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Neck Injury as Potential Contributor to Concussion Symptoms

In 2015, Dr. John Leddy and his groundbreaking concussion team at the University of Buffalo published a peer reviewed article cautioning that symptoms after head injury, including cognitive symptoms, that have traditionally...more

Neuroendocrine issues, often overlooked following TBI, leave patients with unnecessary chronic symptoms

In prior posts I have discussed the growing evidence that traumatic brain injuries, even so-called “mild” traumatic brain injuries (mTBI), can lead to neuroendocrine dysfunction (NED) – most commonly growth hormone (GH)...more

Improving sleep with morning exposure to blue light leads to quicker recovery from uncomplicated mTBI

I have discussed research on the important role of sleep in TBI recovery in prior posts. Accordingly, I have encouraged clients to get help with sleep issues as soon as they become apparent after an injury. Studies have shown...more

Gut Microbiota as a Compelling Therapeutic Avenue for Traumatic Brain Injury

In a recent review the literature, researchers at the Walter Reed Army Institute of Research identified the establishment of a protective gut microbiota as a “compelling therapeutic avenue” for the treatment of traumatic...more

Traumatic Brain Injury and PTSD may Not be Separable; Evidence Demonstrates Shared Symptoms and Pathophysiology

Post Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI) have been often been viewed as two distinct conditions, one with an “emotional” cause and the other with a “physical” cause. It has been recognized for...more

Headaches and Photosensitivity following Concussion – Review of the Literature

As discussed in prior posts, the most common symptom of post-concussion syndrome (PCS) is post-traumatic headache accompanied by photophobia (heightened sensitivity to light.) These symptoms can interfere with both work and...more

Potential paradigm shift in the treatment of mild traumatic brain injury (concussion)-use of vision therapy to improve high level...

In prior posts I have discussed the growing understanding in the scientific community that vision is often disrupted in subtle ways following a concussion (both the ability of the eyes to track and higher level visual...more

AMA Journal concludes that “the term mild TBI misrepresents the immediate and long-term burden of TBI”

In 2003 CDC sent a report to Congress on “mild” traumatic brain injuries. (MTBI, also sometimes called “concussion.”) The report cautioned that, contrary to past understanding, “mild” brain injuries can cause serious,...more

Should I Sue for Personal Injury, Part 5 - Does it ever make sense to negotiate on my own and avoid attorney fees?

Does it ever make sense to negotiate on my own and avoid attorney fees? Insurance companies typically will try hard to settle personal injury claims quickly, before the injured person contacts a lawyer....more

Should I Sue for Personal Injury, Part 4 - What is My Case Worth?

What is my personal injury case worth? This is the ultimate question for both sides in a lawsuit. It drives almost every important decision...more

Should I Sue For Personal Injury, Part 3 - The Pros and Cons of Suing

What are the pros and cons of suing for personal injury? Even when your case looks strong, where there is evidence of negligence and evidence that the negligence caused the injury, where there are assets available to pay...more

Should I Sue for Personal Injury? Common Questions, Part 2 - What Will It Cost?

In the 35 years I have been practicing personal injury law in Vermont, the questions I hear most frequently are: Is my injury case worth pursuing?...more

New Evidence Shows that One Season of High School Football Can Cause Microstructural Changes in the Brain

Researchers from Berkeley, Duke, UNC Chapel Hill and University of Arizona used a new type of MRI called “diffusion kurtosis imaging” (“DKI”) to take brain scans of 16 high school football players, ages 15 to 17, before and...more

Should I Sue For Personal Injury? The Five Most Common Questions: Part 1 - Is My Case Worth Pursuing?

In the 35 years I have been practicing personal injury law in Vermont, the questions I hear most frequently are: Is my injury case worth pursuing?...more

Use of Melatonin for Treatment of TBI and Sleep Disturbance Following TBI

There’s promising research on the use of melatonin for acute treatment of traumatic brain injury (TBI) and for treatment of sleep disturbance following TBI coming from two recent peer-reviewed papers. One, published in the...more

Pituitary Dysfunction Following TBI: Update on the Importance of Stimulation Testing

In our May, 2014 post, we reported on research showing that traumatic brain injury, including mild traumatic brain injury (mTBI), can damage and cause dysfunction in the pituitary gland resulting in deficiencies in key...more

Cognitive Training Reduces Depression and Changes Brain Structure in Individuals with Chronic TBI Symptoms

Research scientists at the Center for Brain Health at the University of Texas at Dallas have just published a study, funded by the US Department of Defense, supporting the effectiveness of “strategy-based” cognitive training...more

Large Study Finds Increased Risk of Dementia Diagnosis in Veterans with Mild Traumatic Brain Injury

In a propensity-matched cohort study of more than 350,000 veterans with and without traumatic brain injuries (TBI), mild traumatic brain injury (mTBI) without loss of consciousness was associated with more than a twofold...more

Differences in Axonal Structure Likely Contributing to Increased Vulnerability of Women to Concussions

Although males represent a majority of emergency department visits for sports and recreation-related concussion, researchers have recently found that female athletes have a higher rate of concussion and appear to have worse...more

Depression following Concussion is Highly Prevalent and Needs to Be Monitored and Treated

A new study published in the Journal of Neurotrauma highlights the importance of monitoring TBI patients for the presence of depression symptoms and providing clinical support to prevent minor depression from converting into...more

Concussions Can Impair Emotional Processing During Sleep Contributing to Chronic Mood Disturbance

As discussed in prior posts on this blog, sleep alterations are commonly found after a concussion or other traumatic brain injury, both short term and in some cases long term. One of the most well documented impacts of...more

TBI can trigger Pathology in the Gut-Brain Axis and Increase Infections

Several of my traumatic brain injury (TBI) clients have been treated for gut issues – issues that were not present prior to their TBI. Insurers, of course, insist that this treatment cannot be related to the brain injury. The...more

Combining Ritalin and Cognitive Behavioral Rehabilitation Shows Promise Following TBI

A treatment protocol combining Ritalin, a stimulant commonly used for ADHD, and a form of Cognitive Behavioral Rehabilitation known as “Memory and Attention Adaptation Training” (MAAT) shows great promise for improving...more

Exercise as Key Component of Treatment for “Chemobrain”

Although the primary focus of this blog is on “traumatic” brain injury, the literature increasingly demonstrates that the physiological causes of cognitive impairment overlap between a range of conditions having...more

The Challenges of Concussion Diagnosis, Prognosis and Treatment: The Most Complicated Disease of the Most Complex Organ of the...

A review published in the September 2017 issue of Frontiers in Neurology proposes use of “systems science” to better understand concussion diagnosis and prognosis. This is a discipline that analyzes complex problems as whole...more

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