Concussions are a common occurrence in car accidents, falls, and sports-related injuries. While the initial assessment of a concussion often focuses on symptoms and physical examination, the use of lab tests and imaging plays a crucial role in evaluating and managing these cases effectively. In this blog post, we will explore the significance of lab tests, imaging techniques, and specialized evaluations in concussion management. Additionally, we will discuss the impact of autonomic dysfunction and vision problems on concussion recovery and the available treatment options.
The Role of Lab Tests in Concussion Evaluation
When evaluating a patient with a concussion, several lab tests are commonly performed to assess underlying factors that may hinder the recovery process. Here are some of the key lab tests typically conducted during the initial evaluation:
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- Vitamin D Levels: Living in regions with limited sunlight, such as Wisconsin, increases the risk of vitamin D deficiency. Low vitamin D levels can hinder concussion recovery and lead to issues like depression and low energy. Checking vitamin D levels is crucial to address these potential obstacles.
- Complete Blood Count (CBC): A CBC helps evaluate red blood cell function and iron levels. Sufficient iron and healthy red blood cells are essential for delivering oxygen to the brain. If these parameters are compromised, it can impact a patient’s ability to engage in necessary physical activities for recovery.
- Basic Metabolic Panel (BMP): A BMP assesses kidney function, electrolyte levels, and other essential values. Any abnormalities detected can affect recovery and influence medication choices.
- Liver Function Test: Monitoring liver values is crucial, especially in areas like Wisconsin where liver-related issues may be more prevalent. Abnormal liver values can impact brain function and the selection of safe medications.
- Neuroendocrine Panel and Specialized Evaluations:In cases where patients do not exhibit expected progress during therapy or experience persistent symptoms, a neuroendocrine panel may be recommended. This panel assesses hormone levels regulated by the brain and can identify any thyroid or adrenal gland issues resulting from the head injury. A comprehensive lab evaluation helps guide further treatment strategies and support the patient’s recovery journey.
Imaging Techniques in Concussion Evaluation
Contrary to popular belief, imaging techniques like CT scans and MRIs are not routinely performed immediately after a concussion. Instead, they are reserved for specific situations, such as when there is an area of concern or if the patient meets certain risk criteria. CT scans are generally preferred for initial evaluations due to their speed in identifying major issues like bleeding or space-occupying lesions. MRIs provide more detailed information about soft tissue but are typically reserved for cases requiring further investigation.
Vision Problems and Concussion Recovery
Vision problems are frequently reported after a concussion and can manifest in various ways, including blurry vision, double vision, reading difficulties, and visual processing issues. These problems often arise due to a disconnection between the brain and the muscles controlling eye movement. Proper evaluation of eye movements, known as ocular motor function, through a vision test is essential in diagnosing and managing vision-related symptoms after a concussion.
Autonomic Dysfunction and Its Impact on Concussion Recovery
Autonomic dysfunction refers to a disruption in the brain’s autopilot system, affecting functions regulated by the autonomic nervous system, such as heart rate, digestion, and blood pressure. Concussions can disrupt autonomic function, leading to symptoms like increased heart rate or abnormal blood pressure. Exercise is a key component of autonomic dysfunction treatment, as it helps restore balance and improve overall recovery. Medications may be prescribed in specific cases, but exercise is often the primary intervention. Read more about autonomic dysfunction in our blog post here.
Concussion Evaluation at Neuroscience Group
In the evaluation and management of concussions, lab tests, imaging techniques, and specialized evaluations play crucial roles in assessing underlying factors, guiding treatment strategies, and monitoring recovery progress. Addressing issues such as autonomic dysfunction and vision problems is essential for optimizing concussion recovery and avoiding post-concussion syndrome. Neuroscience Group utilizes a comprehensive approach that combines medical expertise, therapeutic interventions, and patient-centered care, individuals can experience improved outcomes and regain their quality of life after a concussion.
If you feel that you are in need of concussion treatment contact Neuroscience Group today to get started with treatment. We have a multidisciplinary team featuring a Physical Medicine & Rehabilitation Specialist, Neurologists, and Physical & Speech Therapists all in one convenient location. Our proactive approach aims to see patients as soon as possible following their injury.