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Brain Injury Diagnosis & Treatment

How are traumatic brain injuries diagnosed, and what treatment is recommended for concussions and other brain injuries?

Slate Article

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.

The Atlantic & Bloomberg magazines

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.

Two soccer players competing for ball

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.

Abstract brain wave concept

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.

UC Davis Health, Dept of Physical Medicine and Rehab

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.

Close up of woman holding neck in pain

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.

3D x-ray of spine/neck

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.

3D illustration of person holding head in pain

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.

Woman with eyes closed holding neck in pain

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.

MRI of brain

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.

Doctor looking at x-ray photo with patient in background

Treatment and Prognosis after a Concussion

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.

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.

health educator sits with patient

A Neuropsychologist is a Brain Injury Expert

Neuropsychologists are psychologists with training in brain functioning. They offer evaluations, education, and counseling for people with brain injuries. Health can educators help, too, because education is a key part of concussion care.

Abstract head and brain

What is ImPACT for Concussion and Who is It For?

The Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), an FDA-approved computerized tool for evaluating people with a suspected concussion, is not a stand-alone diagnostic tool. A comprehensive evaluation that includes additional cognitive testing, a physical examination, and a care plan are necessary.

Doctor holds stethoscope to football helmet

Getting Top-Notch Care after a Concussion

Concussion clinics vary in terms of protocols and personnel. Neuropsychologist Richard Delmonico discusses one model in the Kaiser Permanente health system.

Doctor taking notes from brain x-ray

Can We Adequately Treat Concussion?

Finding a physician specializing in brain injury medicine can be difficult because the field is relatively new, but there are resources to help.

Young football players tackling

Concussion and Youth Football: What’s the Score?

Over a million youth ages 6-12 and 1.5 million age 12 to 17 play football, the most dangerous sport in America. Prevention efforts cannot take away all the risk.

Two soccer players head the ball

The Consequences of Concussions Are Not Necessarily “Mild”

Caroline had a sports-related concussions on the soccer field. Immediate removal from a game or practice after a suspected concussion should be followed by a medical evaluation. Death and disability from second impact syndrome can be prevented with adherence to guidelines and laws enacted in all states and the District of Columbia.

3D illustration of person with hand on head in pain

Concussions or “Mild” Brain Injuries are Still Misunderstood

Even as the incidence of concussions is on the rise in the U.S. and in countries around the world, this injury from a blow to the head remains a largely misunderstood condition. Concussions happen to people from all walks of life—young athletes, the elderly, people injured in motor vehicle accidents,…

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