Ask Dr. Nick

On today’s episode, Dr. Nick talks about the importance of aerobic exercise following an acute concussion. Most common recommendations following a concussion are rest with no physical or mental activity and possibly in a dark room. This recommendation is outdated as we have more research and guidance that rest does not help acute concussions heal. The best advice following acute concussions is to be active. Ideally, this means walking or biking to increase one’s heart rate but not past the limit of increased symptoms or exacerbations of symptoms after the activity. Two research articles are discussed today that show the benefits of aerobic exercise following concussions. One discusses that the earlier time aerobic exercise is initiated, the earlier time to return to sport and school/work. The other discusses the benefits of testing for aerobic exercise threshold prior to initiating submaximal aerobic exercise for treatment. Check out the video for more in depth information on how exercise is medicine following a concussion!

  1. Lawrence DW, Richards D, Comper P, Hutchison MG. Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion. PLoS One. 2018;13(4):e0196062.
  2. Leddy JJ, Haider MN, Ellis M, Willer BS. Exercise is Medicine for Concussion. Curr Sports Med Rep. 2018;17(8):262-270.

NWI

The Neurologic Wellness Institute offers personalized and innovative treatments for neurological, mental, and physical health conditions. We employ the largest number of doctors in the world who have received the highest level of training in Functional Neurology / Chiropractic Neurology by passing their Diplomate Examination.

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    integrative psychiatry
    cognition and movement
    Dr. Jacob Plasker - Concussed Patients
    Dr. Roy Wilkins is both a Medical Doctor and a Doctor of Chiropractic. He also holds fellowships in sleep studies and neurology. Dr. Wilkins has specialized in sleep medicine and has helped patients from around the world suffering from sleep disorders. Dr. Wilkins practices in Lakeside, Arizona at White Mountain Sleep Lab, Inc.

#sleep #sleeptraining #sleepisimportant #sleephygiene #sleepproblems #sleepwell #sleepdisorders #sleephelp #sleephealth #sleepexpert #sleeproutine
    Listen to Kim discuss her recovery with Postural Orthostatic Tachycardia Syndrome. The Neurologic Wellness Institute attends to patients with a wide variety of dysautonomia. We are very fortunate to play a role in Kim’s POTS journey and we thank all of our patients for their trust in our doctors.

#pots #potssyndrome #potsawareness #dysautonomia #dysautonomiaawareness #brainretraining #brainrewiring #braincare #functionalneurology
    Marie’s Story: Recovery From A Stroke

Listen to Maria’s journey struggling with stroke recovery and how she was able to find help at The Neurologic Wellness Institute. Everyone at The Neurologic Wellness Institute is honored to play a role in our patients’ success.

#poststroke #strokesurvivor #strokerecovery #strokeawareness #stroketherapy #stroketreatment #functionalneurology #braincare
    What is the Best Treatment for Dystonia?

Dr. Nick talks about the treatment options for dystonia. Dystonia is a neurological disorder that causes abnormal movements. It can be classified in multiple ways like body parts (cervical or hand), action (task-induced or specific), and muscle movement (sustained or intermittent). The most common is cervical dystonia, which causes one’s neck to be twisted/tilted or be moving constantly. This can cause severe distress, pain, and not trusting one’s ability to control walking. The obvious signs are the motor problems, but there can be many underlying issues like previous head injuries/trauma, post-traumatic stress, vision abnormalities, vestibular problems, and anxiety and depression. For this reason, treatment needs to be individualized to address these in a holistic approach. There is not just one treatment option that is best for dystonia. Check out the video for more in depth information regarding the web of dysfunction underlying dystonia!
    Season 6, Episode 2: Understanding Neurodegenerative Disorders
with Dr. Elias Druckman DC

Dr. Elias Druckman DC has a strong background in functional neurology and functional medicine. He has found a passion for helping the elderly with a non-pharmaceutical approach to health and aging.
#neurodegenerative #neuro #neuroscience #cognitivedecline #braincare #functionalneurology #memorycare