260 S Beverly Dr., Suite 309, Beverly Hills, CA 90212

BARRY LIEBERMAN, DC ACN

260 S Beverly Dr., Suite 309, Beverly Hills, CA 90212

Phone: (310) 282-8882

BARRY LIEBERMAN, DC ACN

Mild Head Trauma: Get The Right Treatment ASAP

Mild Head Trauma: Get The Right Treatment ASAP

The proper concussion treatment or cranial treatment/cranial therapy for mild traumatic brain injury (mTBI), or mild concussion should not be delayed.

Mild head trauma is the invisible injury. The typical things you or your child would say after getting hit in the head are: "I hit my head, but it was nothing." "I didn't get a concussion." "The concussion didn't affect me." "There was no concussion, so I'm OK." You want these words to be true, but they're not. There are subtle neurological changes in the brain after a minor concussion, or just a minor impact to your skull. These subtle brain changes need to be investigated ASAP and corrected by a specialist in mild concussion neurology. Even within the 1st 24 hours after impact, research shows we should immediately take NAC (one of the natural remedies) to prevent the after-effects of mTBI.

Concussion syndrome—especially in children, but also in adults—is caused by a mild impact to the head. After the impact, there may be a lack of symptoms, or the brain changes may be so subtle that they get ignored for many years until adulthood. The skull and brain get injured, but you don't see any structural damage like a skull fracture, or any swelling. A sports related concussion usually leads to an inability of the child's brain to function or perform at the same level as before.

After a mild head trauma, a child's brain injury would not be seen on a brain scan (MRI or CT scan). Nothing looks broken or swollen, but there definitely is a change in the brain's functional neurology, such as worse coordination, or lack of coordination, worse athletic performance, get off-balance, bump into things, repetitive injuries, get dizzy or vertigo, problems with attention, memorizing and learning ability, comparatively more difficulty doing things with the left side of the body, or more difficulty doing things with the right side compared to the other side.

"Mild TBI results in a constellation of physical, cognitive, vision, emotional, and sleep-related disturbances" 1. Autonomic Dysfunction after Mild Traumatic Brain InjuryBrain Sci. 2017 Aug;

Symptoms of concussion in a child may include disorientation, trouble focusing, confusion, slower reaction times, can't remember things, headaches, stomach ache, dizziness, nausea, motion sickness / car sickness - riding in a car makes your child feel sick, avoidance of amusement park rides, sensitivity to light, reading makes your child feel worse, or tired, can't read while riding in a car, your child feels worse when watching TV or using a computer, can't keep one eye open when the other is closed, can't roll the eyes, or even that your child feels more tired than usual, or needs to nap more often than before.

Most children who get a concussion have not gone to the ER (emergency room)(2). mTBIMRI and CT scan may be negative because concussions do not generally cause visible structural injury to the brain. Mild traumatic brain injury (mTBI) is the invisible injury. You must double check that nothing is subtly wrong neurologically, even though the MRI is negative. At my office, we use kinesiology tests to assess the subtle nervous system and brain function changes.

Adult Concussion Treatment: Adults need help too

After a mild head impact (post concussion), the functions of other body systems can change because your brain is connected to every part of your body through your nervous system. Even a change to your immune system function is a possibility, and has been called "immuno-excitotoxicity." (book: The Craniocervical Syndrome and MRI : Smith, F.W. (London), Dworkin, J.S. (Melville, NY)).

Do you have a history of mild head trauma? Can't remember? Most people have had at least a minor blow to the head. Many years later, an MRI or CT scan may show it as brain shrinkage, but nothing shows now.

Over time, functional post concussion changes can seemingly be far-removed from your brain: such as a mysterious case of constipation, despite eating a very high fiber diet, or a case of chronic "gastro-paresis" that baffles you and all of your Los Angeles gastrointestinal doctors. Traumatic brain injury (TBI) can lead to chronic inflammation of your gastrointestinal system, weakness on one side of your body, feeling overwhelmed, depression and feeling stuck, eyesight getting worse, or steady, unexplained weight gain.

A mild brain concussion can lead to avoidance of certain activities or behaviors involving motion or coordination because you "just don't like to do that anymore." Avoidance of activities that require a good sense of balance, or avoiding activities requiring quick movements (you never go on any rides at amusement parks) can indicate that your brain needs help to correct a mild balance disorder.

Second concussion syndrome or second impact syndrome results when a mild head trauma is followed by another head impact, but no cranial work or chiropractic neurology was ever done about the first one: it's one concussion on top of another, but there was never a brain reset. Have you heard about CTE (chronic traumatic encephalopathy)? That's the name of the condition in adults with second concussion syndrome who never got help: made famous by pro football players—pro athletes who couldn't function anymore, way after multiple hits to the head. We want to prevent CTE, and help with concussion recovery, by using specific, advanced, cranial treatments—concussion neurology techniques that we use in Beverly Hills, to reboot your brain.

Attaining Pre-Concussion Performance: Cranial Neurology

Baseline check: Have your child's baseline normal checked, before starting team sports where concussion has been reported in participants. It's a preseason, or pre-injury, pre-concussion check-up. Compare your child's preseason baseline and recheck your child after any suspected mild head trauma. Compare to your child's own pre-injury standard of performance. It's a "health selfie," including muscle performance and coordination tests via applied kinesiology, and postural stability tests. After cranial treatment and upon re-evaluation, you will see the improvements in performance with your own eyes.

Second Impact Syndrome / Second Concussion Syndrome

A good concussion doctor can help determine if your child has had a mild concussion, and help many aspects of the concussion to resolve. Don't rely on cognitive testing alone to determine if your child has had a concussion. First of all, what was your child's baseline? Second, why would you limit the exam to only cognitive function? There are many more subtle motor neurological responses that we use in our concussion evaluation to show the subtle nuances of concussion and brain malfunction.

Knowing your child's own baseline and then periodically checking to that baseline, and taking corrective action as soon as your child is off of his/her baseline is the most sensible and the most proactive approach. The following study shows that correctly done chiropractic adjustments (which is only a part of what we do) helps brain function after concussion, (cranial treatment was not even included in this study):

3. "Manipulation of dysfunctional spinal joints affects sensorimotor integration in the pre-frontal cortex: A brain source localization study," - Lelic et al. Neural Plasticity, Volume 2016

Don't let them tell you to just wait and do nothing. You child can be better!

Preventive care and immediate follow-up after suspected concussion, head impact, or suspected head trauma is worth every penny you spend. What is a scholarship in college worth to your athlete? How much does it cost to get the extra tutoring help if your child starts having poor grades, dyslexia, or ADD? What about the cost of the associated injuries after head trauma such as a torn ACL (knee ligament) or repeated ankle sprains on the same side because of a head trauma, or repairing a leaky-gut after a head injury?

Prevent long-term damage from concussions

Do Advil and Tylenol make the brain condition worse? Subtle deviations from your child's normal baseline need immediate attention and correction. The risk of doing nothing is long-term deficit. Grades go down with multiple concussions. The likelihood of going to college goes down with multiple concussions. SAT scores go down with multiple concussions (4). But we can help. Now. Today.