Life After Impact: The Concussion Recovery Podcast

Ayla Wolf, DAOM

Life After Impact: The Concussion Recovery Podcast. This podcast is the go-to podcast for actionable information to help people recover from concussions, brain injuries, and post-concussion syndrome. Dr. Ayla Wolf does a deep dive in discussing symptoms, testing methods, treatment options, and resources to help people troubleshoot where they feel stuck in their recovery. The podcast brings you interviews with top experts in the field of concussions and brain injuries, and introduces a functional neurological mindset to approaching complex cases. For those feeling lost, hopeless, or abandoned let this podcast be your guide to living your best life after impact. Subscribe now and start your journey to recovery!

  1. Jul 7

    The Hidden Brain Changes After Concussion (And How to Measure Them) with Jack Fonderwhite | E66

    If concussion left you with brain fog, anxiety, poor sleep, or a lingering sense that something is “off,” an EEG may reveal the brain changes your normal scans missed. Dr. Ayla Wolf talks with acupuncturist and concussion specialist Jack Fonderwhite about using EEG, eye tracking, and electroacupuncture to measure and improve brain function after head injury.  Jack shares his own unexpected concussion story—how years of martial arts, contact sports, and repeated head impacts left him with subtle neurological symptoms he didn't even recognize until an EEG revealed significant changes in his brain activity. After developing an acupuncture protocol for himself, he experienced improvements not only in his brainwave patterns, but also in anxiety, night vision, sense of smell, and overall mental clarity.  Inspired by his own recovery, Jack created the Peak Mind program, a comprehensive evaluation and treatment approach that combines objective technology with personalized acupuncture care. Patients undergo advanced assessments including EEG, balance testing, eye movement analysis, cognitive testing, and orthopedic evaluation to create a highly individualized rehabilitation plan designed to improve brain efficiency and support neuroplasticity.  Together, we discuss:  How repeated head impacts can cause concussion without loss of consciousness  Jack's personal journey from martial artist to concussion specialist  What EEG testing can reveal about brain function after concussion  Electroacupuncture and its potential effects on brain activity and neuroplasticity  Why objective measurements help patients better understand their symptoms  The role of balance, eye movements, and cognition in recovery  Anxiety, brain fog, night vision, and smell loss after concussion  Integrating traditional Chinese medicine with modern neuroscience  The future of concussion care and training more acupuncturists to treat brain injury One of the most inspiring messages from this conversation is that some concussion symptoms become so familiar that people stop recognizing them as symptoms at all. Sometimes it's only after the brain begins to heal that patients realize how much they had been compensating every single day. Whether you're recovering from a concussion, you're a healthcare provider looking to expand your understanding of brain rehabilitation, or you're simply fascinated by the intersection of ancient medicine and modern neuroscience, this episode offers an exciting look at what's possible when objective technology and personalized care come together.  Jack Fonderwhite - Jackupuncture: website Email: info@jackupuncture.com Instagram: @Jackupuncturehi Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    The Hidden Brain Changes After Concussion (And How to Measure Them) with Jack Fonderwhite | E66
  2. 4d ago

    Brain Injury Recovery at Home: Making Everyday Life Part of Rehabilitation | E78

    Brain injury and concussion recovery don't happen only in a rehabilitation clinic—they happen at home, at work, in the grocery store, in the kitchen, and in the hundreds of everyday tasks that can suddenly become harder after a traumatic brain injury.  In this episode of Life After Impact: The Concussion Recovery Podcast, I talk with cognitive-motor neuroscientist and neurological occupational therapist Dr. Christopher Gaskins about practical brain injury rehabilitation, cognitive fatigue, memory problems, executive dysfunction, mental workload, neuroplasticity, and rebuilding independence after TBI or concussion. Drawing on more than 15 years of experience in neurological rehabilitation—including working with wounded warriors and veterans at Walter Reed—Dr. Gaskins explains why effective neurorehabilitation must go beyond exercises performed in a clinic and address the real-life environments where people actually need their brains to function. Dr. Gaskins describes his philosophy simply: “The home is a therapy gym.” Walking into someone's home can reveal challenges that may never become apparent during a traditional office visit. Is clutter creating visual and cognitive overload? Is the refrigerator so disorganized that preparing a healthy meal becomes overwhelming? Can the person safely navigate the bathroom? Are bills and mail piling up because executive function has become difficult? Even something as seemingly simple as repeatedly losing your keys can create unnecessary cognitive demand when the brain is already working harder to accomplish everyday tasks. The goal is not simply to perform better on a rehabilitation exercise. The goal is to make life easier. Dr. Gaskins explains how occupational therapy can use the activities people actually care about—cooking, shopping, dressing, gardening, using technology, returning to work, or even taking a spouse on a date—as opportunities to promote neuroplasticity and rebuild function. The conversation also explores one of Dr. Gaskins's areas of neuroscience research: mental workload. After brain injury, activities that were once automatic can suddenly require enormous amounts of conscious attention. That makes reducing unnecessary cognitive demand an important part of recovery. Sometimes the solution isn't another brain exercise. It may be creating a better calendar system, organizing a phone, setting location-based reminders, simplifying a morning routine, reducing clutter, or using technology as an external memory aid. Dr. Gaskins also discusses how he is beginning to incorporate AI tools to help some brain injury survivors organize information, support memory, and complete meaningful tasks—while teaching clients how to use these tools responsibly. You'll also hear about Dr. Gaskins's years working with wounded warriors at Walter Reed, including rehabilitation after TBI, blast injuries, stroke, polytrauma, vision loss, amputations, PTSD, and other complex neurological injuries. Those experiences ultimately motivated him to earn a PhD in neuroscience and cognitive science to better understand why some people respond to rehabilitation differently than others. The conversation looks toward the future as well, including electrical stimulation, vagus nerve stimulation, robotics, brain-computer interfaces, and technologies designed to translate a person's intended movement into meaningful action. But through all of the neuroscience and emerging technology, Dr. Gaskins returns to something remarkably simple: Rehabilitation should help people do the things that make their lives meaningful. Sometimes brain injury recovery isn't about adding more therapy. Sometimes it's about reducing the mental workload, changing the environment, creating better systems, and helping the brain use its limited resources for the things that matter most. Neurosuite: website Dr. Gaskins LinkedIn Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    Brain Injury Recovery at Home: Making Everyday Life Part of Rehabilitation | E78
  3. Sep 21

    Why Your Eyes Still Hurt After a Concussion with Dr. Melissa Biscardi | E77

    Your eyes can be the bottleneck in concussion recovery, and they can also be the missing piece when someone still has headaches years later despite doing “all the right things.” We sit down with Dr. Melissa Biscardi to unpack her PhD work on eye movements and concussion, including a virtual reality (VR) eye training intervention that adapts week by week based on how each person performs and what symptoms show up. We talk through what clinicians can actually measure, why near point of convergence is so central to daily function, and how to think about huge sets of eye movement data without cherry-picking a single metric. Then we move into what we’re both seeing in real clinics: people who already completed vision therapy but still live with chronic daily post-traumatic headache, light sensitivity, and a deep, physical orbital ache. We explore the “eye pain, head pain, light pain” overlap through the trigeminal nerve, how the autonomic nervous system can react during visual tasks, and why a slower, gentler progression can sometimes be the difference between progress and a flare. Melissa shares hands-on strategies aimed at creating ease in the eye tissues, while we also compare options like acupuncture, peripheral nerve stimulation, and simple eye mobility work that is about comfort, not just performance. We also get practical about technology in concussion rehab: VR can be engaging and scalable, but headset fit and interpupillary distance calibration can trigger symptoms, especially in vulnerable populations. Melissa explains how different VR scenarios can help or backfire, and she walks us through the Brain Toolkit app she built to put eye drills and assessment tools like balance and reaction time into more clinicians’ and patients’ hands. If you find this helpful, subscribe, share it with someone navigating post-concussion syndrome, and leave a review so more people can find the show. Dr. Melissa Biscardi: website Instagram: @concussionrehab.ca YouTube: @concussionrehab Brain Tool Kit: https://www.instagram.com/braintoolkit Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    Why Your Eyes Still Hurt After a Concussion with Dr. Melissa Biscardi | E77
  4. Sep 15

    Can We Measure Concussion Recovery? Brain Vital Signs, NeuroCatch & Neuroplasticity with Dr. Ryan D'Arcy | E76

    What if we could objectively measure how the brain is functioning after a concussion—in just six minutes? Concussion and post-concussion syndrome can affect attention, cognitive processing, reaction time, and brain function even when conventional imaging does not provide the answers patients are looking for. In this episode of Life After Impact: The Concussion Recovery Podcast, Dr. Ayla Wolf talks with neuroscientist Dr. Ryan D’Arcy, co-founder, President, and Chief Scientific Officer of HealthTech Connex and a pioneer of brain vital signs and NeuroCatch, an EEG-based technology designed to objectively measure cognitive brain function. They explore how NeuroCatch measures the brain's response to auditory information, what the N100, P300, and N400 can reveal about sensory processing, attention, and cognition, and how researchers are using these measurements to study concussion, traumatic brain injury, subconcussive impacts, neuroplasticity, and brain recovery.  Dr. D’Arcy explains why he began asking a deceptively simple question: We routinely measure vital signs for the heart and body—so why don't we have a vital sign for the brain? That question ultimately helped lead to NeuroCatch, a portable system that condenses technology once largely confined to neuroscience laboratories into an assessment that takes just over six minutes. Rather than asking someone how their cognition feels, the system measures electrical responses generated as the brain processes sounds and language.  The conversation takes an especially fascinating turn when Dr. D’Arcy describes what researchers have observed immediately after concussion. In the first 24 hours, the brain may actually recruit more cortical activity while processing information more slowly—a physiological pattern that changes as the brain moves through recovery.  They also explore emerging research into subconcussive impacts in football, hockey, MMA, rugby, and other contact sports. NeuroCatch measurements have detected changes in cognitive processing associated with accumulated impact exposure—even in athletes who were not diagnosed with a concussion. Dr. D’Arcy also shares preliminary findings from ongoing research examining what happens when athletes are given time away from repetitive impacts and whether objective measures of brain function return toward baseline.  But this episode isn't only about detecting injury. It's also about neuroplasticity and possibility. Dr. D’Arcy describes neuroplasticity as the brain's innate ability to rewire itself—and explains why those changes can sometimes become maladaptive after concussion. Recovery may therefore involve more than simply restoring a neurological function. It may require deliberately creating new pathways that help the brain translate its recovered capacity back into everyday life.  You'll also hear about the remarkable case of a soldier who sustained an extraordinary penetrating brain injury and continued making functional gains 20 years later—a powerful reminder that the brain's capacity for change does not necessarily disappear simply because an injury is considered chronic. The conversation also explores how brain vital signs are moving beyond concussion assessment into treatment monitoring and human performance optimization. Professional athletes, military populations, clinicians, and researchers are beginning to ask not only whether brain function is impaired—but whether cognitive processing can be measured, trained, and optimized. If we can measure how the brain is functioning, can we make better decisions about recovery? And if neuroplasticity remains possible years after an injury, how much human potential have we been underestimating? This episode offers a fascinating look at the emerging intersection of concussion science, objective brain testing, neurotechnology, neuroplasticity, sports performance, and the future of brain health. NeuroCatch: website Dr. D'Arcy LinkedIn Intagram: @dr.ryandarcy TikTok: @dr.ryanddarcy Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    Can We Measure Concussion Recovery? Brain Vital Signs, NeuroCatch & Neuroplasticity with Dr. Ryan D'Arcy | E76
  5. Sep 8

    When Brain Injury Changes Who You Are: Grief, Identity & Finding Purpose Again | E75

    A brain injury can change far more than memory, balance, headaches, or cognition. It can change your career, your relationships, your independence—and sometimes your entire sense of who you are. In this episode of Life After Impact, I sit down with Jamie Arber, a licensed professional counselor, Certified Brain Injury Specialist, brain injury survivor, and Executive Director of the Supported Living Group in Connecticut, to explore a part of brain injury recovery that doesn't receive nearly enough attention: grieving the life you had while learning how to build a meaningful life after injury. Jamie works with people living with acquired and traumatic brain injuries, including individuals who require significant long-term support. He describes what happens when someone who was once completely independent suddenly cannot return to work, live alone, manage the same responsibilities, or fulfill the roles that once defined them. That loss of identity can create grief—not only for the person with the brain injury, but for spouses, parents, children, caregivers, and other family members. Jamie explains how he uses the five stages of grief—denial, anger, bargaining, depression, and acceptance—as a framework for understanding brain injury recovery. Importantly, recovery doesn't move neatly through these stages. Someone may experience acceptance one day and anger or grief the next. Jamie and I also discuss something many people with persistent post-concussion symptoms may recognize: bargaining. It can look like desperately searching for the next treatment, supplement, device, or “miracle cure” that promises to make everything go back to the way it was before the injury. But acceptance doesn't mean giving up on recovery. It can mean acknowledging what has changed while continuing to discover what is still possible. Jamie shares remarkable examples of brain injury survivors finding purpose through art, relationships, work, gardening, community, and new forms of independence. He also explains why adults with significant brain injuries still deserve autonomy, relationships, sexuality, meaningful work, and the opportunity to make choices about their own lives—not to be infantilized simply because they need support. The conversation also explores the enormous burden carried by families and caregivers, including guilt, anger, exhaustion, and the painful realization that loving someone does not necessarily mean being capable of providing 24-hour care. You'll also hear about: Why brain injury can create a profound loss of identityThe five stages of grief after concussion and traumatic brain injuryWhy acceptance and hope can exist at the same timeHow families experience their own grief after a loved one's brain injuryCaregiver guilt and burnoutWhy community and social connection matter in long-term recoveryHow art, work, relationships, and purpose can become part of rebuilding a lifeEMDR and trauma therapy after brain injuryWhy every brain injury is differentThe dangers of social isolation after TBIWhy long-term brain injury care remains so difficult to accessThe importance of treating brain injury survivors as adults with autonomy, dignity, and the same human needs as everyone elsePerhaps the most important message in this conversation is that accepting that life has changed does not mean accepting that growth is over. The brain remains capable of learning and adapting. People remain capable of creating meaning, relationships, purpose, and joy—even when the life they are building looks different from the one they had imagined. Brain injury recovery isn't always about getting your old life back. Sometimes it is about discovering how to build a meaningful life from where you are now. Jamie Arber: Linkedin  Supported Living Group website Neurospark Counseling website Instagram: @thesupportedlivinggroup  @neurospark2026 Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    When Brain Injury Changes Who You Are: Grief, Identity & Finding Purpose Again | E75
  6. Aug 31

    The Sensitive Nervous System: Rethinking How We Treat Complex Patients with Dr. David Traster | E74

    Have we become so focused on what a treatment can do that we've stopped asking who it should—and shouldn't—be used on? Why do some people seem to tolerate almost anything, while others react strongly to medications, supplements, foods, sensory stimulation, exercise—or even therapies intended to help them? In this episode of Life After Impact, I sit down with Dr. David Traster to explore the sensitive nervous system and why recognizing that sensitivity may be an important part of caring for people with complex neurological and chronic health conditions. Dr. Traster describes a shift he began noticing after COVID. Patients who previously responded predictably to neurological rehabilitation were becoming more complicated. Underlying issues that may once have been relatively quiet—immune dysfunction, chronic infections, mold exposure, inflammation, histamine and mast-cell responses, or autonomic dysfunction—seemed to become more clinically significant. In some patients, neurological testing would improve while they still didn't feel substantially better. It forced him to reconsider what else might be limiting their capacity to recover. That realization gradually changed the way he practices. For some highly reactive patients, the first step may not be a more powerful treatment. It may be less: slowing down, looking at the larger physiological picture, and beginning with interventions the person's system can comfortably tolerate before progressing to more intensive care. Dr. Traster discusses his use of biofeedback, nutrition, herbs, homeopathy, autonomic support, and neurological rehabilitation—and why the appropriate starting point can look very different from one person to another. The conversation also raises an important question about our rapidly expanding world of biohacking, supplements, neuromodulation, and medical devices. A therapy can be beneficial and still not be appropriate for every person, at every dose, or at every stage of recovery. More treatment is not necessarily better treatment. Perhaps most importantly, sensitivity itself deserves to be respected. When someone's symptoms increase in response to a therapy, that response shouldn't automatically be dismissed or interpreted as a reason to push harder. It may be valuable information about what that person's nervous system can handle right now. Good clinical care requires listening to those responses, measuring change, adjusting course, and recognizing when the body may need a gentler approach. We also explore the importance of accurate diagnosis, the limitations of one-size-fits-all protocols, the risks of treating a presumed “root cause” without considering the larger physiology, and why even promising therapies can have unintended consequences when applied to the wrong person at the wrong time. This episode offers a different way of thinking about complex recovery: The goal isn't to make a sensitive nervous system behave like everyone else's. It's to understand what that sensitivity is telling us—and build care around the person who is actually in front of us. The Neurological Wellness Institute The Neurological Wellness Podcast Dr. Trasters Substack Instagram: @neurologicwellnessinstitute Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    The Sensitive Nervous System: Rethinking How We Treat Complex Patients with Dr. David Traster | E74
  7. Aug 25

    DTI: A New Era in Concussion Diagnostics with Dr. Rebecca Romero | E73

    Can diffusion tensor imaging (DTI) detect brain changes after a concussion when a standard MRI or CT scan is normal? In this episode of Life After Impact, I sit down with board-certified neurologist Dr. Rebecca Romero to explore how DTI is moving from the world of concussion and traumatic brain injury research into clinical practice. Dr. Romero explains how DTI brain imaging can evaluate microscopic changes in the brain's white matter pathways following mild traumatic brain injury (mTBI), including changes that may not be visible on conventional MRI. We discuss fractional anisotropy, white matter tract integrity, susceptibility-weighted imaging (SWI), hemosiderin deposition, and brain-volume measurements—and why DTI must still be interpreted alongside the patient's symptoms, history, neurological examination, and other objective testing rather than used as a stand-alone concussion test. But DTI is only one part of this conversation. What particularly impressed me about Dr. Romero's approach is how comprehensive and integrative her concussion evaluations are. Rather than relying on a single scan or a brief neurological examination, her clinical network begins gathering objective information before the patient even sits down with her. This can include symptom questionnaires, eye-movement testing, balance and postural stability assessment, EEG/event-related potentials, and cognitive screening. Dr. Romero then spends considerable time reviewing the patient's history, symptoms, test results, and neurological findings to begin putting the pieces together. We discuss why this matters when someone has been told: “Your MRI was normal.” Standard CT and MRI scans are often normal after concussion because they were designed primarily to identify larger structural abnormalities—not necessarily the microscopic changes associated with mild traumatic brain injury. DTI provides another way of looking at the brain by examining the diffusion of water through white matter tracts—the communication highways connecting different regions of the brain. Dr. Romero explains how abnormalities in measures such as fractional anisotropy can contribute additional objective information when interpreted within the larger clinical picture. Importantly, she also explains why DTI isn't appropriate for everyone. Age, previous concussions, hypertension, diabetes, and other medical conditions can complicate interpretation and potentially contribute to false-positive findings. This is not simply a scan that should be ordered for every person who experiences a concussion. Our conversation then expands well beyond imaging. We explore post-concussion brain fog, cognitive impairment, headaches, dizziness and autonomic dysfunction, neuroinflammation, sleep problems, medication-overuse headaches, exercise, nutrition, and women's hormones during perimenopause and menopause. Dr. Romero also explains how rehabilitation is incorporated into her model of care, including oculomotor and balance rehabilitation and emerging cognitive-motor approaches based on the specific deficits identified during testing. In this episode, we discuss: What diffusion tensor imaging (DTI) isHow DTI differs from a conventional MRIWhy CT and MRI scans are often normal after concussionWhite matter tracts and fractional anisotropyMicroscopic changes associated with mild traumatic brain injurySusceptibility-weighted imaging and hemosiderin depositionWhen DTI may—and may not—be appropriateEEG/event-related potentials and the P300 responseEye-movement and balance testing after concussionCognitive testing and executive-function problemsAutonomic dysfunction, dizziness, and orthostatic symptomsPost-traumatic headaches and medication-overuse headacheNeuroinflammation after traumatic brain injurySleep and concussion recoveryPerimenopause, hormones, and female concussion recoveryThe importance of coordinated, comprehensive concussion careOne of the most important messages from this episode is that better concussion diagnosis isn't necessarily about finding one perfect test. It's about combining emerging technologies such as DTI with a careful history, neurological examination, objective functional testing, and thoughtful clinical reasoning to create a more complete picture of what happened to the brain—and what that individual patient may need next. Dr. Romero & ProCare: Website Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    DTI: A New Era in Concussion Diagnostics with Dr. Rebecca Romero | E73
  8. Aug 20

    Post-Concussion Syndrome: A Neurology Provider’s 2-Year Road Back | E72

    Why do some concussion symptoms last for months—or even years—and what can you do when your recovery seems to plateau? In this episode of Life After Impact, I sit down with neurology nurse practitioner and traumatic brain injury specialist Mandi Swanson, who spent nearly two years recovering from her own TBI after a motor vehicle accident. Mandi went from running half-marathons and practicing neurology to struggling with severe post-traumatic headaches, brain fog, memory loss, balance problems, vision dysfunction, anxiety, PTSD, and an inability to read more than a few sentences at a time. Her CT showed no brain bleed, yet her concussion ultimately changed nearly every aspect of her life. Now back in clinical practice treating patients with concussion and persistent post-concussion symptoms, Mandi brings a rare perspective: she understands concussion recovery from both sides of the exam room.  Mandi shares what happened when traditional rehabilitation helped—but only to a point—and why hitting a plateau didn't necessarily mean a therapy had failed. Throughout her recovery, physical therapy, occupational therapy, neuro-optometry, speech therapy, red-light therapy, PEMF, neurofeedback, and eventually work targeting autonomic function each played different roles at different stages. One of the most important lessons she learned was that concussion recovery isn't one-size-fits-all—and sometimes the right therapy delivered at the wrong time may not produce the same results as it does later in recovery. We also dig into post-traumatic headaches, including why persistent headaches after concussion shouldn't automatically be treated as migraines. Mandi explains why understanding the location, quality, timing, and triggers of a headache matters, and we discuss medication-overuse or “rebound” headaches that can develop when medications such as ibuprofen or acetaminophen are used too frequently.  Mandi also shares practical lessons she now brings into her own concussion clinic, including the importance of hydration, nutrition, magnesium and vitamin D assessment, vision evaluation, appropriate exercise, sleep, stress management, and looking beyond symptoms to identify the systems that may still be struggling. But some of the most powerful parts of this conversation aren't about treatment at all. Mandi describes losing access to medical knowledge she had accumulated over decades, wondering whether she would ever practice medicine again, and realizing how deeply her identity was tied to being a nurse practitioner. She talks candidly about anxiety, depression, financial stress, PTSD after her car accident, and eventually learning that accepting where she was in that moment did not mean giving up on getting better. We also discuss something that doesn't get nearly enough attention in concussion care: the importance of having a healthcare “quarterback.” Mandi explains why coordinated medical care, thorough documentation, and advocacy can become especially important for people navigating workers' compensation or auto insurance while simultaneously trying to recover from a brain injury.  In this episode, we discuss:  Why some concussion recoveries take much longer than expected  Brain fog, memory loss, cognitive fatigue, and difficulty reading  Post-traumatic headache versus migraine  Medication-overuse and rebound headaches  Vision problems and neuro-optometry after concussion  Autonomic dysfunction and dysautonomia  Why concussion rehabilitation can plateau  Why a treatment that didn't help before may be worth revisiting  PTSD and emotional recovery after a traumatic accident  Returning to work after a prolonged brain injury  Navigating workers' compensation and auto insurance  The importance of coordinated concussion care  Emerging concussion diagnostics and treatments  Why recovery may require multiple therapies at different stages Perhaps the most important message from Mandi's story is that a plateau does not necessarily mean you've reached the end of your recovery. Sometimes it means it's time to ask a different question, investigate another system, change the timing or combination of therapies, or find a provider who approaches the problem differently. Mandi cannot promise her patients exactly how quickly—or how completely—they will recover. But her experience as both a patient and clinician has given her something equally important to offer: A long recovery is still a recovery. And nearly two years after wondering whether she would ever be able to practice neurology again, Mandi returned to medicine with an entirely new mission: helping other people find their way through the complicated journey she once had to navigate herself.  Mandi Swanson LinkedIn Brain Wellness Podcast The Mother's Day Episode Send us a Message! My new book The Art of Concussion Recovery: Following the Thread is available as an audiobook, paperback, hardcover, and Kindle on Amazon.  Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359 Save 20% on your first order of Puori Protein:  https://affiliate.puori.com/LIFEAFTERIMPACT The Art of Concussion Recovery - Audiobook Available on Audible and Apple Books, Paperback and Hardcover on Amazon Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon! Follow us on YouTube & Instagram @lifeafterimpact Website: lifeafterimpact.com Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other ...

    Post-Concussion Syndrome: A Neurology Provider’s 2-Year Road Back | E72
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About

Life After Impact: The Concussion Recovery Podcast. This podcast is the go-to podcast for actionable information to help people recover from concussions, brain injuries, and post-concussion syndrome. Dr. Ayla Wolf does a deep dive in discussing symptoms, testing methods, treatment options, and resources to help people troubleshoot where they feel stuck in their recovery. The podcast brings you interviews with top experts in the field of concussions and brain injuries, and introduces a functional neurological mindset to approaching complex cases. For those feeling lost, hopeless, or abandoned let this podcast be your guide to living your best life after impact. Subscribe now and start your journey to recovery!

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