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.
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Stories of opioid-related disability and death are in the news frequently because of a surge in the use of these substances over the past few decades. For people with a history of brain injury, including concussions, the risks of using opioids are higher than for those without this medical history. Learn about the benefits and dangers of these substances, some of which are not only legal but widely prescribed for acute and chronic pain.
Headaches are extremely common after a traumatic brain injury, but there are various treatments that vary depending on the phenotype or cause.
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 must be evaluated with a comprehensive history and physical examination. There are many options for treatment, but diagnosis has to be the first step.
Conventional treatments like medications may not help symptoms after a brain injury. Complementary or alternative treatments may help.
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.
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Get updates on the latest in concussion, brain health, and science-related tools from Dr. Elizabeth Sandel, M.D.