How long does post concussion head pain and cognitive fatigue last?

Hello and happy new year everyone,

I was rear ended twice in the last three years and I am really struggling the second time with the TBI, post concussion syndrome and the returning to gradual activity. First does anyone have any experience with how long the head pain lasts with activity or cognitive fatigue? I found taking breaks every time the head pain worsens helps but it’s so frustrating as it’s painful and takes forever to do anything. Thank God that all the MRI’s and CT scans were good but I am seven months post accident and just wondering if any has experienced anything similar and has some insights. Still struggling with the memory, brain fog, cognitive fatigue, confusion and multitasking is next to impossible which doesn’t help as my career requires all of those things. My speech pathologist is optimistic and just wanted to know what is everyone else’s experienced opinions.

Thank you so much everyone and I hope you are all doing well and are having a blessed new year so far.

Interested in more discussions like this? Go to the Traumatic Brain Injury (TBI) Support Group.

I don't have a medical insurance and my auto insurance blew us off. We had concussions, were released, woke up a week later and saw DR. Brain injury centers gave me information on it. It's noninvasive and it's been used for >40 years.

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Profile picture for patty78962 @patty78962

@kayabbott Thank you for replying. Yes, you are right. I don't have any family to help. My husband was also hurt. So we struggle through each day. We are just now trying to straighen up the yard and house that have been neglected.

Atm, Neurofeedback is our saving grace. It was recommended and someone told me about a lady that offered $50 trials one morning a week (normally $200 for 20-30m session). We saw immediate improvements, which some suggest means compressed spine issues - then like our Chiropractor and therapist says, "that's a good sign, means electrical signals are getting through". The woman let us rent the equipment, then we bought a system and use it morning and night. $10K unit, but a lot better than $800-1000 per day, scheduling appointments and traveling back and forth. Essentially paid for itself in a week when we were doing 3 sessions a day, each.

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@patty78962 Neurofeedback is considered controversial regarding if it works, particularly for TBIs. I'm glad that you are improving. If you haven't done so, some cities have support for people that need assistance following serious injuries. If your health insurance doesn't cover your medical bills adequately, one can also meet with accounting or other dept. to decrease the costs. https://pmc.ncbi.nlm.nih.gov/articles/PMC9205641/

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Profile picture for kayabbott @kayabbott

@patty78962 It is important to be kind to yourself. Parts of you are healing, but the rest of you is still you. TBIs are particularly hard because of the good days, which get longer through time, plateaus with "is this all I'm going to recover?", and bad days. I tried to think of the bad days as my brain needing a rest to rewire. I didn't get to 100% on words or numbers, but enough. I replaced the lessened abilities with new learning and hobbies. I'm still lousy at Sudoku, but ehh, continuing to try is the needed part.

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@kayabbott Thank you for replying. Yes, you are right. I don't have any family to help. My husband was also hurt. So we struggle through each day. We are just now trying to straighen up the yard and house that have been neglected.

Atm, Neurofeedback is our saving grace. It was recommended and someone told me about a lady that offered $50 trials one morning a week (normally $200 for 20-30m session). We saw immediate improvements, which some suggest means compressed spine issues - then like our Chiropractor and therapist says, "that's a good sign, means electrical signals are getting through". The woman let us rent the equipment, then we bought a system and use it morning and night. $10K unit, but a lot better than $800-1000 per day, scheduling appointments and traveling back and forth. Essentially paid for itself in a week when we were doing 3 sessions a day, each.

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Profile picture for lopez @lopez

May 2019 - still deal with headaches, dizziness, cognitive impairment, brain fog, irritability, depression, etc. This was my 3rd concussion and by far the most severe - point of impact in 4-car pile up. Neurologist is very supportive, but recovery has plateaued. Put on a brave face, but struggles at home & work are taking their toll.

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@lopez I fell off a roof 2003. My speech limitations continue. My brain is not attached to my tongue. Thus I quietly ask questions, to control topics and depth thereof. I can only wish you well.

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Profile picture for kayabbott @kayabbott

@cor17 As you have found, healing from TBI is hard and very slow. I didn't have physical injuries beyond my TBI and skull fracture. Physical injury adds to the fatigue. After 2 years I felt better, but still some physical and emotional fatigue. I exercised my brain and body when I wasn't fantasizing about naps. I still had to heal from the social isolation; every time a coworker joked about me being brain damaged I felt gut punched. Most people will have no idea of what you are going through physically and emotionally, and having at least one person for support is important. I was also working on integrating who I was with who I was now; even just having a TBI will change you for better and worse. I lost trust in my self and abilities until I had healed enough to recognize what a difficult journey I had been traveled.
Most of my recovery took about 2.5 years (as marked by smell and taste returning and word finding mostly returning). It actually took more than 8 years for my final-point recovery, when my left temporal EEG was normal and driving felt like cars were not aiming for me (processing incoming noise, motion, colors). It has been 33 years, and my word finding didn't recover completely, but it means I have a good excuse to cheat on crossword puzzles.

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@kayabbott You are not alone. My brain injury (fell off a roof 2003) has plagued me as well. I experienced having my brain not connected to my tongue. The thought was there but not the words. My handling of communication was asking questions. I choose the topic. I am 76 years old and remain young at heart. I continue to believe that my smile is not on my face but on faces of those around me.

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Profile picture for lisanz @lisanz

Just reading everyone's comments. Really helpful to hear what you are all going through, I got teary knowing I am not alone. My accident was a month ago, falling hard direct on my chin on asphalt pavement, slicing it open. I didn't have a bad headache at first, and the concussion symptoms affecting cognition only became obvious days later. Week 4 and I've developed a persistent headache like a band around my forehead, easing a bit with bed rest. The brain feebleness/cognitive incapacity is freaking me out. I'm seeing a physio next week and they will decide (in week 5) whether I get sent for scans. At my first concussion screening online the day, I was told to expect recovery in about 3 months, and that rest and cutting down as much as poss on stimuli is the most important thing. Has anyone else heard that magnesium glycinate (up to 3 mg) is helpful for sleep? I was also told that being on anti-anxiety/antidepressant meds and taking progesterone both of which I happen to be on are actually helpful for brain recovery. I'd be grateful to know what therapies/strategies others are finding useful. Thanks!

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@lisanz My brain injury occurred 2003. (fell off garage roof and my head hit the concrete below ...then hospitalized 5 months). Today, I am able to converse, yet public speaking has been removed. Recently, 4 weeks, I have been taking Magnesium L-Threonate. It provides me with sleep, virtually all night long. I also take Lion's Mane. I enjoy this medicine very much as it has worked beautifully. I now brag my "brain has become attached to tongue!" The words would be there in thought but not speech! Fluency in speech has not been this good in the past 20+ years. Both these products have provided excellent service. Fear to speak has lessened.

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Profile picture for patty78962 @patty78962

@kayabbott

Thank you for those time details.
I'm 23 months in, and...I just have days where I think THIS IS IT. It's not going to get any better.

The before and after mental battle does take it's toll. I feel like an idiot when the wrong word comes out, or I struggle with math, or forgot.

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@patty78962 It is important to be kind to yourself. Parts of you are healing, but the rest of you is still you. TBIs are particularly hard because of the good days, which get longer through time, plateaus with "is this all I'm going to recover?", and bad days. I tried to think of the bad days as my brain needing a rest to rewire. I didn't get to 100% on words or numbers, but enough. I replaced the lessened abilities with new learning and hobbies. I'm still lousy at Sudoku, but ehh, continuing to try is the needed part.

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Profile picture for Johanna W @johannawest

@patty78962

Wow Patty we are like twins! I am sending big hugs!

It is a struggle as I go into month 8. I am currently functioning at approximately 60% of my pre-injury cognitive baseline. I feel that if my headache was gone I would be able to function better but with the constant headache comes fatigue and just an overall attention deficit with none of the energy I used to have.

I am praying to wake up to my “normal “ self. Now I am being pushed to go backed to work which makes me very nervous as it is fast paced and stressful. I would love to go back. But it is not the type of job you can just take a break. My customers are global and very needy. Plus I need my math skills. I have 2 months to get ready. 😊 but my brain is just not in my control.

The hard part is that we look fine on the outside. So no one sees or understands the trauma our brains are suffering from.

Right now I try to take it one day at a time. Stay positive. Keep hope in my heart. Now waiting for Spring and hoping my brain wants to garden because I used to love to garden 🪴

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@johannawest How are you doing now?

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Profile picture for kayabbott @kayabbott

@cor17 As you have found, healing from TBI is hard and very slow. I didn't have physical injuries beyond my TBI and skull fracture. Physical injury adds to the fatigue. After 2 years I felt better, but still some physical and emotional fatigue. I exercised my brain and body when I wasn't fantasizing about naps. I still had to heal from the social isolation; every time a coworker joked about me being brain damaged I felt gut punched. Most people will have no idea of what you are going through physically and emotionally, and having at least one person for support is important. I was also working on integrating who I was with who I was now; even just having a TBI will change you for better and worse. I lost trust in my self and abilities until I had healed enough to recognize what a difficult journey I had been traveled.
Most of my recovery took about 2.5 years (as marked by smell and taste returning and word finding mostly returning). It actually took more than 8 years for my final-point recovery, when my left temporal EEG was normal and driving felt like cars were not aiming for me (processing incoming noise, motion, colors). It has been 33 years, and my word finding didn't recover completely, but it means I have a good excuse to cheat on crossword puzzles.

Jump to this post

@kayabbott

Thank you for those time details.
I'm 23 months in, and...I just have days where I think THIS IS IT. It's not going to get any better.

The before and after mental battle does take it's toll. I feel like an idiot when the wrong word comes out, or I struggle with math, or forgot.

REPLY
Profile picture for jenniferctbisurvivor @jenniferctbisurvivor

Just feeling down….has anyone been told that someone couldn’t believe that you are still not recovered yet, by a doctor and coworker in that demeaning tone that makes you feel like it’s your fault?

I have never had such a hard time returning to work everyday with all these symptoms and just functioning everyday. Sometimes it’s all I can do to just survive the severe cognitive impairments and fatigue during the workday, make it home and just cry.

Thanks for listening and letting me vent everyone, I am so much better than before and I know I have a long way to go and I won’t give up but it is definitely hard to hear statements like that and deal with people who have no compassion towards our TBI difficulties and recovering as much as possible. I will never fully recover but I am working so hard to learn all of the tools and tricks to function at the highest level possible!

Have a blessed day

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@jenniferctbisurvivor

It's very frustrating. First, everyone is embarrassed when they don't function right.

It's just very cruel and dehumanizing when people say that (knowing you have a TBI), because you can stand, walk, appear "normal".

Some people say it out of pure surprise, because they don't know what else to say. Kind of like when you address someone who had someone close die and people say they don't want to hear one more "I'm so sorry for your loss".

We have had improvements with Neurofeedback. It's noninvasive. Medical program with leads you clip to your ears and stick to your head. It reads your brain activity (like 230 times per second) and sends it back in. Essentially, until your body corrects itself. Some insurances cover it ($200 per session). I was fortunate a lady offered trials for $50 per session. Then I bought the medical equipment ($10K).

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