He is board certified in Physical Medicine and Rehabilitation and fellowship trained in brain injury. Dr. Zasler is a Clinical Professor of PM&R at VCU in Richmond, Virginia, as well as a Clinical Associate Professor of PM&R at the University of Virginia, Charlottesville, Virginia. He also serves as a consultant in neurorehabilitation to the Northeast Center for Special Care in New York. He is a fellow of the American Academy of Disability Evaluating Physicians, and a diplomate of the American Academy of Pain Management. His main areas of clinical and research interest include neuromedical issues in acquired brain injury (particularly mild TBI, neuropsychopharmacology and low level neurologic states), differential diagnosis in acquired brain injury community-based care issues, as well as chronic pain rehabilitation including headache.
Dr. Zasler is a practicing clinician who is involved with community-based neurorehabilitation and neuromedical assessment and management of persons with brain injury, neurodisabililty, as well as chronic pain. www.tree-of-life.com.
BrainLine
Nathan D. Zasler, MD, FAAPM&R, FAADEP, DAAPM, CBIST is an internationally respected physician specialist in brain injury care and rehabilitation.
He is CEO and Medical Director of the Concussion Care Centre of Virginia, an outpatient neurorehabilitation practice, as well as, Tree of Life, a living assistance and transitional neurorehabilitation program for persons with brain injury in Glen Allen, Virginia. He is board certified in Physical Medicine and Rehabilitation and fellowship trained in brain injury.
Dr. Zasler is a Clinical Professor of PM&R at VCU in Richmond, Virginia, as well as a Clinical Associate Professor of PM&R at the University of Virginia, Charlottesville, Virginia. He also serves as a consultant in neurorehabilitation to the Northeast Center for Special Care in New York. He is a fellow of the American Academy of Disability Evaluating Physicians, and a diplomate of the American Academy of Pain Management.
Dr. Zasler is a practicing clinician who is involved with community-based neurorehabilitation and neuromedical assessment and management of persons with brain injury, neurodisabililty, as well as chronic pain. www.tree-of-life.com.
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I\'m 3 yrs post TBI and having intractable migraine HA, along with vestibular disorder, neurogenic bladder, memory loss, depression, and some aphasia. I think this whole ordeal really sucks! Not a lot of hope for the future and nearly daily, unbearable, torturous pain with the migraines. Please encourage the neuro community to research better treatment options quickly because I see no value in continuing my life with this hell in my head. It is the invisable disorder because everyone questions why I am at home, in bed, with a home health nurse. If some of my neurologists could only walk 10 minutes with my migraine pain, I think they would be much more empathetic to relieve that pain! I understand, no one likes a migraine patient... we\'re very irritable and always asking for narcotics to relieve the pain, but we\'re still human beings and deserve to be treated with dignity, not like a drug-seeker. If I wanted to get high, it would be much easier to score drugs on a corner in the neighborhood than to sit for hours in an ER, only to listen to the doctor lecture me about narcotic use. Sorry, but I am irritable and angry about the ignorance of the medical community with regards to TBI. Thanks for letting me vent.
I suffered a TBI in 2002 to my frontal lobe. Since, I have had many changes to who I was and who I am today. One of the largest complaints aside from memory and what not are the headaches I recieve. I sometimes get very severe migraines that can last for days if I dont take medication immediately upon onset. More recently, I have started having "ice pick" headaches. They are short, almost thirty seconds or so, intense headaches that feel as though someone is carving at my brain. My eyes squint and tears flow. Before the motorcycle accident of 02', I have never experienced anything so excrutiating in my life. This article is very helpful and allows me to understand more why the headaches continue. And thank you to my mom for sending me the article.
I suffered TBI in 2003. Only had one severe headache to where I ended up in the hospital. That was post concussion. Now I have started getting intense headaches the last week now twice. Had a catscan and it came back negative. I am afraid now on top of my dizzy issues I am going to have these headaches off and on now. Today the headache was brought on after I went into a store with bright lights. Have been sensitive to bright lights after the initial injury, but never like this. Now I hope with this info to help get some relief. Good luck to those who are suffering from the same thing.
this article has been very useful, I am 10 yrs post TBI and have been having these stabbing pain like headaches for the last 2+ years. Most doctor's don't really know what to do, but this article has opened up some other avenues that I plan on looking into. Thanks again. Karin (Washington DC)
Interesting article. I have been diagnosed with migraines for several years and cervic-genic head for one year (10 years post TBI). They are chronic and get worse during the work day. This is valuable information that I will share with my pain doc. I have kept a variety of logs, but no one really bothered to look at them, maybe with this information, they will!
Thank you so much for this article. I have been suffering from chronic daily headaches ever since my serous concussion 35 years ago. My doctor kept telling me "it's just who you are" every time I brought the subject up, but she hadn't even asked any questions about them or looked into where they were coming from. I have just changed doctors because of this (I finally got fed up!), and he is willing to look into the headaches. This article has confirmed my decision to change doctors, as I find it hard to believe my headaches are not connected to the concussion, as they started shortly after the accident. Thank you again! Arlene Vancouver, BC
As a chiropractor who suffered a TBI in 1985, I would like to point out that a significant number of headaches are related to the neurologic tension generated in the brain stem by these injuries. There are a group of Chiropractors specifically trained to manage these distressing consequences. This group IS NOT WELL-KNOWN by other Chiropractors or conventional medicine; they are Upper Cervical Chiropractors: www.upcspine.com/links1.htm
Apr 17th, 2012 10:43am