Brain Injury Diagnosis & Treatment
How are traumatic brain injuries diagnosed, and what treatment is recommended for concussions and other brain injuries?
Sleep disturbances are common after brain injury and require comprehensive evaluation and management. Other sleep disorders such as difficulty falling asleep, staying asleep, and excessive daytime sleepiness are common. Some patients with brain injuries develop sleep apnea, and screening for this disorder is important because of the risk of hypoxia and strokes that lead to additional brain injury.
Brain injury medicine requires additional training for neurologists, physiatrists, and psychiatrists to become board certified. The field is growing but a shortage of physicians with this specialized training is a challenge for patients to find expert care.
Dr. Andrew Judelson, a physiatrist and sports medicine physician at Spaulding Rehabilitation Hospital, discusses sports-related concussion evaluation and treatment at his outpatient clinic on Cape Cod.
Military blast injuries can impact the brain, the lungs, the heart, and other organs in the body. Early diagnosis is very important. Dr. Sandel discusses brain injuries in the military with physiatrist Dr. Hetal Lakhani and her patient, Richard Reeves.
Dr. Cheri Baluwet, a Paralympic athlete, physiatrist and sports medicine physician, has insights on concussion in Paralympic sports, and the differences in evaluation, prevention, and management for these elite athletes.
Dr. Jacqueline Theis is a neuro-optometrist who specializes in the evaluation and management of athletes and other people who have experienced one or more concussions. She also speaks from her own experience of having had concussions playing soccer, and having difficulty finding experts.
Dr. Sandel discusses concussion risks and prevention strategies for children on Mom Talk Radio. She talks albut diagnosis, recovery, and talking to kids about concussion. She has lots of advice about nursery products and playground injuries, and suggestions about websites for more information.
Dr. Sandel comments on the many possible reasons proposed for differences in concussion incidence and why males and females playing the same sport may have different rates of concussion and recovery times.
Dr. Seth Fischer talks about his concussion recovery, his chronic symptoms, and insurance and legal issues he has faced. This is the second of two interviews. In the previous interview, Dr. Fischer tells the story of a bicycle-car crash that resulted in his having headaches and other chronic symptoms from…
Seth Fischer tells the story of a bicycle-car crash that resulted in his having headaches and other chronic symptoms from what was labeled a mild brain injury or concussion. This is the first of two interviews. In a subsequent interview, Dr. Fischer talks about his recovery, his chronic symptoms, and…
Dr. Maureen Miner is a physiatrist and an expert in brain injury medicine. She discusses her approach to patients with concussion and more severe brain injuries who need specialty care and referral to other specialists for evaluation and treatment.
Dr. Ernie Bryant is a neuropsychologist with decades of experience treating people with brain injuries of all severities, including concussion. What is a neuropsychological evaluation? Dr. Bryant presents a case of a worker whose neuropsychological examination was complex as is often the case with brain injuries, especially concussions.
I collaborated recently with Conor Gormally of Concussion Alliance to advocate for individualized and comprehensive concussion care in mainstream news stories with journalists who recounted personal stories of concussion. Here’s what The Atlantic and Bloomberg published.
The Statement summarizes scientific research and provides some updated recommendations for athletes at risk for concussions. But, it’s been mired in controversy regarding the strict criteria governing which research was included. Read Dr. Sandel’s insights into the process and conclusions.
Cognitive Rehabilitation Therapy (CRT) is an evidence-based approach to addressing multiple cognitive impairments caused by a traumatic brain injury. Restorative CRT strengthens cognitive abilities, and compensatory CRT provides strategies to reduce the impact of deficits.
Presenting to the physical medicine and rehabilitation (PM&R) residents at the UC Davis School of Medicine sparked a lively exchange about patient-centered concussion care. Learn more about the challenges and possibilities for transforming concussion care.
Conventional treatments like medications may not help symptoms after a brain injury. Complementary or alternative treatments may help.
Whiplash and cervical strain occurs when a person’s head and neck are forced back and forth, injuring soft tissues of the neck. They are common after brain injuries.
Headaches are extremely common after a traumatic brain injury, but there are various treatments that vary depending on the phenotype or cause.
Headaches must be evaluated with a comprehensive history and physical examination. There are many options for treatment, but diagnosis has to be the first step.
CT and MRI scans are the most common imaging modalities to evaluate people with traumatic brain injury, but advanced imaging methods are more promising for diagnosis and prognosis. However, interpretations of findings can vary.
Learn about treatments for post-concussion symptoms—including medication, various rehabilitation therapies, neuropsychology, and potentially some complementary therapies—as well as factors related to longer concussion recovery times.
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.
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.
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Get updates on the latest in concussion, brain health, and science-related tools from Dr. Elizabeth Sandel, M.D.