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What Happens to the Injured Brain

What Happens to the Injured Brain?

“Understanding what happens to the injured brain is incredibly important and will have an impact on how well you rewire and recover following a brain injury.”

*Doctors do not always have time to explain the details of an injury

*Injuries are defined as primary and secondary outcomes

*The primary injury includes tearing and bruising, the secondary injury causes a biological and chemical cascade

*A chain reaction causes progressive degeneration that continues unabated until addressed

*Can medications add to the toxic load?

*Turning the ‘on’ switch to ‘off’

Introduction

When brain injury happens, doctors usually explain that the brain has suffered events such as shearing, tearing and bruising.

Doctors rarely explain the science or deeper meaning behind medical events or alert people to the dangers of inflammation. There is, however, a lot of research into brain injury and the effects this has on the brain and person affected. What most people want to know, often more than anything else, is, is there anything I can do to help myself?

For those who are dismissed by doctors, or don’t have access to specialist care, understanding the science is a part of the information needed to be able to work on fixing the damage.

One of the most important things you can do post brain injury is to address the secondary injury.

Primary and secondary outcomes

Brain injury creates both primary and secondary effects.

Primary brain injury describes the incidence damage that occurs at the moment of trauma when the tissues and blood vessels are stretched, compressed, and torn. The secondary injury consists of the effects of the inflammatory response.

In other words, the initial mechanical or physical force is followed by a secondary injury which develops as the result of a biochemical cascade that occurs in the hours and days afterwards. The secondary damage is largely responsible for the ensuing symptoms and mental impairments.

Once flicked to the ‘on’ position, the switch will stay in this position until addressed. This response is the basis of post-concussion syndrome (PCS) and causes the prolongment of symptoms. This debilitating outcome is why we consider it so essential to increase awareness and to help people learn how to combat inflammatory responses.

Secondary events (inflammatory responses) include:

  • Damage/disruption to the blood-brain barrier
  • Necrosis – cell death caused by an external force
  • Apoptosis – cell death due to biochemical signals
  • Inflammation
  • Excitotoxicity – the excessive release of the neurotransmitter glutamate
  • Dysfunction of mitochondria
  • Oxidative Stress

The ‘secondary injury’

As a result of secondary injury, some injured axons in the brain matter may separate from their cell bodies, potentially killing those neurons. ‘Plasticity‘ and our ability to rewire the brain are crucial when it comes to hope, and also to understanding that there is a lot that can be done, in time, to recover or rebuild skills and a sense of self.

These ‘secondary events’ have a knock-on effect on the brain, and indeed the body. The inflammatory response can continue unabated until addressed, and so it is vital to be aware of this as early on as possible. The sooner we manage these events, the better. However, attending to the ‘on switch,‘ can be done at any time post-injury.

The cascade of secondary biochemical changes develops insidiously in the hours, days and weeks following primary trauma. Changes can progress gradually or subtly and can have very harmful effects.

Gary .L Wenk, Ph.D., describes secondary outcomes as a “progressive degeneration within vulnerable brain regions.”

He says that “Many of these changes are also commonly seen associated with advanced normal aging and are thus rather well studied.

One of the initial changes involves a dysfunction of the mitochondria inside of the neurons of the brain.  Mitochondrial are responsible for energy production and are critical to the survival of neurons, which use a lot of energy.

The injury to the mitochondria leads to a condition called oxidative stress where individual atoms of oxygen that we inhale become very toxic to the brain.

Next, the oxidative stress induces brain inflammation which leads to an assortment of degenerative diseases, particularly during the years following the TBI event.

These three critical events following the TBI, i.e. loss of normal energy production, oxidative stress and long term brain inflammation, underlies the development of seizures, sleep disruption, fatigue, depression, impulsivity, irritability and cognitive decline.

Although no effective treatments are available to alleviate these biochemical events in the brain, research has advanced sufficiently to understand how specific chemicals in the diet can target the adverse effects of oxidative stress and inflammation.”

Prescribed medication

There is a lot of research emerging about these secondary events and scientists are also working on the development of drugs that could decrease the inflammatory response if given in the acute phase.

For many, these new approaches have come too late. If this is the case for you, tackling the ‘three critical events,’ as described above, is crucial. While there is no medical protocol, there is enough scientific research to bring all the dots together.

If you have a new brain injury, you should get working on alleviating the inflammatory response as early on as possible. The methods we outline are also safe for children. Please always get advice from your doctor.

If you are currently taking prescription medications it can be worthwhile to consult with your doctor to ask about using ‘natural’ remedies rather than ‘chemical’ ones; especially given that the injured brain can be susceptible to sensitivity to drugs. Try to find a doctor who has experience in treating brain-injured patients or ask for a referral to a neuropsychologist who will be able to guide your treatment.

Even though brain injury is not a mental illness, many doctors continue to treat symptoms individually with drugs designed for psychiatric use. That the underlying causes are different often means that drugs are ineffective or worsen symptoms and cause side-effects. Finding an experienced or functional doctor will help you to avoid some pitfalls.

Never stop any treatment plan without the knowledge and support of the prescribing physician.

Current medical protocols often don’t use the latest science and new findings can take ten or so years to filter into clinical practice.

The brain environment

Called epigenetics, we now understand that the genetic code, our DNA, – modifies with our environment. This ‘environment’ can even be changed by what we believe and what we feel. Epigenetics means “above” or “on top of” genetics and refers to external modifications to DNA that turn genes “on” or “off.” These modifications do not change the DNA sequence, but instead, they affect how cells “read” genes.

The health of the brain environment is crucial in recovery. Post brain injury the brain and the whole body are in a state of toxic overload. When we add more toxicity, including in the form of prescribed medications, we are inadvertently trying to treat symptoms by adding more to an already overloaded system. Some people are better able to cope with medicines than others. Sometimes sensitivity becomes more apparent over time.

If we pause and think about it, symptoms are messages being given to us by the body that something is out of balance. If we listen to these messages, rather than trying to make them go away, we stand a better chance of bringing the body back into balance. When the body is back in balance, we sleep better, allowing for restorative and healing processes to take place.

It can take eight to ten years for new research to get into mainstream understanding, and in the meantime, people continue to live with the onslaught of biochemical reactivity. A functional doctor will have more empathy with any concerns and will have a whole-body approach that is important following any type of trauma affecting the brain because the brain regulates the rest of the body and vice versa.

Are prescribed medications adding to your bio-toxic load?

It is essential to be aware that some prescribed medicines are life-saving. Never stop or change any prescriptive protocol without speaking to the prescribing physician.

However, if you are taking medications to alleviate symptoms, you should maybe think about what you and your doctor are doing if you are concerned about adding to the bio-toxic overload. Let your doctor know that you would like to discuss alternative treatments.

Many people are treated under mental health protocols instead of being referred to specialist neurological services, sometimes resulting in a loss of self-esteem and understanding of the condition.

You do have a ‘say’ in this. It is imperative to understand that the ultimate responsibility for what happens to your body, your capacity to ‘heal,’ actually lies with you. Your doctor(s) can only do so much – they are limited by what they have been taught and understand. It can be a slow process moving research into the clinical setting.

There is a lot we can do to help ourselves in the meantime.

Addressing the secondary injury

By focusing our attention on the biochemical cascade, we can get the ‘on switch’ to turn back off. We can halt prolonged inflammatory responses and can work on reversing the adverse effects.

The following points are made by Matthew V. Russo and Dorian B. McGavern in their paper ‘Inflammatory neuroprotection following traumatic brain injury’

  • Some components of the neuroinflammatory response seem to play a beneficial role in the acute phase of TBI.
  • Early inflammation can set the stage for proper tissue regeneration and recovery
  • This can, perhaps, explain why general immunosuppression in TBI patients is disadvantageous

More research is needed into the role of inflammation at the acute stage, however, long-term inflammatory response contributes to fatigue and adrenal exhaustion.

The outcome of these efforts is a clearer mind and a reduction in symptoms allowing us to turn our attention to dysfunction caused by physical damage to the brain.

We can do this in a variety of ways: –

  1. Address and consider our beliefs
  2. Address our thinking about nutrition
  3. Learn more about how the ‘gut-brain‘ affects our brain, mental health and our thinking
  4. Learn about the natural substances that reduce inflammation and biochemical toxicity
  5. Understand the impact of synthesised chemicals on our bodies
  6. Be free to learn about other impairments

The First Thing to Do

Many of the symptoms of brain injury, such as anxiety, brain fog, fatigue, depression, and headaches, are often caused by the chemical cascade that happens immediately after any trauma to the brain. If we can reduce on-going inflammation, oxidative stress, and so on – we can also reduce these symptoms. Black Seed Oil from the Blessed Seed Company can noticeably help alleviate these symptoms, and with the symptoms under better control, you will have a clearer picture of the cognitive and executive impairments you need to tackle.

There are over 800 scientific research papers about black seed oil. We have selected accompanying links to those related to acquired brain injury. It is the only black seed oil in the world that is created specifically for medicinal use. Many other oils are for culinary purposes rather than for health benefits. If you have used other brands of oil in the past and haven’t felt changes in your quality of health, this is why.

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Resources:-

Vitality Magazine – Healing Brain Injuries Naturally

Psychology Today – Nutritional Therapies for Traumatic Brain Injury

NCBI – Oxidative Stress: Major Threat in Traumatic Brain Injury.

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