Peak Medicine

David Musnick, MD

Tag: Concussion

Integrative Concussion TBI Treatment

At Peak Medicine clinic in Bellevue WA. I have developed and treat with an Integrative Functional Medicine approach to healing the brain after Concussion and TBI. I have called this the DMMD approach ot healing the brain. Of note this approach is not being used by most Doctors(even Neurologists, Functional Medicine Drs or NDs) because they are used to simply diagnosing a Concussion and referring for certain therapies. The underlying changes and physiology of what is going on in the brain is not actually being addressed by most Neurologists and doctors when a person presents with a Concussion. Not addressing the physiological processes in the brain can lead to poor outcomes, loss of brain functions, brain fog, low energy, headaches, and very slow to poor recovery. Brain reserve can be decreased in injured areas of the brain even when a Dr says that you ahve healed the concussion.

The DMMD approach is based on the pathophysiology of what actually happens after a Concussion and TBI. This can apply to the acute stage as well as to the subacute and even the chronic pared after the head injury. If you still have symptoms there is still some dysfunctional physiology and problems with brain structure that are still going on that may be improved. The pathophysiology issues are: mitochondrial and energy crisis, low oxygen delivery, loss of neurons and synaptic connections, Neuroinflammation, free radical damage, Neurotransmitter problems especially of Dopamine, excitotoxicity, Limbic System near threshold and mood problems, blood brain Barrier damage, permeability and Autoimmunity, Hormone dysfunction(thyroid, Adrenal and Sex hormones). Other issues that should be also addressed are: headaches, sleep issues, vision, vestibular(dizziness), cognitive dysfunction as well as mood issues. A Brain Injury diet can be used to protect the brain and to aid in building healthy membranes. Neuroprotection Strategies for TBI are very important and involve dietary and EMF strategies. Supplements can be used to address parts of the pathophysiology for instance Taurine can be used to help with building more neuron and synaptic density. It is often important to get a blood test to see if a person has antibodies to the blood brain barrier and to set up a program to protect and heal this very important structure. It is important to do physical exercise in an aerobic heart rate training zone for 40 minutes to increase BDNF brain derived nerve growth factor. It is also important to do brain cross training. In subsequent blogs I will go into some more detail of a Integrative and Pathophysiology approach to healing the brain. Also at Peak Medicine I do Telemedicine as well as in person clinic Consultations with patients and their families as well as consultations with your doctor. David Musnick MD


Inflammation or Neuroinflammation in the brain is a big problem soon after a head injury/Concussion. Inflammation can lead to”secondary brain injury” and increase the areas of loss of functioning neurons, synaptic networks etc. well past what the original injury would produce. It can lead to problems with neurotransmitters and poor functioning in different brain areas. It can also lead to fatigue and brain fog. If a person has antibodies to their own brain lining called the blood brain barrier BBB they can have more inflammation in the brain. If they have Intestinal Permeability they can have even more inflammation in the brain. This can occur soon after the injury or at any time from the time of the injury. If you or someone you know has had a Concussion and is having brain symptoms it is important for them to have an integrated approach to dealing with and modulating Neuroinflammation. A test for antibodies to the BBB as well as a test for antibodies to the Intestinal tight junction proteins can be very helpful in guiding care. These tests can be ordered by any MD, DO, DC or ND Dr but are best ordered by a Dr that can interpret the test results and make decisions to heal these areas. Labs that do these tests are Cyrex, Vibrant Labs, Mayo Clinic to name a few. In future blogs I will discuss more about neuroinflammation and how to limit inflammation by diet, supplements, sleep, stress management etc. I will also be discussing other aspects of David Musnick MD

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