Usually it took several hours for that, at least. What makes this type of fatigue so different is that you absolutely cannot work through it. Before my accident, I used to participate in super-sprint triathlons.
That required long sessions of hard cardio training to prepare. It also took a lot of physical effort during the race and mental effort to push when my body was very tired. In years past, I also participated in a two-day cycling event miles two days in a row , and have climbed a mountain numerous times.
All those activities require an ability to push through normal fatigue resulting from endurance-level physical exertion. So, even though very physically tired regular fatigue , I was able to dig deep mentally and push through it. For cognitive fatigue, I worked for years as a technical writer in software companies.
There were constant deadlines and you had to work, test, analyze, write and other such tasks at an incredibly fast pace. There was always pressure. You had to always think fast and produce quickly. You cannot push through concussion fatigue.
No way, no how. This can lead to distraction, inattentiveness, and ultimately poor performance. And when both networks are active at the same time, it burns twice the energy! Put another way, your cognitive performance memory, concentration, reading retention, work abilities suffers AND you burn more energy with fairly minimal amounts of cognitive activity, also known as neurofatigue — the worst!
Default Mode Interference is not only limited to people with concussion. It has also been found in patients struggling with chronic pain, post-traumatic stress disorder PTSD , generalized anxiety disorder and depression 3. The good news is that psychological interventions, such as cognitive behavioural therapy CBT , as well as individual strategies such as mindfulness-based meditation, can be effective in teaching strategies to effectively shut down the default mode network and improve task performance.
By quieting the inner voice and the distraction that comes with it, you are better able to focus your effort without exhausting yourself in the process. Journal of Neurotrauma. School or work tasks that require focus and concentration may be somewhat difficult with a concussion. In the first 24 hours after a concussion, you may want to avoid the following activities as much as possible:. If you have significant head pain and are considering taking over-the-counter medication, talk to your healthcare provider first.
Medications containing aspirin, ibuprofen, or naproxen could increase your risk of brain bleeding if you have a more severe concussion. In these cases, acetaminophen Tylenol may be a safer option. Symptoms that linger for more than a few weeks can indicate post-concussion syndrome. Concussions are typically mild, but they can occasionally cause more serious complications. If a child with a head injury has any of the above symptoms, cries continuously, or refuses to eat or breastfeed when they normally would after any kind of head injury, seek immediate medical care.
What does concussion recovery involve? A head injury is an injury to your brain, skull, or scalp. This can range from a mild bump or bruise to a traumatic brain injury. Common head injuries…. There are many types of skull fractures, but only one major cause. Get the facts on fractures and learn about diagnosis and treatment. It does reduce some pain, but then I have to sleep, so its not that great for me. My son suffered a TBI and cerebellar stroke almost 2 years ago.
He still has pretty intense fatigue all the time, even after sleeping 12 hours. We have had every test including a sleep study but all are normal. I suffered a TBI, which severally affected my cerebellum. After countless tests and misdiagnoses, I, personally, believe it has something to do with my muscle spasticity. The cerebellum controls involuntary muscle movements and functioning. This is why i am getting an EMG test conducted by a dr of physical medicine and rehabilitation. This test will help pinpoint where the disruption is occurring.
Im told that my tbi may be the catalyst of the fatigue, but may not exclusively be the cause. Joe, I got a TBI in also. Yes, fatigue is also a huge problem for me.
One thing that has been very helpful is Functional Neurology. There is a center in Minnetonka, MN and they do an intensive week there, it is called the Functional Neurology Center. I did the week a six months ago, and will return soon for some follow up. He is board certified in physical medicine and rehabilitation and fellowship trained in brain injury. He sounds like a well educated and informed individual, but like most of my doctors everything sounds like guessing and taking both sides.
Nobody has strong advise its all about structuring the billing. May - another motor vehicle accident - rollover - fatigue, dizziness and headaches exponentially worse. I've had TBI since and I could never figure out why I was so tired all the time, until now, including my insomnia problem. I'll stay up for 3 to 4 days at a time, no matter how many sleeping pills I take or prescribed medication. My insomnia usually kicks in at least twice a month and it's the worst thing in the world.
I just started taking adderall, because I was diagnosed with ADHD after my accident, but I never took it because I was scared and now I'm wondering why waited so long. It really is a miracle drug if you actually have ADHD, but when it wears off, you crash and you crash hard. But at least it helps get me through the day, it also puts me in a better mood and I actually sleep better taking it. Now, as far as my temper, I snap so much more easier than before and it's really bad, like I have no patience and I cannot handle anything.
I hate the fact I'll never be the same, but Alecia study more and find me more options I've never heard anything about. This yoga hoping, maybe I'll try that. I mean, I'm so so tired that I haven't cleaned my house in 3 years. Yes, I get the trash out and nasty stuff out, but it's still really messy and I'm so ashamed. I hope the future brings more reason to this because I can't stand being so tired and yet at times I'm up for days, people even ask me if I'm on something and it hurts.
I was once pulled over and the cop made me do every sobriety test known to man and that was so embarrassing : I wished people understood how bad it really is, and my memory is going, but before that, I started having seizures. Not to mention I am very very sensitive to noise and light. Mindful based stress reduction helps tremendously. Any type of meditation is beneficial. I currently practice TM. There is some research behind mindfulness based stress reduction being very helpful.
Somebody below mentioned yoga- that is similar enough I think to work too. My OT recommended yoga actually. I had history of seizures and found that scar tissue was the cause and qualified for brain surgery on the focus.
Hi I suffered a traumatic brain injury in October of I was in a coma for 28 days at our medical center. I was an active 17 year old I played sports and that's basically what my life revolved around.
I made a quick recovery and went back to playing softball ASAP. I assume this is why I never had much problems with fatigue until now? I agree that smoking marijuana did help with a lot of the symptoms now that I don't smoke. Well it is illegal here in Oklahoma so of course I quit once I got older? At the moment there is a fight for medicinal and I know several people who have suffered a brain injury and would benefit but the last I never had much of one before I was easy going and just let things roll off but some days actually most I wake up just feeling most irritable.
Its frustrating and that's why I've started looking online. I have had such a hard time getting in to a neurologist or finding someone who would even send me? I've been fighting for disability since and I am lost at what to do about the fatigue. My psych. Currently has me on 40mg vyvanse and it does help but I still just The second I slept with the help of a lot of sleeping meds.
They found I did not go into a true sleep the full 8 hours I slept. I seem to wake up feeling more energized and just better all around if I only sleep hours compared to say the full 8 hours. If I sleep a full night I'm even more tired. I wake up tired and when I go to go to sleep it's like a switch switches and I am wide awake.
I have seen a neurologist once and he informed me I have extensive damage that appears to have been caused from not having proper treatment all these years but that he cannot treat me without a psych eval and my insurance does not cover it. I'm currently waiting to get in with one at Ou medical but that will take months and months so I began looking for answers. I can't get help from anyone else so I've learned to do it myself.
But I think I will have to try some of the things people have suggested in comments here. With the approval from my psych of course: but I have found that when I don't rest well my post traumatic headaches are worse and not much helps except naproxen sodium. The tylenol or excedrin seem to cause rebound migraines so I'm wondering is this common?
The headaches and fatigue together? In I fell about 15 feet and head first into the concrete, just my actually head hit the floor my body was up against the house, so all my weight and force went to my head. As soon as I hit the floor I jumped up, I noticed my face and almost my entire head was completely numb.
That actually freaked me out way more because I knew I should of been in excruciating pain yet I didn't feel a thing. My cousin convinced me to go to the hospital and about 30 min after impact I was beginning to feel the pain kick in.
The Dr was completely shocked when he learned I didn't lose consciousness, got up off the ground on my own and he told me I could have died, and said "as a matter of fact you still can" It turns out I broke two eye sockets,nose,upper and lower jaw.
I ended up getting 35 screws and several metal plates put into my face but they cut me open above my upper gums inside my mouth and installed the metal thus making it so I didn't have scars on my face Let me tell you something, forget the fall! I never been in more pain in my whole life after that surgery, it hurt way more than the actual fall itself.
I recovered fairly quickly, but honestly I swear the swelling didn't go fully down for at least 6 months. It took me about 9 months to get most of the sensation back in my face.
To this day if I run my finger down my nose I feel electrical shock like sensations, as well as certain spots with no feeling only on the inside of my mouth, the skin surface has sensation.
It feels like I'm walking around with a fat lip all the time and it's horrible, but nothing compared to the journey that followed. Fast forward almost 3 years and I'm battling anxiety mind you they did a great job fixing me up and the anxiety is not due to personal image etc, I look great, I look the same surprisingly but about less than a year after surgery for no reason I just got smacked with constant fatigue.
Waking up for me in the morning is horrible I feel groggy, bad temper, miserable, drained and almost like a mental ache. I know "mental ache" doesn't sound like a legitimate thing but that's the only way I can describe it. Psychiatrists don't seem to listen I'm on my third one already and they all just try pawning off SSRI or other variants of antidepressants, which don't do anything at all and make it worse. I decided to take matters into my own hands and life has been so much better.
My Drs didn't want to give me Xanax which I talked them into when I explained i know it's not a permanent solution or something that can be long term so she also wrote me a script for vyvanse an amphetamine based medicine. The anxiety continued to a point and that's when I saw a post online about suboxone and how it's used off label by some knowledgable Drs for things like treatment resistant depression and anxiety, they make them in 8mg strips that go under your tongue, but one strip I would cut up and make it last 2 weeks.
I wake up I have the peice ready, I put it under my tongue and lay back down and go back to bed. Most of the time I don't even need to be woken up by my second alarm and wake up alert on my own when the suboxone kicks in. I then wait to take my 50mg vyvanse because my goal isn't to get "high" I just want to function and be able to enjoy my life again, by around 11ampm I'll take the 50mg vyvanse and it gets me through the day and I notice it wear off by 5pm but will still do its job the rest of the afternoon.
I can now read something the first time and remember it, I don't have to go back because I didn't remember what I just read. I'm not forgetting things in the house and making 2 different trips back into the house for things like keys or wallet. It helped with TBI related anxiety,depression and more. Also I just want to note that I never once abused opiates in my life, and I never was prescribed opiates for more than a month at one time for surgery And as far as "tolerance" I been using the same dose of suboxone for over two years and it works just as good as the first day!
Me personally, I'd rather quit low dose suboxone than have to take tons of high doses of Xanax which for me tolerance grows way too rapidly for it to be a plausible treatment this is my situation and why I have to obtain it illegitimately, however my script for vyvanse 50mg is legit and authorized by my psychiatrist. I apologize for the atrocities of my grammar, I just wanted to make my post and was in a rush.
Any questions or feedback feel free to reach out to me. I currently have a tbi from a cart accident 6 weeks ago, my 13 yo son had a horrific tbi 1 year ago, my husband had one about 7 yeasts ago, and my other son, adopted, came to us at 3. We have seen debilitating fatigue, my kids can't do much of anything on the weekends, or they can't get up for school during the week. My son last year only had enough energy in his brain to keep him awake for 3 hours a day, enough time to eat, use the bathroom, ands play with the dogs - that was for 6 weeks until we got him on a vitamin regime.
Calcium floods into the cells during tbi, too much of it, and throws off physiologic and metabolic processes. My son had his first full day awake after starting his vitamin regime, and this same vitamin is helping the rest of us.
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