), developing strong friendships is especially important.1 Parents can help improve social outcomes for kids with TBIs if they teach them about friendship and find a variety of opportunities for their child to meet new people.
According to a recent study, having a best friend can help a child with TBI improve social abilities and handle rejection more easily. The study, “Friendship Quality and Psychosocial Outcomes Among Children with Traumatic Brain Injury,” compared 41 children who had TBIs with 43 children who had orthopedic injuries (OI).1
Researchers found that “Children with TBI reported significantly more support and satisfaction in their friendships than children with OI.” They also revealed that for kids with TBI who suffered social rejection, “friendship support buffered against maladaptive psychosocial outcomes, and predicted skills related to social competence.”1
Teach and Enable Kids with TBI to Make Friends
As a parent or guardian of a child recovering from a concussion or TBI, taking a proactive approach to teaching the child how to make friends, explaining what friendship really means and identifying opportunities where they can make friends is crucial. These steps can really make a difference in the child’s long-term ability to handle and feel comfortable in social situations.
If you have a child with TBI, consider taking the following steps to ease the way toward his or her friendship building.
1. Lead by example and discuss. Kids learn how to approach life by watching their parents and other respected elders. How parents interact with other people, is ultimately the actions they will model. What scenarios can you think of that will show what it takes to be a good friend – or at least friendly?
Saying hello to a stranger.
Complimenting someone on how he or she looks or something they did well.
Smiling!
Picking up a small gift for someone who is having a difficult time.
Writing a thank you note to acknowledge something special a loved one did for you.
Saying thank you or other kind words to a store clerk, waiter, postman or the like.
After each experience, reinforce the importance of being kind, polite and doing nice things for others. And remember to compliment the child for doing the same. This will help develop good friendship (and human being) habits.
2. Practice being social and friendly. Before inserting the child with a brain injury into a group, social situation, do a little role playing. Take turns being the person who approaches the other and talk about acceptable ways to interact, such as:
Listening closely.
Showing interest through eye contact.
Asking questions to learn more about the person.
Illustrating how friendships start with give and take – don’t monopolize the conversation, but don’t be too quiet either.
Kids need to find that even balance. It’s also important that they learn that it takes time and trust to build friendships, they don’t happen overnight and it isn’t always easy.
3. Find or create opportunities to interact. Talk with your child about their interests and what activities they enjoy doing with other people. Try to focus on activities that are collaborative vs. combative, then seek out events or activities where they can meet other children. Some opportunities include:
Children’s activities arranged through a place of worship.
Day camps doing activities they enjoy and where they can excel.
Team sports that require a group effort.
Play dates at your home with kids from the neighborhood, school or place of worship. Be sure to plan a fun activity or two in advance so the kids have something to focus on and look forward to.
Musical activities, such as a choir, orchestra or band, depending on the child’s interests.
Car pools, where parents take turns driving kids to scheduled or impromptu events.
Visits to local parks where children they know play and interact.
Repeated exposure to different social scenarios will help a child with a head injury to become more at ease with making friends over time. Once you identify activities and groups where the child blossoms and grows, the long-term implications for positive psychosocial outcomes will progress as well.
Photo Source: © Andres Rodriguez – Fotolia.com
Resources:
1. Heverly-Fitt S, Wimsatt MA, Menzer MM, Rubin KH, Dennis M, Taylor HG, Stancin T, Gerhardt CA, Vannatta K, Bigler ED, Yeates KO. “Friendship Quality and Psychosocial Outcomes among Children with Traumatic Brain Injury,” [abstract]. Journal of the International Neuropsychological Society. Available at http://journals.cambridge.org/action...e&aid=9267778; published online May 19, 2014. Accessed May 28, 2014.
JAMA Study Shows an Increase in ER Visits for Concussions
May 20, 2014 0 comments Concussions Carrick Brain Centers
A new study from The Journal of the American Medical Association found that emergency room visits for concussions, have increased 29 percent in the past four years. The recently published study, “Trends in Visits for Traumatic Brain Injury to Emergency … Continued
A new study from The Journal of the American Medical Association found that emergency room visits for concussions, have increased 29 percent in the past four years. The recently published study, “Trends in Visits for Traumatic Brain Injury to Emergency Departments in the United States,” revealed that a dramatic rise in ER visits occurred between 2006 and 2010. 1
While the exact causes of the jump are still unclear, it is thought that increased public awareness about concussions is a likely contributor. Researchers believe this could be a positive sign, signaling that the dangers of concussions are becoming better known.1
A common misconception is that concussions generally only affect professional athletes, especially those in high contact sports like boxing, hockey and football. There is now a growing awareness that it isn’t just pro athletes that sustain concussions,. In fact, toddlers and seniors were the two groups that saw the largest increase in ER visits, according to the study. 1
Atrophy Found in Brains of Athletes
Although athletes are not the only ones who need to worry about concussions, a second study found that college football players, especially those who had experienced concussions, had atrophy in a brain region critical to creating new memories. The study scanned the brains of 25 football players who had a concussion, 25 players who did not have a concussion, and 25 students who did not play football.2
The study, “Relationship of Collegiate Football Experience and Concussion With Hippocampal Volume and Cognitive Outcomes,” revealed that the hippocampi of players who had been diagnosed with concussions had atrophied, a disturbing development. The atrophy was also seen in players who hadn’t previously been diagnosed with a concussion, but who likely experienced repeated, smaller hits.2
Researchers don’t know whether this atrophy is permanent, but they warn that any amount of atrophy is significant. This news only increases the need for more public awareness on preventing, detecting and treating concussions.2
Know the Symptoms of a Concussion
While concussions (also known as traumatic brain injuries) are serious injuries, symptoms of the condition can be subtle, and often go undetected. After a traumatic brain injury, symptoms may include:
Headache or a feeling of pressure in the head.
Temporary loss of consciousness.
Confusion.
Amnesia surrounding the traumatic event.
Dizziness.
Nausea .
Slurred speech.
Fatigue.3
Watch for Delayed Symptoms
Some concussion symptoms may not be obvious right away, instead manifesting over the course of hours or days. These can include:
Problems with memory and concentration.
Irritability and other personality changes.
Sensitivity to light and noise.
Problems with taste and smell.
Disturbances in sleep patterns.3
When to Act
If you or a loved one experience a head injury and exhibit symptoms of a concussion, you should seek emergency medical care immediately. Anyone who has a concussion should avoid vigorous physical activity while exhibiting symptoms, and athletes should be evaluated by a health care professional before returning to play.
If you want to learn more about the breakthrough concussion treatments and therapies at Carrick Brain Centers, contact us. Call 1-855-444-2724 to schedule a confidential consultation today.
Photo Source: © guynamedjames – Fotolia.com
Resources:
1. Marin J, Weaver M, Yealy D, Mannix R. “Trends in Visits for Traumatic Brain Injury to Emergency Departments in the United States.” JAMA. 2014; 311(18): 1017-1919. Available at http://jama.jamanetwork.com/article....icleid=1869198. Accessed May 19, 2014.
2. Singh R, Meier T, Kuplicki R, Savitz J, Mukai I, Cavanagh L, Allen T, Teague TK, Nerio C, Polanski D, Bellgowan, PSF. “Relationship of Collegiate Football Experience and Concussion with Hippocampal Volume and Cognitive Outcomes. JAMA. 2014;311(18): 1883-1888. Available at http://jama.jamanetwork.com/article....icleid=1869211. Accessed May 19, 2014.
3. “Concussion: Symptoms.” Mayo Clinic website, www.mayoclinic.org. Available at http://www.mayoclinic.org/diseases-c...s/con-20019272. Accessed May 19, 2014.
Managing Dysphagia After a Traumatic Brain Injury
May 14, 2014 0 comments TBI Carrick Brain Centers
Patients recovering from traumatic brain injury (TBI) can suffer from additional health issues post-injury. Dysphagia (difficulty swallowing food or liquids) is one of the most common health challenges following a TBI.1 If you or a loved one suffers from dysphagia, … Continued
Patients recovering from traumatic brain injury (TBI) can suffer from additional health issues post-injury. Dysphagia (difficulty swallowing food or liquids) is one of the most common health challenges following a TBI.1 If you or a loved one suffers from dysphagia, follow your physician’s treatment plan closely to avoid additional health complications.
Dysphagia should always be taken seriously, because it can lead to malnutrition and aspiration of food or liquids into the lungs. Aspiration can lead to pneumonia, which at its worst can be deadly.1
Multiple Factors Contribute to Post-TBI Dysphagia
Dysphagia due to traumatic brain injury can occur for a number of reasons, which is why it is so commonplace. Patients may experience swallowing difficulties due to:
Medication that inhibits the swallowing function or causes GERD (gastroesophageal reflux disease) that damages or scars tissue in the esophagus.
An injury to the throat or esophagus that results during intubation.
Long-term intubation or tracheostomy after injury.
Weakening of swallowing muscles that aren’t used for a prolonged period.1,2
If the patient needs to undergo multiple surgeries to treat a brain injury the odds of experiencing dysphagia increase. In addition, the more severe the injury is, the longer it typically takes for the patient to regain the ability to swallow food or drink orally vs. getting nourishment through a feeding tube.1,2
Some Factors Increase Length of Feeding Tube Use
Other factors increase the likelihood that TBI patients will need to use a feeding tube for a longer period of time. Along with severity of injury, advanced age, tracheostomy placement and loss of voice diagnosed at admission also contribute to prolonged dysphagia and the longer necessity of feeding tube use.2
Patients with TBI may be challenged with memory or behavioral problems, which can complicate recovery, too. With the right treatment plan and a dedication to following therapy recommendations, most patients can overcome post-TBI dysphagia.
Some basic components included in treatment plans for post-TBI dysphagia may include:
Instruction in safe swallowing techniques.
Education on type, consistency and temperature of foods and drinks to introduce and at what time.
Guidance on how to eat, such as take small bites, eat slowly, don’t talk until after swallowing, etc.
A strategy or plan to use if the patient chokes or coughs after swallowing.
Use of memory aids to remind patient to practice safe swallowing techniques.
Participation in dysphagia treatment groups to reinforce education and learn new strategies.
Special accommodations for patients with memory or behavioral issues.
There Is Hope for Post-TBI Dysphagia Patients
Every patient’s brain injury is unique to him or her. So, be sure to maintain an open dialogue with doctors and therapists to monitor recovery and adjust treatment when necessary.
If you or a loved one is suffering from dysphagia following a brain injury, try to stay positive. It may take time and some good therapy, but most post-TBI dysphagia patients recover eventually.
Photo Source: © Valua Vitaly – Fotolia.com
Resources:
1. Mackay LE, Morgan AS, Bernstein BA. “Swallowing disorders in severe brain injury: risk factors affecting return to oral intake.” Arch Phys Med Rehabil. 1999 Apr; 80(4): 365-71.
2. Mandaville A. “A Retrospective Review of Swallow Dysfunction in Patients with Severe Traumatic Brain Injury,” [abstract]. Dysphagia; 14 Jan. Available at http://link.springer.com/article/10....55-013-9509-2; [published online Jan. 14, 2014]. Accessed May 13, 2014.
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