ConditionsBrain, nerves and stroke

Concussion and brain injury

For the headaches, fog, dizziness and broken sleep that can linger after a concussion or brain injury. Supportive care once your physician has cleared you, with the neck and jaw treated as part of the picture.

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Read through

Two lenses, one plan

Water 水 is the phase it is most often read through. Here the Western lens leads, with the classical lens alongside.

The Western lensAnatomy, physiology, biomechanics

An injury of function more than structure

In a concussion the brain is shaken rather than bruised, which is why standard scans so often come back clear. The injury is thought to disturb the brain's energy use, blood flow regulation and signaling for a time, and in some people that disturbance outlasts the usual recovery.

Balance and the eyes
The inner ear, the eyes and the sensors in the neck all report on where the head is. After a concussion they can stop agreeing, which may show up as dizziness in busy places or trouble reading a screen.
The autonomic side
Some people notice a racing heart on standing, poor tolerance of exercise or heat, and swings between wired and exhausted. These are signs worth describing at the first visit.
Graded return
Current concussion care favors a gradual return to activity within what you can tolerate, rather than long rest in a dark room, and exercises here follow the same principle.

The classical lensChannels, patterns, the five phases

The shaken sea of marrow

The brain is the sea of marrow, 髓海, filled by the Kidney essence. A blow disturbs it, and trauma is the classic cause of stagnant blood, so early cases are read as blood stasis in the head and longer ones as a marrow that has not refilled.

When the spirit cannot settle
Irritability, broken sleep and anxiety after a head injury are read as the Heart and Kidney no longer communicating, with the shen unable to rest at night.

Patterns we often see

  • Qi stagnation and blood stasis qì zhì xuè yū 氣滯血瘀
  • Insufficiency of the sea of marrow suǐ hǎi bù zú 髓海不足
  • Liver yang rising gān yáng shàng kàng 肝陽上亢
  • Heart and Kidney not communicating xīn shèn bù jiāo 心腎不交

Patterns are examples of how this is often read, never a diagnosis. Yours is read at your visit.

How we work: one plan

Scalp acupuncture chosen for your symptoms, body points for the pattern, needling and hands-on release of the neck and jaw muscles with Active Release Techniques, and gentle eye and balance drills done in the office and set as homework. Herbs are added when the pattern calls for them. Your physician stays your primary doctor for the injury.

What concussion is

A concussion is a mild traumatic brain injury: a blow, a fall or a whiplash that moves the brain inside the skull. The word mild describes the injury, not always the aftermath. Most people settle over the first weeks. When headache, dizziness, fog, sensitivity to light and noise, a short fuse or broken sleep keep going, it is often called post-concussion syndrome, and scans are frequently normal. Your physician leads the medical side, and many people also see a vestibular or vision therapist.

Danger signs after a head injury

Call 911 for a headache that keeps getting worse, repeated vomiting, a seizure, slurred speech, weakness or numbness, one pupil larger than the other, or drowsiness and confusion that are deepening. Anyone on a blood thinner who hits their head should be checked the same day. Acupuncture has no place in that first assessment.

The neck carries the injury too

Whiplash forces strain the small muscles at the base of the skull, the long muscles at the front and side of the neck, and often the jaw. Those tissues can keep a headache or a woozy, off-balance feeling going on their own, and they are easy to miss when attention stays on the brain.

How we work with it

A visit usually combines scalp acupuncture in zones chosen for your symptoms (balance, vision, the crown of the head), body points for your pattern, and needling and hands-on release of the neck muscles with Active Release Techniques. While the needles are in, we may add simple eye-tracking, head-turn and balance drills from functional movement work, kept below your symptom threshold, and you take a few home. Herbs are added when the pattern calls for them.

Together we watch headache days, screen tolerance, sleep, and how long you can manage a busy shop before the fog returns.

Questions people ask

Can acupuncture help post-concussion syndrome?

Acupuncture is studied as supportive care for lingering concussion symptoms such as headache, dizziness and poor sleep, and research is ongoing. We work alongside your physician and any therapy you already have, and we track the symptoms that matter most to you rather than promising a recovery.

How soon after a concussion can I come in?

After a physician has seen you and ruled out a bleed or other injury that needs medical care. Some people come in the first weeks, others years later. Early visits are kept gentle and short.

Why do you work on my neck if the injury was to my head?

The same force that jolts the brain strains the muscles at the base of the skull and the front of the neck. Tight, tender muscles there can keep feeding headaches and dizziness, so they are treated as part of the plan.

Will the exercises make my symptoms worse?

They are kept below the level that sets symptoms off. If a drill brings on a headache or dizziness, we scale it back, and the homework you take away is set at that same easy level.

This is general wellness information, not medical advice.

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