Concussion

3547 Rhoads Avenue
Newtown Square, PA 19073
(P)610-356-2341
(F)610-356-3763

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From a metabolic perspective, there are several things that happen following a concussion.
Increased glutamate levels
Altered glucose utilization
Mitochondrial dysfunction
Reduced available Magnesium
Brain Inflammation
In the injured brain there is a slow build-up of free radicals, prostaglandins, lipid peroxidation products, inflammatory cytokines and excite-toxins that damage the connections between brain cells, the synapses, axons and dendrites.
The process is mediated by cells called microglia. Once the microglial cells are activated, they tend to persist in this state and can actually create even greater neural inflammation over time
There are specific dietary recommendations and nutritional compounds that can reduce this brain inflammation and make a better environment for brain recovery following a concussion. We combine these evidence-based drug-free dietary recommendations and nutritional supplements with our specific brain therapies to achieve maximal benefit for the post-concussion patient.
We base a patient's specific nutritional needs on their preliminary lab results. The following are some of the lab tests we may run to determine the best nutritional approach each individual concussion patient will need:

Preliminary Lab Testing
The effects of a concussion can be compounded by the person's metabolic health prior to the injury.
A Complete Metabolic Panel (CMP)
A Lipid and Thyroid Panel
A CBC (Complete Blood Chemistry with Auto Differential)
Vitamin and Mineral Testing (Vit D, B12, Calcium, phosphorus etc)
Inflammation Testing: We test for Inflammation in your system by testing Homocysteine Levels and C - reactive protein (CRP).
Iron and Ferritin Testing For Anemia
Some patients suffering post-concussion syndrome are also suffering from a pre-inflammatory processes that compounded the effect of the concussion.
We can assess your thyroid, adrenal, immune, blood and gut function. All can be affecting your brain health. By addressing any problems with your thyroid, adrenal glands, immune system, blood chemistry or gut function, we can help your nervous system to function more properly. The complete metabolic panel allows us to check your blood glucose levels since glucose and oxygen are needed by the brain to function properly.

Special Lab Panels and Testing
Your preliminary blood testing will let us know if any of the special testing listed below will be necessary in helping you recover from your concussion
Cyrex array 2-Intestinal permeability (Leaky gut testing)
Many concussion patients have a microscopic breakdown of their intestinal wall known as intestinal permeability that may be a result of poor brain function from the concussion or a poor diet prior to the injury. This breakdown called leaky gut will cause the small intestines and colon to become inflamed as well as allow the brain to maintain its inflamed state. An inflamed gut will cause an inflamed brain. The Cyrex labs specialized immune testing for intestinal permeability will determine if you have leaky gut and if so what specific type. There are 3 types of leaky gut, each have a specific treatment approach


The Gut-Brain Connection:
The gastrointestinal system is known as the "Second Brain" and has just as many neurons as the brain itself. Our 2 brains- the one in our head and the one in our bowel- must cooperate. When they do not, then there is chaos in the gut and misery in the head-everything from "butterflies' to cramps, from diarrhea to constipation.
Michael D. Gershon, MD author of "The Second Brain"
Cyrex array 3- Advanced gluten sensitivity testing
Concussion sufferers that are also gluten sensitive may have excess gut and brain inflammation from gluten sensitivity. This can compound and multiply the inflammatory cascade caused by the concussion.
Cyrex array 4-Food sensitivity and cross reactive food testing: 
Concussion sufferers may also be sensitive to multiple foods beyond gluten. This test will pinpoint what foods are causing excess gut and brain inflammation.

(See CYREX Gut Brain Immune video tab on website)
Stool Microbial Ecology testing
for intestinal bacteria, yeast, parasites and dysbiosis. Eliminating intestinal inflammation will help to reduce overall body and brain inflammation
Adrenal Stress Index (ASI)
We can further test your adrenal glands with a test called an Adrenal Stress Index. Your adrenal glands are your "stress" organs, meaning that they react to stress. If you have been or are currently under stress, this test is a must! When your body's cortisol levels are abnormal, it is a sign that your body's sympathetic nervous system is over-firing. A concussion may cause an over-firing sympathetic nervous system. Abnormal cortisol levels can be corrected via specific neurologic and nutritional protocols.

Specific Nutritional Protocols
These specific nutritional protocols are based on your neurological testing, your blood work findings and your special lab panels. Our goal is to provide the brain with the best metabolic environment to support and obtain the best results from our neurological care. The effects of a concussion can be compounded by the person's metabolic health prior to the injury. These protocols are designed specifically for you and may include any of the following:
Anti-inflammatory diet
Specific diet and supplement protocols for leaky gut correction
Liver detoxification
Specific diet and supplement protocols to decrease brain and gut inflammation and decrease chronic pain
Non-drug protocols for high blood sugars, diabetes, hypoglycemia and high cholesterol
Natural protocols for hypothyroidism
Nutritional protocols for abnormal adrenal (stress gland) function
Specific diet and supplement protocols for autoimmunity
Food sensitivity diet recommendations
Migraine trigger elimination diets

For information about our Reduced Cost Post-Concussion Recovery Evaluation including our neurological exam, advanced diagnostic testing and Report of Findings please put your name and email in the box below and we will send it to you along with other concussion care tips right away! Thanks!
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