Archive
Brain Injury Diagnosis & Treatment
How are traumatic brain injuries diagnosed, and what treatment is recommended for concussions and other brain injuries?
Comprehensive Care of Concussions
Dr. Richard Delmonico, a neuropsychologist, outlines the approaches to triage and treatment in a concussion clinic in the Northern California Kaiser Permanente health system. He also discusses the uses of neuropsychological testing to help with diagnosis and management of people with concussions and other brain injuries.
Concussions in College Athletes
Dr. Melita Moore, a physiatrist, sports medicine doctor, and brain injury medicine physician reports about her experiences when she served as the physician for University of California Davis sports teams. She discusses collision sports such as football and soccer that have a high incidence of concussion, but also other sports…
Managing Concussion-Related Pain
Dr. Steven Moskowitz is a physiatrist specializing in pain management. He discusses the various painful conditions, including neck pain and headaches, that occur at high frequency after concussion and related trauma. He advocates for a biopsychosocial approach to the evaluation and treatment of these conditions.
The Post-Concussion Syndrome
Physiatrist Dr. Mel Glenn discusses the evaluation of the many symptoms that are part of a chronic condition called post-concussion syndrome or disorder that occurs in some patients after a concussion. He offers advice on the treatment of headaches, sleep disturbances, and other conditions.
Concussions in Young Children
Dr. Maya Evans is a pediatric physiatrist who treats children and adolescents with brain injuries, including concussions. She discusses the special needs of these populations for expert care and also advocates for prevention strategies.
Concussion in Young Children: What You Need to Know
An early childhood teacher talks with Dr. Sandel about about concussion in young children. What causes it? What do we need to look for? And how can we help during the recovery process?
Brain Injury Research — Still Lacking in the 21st Century
There are many unanswered research questions about concussion diagnosis, pathophysiology, risk factors, and effective treatments. About 50 are included here to emphasize the fact that we still need a lot more research in brain injury medicine for advances in diagnosis and treatment.
What’s It Like to Have a Brain Injury?
Stories of people who experience a traumatic brain injury can help to support and educate others. Seth had a protracted recovery, but ultimately a good one. (2 parts)
What Effect Does Concussion Have on Learning?
Stories of athletes like Brittany who experience concussions or more severe brain injuries can help to educate others. She did get back on track.
A Parent’s Key Role after a Child’s Concussion
Parents play a major role in identifying the effects of concussions in their daughters and sons, helping them manage symptoms, and supporting their recovery.
Be a Parent Advocate for Children and Youth Sports Concussions
Parents must communicate with the school after their son or daughter has a concussion to make sure that there are accommodations if needed during recovery.
Healing through Art & Science
Kaiser Foundation Rehabilitation Center, Kaiser Permanente’s regional rehabilitation inpatient and outpatient hospital in Vallejo, California celebrates its art program. The producers interview Dr. Sandel, a former Medical Director, and others at the Center about their work with patients using art as a medium of expression.
AMA Hub offers Concussion CME
The AMA Ed Hub has posted the CME program produced by Dr. Sandel and Concussion Alliance.
Is There a Connection Between Mild TBI and Mental Health Disorders in Adults and Children?
In a recent study, researchers at Kaiser Permanente found that risks for affective and behavioral disorders were significantly higher in the years post-injury for children and adolescents with a history of mTBI—especially for 10- to 13-year-olds. They emphasize the importance of regular interval screening for affective and behavioral disorders in children and adolescents who sustain a mild TBI. This post includes a slide presentation and Q & A with two of the researchers, Richard Delmonico, PhD, and Brian Theodore, PhD.
Concussion Alliance Co-Founders Interviewed for Slate Article
More and more journalists are writing about concussion, in many cases because they have had a concussion themselves or have friends or relatives who have experienced one. In March, 2024, Isobel Whitcomb interviewed Concussion Alliance co-founders Conor Gormally and Malayka Gormally for an article in Slate. It is concerning that bad medical advice (“just rest”) is still being given to concussion patients as is clear in Whitcomb’s story.
Concussion Care Highlighted in The Atlantic and Bloomberg News
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 6th International Consensus Statement on Concussion in Sport–What’s New?
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.
What Is Cognitive Rehabilitation Therapy?
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.
Patient-Centered Concussion Care
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.
Evaluating and Treating Headaches After Brain Injury
Headaches are extremely common after a traumatic brain injury, but there are various treatments that vary depending on the phenotype or cause.
Post-Traumatic Headaches: Not Just One Type or Treatment
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.
Check the Neck after a Brain Injury
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.
Three Alternative Treatment Modalities to Ease Brain Injury Associated Symptoms
Conventional treatments like medications may not help symptoms after a brain injury. Complementary or alternative treatments may help.
Brain Imaging after an Injury
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.
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