Archive
Text
The Medical Specialty of Physical Medicine and Rehabilitation
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.
Rest Assured: Quality Sleep Supports Recovery From Brain Injury
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: My Journey
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.
TBI in Active Military and Veterans
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.
Veterans Can Face Both a Brain Injury and PTSD
Post-traumatic stress disorder can co-occur with a brain injury in military and civilian populations. Screening tests for PTSD should be used for any patient with a brain injury or suspected concussion. Symptoms for these two conditions can overlap, but all symptoms require management regardless of cause.
Cognitive Deficits In Veterans After Brain Injury
Cognitive deficits experienced by military personnel and others can be successfully treated with cognitive therapies.
The Emotional Consequences of Brain Injuries in Military Personnel
Military servicemen and servicewomen need early neurologic and psychiatric evaluations and comprehensive treatment after a traumatic brain injury.
A Veteran Talks About his Brain Injuries and Care at the VA
A veteran talks about his experiences with several concussions, and his successful treatment with cognitive and group therapies at the Veterans Administration program in Martinez, California.
Military Blast Injuries Can Injure More than the Brain
Military blast injuries can impact the brain, the lungs, the heart, and other organs in the body. Early diagnosis is very important.
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.
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.
Why I Am Not Surprised About the Latest CTE Research
Millions of children play contact and collision sports in the US, with high risks for head impacts. Repetitive hits can result in concussions or subconcussions without immediate evidence of neurologic injury. CTE is a brain disorder caused by repetitive hits to the brain from sports such as football and soccer. The latest study from Dr. Ann McKee’s brain lab at Boston University links CTE to child athletes who died before the age of 30.
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.
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.
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.
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.
Keep up to date
Get updates on the latest in concussion, brain health, and science-related tools from Dr. Elizabeth Sandel, M.D.
By clicking SIGN UP, you agree to receive emails from Dr. Sandel and agree to our terms of use and privacy policy.
