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Learn about the latest in concussion diagnosis, concussion aftercare, other traumatic brain injuries, and brain health.

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Book & Original Illustrations

Meet Dr. Sandel at the Book Signing Event on December 9

Join Dr. Sandel in Oakland on Friday, December 9 from 4:30-6:30pm for a “Shaken Brain” book signing event. Presented by Kim Cole Real Estate.

2022-11 Joint Conference Poster

Patient and Provider Perspectives on Improving Care for Post-Concussion Symptoms

This poster, created for the International Brain Injury Conference in New York in Sept 2022, offers various perspectives on how to improve concussion care. Attached are a reformatted poster presentation and related webinar links.

filming stunt jump

Concussion in Stunt Performers and other Film & Theater Workers

New research by Professor Jeffrey Russell of Ohio University provides evidence that concussion is a serious occupational health risk in stunt performers. They—and likely other film/theater workers—could benefit from concussion management, risk reduction, and education.

Athlete discussing with Doctor

Updating the International Sports Guidelines for Concussion

The 6th International Consensus Conference on Concussion in Sport meets in Oct 2022 to face again the task of revising their sports concussion guidelines. The conference comes in the midst of controversies regarding Paul McCrory, the group’s former chair, and just after a long-awaited statement of causation for CTE from the NIH.

Young businessman with neck pain at work

Why is “Post-Concussion Syndrome” Controversial?

We do not yet have a clear understanding of what happens in the brain immediately after a concussion and over the days and months that follow, especially for those patients whose symptoms persist. Post-concussion symptom rates vary greatly among research studies, likely because the populations studied are diverse and so are the diagnostic criteria and timing of assessments. The wide variation in symptom rates highlights the fact that there is a lot we still don’t know about concussions.

Close up of child with bandage over head wound

Top Causes of Concussion in Children and Adolescents

When we think of “youth” and “concussion,” the first thing that likely comes to mind is a teenager engaging in a high-risk activity such as football, soccer, or snowboarding. But not all youth brain injury results from these risky activities. Of the millions of concussions reported by emergency rooms every year, figures put concussions related to sports and recreation at just 30% – so 70% of concussions result from other causes.

Chiropractor checking neck injury of patient

Is Concussion a Diagnosis?

Clinicians like me say that concussion requires a clinical diagnosis based on the history of what happened to produce the symptoms. However, because these same symptoms appear in other conditions, and we don’t have reliable biomarkers, diagnosing a concussion can sometimes be a challenge. The lingering effects of a mild brain injury can also continue as a chronic condition, often referred to as post-concussion syndrome or persistent post-concussion symptoms, that still require treatment.

Excercise-Sleep-Time To Heal from TBI

3 Things to Do to Allow Your Brain to Recover More Quickly After Brain Injury

After a concussion, people need good sleep patterns, and they also need to resume activity and exercise to aid recovery. Activities with concussion risk should be avoided, however.

older woman with doctor

Traumatic Brain Injury and the Elderly

Traumatic brain injury (TBI) is a leading cause of death and disability among seniors. The cause is often a fall or a motor vehicle accident, but head trauma due to elder abuse or neglect must always be considered, too. Older adults usually have other health conditions and sometimes dementia, so a diagnosis of a TBI can be challenging. The brains of elderly people are also more vulnerable to injury, and many older adults are on anticoagulant medications that put them at risk of brain bleeds. If elder abuse or neglect is suspected, mandatory reporting laws must be followed by certain professionals and even ordinary citizens in some states of the United States.

Woman looking pensively from apartment

Mood Disorders Such as Depression Can Complicate a Brain Injury

A traumatic brain injury can be associated with depression or another mood disorder, possibly because of the disruption of brain chemicals.

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Book Cover: The Shaken Brain