Introduction

Concussion and traumatic brain injury (TBI) are serious medical conditions that can have long-lasting effects on a person’s physical, cognitive, and emotional well-being. While often linked with contact sports, these injuries can occur in everyday situations such as falls, car accidents, or even minor impacts. It is important to understand the causes, symptoms, and potential treatments for concussions and TBIs, particularly as many people may not seek immediate care due to the subtlety of initial symptoms.

In this blog post, we’ll explore the causes, symptoms, red flags, and potential treatments for concussions and TBIs, with a focus on how conservative care can be an essential part of the recovery process.

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What is a Concussion?

A concussion is a type of traumatic brain injury that occurs when an impact causes the brain to move rapidly within the skull, leading to temporary dysfunction in brain function. Unlike more severe TBIs, a concussion may not involve structural damage to the brain, but the symptoms can still be significant. It’s essential to treat concussions seriously, as repeated or untreated concussions can lead to long-term brain damage.

What is a Traumatic Brain Injury (TBI)?

A traumatic brain injury (TBI) occurs when an external force causes damage to the brain. TBIs range from mild (concussions) to severe, where the damage can be life-altering. The severity of the injury is typically determined by loss of consciousness, amnesia, and cognitive disruption.

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Causes of Concussions and TBIs

Both concussions and TBIs are caused by an external force that jolts or impacts the head. The most common causes include:

1. Falls: One of the leading causes of concussions, especially in older adults and children, is falling. A simple trip or slip can result in a head impact, causing a concussion or more severe TBI.
2. Sports Injuries: Contact sports such as football, soccer, hockey, and basketball are common culprits. Athletes may experience repetitive impacts to the head, increasing the risk of concussions.
3. Motor Vehicle Accidents: Sudden acceleration or deceleration during a car crash can cause the brain to strike the inside of the skull, leading to concussions or more severe forms of TBI.
4. Blunt Force Trauma: Being struck by an object, whether during an assault or an accident, can cause head injuries of varying severity.
5. Explosions: Blast injuries, common in military combat scenarios, can lead to concussions even without direct head trauma due to the pressure wave impacting the brain.

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Symptoms of Concussions and TBIs

Symptoms can vary widely depending on the severity of the injury, and they may not always appear immediately. In fact, some symptoms can take hours or even days to manifest. Common symptoms of concussions and mild TBIs include:

• Headache or pressure in the head
• Dizziness or balance problems
• Nausea or vomiting
• Blurred vision
• Sensitivity to light and noise
• Confusion or memory problems
• Difficulty concentrating
• Slurred speech
• Fatigue or drowsiness
• Mood changes or irritability

These symptoms can often be overlooked or attributed to other causes, but if they follow a known head injury, they should be taken seriously.

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Red Flags: When to Seek Immediate Medical Attention

While most concussions and TBIs are mild and recoverable, there are red flags that may indicate a more severe injury requiring immediate medical attention:

• Loss of consciousness lasting longer than a few minutes
• Repeated vomiting
• Severe headache that worsens over time
• Seizures
• Weakness or numbness in limbs
• Clear fluid or blood leaking from the nose or ears
• Dilation of one or both pupils
• Inability to wake up or increasing drowsiness
• Unusual behavior or confusion that doesn’t improve
• Loss of coordination or difficulty walking

If any of these symptoms are present after a head injury, emergency medical care is necessary to rule out serious complications like brain bleeding or swelling.

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Conservative Care for Concussion and TBI Recovery

Conservative care focuses on non-invasive methods to support the body’s natural healing processes. While rest and monitoring are typically the first steps after a concussion, conservative treatment can help address lingering symptoms and promote faster recovery. Here’s how conservative care can be beneficial:

1. Cervical Spine Manipulation

Head trauma often causes dysfunction in the cervical spine (neck), particularly if the injury was due to whiplash from a fall or car accident. Dysfunction in the upper cervical vertebrae can affect nerve function and even exacerbate concussion symptoms such as headaches, dizziness, and nausea. Gentle adjustments or physical therapy to correct these dysfunctions can reduce nerve irritation and improve overall neurological function.

2. Improving Blood Flow

Proper spinal motion ensures that blood can flow more effectively to the brain. This is important for healing, as the brain requires a steady supply of oxygen and nutrients to recover from injury. Techniques such as soft tissue manipulation, mobilization, or therapeutic exercises can help reduce constriction in the neck that may be limiting blood flow to the brain, thus aiding recovery.

3. Reducing Inflammation

Inflammation around the neck and shoulders is common after concussions or TBIs, especially if the injury resulted in whiplash. Conservative techniques such as manual therapy, soft tissue massage, and therapeutic exercises can help reduce inflammation and muscle tension, promoting faster recovery.

4. Vestibular Rehabilitation

Balance issues are a common symptom after a concussion. Vestibular rehabilitation is a specialized form of therapy designed to help retrain the body’s balance system. This can involve specific exercises to improve coordination, reduce dizziness, and restore balance. Patients with lingering vestibular symptoms after a concussion often benefit from this approach.

5. Neck Pain and Headache Relief

Many individuals with concussions experience chronic headaches and neck pain. Conservative care, such as manual therapy and targeted exercises, directly addresses these symptoms by relieving muscle tension, reducing nerve irritation, and improving spinal alignment. Non-invasive techniques can help manage pain and restore mobility without the need for medication.

6. Neurological Function Support

Conservative care often includes treatments that focus on optimizing the nervous system’s function. Techniques such as therapeutic exercise, gentle manipulation, and physical therapy can help reduce pressure on nerves, allowing the nervous system to function properly. By supporting the nervous system, conservative care enhances the body’s natural ability to heal from concussions and TBIs.

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Conclusion

Concussions and traumatic brain injuries are serious conditions that require proper diagnosis and treatment. While many individuals recover from mild concussions with rest and time, others may experience lingering symptoms that affect their quality of life. Conservative care offers a non-invasive, holistic approach to supporting recovery, particularly for those experiencing symptoms like headaches, neck pain, dizziness, and balance issues. By focusing on spinal alignment, reducing inflammation, and supporting neurological function, conservative care can play a significant role in helping individuals recover fully after a brain injury.

If you or a loved one has suffered a concussion or TBI, consider exploring conservative care options such as physical therapy, manual therapy, and other non-invasive approaches that target both the physical and neurological aspects of the injury. Comprehensive treatment is key to ensuring long-term recovery and reducing the risk of further complications.

Written By: Dr. Grant Weihrauch