Elite Concussion care in Denver Cherry Creek
By Dr. DeBeer
When we think about concussions, most people envision a blow to the head during a sports game or a car accident. While it’s true that concussions result from physical trauma, what many don’t realize is that they are not just injuries to the brain’s structure—they are also metabolic disruptions that can send ripple effects throughout the entire body.
As we delve deeper into the science of concussion recovery, it becomes clear that the aftermath of a concussion isn’t limited to headaches or dizziness. It often involves a complex interplay of dysautonomia (dysregulation of the autonomic nervous system), gut health disturbances, and changes in mental health. Let’s explore these connections and why addressing them is critical for a full recovery.
The Physical and Metabolic Nature of Concussions
A concussion is classified as a mild traumatic brain injury (mTBI), but don’t let the term “mild” mislead you. The injury not only disrupts the brain’s neural pathways but also sets off a cascade of metabolic changes. These include:
- Inflammation: An increase in neuroinflammatory markers as the brain attempts to repair itself.
- Energy Crisis: A surge in energy demand paired with a reduced ability to produce ATP (the cell’s energy currency).
- Oxidative Stress: Damage caused by an imbalance between free radicals and antioxidants in the brain.
This metabolic storm can persist long after the initial trauma, contributing to symptoms such as brain fog, fatigue, and emotional instability.
The Link Between Concussions and Dysautonomia
The autonomic nervous system (ANS) is responsible for regulating involuntary functions like heart rate, blood pressure, and digestion. A concussion can disrupt the ANS, leading to dysautonomia. Common symptoms include:
- Orthostatic Intolerance: Feeling dizzy or lightheaded when standing up.
- Heart Rate Variability Issues: Difficulty with physical exertion or exercise.
- Temperature Regulation Problems: Feeling overly hot or cold.
A dysregulated ANS can make everyday activities exhausting and interfere with recovery. Treatments like heart rate variability training, vagus nerve stimulation, and graded exercise therapy can help recalibrate the ANS.
Gut-Brain Axis: How Concussions Impact Digestive Health
The brain and gut are in constant communication via the gut-brain axis. After a concussion, this connection is often disrupted, leading to:
- Increased Intestinal Permeability: Commonly referred to as “leaky gut,” where the gut lining becomes more permeable to toxins and pathogens.
- Dysbiosis: Imbalances in the gut microbiome, which can worsen inflammation.
- Digestive Symptoms: Issues such as bloating, nausea, or irregular bowel movements.
A damaged gut-brain axis doesn’t just impact digestion; it also affects mood, sleep, and cognitive function. Probiotics, targeted gut-healing protocols, and anti-inflammatory diets can restore balance.
Mental Health After Concussions
It’s no coincidence that many individuals experience anxiety, depression, or mood swings following a concussion. The brain’s metabolic imbalance, coupled with dysautonomia and gut health disruptions, can exacerbate mental health challenges. Neuroinflammation and oxidative stress also impair neurotransmitter function, further compounding emotional struggles.
Therapies such as neurofeedback, mindfulness practices, and addressing nutrient deficiencies (like magnesium or omega-3 fatty acids) are invaluable for mental health recovery.
The Cornerstones of Concussion Recovery
Recovering from a concussion requires a comprehensive approach that addresses both the brain and body. At Axon Integrative Health, we focus on:
1. Nutrition:
- Emphasizing an anti-inflammatory diet rich in omega-3s, antioxidants, and whole foods.
- Avoiding gluten, dairy, and refined sugars, which can exacerbate inflammation and gut issues.
2. Sleep:
- Sleep is critical for brain repair. We support patients with strategies to improve sleep hygiene and manage circadian rhythms.
3. Exercise:
- Gradual, controlled physical activity tailored to each patient’s tolerance helps improve ANS function and neuroplasticity.
4. Targeted Treatment Plans:
- Our treatments may include brain-based rehabilitation exercises, hyperbaric oxygen therapy (HBOT), vagus nerve stimulation, IV therapy (e.g., glutathione, magnesium), and neurofeedback.
5. Mental Health Support:
- Counseling, mindfulness, and tools like audiovisual entrainment (AVE) support emotional resilience and recovery.
The Evidence Behind the Approach
Scientific studies affirm the connections between concussion recovery and the systems we’ve discussed:
- Dysautonomia: Research shows that up to 40% of concussion patients experience autonomic dysfunction (La Fountaine et al., 2019).
- Gut Health: A 2021 study in Brain, Behavior, and Immunity highlights how gut dysbiosis contributes to neuroinflammation post-concussion.
- Mental Health: Neuroinflammation is directly linked to mood disorders, as noted in a 2018 review in Frontiers in Neuroscience.
A Holistic Approach to Healing
Concussions affect far more than the brain—they ripple through the autonomic nervous system, gut, and emotional health. At Axon Integrative Health, our mission is to provide a compassionate, evidence-based approach that addresses these connections and restores balance.
If you’re struggling with lingering concussion symptoms, know that there’s hope. A targeted treatment plan that supports your brain, body, and mind can guide you back to health.
For more information or to schedule an appointment, contact us today.
References:
- La Fountaine, M. F., et al. (2019). Autonomic Nervous System Dysfunction and Concussion. Sports Health.
- Cryan, J. F., et al. (2021). The Microbiota-Gut-Brain Axis in Neuroinflammation. Brain, Behavior, and Immunity.
- Miller, A. H., et al. (2018). Inflammation and Its Discontents: The Role of Cytokines in the Pathophysiology of Major Depression. Frontiers in Neuroscience.