Brain Injury Support Group
Traumatic brain injury occurs when a sudden trauma causes brain damage. TBI can result from a closed head injury or a penetrating head injury. Symptoms of a TBI can be mild, moderate, or severe, depending on the extent of the damage to the brain. Outcome can be anything from complete recovery to permanent disability or death. A coma can also affect a child's brain.
ElanieLanie
Hi,
We've sort of had this topic come up before, but I thought it would be a good time to start a new thread on it. We've had a lot of new members recently, so this could be helpful.
Would you post the treatments that have worked for you and the treatments that have not worked for you? Or, if you're a caregiver, the treatments that you feel have worked or not worked for the person with the BI & related head/neck injury. This can include any type of treatment - i.e. medical treatment, surgery, medication, therapies, nutrition, home remedies, etc.
One of the reasons I'm thinking this is important, is that I know many of us are struggling with figuring out how to pay for the medical care we need. So, I think having information on what treatments are useful would be a good thing.
And, just one thing I want to add before I post my own list is this - please don't be offended if you find someone else has listed something that worked for them but didn't work for you. Or vice versa. Not everything works for everyone because we all have such different injuries.
Ok, here's my list:
**WHAT WORKED**
FOR HEAD PAIN (specifically blood vessel swelling in my head):
-Cranial Therapy (performed by an Osteopath) has released most of the blood vessel from being trapped.)
FOR VASCULAR MIGRAINE
-Ice on neck (reduces swelling in head)
-Caffeine
-Vicodin (doesn't get rid of the migraine but does give temporary relief from the pain)
FOR NECK INJURY (bulging disc)
-Physical therapy (helped get things moving - not a cure, but a help)
-Ice
-Heat
-Flexeril (to reduce the swelling enough to sleep at night. Also, I take it occasionally during the day when the pain gets really bad)
FOR VERTIGO (Falling over when walking)
-Walking little bits until I could go further & further
-Fluid in my head/inner ear eventually going down (time)
FOR SPEAKING DIFFICULTIES
-Speech therapy
-Time (some of it just naturally got better over time)
FOR COGNITIVE PROBLEMS (Frontal lobe part of the injury - difficulty with Executive Function)
-Cognitive Remediation (done by the Speech Therapist - who knew all that they do? Pretty cool!)
-Time (Some of it seemed to come back after the Cognitive Remediation stirred the process back)
VISION DAMAGE
-Vision Therapy
-Colored eyeglasses for the computer
-Continuing to try to read and utilized the "homework" given by the Vision Specialist
HYPERACUSIS (damage to the inner ear)
-Too soon to tell but I have ear devices that are supposed to either fix or reduce the severity of the pain & the problem with my ear not being able to regulate noise properly
-Ear plugs (Although I can't hear at all then)
-Flexeril
-Forcing myself to listen to music & gradually turning the volume up has allowed me now to be able to tolerate some noise
LACK OF ALERTNESS
-Caffeine (seemed to help stimulate my brain to function & to stay awake. In the beginning I had trouble being conscious during the day.)
-Time (This definitely got better over time.)
FOR DEPRESSION
-Zoloft
-Getting improvements with my injuries. As I did so, I could do more (i.e. read/write/cook a little) and that helped pull me out of the depression)
FOR PTSD
-Psychologist who specialized in PTSD
FOR CONFUSION
-Went away over time
FOR MEMORY PROBLEMS
-Writing things down
-Having my husband remind me to do things
**WHAT DIDN'T WORK**
FOR VASCULAR MIGRAINE:
-Imitrex
(Note - Also 2 other meds didn't work for me, but that was due to side effects (stomach upset) - they were Midrin (now off the market) and Celebrex.
FOR HYPERACUSIS:
-Time (Has NOT helped. Very little improvement with the passage of time, unlike other pieces of my injury which did get improvement over time.)
FOR NECK INJURY (bulging disc)
-Doing too much (Have to be VERY careful about lifting even light things - can set off vascular migraine in head)
FOR VERTIGO
-Effexor (Made me hostile & hallucinate. Only took 1 pill and said "No way!")
Ok, this is a lengthy post, so enough for now. What's your list? :)
We've sort of had this topic come up before, but I thought it would be a good time to start a new thread on it. We've had a lot of new members recently, so this could be helpful.
Would you post the treatments that have worked for you and the treatments that have not worked for you? Or, if you're a caregiver, the treatments that you feel have worked or not worked for the person with the BI & related head/neck injury. This can include any type of treatment - i.e. medical treatment, surgery, medication, therapies, nutrition, home remedies, etc.
One of the reasons I'm thinking this is important, is that I know many of us are struggling with figuring out how to pay for the medical care we need. So, I think having information on what treatments are useful would be a good thing.
And, just one thing I want to add before I post my own list is this - please don't be offended if you find someone else has listed something that worked for them but didn't work for you. Or vice versa. Not everything works for everyone because we all have such different injuries.
Ok, here's my list:
**WHAT WORKED**
FOR HEAD PAIN (specifically blood vessel swelling in my head):
-Cranial Therapy (performed by an Osteopath) has released most of the blood vessel from being trapped.)
FOR VASCULAR MIGRAINE
-Ice on neck (reduces swelling in head)
-Caffeine
-Vicodin (doesn't get rid of the migraine but does give temporary relief from the pain)
FOR NECK INJURY (bulging disc)
-Physical therapy (helped get things moving - not a cure, but a help)
-Ice
-Heat
-Flexeril (to reduce the swelling enough to sleep at night. Also, I take it occasionally during the day when the pain gets really bad)
FOR VERTIGO (Falling over when walking)
-Walking little bits until I could go further & further
-Fluid in my head/inner ear eventually going down (time)
FOR SPEAKING DIFFICULTIES
-Speech therapy
-Time (some of it just naturally got better over time)
FOR COGNITIVE PROBLEMS (Frontal lobe part of the injury - difficulty with Executive Function)
-Cognitive Remediation (done by the Speech Therapist - who knew all that they do? Pretty cool!)
-Time (Some of it seemed to come back after the Cognitive Remediation stirred the process back)
VISION DAMAGE
-Vision Therapy
-Colored eyeglasses for the computer
-Continuing to try to read and utilized the "homework" given by the Vision Specialist
HYPERACUSIS (damage to the inner ear)
-Too soon to tell but I have ear devices that are supposed to either fix or reduce the severity of the pain & the problem with my ear not being able to regulate noise properly
-Ear plugs (Although I can't hear at all then)
-Flexeril
-Forcing myself to listen to music & gradually turning the volume up has allowed me now to be able to tolerate some noise
LACK OF ALERTNESS
-Caffeine (seemed to help stimulate my brain to function & to stay awake. In the beginning I had trouble being conscious during the day.)
-Time (This definitely got better over time.)
FOR DEPRESSION
-Zoloft
-Getting improvements with my injuries. As I did so, I could do more (i.e. read/write/cook a little) and that helped pull me out of the depression)
FOR PTSD
-Psychologist who specialized in PTSD
FOR CONFUSION
-Went away over time
FOR MEMORY PROBLEMS
-Writing things down
-Having my husband remind me to do things
**WHAT DIDN'T WORK**
FOR VASCULAR MIGRAINE:
-Imitrex
(Note - Also 2 other meds didn't work for me, but that was due to side effects (stomach upset) - they were Midrin (now off the market) and Celebrex.
FOR HYPERACUSIS:
-Time (Has NOT helped. Very little improvement with the passage of time, unlike other pieces of my injury which did get improvement over time.)
FOR NECK INJURY (bulging disc)
-Doing too much (Have to be VERY careful about lifting even light things - can set off vascular migraine in head)
FOR VERTIGO
-Effexor (Made me hostile & hallucinate. Only took 1 pill and said "No way!")
Ok, this is a lengthy post, so enough for now. What's your list? :)
TBI is me. First one also gave me epilepsy. Tried every drug then available, last one they tried before Rivertril which I am now taking gave me hepatitus in 21 days at 1 tablet a day. It was dilantan. This is my last choice, helps a lot, but puts on a bit of weight too. But cant go off it. Neck pain I use voltaran cream rubbed in when needed. Heat on my spine and rest when have to helps some. But do get frustrated so much no longer can do, then think of all the others who can do so much less and am thankful for what I can do. Ear pains and hearing loss I am trying to put up with, but professor I am now under for balance and walking issues will decide if he wants that hearing test done again elsewhere. Since second injury which took 50% of left eye sight I have noticed is slurring some words and affected writting which was never good anyway, and changing in ways from right hand to left he hasnt dealt with yet.
for my headaches, neck and back I see a chiropractor, for my depression I take Lovan and used to have therapy but haven't been in a while.
I don't really do anything else but I am having a neuropshycological test in November to see what else will help.
I also have people remind me to do things as I forget everything and writing things down is a good idea too but I sometimes forget to do this.
Following rehab at the inpatient hospital site. I had physical therapy, occupational therapy, Speech therapy as an outpatient that I attended 5 days a week. That was all extremely beneficial.
For the treatment of the aspiration issue I had, the chin tuck, and the electrical stimulation to the throat was very beneficial. Though I do still have to be cautious, at least I don't have to use the thickener in my liquids anylonger.
As far as meds go. I have been on about any and all meds that are offered following BI. It's my personal opinion, now that I take no prescription meds regularly, that I feel so much better physically, and mentally than I ever did while taking any of those meds. Again this is a personal journey!
I suffered in daily pain from the TBI and broken neck. I have taken many pain meds, and gone through many procedures to sever nerves, chiropractic therapy, physical therapy, ect. What worked for me for pain maynot work for someone else. But, what did work for me was, NCR (Neurocranial Restructuring). It took my pain away. And ended my need for pain medication to help bide my time in daily pain.
Exercise is another thing that really did help. Use of low impact exercise like walking, and staionary cycling has also been benficial for the cardiovascular aspect. Also, the pool has also been great for removing that need for standing, releasing pressure, and allowing me to stretch and elongate the spine.
For the vision issues I have had. Prism glasses have been helpful for shopping, and ending the double vision that I dealt with. It also helped me be able to return to driving. Depth perception is still an issue, and I am not sure if that will ever change. TIME it all takes time!
The memory, aaa yes the memory, well that is something that has also improved with speech therapy, TIME, and something I found that is in any health food store, Fish oil. I trully believe in the Fish oil. It gave me the ability to remember!
I will say that all of the above issues have improved as TIME has passed, and I have learned to adapt to this new me that I have. There is so much more, but this is getting long. I would have to write a book. Hope maybe something here is helpful to someone.
Take care, and Best wishes on this journey to everyone here!
Time, patients, laughter, lots of love from family and friends, a good old fashioned stubborn streak (unwilling to give up or settle for any less). Having my neck and back aligned got rid of my headache (I had for 3 months). Resting when I needed it and even more time.
The meds weren't working for me. I threw them all in the toilet when I got home and never mentioned them again.
What worked...
FOR MEMORY (my long term was intact, short term damaged)
- some part slowly returned
- writing things down in a planner
- lots of sticky notes
- repetition
FOR MIGRAINES
- Rest
- On-and-off ice
- Excedrin Migraine/PM
FOR MOOD
- Lamictal
- Seroquel
- Tramadol
- Invega
- Psychotherapy
FOR ANXIETY
- Serax
- Psychotherapy
FOR NAUSEA
- OTC "Nauzene"
FOR CONFUSION
- Rest
FOR CONCENTRATION
- Time
- Frequent breaks
FOR FATIGUE
- Caffeine from Coffee, Diet Soda, Tea
- Naps
- Going to bed early
FOR MOTIVATION
- Spacing out tasks
FOR SEIZURES
- Lamictal
FOR INSOMNIA
- Seroquel
What didn't work...
FOR COCENTRATION/MEMORY
- Cognitive Therapy (didn't like it)
FOR MOOD/ANXIETY
- St. John's Wort
- Zoloft
- Topamax
- Pamelor
- Trileptal
- Tegretol
- Keppra
- Klonopin
- Geodon
- Abilify
FOR SEIZURES
- Trileptal
Yeah, there's more stuff. I can't remember it right now. I hope that's enough to list!
Also, everything is different for the person. Brains are soooo different. Functioning is dependent on the person, the severity of injury, and the location of the injury (frontal, parietal, temporal, occipital lobes all have different functions and effects from the TBI).
I should try the socrocranial therapy. Maybe it will help me as well.
I wonder if Brain Repair Formula will help?
http://www.newportnutritionals.com/whats_in.html
There's also Neuro Cranial Reconstruction & Nuerofeedback I have yet to try.
Chiro & accupunc were OK for short term- don't know if they do anything long-term.
The anger and paranoia were helped by neurofeedback. The depression was helped by Lexapro.
We've tried meclizine and dramamine for dizziness, neither helped. She's done some PT but it really didn't seem to make a difference. We are going to try more PT soon. Have evaluation appts set up for Vision Therapy. We're also going to try acupuncture. What I really want to do is get her into a rehab program where they will work with her 5-6 hrs a day....still working on that.
#1 for everything - time
For anxiety/depression
Zoloft
accepting myself and my continued best efforts as good enough
For memory
Aricept
pocket recorder to say things as I think of them
iPad w/ Evernote app for notes I can't lose (syncs to pc/Mac)
For fatigue, physical and mental
enough sleep at night (varies)
yoga
relaxation breaks (lie down, timer on, totally relax 15 minutes)
diet (whole grain bread, protein, milk/soy milk, apple, etc.)
eating every 2 hours or so
strolling, ambling, walking
for light sensitivity
DARK sunglasses (Rx)
Rx glasses that darken in the sun
ball cap for sunny walking
for tinnitus
having a fan on to sleep
living in a swamp with frogs and bugs to mask the noise =)
white noise or any not-loud sounds as background noise
Difficult to list it all, but I'll give it a shot.
My injury was misunderstood for a long time. The obvious injury from my fall, even though I struck my head hard twice in the fall, was my separated shoulder. They fixed that 4 days later with surgery. Never was TBI even investigated. 1 1/2 years later, a sports injury threw everything out of whack. Over 12 years of sever neck and head pain I saw some 24 doctors, and truly they never really helped me other than giving me meds, which was merciful but hard on me over the long term.
Ok, my list:
My primary complain for 12 years was neck pain, though looking back I realize that TBI was involved all along. At one time I 'thought' it was 'cervical facet syndrome', 'i thought it was myofacial pain'. I was finally dx'ed with spinal stenosis, but that didn't explain it all to me. It turns out most of that was caused by structural damage up inside my head near the axis area where i'd apparently gotten locked into an off-center configuration which caused the never-ending pain.
So what didn't help:
Trigger Point Injections
Facet Block Injections
Atheroscopic Surgery: Cervical Discectomy - Horribly didn't work.
What did work:
Vicodin, then Oxycontin from 40mg to 120mg, then MS Contin form 120mg to 180mg - allowed me to sleep and cut the pain, but didn't improve or address the source of pain but it was restorative to my quality of life, to a point.
5 years ago, NeuroCranial Restructuring (NCR) ended the 12 years of pain in 3 days of treatment, after 12 years and 7 weeks of constant pain. It didn't END it but reduced it to a fraction when i didn't need meds any more.
for the next 9 months, i could not use Executive Function. I couldn't work and do computer programming, my career field. I couldn't plan what i was going to do an hour from now. I would try day after day and get nowhere. Becuase the damage to my skull pressed on the frontal lobe, i had another NCR treatment and have been recovering my career slowly ever since. Immediately after that treatment I became productive in programming again. That was after 9 months of trying without success.
About 7 months later, wrestling with anxiety that never seemed to go away, i had my 3rd NCR series. That did effectively reduce the anxiety to almost nothing.
Let me add a disclaimer. I saw 3 different doctors. They were all good. We have a member here who tried NCR and had bad results. Her doctor did it in a very unusual way - so if anyone is going to try it, i highly recommend getting a certified doctor. Her's wasn't.
I feel that Fish Oil, Omega-3's helped me some, not sure how much.
Today, I feel that 2 or 3 more NCR series would help me with Frontal Lobe pressure which is at least partly the cause of Exec Function issues where i still feel pressure on the top of my head, which is one of two places i struck in my original head-first 1 story fall.
Unfortunately, since the source of my pain was so 'mysterious' for so long, I got laughed at applying for disability and the 'safety net' wasn't there for me, so finances are preventing me from doing much more. I am on the recovery trail, back in my career, thought a low wage and I expect upcoming months to see further improvements in life and health. Positive :)