March is Brain Injury Awareness Month!
To build awareness for brain injury this month, we wanted to address the top 5 questions we often receive regarding brain injury from our patients, their families, and community members:
Question: Is a concussion different from a brain injury?
Answer: Nope!
A concussion is considered a mild traumatic brain injury; so, the terms are often used interchangeably. However, "mild" does not necessarily mean "no serious impact"; it is a descriptor medically used to indicate risk of death. So, although it has a low risk of death, a concussion may be life-altering to some. When symptoms after concussion do not resolve, these are called "complicated post-concussive symptoms" and should be treated medically.
Since brain injuries are cumulative (the sum is greater than the individual injuries), avoiding re-injury after concussion is also important.
Question: Could I have a brain injury if I didn't hit my head?
Answer: Yes!
An acquired brain injury is any injury to the brain that happens after someone is born. A traumatic brain injury happens when the brain is injured by an external force. Due to the movement of the brain inside the skull when an abrupt change in motion is experienced, contact with the inner skull can result in an injury to the brain, even when no direct physical trauma to the outside of the head/skull has occurred.
If you've noticed a change in your thinking skills or physical symptoms like headache, vertigo, extreme fatigue that have occurred after an injury or event and did not quickly resolve, make sure to let your doctor know! We often see patients at Progressive Therapy Associates who have experienced a mild traumatic brain injury in this manner. Our aim is to help these individuals recover cognitive function and reduce symptoms through cognitive-communication therapy when this is an appropriate part of their treatment plan.
Question: "If I didn't lose consciousness, could I still have a concussion?"
Answer: Yes!
It is a common misconception that a concussion (which is a mild traumatic brain injury) is diagnosed only when someone loses consciousness or "blacks out". This is not the case! Although some individuals may experience loss of consciousness briefly, a concussion may be diagnosed both with or without loss of consciousness. It may even be the case that no symptoms are immediately apparent following the event, but start to become noticeable hours or even days later. Every brain is unique!
If you've experienced symptoms such as nausea, dizziness, headache, vision changes, balance changes, confusion, fatigue, or difficulty remembering events or information following an injury, see your doctor.
Question: "If my imaging was clear, why do I feel so 'off'?"
Answer: The way the brain changes at the cellular and neurochemical level after injury is not visually detectable on commonly used scans, such as CT or MRI. This means that symptoms of traumatic brain injury experienced by an individual are not able to be visually confirmed via imaging. This does not mean that what's happening in your brain is "all in your head", however!
Imaging is an important medical tool used with brain injury to rule out the need for surgical intervention (such as when someone has experienced a brain bleed, blocked artery, brain swelling, or cerebrospinal fluid concern, etc.). While research in the field of imaging is evolving and working toward better detection techniques all the time, it is more common than not (upwards of 80% of the time) that symptoms experienced post-brain injury are not visibly detected. Therefore, visible detection is not used alone in diagnosing brain injury.
Question: My injury was so long ago… is it too late to get help?
Answer: Definitely not!
It’s never too late to get help! At Progressive Therapy Associates, we see people at various stages post-injury, from days to weeks to years (and sometimes decades!). Goals from person-to-person are individual to their needs. The principle of neuroplasticity (brain change) indicates that skills can be learned by the brain across ages and stages of life. This is true for children and adults just as it is true for individuals both immediately following and long-term post-injury. Sometimes cognitive-communication focus is on regaining function (rehabilitation) and sometimes we focus on strategy development (compensatory) to lessen an injury’s impact on an individual’s day-to-day life. There are times that sustaining a subsequent brain injury or experiencing an increase in life demands may warrant reassessment in a new season of life. Either way, it is never too late for treatment!
If you have unresolved brain injury symptoms or concerns, contact your doctor today! Call us to schedule a FREE consultation to determine whether our services are a match for your needs: 701-356-7766
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