A physiatrist (physical medicine and rehabilitation physician) treats disorders of the muscles, bones, and nervous system, and may practice in inpatient or outpatient settings. Physiatrists usually provide care with other rehabilitation providers such as physical, occupational, and speech therapists, and may work in teams for patients with catastrophic injuries or complex disorders, especially in rehabilitation hospitals.
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. 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.
In part one, Dr. Sandel talks about physical medicine and rehabilitation and it’s broad scope. In part two, she discusses her mission to educate the public about brain injuries, including concussion. In part three, she discusses what happens to the brain with concussions and repeated concussions. She ends with a case of a patient with a complex diagnosis after a traumatic event that required the diagnosis in order for the best treatment approaches.
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.
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.
Conventional treatments like medications may not help symptoms after a brain injury. Complementary or alternative treatments may help.
Stories of athletes like Brittany who experience concussions or more severe brain injuries can help to educate others. She did get back on track.
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Get updates on the latest in concussion, brain health, and science-related tools from Dr. Elizabeth Sandel, M.D.