Many complications can occur due to a traumatic brain injury (TBI). Some of these are noticed immediately after injury, while others may occur later in recovery. Usually, the complications depend upon the injury's location and severity. TBI rehab centers are vital as they can reduce the risk of complications resulting from a TBI

Complications can be physical or neurological and may be progressive. Understanding complications can help you to identify the best ways to support and care for your loved one. 


What are Brain Injury Complications?

Because every brain injury is different, patients may have unique secondary effects. These depend upon the area of the brain impacted and whether the injury is mild, moderate, or severe. 


Bed Sores (Pressure Ulcers)

Pressure ulcers develop from injury to the skin or underlying tissue. They often occur over bony areas such as the hips or heels. Often they develop due to friction, immobility, pressure, an infection, or sepsis. Pressure ulcers can develop quickly, even within a few hours of pressure.

If not treated, they can result in tissue death and life-threatening infections. Caregivers must adjust the patient frequently (at least every 2 hours) to help avoid pressure ulcers. 


Deep Vein Thrombosis and Pulmonary Embolism 

TBI patients who are immobile and susceptible to developing a deep vein thrombosis (DVT). A DVT is a formation of blood clots in the large veins, usually in the legs. Part of the clot can break off, travel through the body and lead to complications such as a pulmonary embolism. 

The cause of a pulmonary embolism is a blockage of the artery of the lungs. Both DVTs and Pulmonary embolisms can be life-threatening or lead to additional complications such as a stroke.



Pneumonia is an infection that affects the air sacs in one or both lungs. They can fill up with fluid or pus, which can be life-threatening. TBI patients are prone to developing pneumonia and may require a ventilator in severe cases. 

It is also important to note that aspiration pneumonia is frequent among TBI patients who have difficulty swallowing (dysphagia). Symptoms of pneumonia include:



Tension and migraine headaches are common after TBIs. Headaches may be frequent for many weeks or months after the injury. 


Vertigo (dizziness)

TBI, patients can experience vertigo due to inner ear problems, damage to the cerebellum or occipital lobe of the brain, medication, migraines, or due to dehydration. Vertigo or dizziness is common after a TBI. Some patients may express that it seems as if the room is spinning. 



Many TBI patients experience some level of fatigue after a brain injury. Fatigue is due to the brain's recovery from the injury's secondary effects. The brain uses energy for healing, leaving less energy to engage in other tasks. Patients may also experience physical or psychological fatigue as they participate in neurological rehabilitation. 

Post-Acute Rehabilitation

Where Can I Find Out More Information About Post-Acute Rehabilitation?

NeuLife Rehabilitation is one of the largest neuro rehabilitation centers in Florida and the southeast United States. We specialize in patients who have experienced a TBI and have a wide range of rehabilitation programs available at our facility. 

We customize our programs for each patient, as each injury is unique. Our care plans are structured so that our patients can reach their highest potential for individual functioning and integrate into the community. We can only accomplish this through our clinical experts' work and experience in treating TBI patients. 


Contact us to schedule a tour today! 


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Trauma is one of the leading public health problems that ranks as the fourth leading cause of death for people of all ages. In fact, studies suggest that there are 60 million orthopedic injuries occur yearly due to traumatic accidents, such as car collisions, sports accidents, or work-related accidents.

Regardless of its cause, most traumatic accidents result in various complex orthopedic injury that requires medical care and hospitalization. Additionally, the patient must undergo intensive physical therapy to completely recover from the injury.

Fortunately, NeuLife offers complex orthopedic injury rehabilitation for patients with severe musculoskeletal injuries. Read on to learn more about what it is and when it is recommended.

When is a complex orthopedic injury rehab recommended?

A complex orthopedic injury refers to injuries sustained after a serious condition or severe trauma. Some examples of conditions considered a complex orthopedic injury include:

refer to broken bones in the hip or pelvic area. Fractures may also be considered complex if there’s muscle, vessel, and nerve damage.

Is an autoimmune disorder wherein your body sends antibodies to attack the tissue surrounding and protecting the joint.

is a degenerative joint disorder that causes extreme joint pain and swelling. An advanced form of arthritis may happen due to a traumatic joint injury or as a complication of another underlying condition.

are congenital disabilities that affect the musculoskeletal system causing orthopedic problems as the baby grows up.

is a last resort procedure that your doctor may recommend if you have a severely damaged joint. This operation involves removing your injured joint and replacing them with artificial ones. 

are injuries in the musculoskeletal system caused by a direct blow, blunt trauma, or penetrating trauma.

These injuries usually require immediate medical attention to treat the actual condition. After the treatment, your doctor will recommend a complex orthopedic injury rehabilitation to help your recovery. This type of physical therapy will help restore your body’s normal function as you heal from your surgery or condition. 

Furthermore, complex orthopedic injury rehab aids in strengthening your muscles and body so you’ll gradually maximize your mobility. This therapeutic technique will also teach you to adapt and perform daily tasks without injuring yourself again.

What types of therapy should you expect during complex orthopedic injury rehabilitation?

First, your care team will perform a thorough medical evaluation to assess your current condition, mobility, and limitations. Then, they will create an individualized treatment program focused on your medical needs and personal goals. 

Complex orthopedic injury rehab is primarily done in an inpatient facility to provide 24/7 extensive care and assistance to the patients. Some of the various types of therapies you may encounter in the rehab center include:

You’ll be working with a group of a multidisciplinary team that may consist of doctors, physical therapists, nurses, nutritionists, and orthopedic surgery specialists. As your condition improves, your care team will adjust your treatment plan and gradually introduce more challenging activities and exercises. 

The last stage of your complex orthopedic injury rehabilitation is an effective transition of care. Your team will equip you with the right tools, devices, and learnings so you’ll be ready when you transition back to your home or on to a long-term care facility. 


complex orthopedic injury

NeuLife – Providing the best rehabilitation for complex orthopedic injuries.

If you’re looking for a patient-centered rehab for you or a loved one, then you’re on the right track!

At NeuLife, we provide effective and research-based rehabilitative services to address your orthopedic problems. Our board-certified healthcare team focuses on empowering patients to overcome their physical limitations through various therapies and innovative techniques. 

Besides complex orthopedic injuries, we also provide other types of rehabilitative treatment, such as:

Contact us now at 800-626-3876 to learn more about our programs or schedule a tour to see our stunning accommodations.


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

After a traumatic brain injury (TBI), patients can experience a number of different side effects. One of the most common is intestinal dysfunction, leading to stomach ulcers, food intolerance, or gastritis. Just as every brain injury differs, side effects can vary depending on the patient. 

Though the intensity of intestinal dysfunction differs for each patient, they can be uncomfortable and impact recovery after a TBI. Fortunately, there are steps patients can assist in recovery. 


What is the Purpose of the Digestive Tract?

The gastrointestinal tract breaks down food into nutrients used to fuel the body. It is also responsible for trapping and disposing of harmful substances, which is essential for our general health. 

Many people are not aware of the strong connection between the gastrointestinal tract and the brain. They both communicate with each other to promote proper digestion through hormones and nerves.  


Can a Brain Injury Cause Digestive Problems?

We mentioned that brain injuries are tied to digestive problems but why? The cause and contributing factors continue to be researched

Studies show that TBIs are related to intestinal permeability, allowing digestive substances to pass through the intestines. This can lead to high blood sugar, sepsis, and organ failure. 

Some patients with a TBI can experience intestinal permeability just six hours after suffering their injury. Others may have a delayed onset, sometimes weeks or months after their TBI. 

In addition to intestinal permeability, other intestinal tract issues include stomach ulcers and gastritis. Symptoms experienced can be intensified by psychological distress many TBI patient experience. 

Psychological stress can affect the immune symptom, which can further cause intestinal distress. A strong immune system assists in preventing complications after suffering a TBI. 

Why is a strong immune system essential? The immune system is responsible for the substances that pass through the intestinal tract, eliminating harmful substances from passing into the body. 

How Can TBI Patients Manage Intestinal Dysfunction?

First, TBI patients should consult with their physician or a gastrointestinal specialist to diagnose any underlying condition for a proper diagnosis. The right brain injury rehab center will have physicians that can help diagnose intestinal dysfunction. 

Physicians can use medications and diet to help manage symptoms depending on the condition. A diet that boosts the immune system is vital for TBI patients. 

A high-fiber diet with plenty of fruit, avocados, and lentils can be helpful for some patients. Another benefit of a more bland diet can include lean meats, beans, or carrots. These foods can be easier to digest but also have plenty of nutrients. 

Patients should also avoid excessive caffeine, dairy, and greasy foods that can worsen intestinal symptoms. Proper hydration is also important, so TBI patients should drink plenty of water. 

Rest is also essential for brain injury patients. It helps both the body and brain heal. With medications and a proper diet, many patients can minimize symptoms of intestinal dysfunction. 


Neurological Disorder Rehabilitation

Where Can I Go if My Loved One Needs Neurological Disorder Rehabilitation?

NeuLife Rehabilitation is one of the largest post-acute rehabilitation centers in Florida and the southeast United States. We offer a wide range of rehabilitation programs for patients who have suffered a catastrophic brain injury. 

Our programs are customized to meet the needs of each patient. Our care plans are structured so that our patients reach their highest level of individual functioning and independence. The ultimate goal is community reintegration which is accomplished through the work of our clinical experts and our experience in treating a wide range of TBI patients. 

If you are interested in our services, schedule a tour today! 


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Traumatic brain injury or TBI refers to an injury that damages the brain, thus disrupting its normal function. It usually happens when the head violently hits an object or when it punctures the brain tissue. You may also develop this injury when you sustain a jolt, bump, or blow to the head.

Traumatic brain injury affects patients differently. Some people may experience its symptoms right away, while others can develop it over time. Most patients with mild TBI can recover in the span of three months with medical intervention. 

Unfortunately, others may experience the lingering symptoms and secondary effects of TBI over time, especially if their injury is moderate to severe in nature. So in simpler terms, a TBI can indeed get worse over time, and here’s why:

Why does traumatic brain injury get worse over time?

The symptoms of a TBI greatly depend on the type of injury, location of the trauma, and severity. But generally, moderate to severe brain injuries are the ones that often get worse over time, especially with delayed medical treatment.

Moreover, studies suggest that 50% of patients who suffer from a TBI will experience cognitive decline and premature mortality within 5 years from the initial trauma. Here are some of the most common reasons for the long-term consequences of a traumatic brain injury:

these changes occur in the brain hours or days after the initial head trauma. These may involve changes in the brain tissue, chemical composition, or blood vessels that may contribute to the long-term symptom of a TBI. Some examples include inflammation, hematoma, infection, and hypoxia.

injury to the cells and tissue can gradually lead to the generation of reactive oxygen and reactive nitrogen species in the brain. These substances cause oxidative stress, which leads to irreversible neuron damage. 

damage to the brain’s long nerve fibers or axons tends to cause subtle changes in its structure. As a result, it can lead to prolonged and progressive functional disturbances in the brain. Some examples of axonal changes include abnormality in axon growth or fiber sprouting.

apoptosis is the scientific term for programmed “cell death,” which only happens when there’s cellular damage. However, studies suggest that specific pathways (intrinsic and extrinsic) get triggered in TBI, stimulating delayed apoptosis even in healthy brain cells. 


acute changes in blood flow have been observed immediately after the initial insult. However, studies have also suggested that cerebral blood flow changes may still occur months after the trauma. Some examples of detrimental changes that can aggravate the initial TBI include reduced blood flow and coagulopathy problems.

Additionally, delayed and improper medical treatment can also contribute to the worsening of a TBI. Without rehabilitation, symptoms will worsen, thus making you vulnerable to life-threatening complications. 

How to prevent a brain injury from getting worse?

Having a traumatic brain injury should be your life’s endgame. There are plenty of techniques and activities you can do to prevent the gradual decline of your brain’s function. This includes the following:

Seek therapy and rehabilitation

Besides the initial medical treatment, it’s important for patients to receive continuing therapy and rehabilitative support to stave off TBI-related cognitive decline. Moreover, rehab will play a major role in helping you regain your strength, body function, speech, and social skills. 

Additionally, therapy will teach you how to adapt to the permanent changes in your body without further injuring yourself. Some examples of rehabilitative treatment that you may encounter when you enter an inpatient neuro rehab near me are:

Rehabilitation also includes mental and emotional support to address any mental health issues that may arise following the traumatic brain injury.

Make healthy lifestyle changes

Patients suffering from TBI have a higher risk of developing other diseases, such as diabetes, hypertension, and cardiovascular illnesses. 

But by adapting a healthier lifestyle, you can dodge these life-threatening bullets while also helping your brain recover from its injury. Some specific brain-boosting activities you may want to start now include:

Exercise the brain

Like the physical body, the brain also needs exercise to keep it in shape and maintain or regain its normal function. This is why rehabilitation facilities like NeuLife, emphasize the importance of brain stimulation by including it in their programs. 

Some examples of stimulating activities that can improve your brain function and cognition include:

Remember to take it easy, though. It’s okay if you cannot memorize a list of tasks right away or get every crossword square right. With consistent practice and stimulation, you’ll be able to regain your mental prowess.

Manage stress

Studies suggest that patients with traumatic brain injury are more vulnerable to stress. They may find it challenging to manage stress due to the symptoms and effects of their injury. Unfortunately, stress only worsens TBI symptoms and may cause the patient to develop mental health issues if not addressed. 

Join a support group

Meeting people with the same circumstances and life experiences provides encouragement and support. It gives patients and families a solid support system to help them through the highs and lows of traumatic brain injury recovery.

Furthermore, your support group will become your safe haven where your feelings and struggles, which may sometimes feel like minor, are validated. 


Post acute rehabilitation

Where to find the best traumatic brain injury rehabilitation facility in Florida?

NeuLife Rehabilitation is one of the leading rehabilitation facilities in Florida, specializing in treating various conditions一from catastrophic injuries to neurologic conditions. Our healthcare professionals provide the highest quality of patient care and medical services, such as:

Give us a call at 800-626-3876 to learn more about our services. 


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

People who have insulin-treated diabetes are at risk for severe hypoglycemia-induced brain injury. Hypoglycemia destroys neurons by depriving them of the necessary glucose to function. 

Both hypoglycemia and hyperglycemia can cause brain injury, but the damage it does to the brain differs. Hypoglycemia is considered more dangerous. It can cause permanent damage in a short amount of time. 

Although it’s rare, brain injuries can also cause diabetes, and symptoms of diabetes can worsen after a traumatic brain injury (TBI). A brain injury can also make diabetes more difficult to treat. 


What is the Connection Between Brain Injuries and Diabetes?

Brain injuries can cause neuroendocrine disorders, which can sometimes lead to the development of type 2 diabetes. Also, TBIs can exacerbate the symptoms in patients who already have diabetes. 

The reason behind this is that after an injury, the body releases stress hormones. Stress hormones make the body less sensitive to insulin which can cause blood sugars to rise, leading to hyperglycemia. You must treat hyperglycemia quickly as it can lead to cognitive deterioration and even death. 

Both Hyperglycemia and hypoglycemia can result in life-threatening brain damage when left untreated. In severe cases it can cause a diabetic coma. Also, hypoglycemia can cause a diabetic seizure, causing additional brain damage. 


How to Manage Diabetes With a Brain Injury

The best way to manage diabetes is to keep blood glucose levels under control. Patients must monitor glucose so it does not go too high or too low. Patients can usually accomplish this through lifestyle changes and insulin injections. 

Those with type 1 diabetes need regular insulin injections because the body does not produce insulin naturally. 

Type 2 diabetic patients can usually manage symptoms through diet and exercise. Exercise is very important because it helps burn up extra glucose to stabilize sugar levels. Some patients with type 2 diabetes do need to take injections to keep blood sugar levels under control. 

In TBI patients, treatment is more complicated. Patients can sometimes forget to monitor and give themselves insulin injections, so they need assistance from family and friends to remind them to check their levels regularly. Patients in neuro rehabilitation centers have staff who monitor glucose levels and administer insulin accordingly. 

Other helpful options to help TBI patients monitor glucose levels include setting a timer. There are also continuous glucose monitors that can alert if levels get too high or too low. Insulin pumps also read glucose levels and administer insulin automatically. All of these options can help TBI patients control their diabetes effectively. 

neuro rehabilitation centers

Where Can I Find The Best Traumatic Brain Injury Rehabilitation in Florida?

If your loved one requires post-acute rehab, you can benefit from our services at Neulife. 

Our rehabilitation center is one of the largest located in Florida. We have experience treating patients with various medical conditions, including diabetes. 

We have a reputation for being one of the best neurological rehabilitation centers because we focus on a wide range of injuries and treat all patients on an individual basis. 

So, if you are looking for a traumatic brain injury rehab near you, then look no futher — NeuLife looks forward to being part of your loved-one’s recovery.

Call us or make a referral through our convenient online form. You can also schedule a tour to visit our traumatic brain injury long term care facility.


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Traumatic Brain Injury (TBI) rehabilitation centers understand the importance of recreational activities in recovery. For one, it provides for fun and engagement with other patients. Recreational activities also stimulate the brain and help to restore functioning. 

Patients may have some difficulties with certain activities they used to love. However, several options can be beneficial in recovery. These help TBI patients to move forward so they can go back to the activities they have enjoyed in the past. 


What are Some Recreational Activities That Benefit Brain Injury Patients?

Puzzles and Board Games

Puzzles and board games not only improve cognitive skills, but they are fun. It allows for the opportunity to engage with other patients adding the benefit of social engagement. Activities such as checkers or chess are excellent board games for TBI patients. 

Puzzles are also fun and provide social engagement when patients work on the puzzle together. Puzzles help patients with problem-solving skills and memory, which are essential in traumatic brain injury rehabilitation. 



Creativity stimulates the brain, improving memory and fine motor skills. Painting is beneficial for TBI patients as it enhances creativity. Painting also helps with concentration which is important in brain injury rehabilitation. 

TBI patients may also struggle with depression. Painting helps to manage these feelings as there is a sense of accomplishment after finishing a project. 


Interaction with Service Animals

Many TBI patients love animals. Through spending time with service animals, patients with feelings of depression or anxiety can find relief. Many service dogs are trained to help TBI patients by assisting with physical support and assistance in daily living. Animal therapy is a wonderful activity that offers fun for TBI patients undergoing neuro rehabilitation


Music Therapy

Music therapy can help patients with skills such as language and cognition. Music stimulates the brain, promoting healing for TBI patients in rehabilitation. Patients benefit from listening to music and may also see benefits through singing or playing instruments. These activities can support cognition and memory.  



Gardening is a fun outdoor activity for TBI patients. Patients enjoy being outdoors as it improves feelings of depression. Gardening is also an activity that patients can do as a group, enhancing social interactions. Patients also can find relief from stress and anxiety by participating in an activity where they are out in nature. 



It is essential to have a healthy diet after a TBI as the brain requires nutrition to heal. Cooking can be a fun activity that helps patients learn about nutritional foods that are helpful in their recovery. 

Though cooking may be a challenge for some brain injury patients, loved ones can help patients, so they receive help with recipes and stay safe while cooking. Cooking has the added benefit of improving memory and the patient's cognitive skills.  


TBI patients

Where Can I Find Help for Traumatic Brain Injury Rehabilitation?

Neulife Rehab provides post-acute rehab that is patient-focused. We offer treatment through a combination of therapies, including recreational activities that may improve our patients’ quality of life.

Neulife is one of Florida's most extensive brain injury facilities, offering traumatic brain injury rehabilitation through medical management, mental health services, occupational and physical therapy, and cognitive therapies.  

We use a patient-centered approach to help patients manage symptoms and accomplish their rehabilitation goals. 

We not only focus on the needs of our patients but also their families. We assist our patients by providing clinical evaluations, medical care, and therapeutic activities, including those that address perseveration.

You may also schedule a tour to see if our facility is appropriate for your loved one. Have additional questions?  Reach out to us at 1-888-626-3876, or make a referral. 


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.



Head trauma can cause several different symptoms一from vomiting and persistent headaches to loss of consciousness or seizures. It can also cause various types of post-traumatic movement disorders that are usually harmless but can still bring psychological and emotional distress to the patient—one such example of a movement disorder after head trauma is tics.

Read on below for an in-depth discussion on tic disorder and how inpatient brain injury rehabilitation can help treat this condition. 

What is a tic disorder?

Tics refer to involuntary, spasm-like muscle contractions that happen in specific areas of the body. This, in turn, results in sudden and repetitive body twitches, jolts, or sounds. 

Normally, a tic disorder is not a cause for concern since they’re fairly common in children five years of age. In fact, studies suggest that 10% of children develop transient tics during their early school years. Fortunately, such conditions improve and resolve themselves naturally over time. 

The onset of tics during adulthood can be rare. There are many possible causes, including genetics and secondary tourettism. But in some cases, the sudden appearance of a tic disorder may be linked to prior head trauma or traumatic brain injury.

npatient brain injury rehabilitation

Can a head injury cause tics?

Tics following a head injury are known to occur in some patients suffering from moderate to severe TBI. According to studies, about 13% to 66% of patients with severe traumatic brain injury developed some kind of movement disorder, including tics. 

As of now, science has yet to discover the exact cause of a tic disorder. However, research indicates that multiple factors may influence the onset of tics after head trauma. This includes the following:

After a head or brain injury, patients may experience tics days or weeks after the incident. However, there are reported cases wherein tics develop only after a year post-TBI.

What are the types of tics?

Tics start as a strong and unpleasant urge to carry out a specific movement or vocal tic. This sensation builds up in the body and may only be relieved once you do the tic. Some people may suppress this urge, but doing so can cause significant stress and tension.

There are many types of tic disorders which may be classified based on their symptoms and the kind of movement they present. For example, a tic may either be:

Tic disorders may also be classified depending on the symptoms the patient exhibits. This includes the following:

Motor tic disorder

Motor tics refer to uncontrolled movements involving one or more muscle groups, specifically in the eyes, mouth, face, neck, and shoulders. They can either be simple (fleeting and meaningless gestures) or complex (patterned movements). Some of the most common symptoms of this condition are:

Tic disorders that develop after a head injury usually affect the head and facial muscles first. Over time, it may also affect other muscle groups in the body.

Vocal tic disorder

Vocal or phonic tics are unintentional and often meaningless sounds or phrases uttered by someone with a tic disorder. Typically, it only involves simple sounds made from the nose and mouth, such as grunting, sniffing, snorting, throat clearing, and barking. However, this is not always the case.

Patients with complex vocal tics may actually utter specific words, phrases, and sentences. They are usually spoken in a louder tone and often happen at the beginning or during a conversation. Some examples include:

Although harmless, vocal tic disorders usually cause psychological and emotional stress to the patient due to the stigma associated with them. 

Tourette's syndrome

Tourette’s syndrome is a more severe variant of a tic disorder that involves both motor and vocal tics. This condition is usually inherited genetically, but research suggests that head trauma may increase one’s risk of developing Tourette's syndrome.

tbi rehab florida (1)

How to treat tics after head trauma?

Tics due to TBI may not be life-threatening, but they can cause severe emotional trauma, social problems, and even mental health problems. It can also disrupt everyday activities and may cause harm to the patient or another person. Doctors usually treat tic disorder using different approaches, such as:

Habit reversal therapy (HRT)

Habit reversal therapy (HRT) refers to a therapeutic technique used to treat unwanted behaviors, habits, and tics. Doctors and physical therapists usually use this therapy as the first line of defense against tic disorders. HRT is comprised of four stages:

HRT and other cognitive behavioral therapy can also help a patient recover from their head injury or traumatic brain injury.

Exposure and response prevention therapy (ERP)

ERP refers to a behavioral therapy that exposes the patient to thoughts and situations that usually trigger their tic disorder while in a safe environment. Through the guidance of an expert therapist, you will confront your triggers and do your best to avoid your compulsive tics and behaviors. 

ERP exercises allow patients to get used to their triggers or the unpleasant sensations that come before a tic behavior. As a result, they’ll be able to tolerate these urges and work their way through them without doing the tic. 


Doctors can also prescribe some medications combined with ERP or HRT therapy. According to studies, some examples of drugs that can help manage tic disorders include antipsychotics (haloperidol), SSRIs, tricyclics, dopamine blocking agents, and alpha 2 agonists.

brain injury rehab florida

Overcome Your Head Trauma Symptoms at NeuLife Rehabilitation 

Tics may be harmless, but they should not be a normal part of your life. If you or a loved one experienced a brain injury and suffers from a tic disorder, then our expert specialists at NeuLife can definitely help.

NeuLife Rehabilitation is one of Florida's leading providers of quality rehabilitative services. We use a patient-centered approach to meet the current abilities, medical needs, and goals of each of our patients. Some of the programs and services we offer include:

And more!

Each of our programs is designed to treat your symptoms, help you recover from your injuries, and aid you in transitioning seamlessly into the community.

If you think you or someone you know can benefit from our services, don’t hesitate to call us at 800-626-3876. We are more than happy to answer your questions and concerns. You can also schedule a tour.


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Why Does It Happen and What Should You Do About It?

A good night’s sleep is an important activity for people of all ages. It becomes even more vital for individuals recovering from an illness, a major surgery, or an injury. 

According to studies, sleep plays a critical role in keeping every tissue of your body healthy. As you go into a deep slumber, your body repairs damaged cells, replenishes your energy, gets rid of toxic wastes, and enhances your immune function.

Unfortunately, many people find it challenging to maintain a healthy sleeping pattern. In fact, some individuals even suffer from severe sleeping troubles,  specifically patients who have or are recovering from a traumatic brain injury. 

Head trauma resulting in a traumatic brain injury (TBI) can leave devastating consequences for an individual. One such example is vicious sleep disturbances, such as persistent insomnia. 

Read on below to learn more about why it happens and what you can do to improve your sleep quality.

insomnia after tbi

What is a traumatic brain injury?

A traumatic brain injury occurs when a brain sustains damage due to a sudden injury, such as a direct blow, violent jolt, or bump to the head. It can also be caused by a penetrating injury, such as a bullet that goes through the brain tissue.

Traumatic injuries can have a wide range of effects on the brain一from a simple headache and dizziness to concussions and seizures. Another aftereffect of a brain injury that might come out a little later than others are sleep disturbances, such as narcolepsy, sleep apnea, and insomnia.

Can a traumatic brain injury cause insomnia?

According to research, 30% to 70% of patients with traumatic brain injuries commonly develop a sleep-wake disorder following their condition. Moreover, a chief sleep disturbance complaint of many patients is persistent insomnia with fatigue. 

Insomnia refers to a condition characterized by an inability to fall or stay asleep. It is a sleeping disorder that occurs for various reasons, such as caffeine use, medication side effects, or an underlying medical condition. Some common symptoms of insomnia include:

There are several possible explanations why a traumatic brain injury may cause insomnia. This includes the following:

Injury to the suprachiasmatic nuclei (SCN)

A traumatic brain injury can damage different parts of the brain, thus impairing the specific abilities that they control. So, an injury to the brain area (SCN) that regulates the body’s sleep-wake cycle can definitely cause a major disruption in one’s sleeping pattern.

Deficiency in neurotransmitters

Normally, the brain releases chemicals called neurotransmitters that signal a specific organ or body part to do its job or function. During sleeping time, your brain should release a neurotransmitter called GABA to stimulate sleep by calming the brain and inhibiting wakefulness.

Trauma to the head can damage the part of the brain responsible for releasing neurotransmitters. Additionally, injured nerve cells may not respond to these chemical messengers, thus causing insomnia.

Psychological health issues

Psychiatric disorders like depression, anxiety, and PTSD are all known to cause sleeping difficulties or insomnia. Unfortunately, a traumatic brain injury can exacerbate these mental illnesses, thus contributing to possible sleep disturbances.

Furthermore, studies suggest that TBI increases a person’s likelihood of developing depression and post-traumatic stress disorder.

Chronic pain

It is common to experience mild to chronic pain after sustaining a traumatic injury to the head. Regrettably, not managing such discomfort can drastically affect one’s sleep quality through insomnia. 

Moreover, chronic pain can worsen a TBI patient’s other medical conditions, such as depression, anxiety, and chronic fatigue. As mentioned above, these psychiatric diseases dramatically contribute to the steady decline of a patient’s sleep quality.

insomnia after brain injury

How to treat insomnia caused by a brain injury?

Sleep has a profound impact on the brain, specifically in strengthening its cognitive abilities such as learning and memory. It also provides the brain its much-needed rest to fortify each of its neural connections to enhance its function and improve recovery.

So, it is important to seek medical help or talk to your doctor if you experience sleeping difficulties after your brain injury. Your physician can prescribe the right medications or recommend therapies that can treat your post-traumatic insomnia. 

Some of the most common treatment options that may be included in your plan of care are:

Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy is a treatment program that helps patients identify specific behaviors and thoughts that causes insomnia. A trained CBT-I therapist will then help patients replace these identified behaviors with healthy habits to improve sleep quality. 

For example, your therapist can help you relearn your body’s normal sleep-wake cycle by removing specific environmental factors that may affect your sleep. Some examples include a TV in the bedroom, using the phone before bedtime, or a brightly lit lamp on your bedside.

Some other activities that you may encounter once you enter a CBT program include:

CBT programs for insomnia may also be provided at specific facilities, such as a traumatic brain injury rehabilitation center or TBI residential facility.

Natural sleep-inducing remedies

On top of CBT, your physician or therapist may also recommend natural remedies to enhance your sleep quality. This includes melatonin supplements, herbal teas, essential oils, and magnesium supplements.

They may also encourage you to participate in relaxing activities, such as yoga, mindfulness meditation, massage, and acupuncture.


If the above-mentioned treatment options do not work, your physician may prescribe a low-dosage medication to help you sleep at night. However, they should perform a full health evaluation first to ensure that it won’t exacerbate your condition or negatively interact with your current medications. 

Where to seek help for post-traumatic insomnia?

For TBI patients, sleep deprivation is a massive blockade that can hinder their road to healing and recovery. So, if you or a loved one currently experiences post-traumatic insomnia and requires inpatient rehabilitation, then we at NeuLife Rehabilitation can help you recuperate safely and effectively from your condition.

At NeuLife, we are passionate about providing each patient with the right treatment plan that will suit their medical, emotional, mental, and psychological needs. Our programs are carefully structured to ensure that our patients will achieve their full functionality, independence, and highest quality of life. 

Some of the comprehensive rehabilitation programs we offer include:

Contact us at 800-626-3876 or fill out this referral form to get in touch with our expert therapists and start your rehabilitation journey now! 


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.


It may be surprising to hear that what a patient with a traumatic brain injury (TBI) eats can affect their recovery. Deficiencies in certain nutrients can disrupt brain functioning, impacting a patient's ability to think clearly. As a result, it is important TBI patients get the essential vitamins and nutrients they need to fuel the brain. 

A patient with a TBI needs to have a diet with enough nutritional calories to help the brain function properly. There are certain foods that brain injury residential facilities recommend for recovery and also foods that patients should avoid. 

What are Beneficial Foods for Brain Injury Patients?

For patients with a Traumatic Brain Injury, it is recommendated that they eat foods rich in vitamins and minerals, specifically:

Foods High in Omega-3 Fatty acids

Foods that are high in omega-3 fatty acids are excellent for patients with a TBI. It helps rebuild the brain, which is especially essential for patients with brain injuries.  

High omega-3 fatty acids foods include fish and flaxseed oil. Fish high in Omega 3 include salmon, mackerel, and sardines. 

Flaxseed oil is also high in omega-3 fatty acids, though you need more when compared to the amount found in fish. Still, it is rich in the mineral and an excellent alternative to fuel the brain with the omega-3 fatty acid the brain needs. 

Fruits and Vegetables

Greens, including Kale and Spinach, are nutrient-rich. Leafy greens contain high levels of B vitamins and high levels of Omega-3. Vitamin B is beneficial to the brain as it improves neuron connections in the brain after a TBI. 

Antioxidants are known to protect the brain from damage, and they reduce inflammation. Berries are rich in antioxidants. They can help to improve memory in brain injury patients. Berries also contain nutrients that help produce new brain cells. Berries are a fantastic choice for patients with a TBI to add to their diet. 

Dark Chocolate

Dark chocolate is beneficial because it is high in magnesium and antioxidants. Ideally, the chocolate should be at least 70% cocoa. Dark chocolate is high in sugar, so patients should eat it in moderation. That said, there are health benefits, so it is a good choice for patients with brain injuries.

Red Meat

Red meat contains many nutrients that are considered essential for brain health. They have high levels of zinc, often depleted in brain injury patients. Zinc also is known to aid in the formation of memories, so it is an important nutrient for patients with a TBI. 

What are Foods Brain Injury Patients Should Avoid?

Foods that are high in saturated fat and sugar should be avoided or eaten sparingly, including: 

Alcohol is especially important to avoid as it can disrupt healing and lead to further decline in neurological and cognitive functioning

The Best Foods for Brain Injury Recovery

A Neuro Rehabilitation Facily that Knows the Importance of Diet for Brain Injury Patients

If your loved one requires post-acute rehabilitation, consider Neulife, one of Florida's most prominent brain injury rehabilitation centers.

A healthy diet that promotes recovery for our patients is just one component we provide. We take a holistic approach for each patient to create a personalized treatment plan that is individualized to the patient's specific needs. 

We treat many TBI patients, including those requiring catastrophic rehabilitation.

​​Schedule a tour to see our facility to decide if it may be appropriate for you or your loved one. We are also always here to answer questions. Reach out to us at 1-888-626-3876, or make a referral. We look forward to partnering with you in recovery. 

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The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Not long ago, it was believed that our brains were incapable of change throughout our entire lifespan. It was thought that our brain’s structure and development were mostly permanent following infancy and childhood. Decades of research have revolutionized our comprehension of the human brain, allowing for better recovery outcomes for patients with neurological injuries. 

Our central nervous system (CNS) is comprised of our brain and spinal cord. After injuries to our CNS, such as Traumatic Brain Injury (TBI) and Spinal Cord Injury (SCI), we now incorporate principles of neuroplasticity as a key to recovery.

What is neuroplasticity?

Neuroplasticity is the ability of our brain and spinal cord to continuously rewire new neuron pathways to enhance motor learning following an injury. This means that the brain has the capacity to form new neural circuits in response to ongoing activity. These connections are constantly becoming stronger or weaker in response to stimulation, learning, and experience.

Neuroplasticity came from the word neuro or neurons and plasticity, which refers to the brain’s malleability. So basically, neuroplasticity means the neuron’s ability to adjust, change, or become easily influenced or trained.

Furthermore, our brain’s flexibility for change allows new networks to enhance our movement and regain functional independence. 

“Neuroplasticity is also the mechanism by which damaged brain relearns lost behavior in response to rehabilitation” – Kleim & Jones, 2008. We now understand our brain's ability to adapt, and change can occur at any stage of life.

How can neuroplasticity benefit patients with neurological disorders?

Neurological disorders refer to conditions that affect the nervous system. Such diseases not only cause cognitive damage but also functional impairment, such as difficulties in moving, speaking, swallowing, and eye-hand coordination. 

Fortunately, doctors and physical therapists can help treat these symptoms by boosting neuroplasticity. Once stimulated, it can help restore lost neuronal connections, establish proper brain signaling, and eliminate weak or damaged neural cells.

The right kind of treatment and rehabilitation programs can help promote neuroplasticity, thus resulting in the following benefits over time:

However, the effectiveness of neuroplasticity can vary from person to person and may still depend on several factors. For example, a younger brain is much more moldable; thus, it can quickly adapt to new changes and show promising results in a short span of time than an older patient. Other variables that can influence neuroplasticity include:

How can Neulife Rehab support neuroplasticity?

Our model of care is based on a patient-centered focus. Intensive, focused rehabilitation helps restore function and maximize feedback/feedforward mechanisms to promote long-term memory. After all, research shows the earlier the care, the better the outcome. 

Neuroplasticity is best targeted by intense repetitious training that challenges the body appropriately. Our skilled therapists focus not only on repetition but properly dosing activities to the skill level of our clients. Some of the therapeutic services we provide that can help promote neural plasticity include:

Patients will cycle through these therapy sessions every week to strengthen their physical and mental wellness. In between programs, it's also important to prioritize rest as it’s a crucial part of improving the brain’s neural plasticity. 

Research suggests that sleep helps in structural neural plasticity by encouraging dendritic growth. So our therapists make it a point to pace rehab programs and include sleep and rest in the patients’ schedule. 

Our rehabilitation services help drive CNS reorganization through task-specific interventions. Movement is medicine because continuous practice enhances our brain's ability to relearn patterns and form new pathways to return to independence.

Where to find the best traumatic brain injury rehabilitation center in Florida?

If you or someone you know can significantly benefit from our neuro rehabilitation services, don’t hesitate to get in touch with our team!

At NeuLife Rehab, we help keep your body and brain moving by providing high-quality physical therapy programs to patients with neurological conditions. We will work on reducing your pain, improving your strength, and getting you back to doing what you love.

Besides neuro rehab services, our board-certified physical therapists also specialize in providing the following rehabilitative services:

Contact us now at 800-626-3876, so we can start creating your plan of care! You can also make a referral by filling up an online form or learn more about our services at our website.


The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

If your loved one has experienced a traumatic brain injury (TBI), you may have noticed some changes in behavior, including a lack of motivation. This is likely due to damage to the frontal lobe of the brain. 

It is important to understand that they are not intentionally being lazy but that it is a symptom of their injury. There is even a name for the condition: Adynamia

Through learning about Adynamia, you can better understand what your loved one is experiencing. With this knowledge, you can offer great support as they work on recovery. 

What Causes Adynamia?

Patients with a TBI may not only have a lack motivation but seem disengaged in activities of daily life. It can make it difficult for them to progress in activities to improve cognitive functioning due to the symptoms they are experiencing. 

Doctors know it is associated with damage to the brain's frontal lobe. This part of the brain is responsible for cognitive functioning. If there is damage, it can make it challenging to make decisions or multi-task. This can cause much frustration for the patient. 

Because of difficulty with problem-solving and poor judgment, the patient can also be unmotivated. Working with a rehabilitation team can help the patient manage symptoms and build motivation with time.

What are the Symptoms of Adynamia?

Adynamia is associated with other symptoms experienced in patients with a brain injury. These may include cognitive, emotional, and other behavioral impairments. 

Symptoms specific to Adynamia include: 

Symptoms are similar to depression, but it is related to the injury, not a mood disorder. Doctors who specialize in traumatic brain injury rehabilitation can make the correct diagnosis. 

Intervention is necessary because it can impact participation in recovery efforts. It can start with basic self-care tasks such as showering or getting dressed. Once the basics are addressed, patients can move forward to participation in additional therapy exercises. 

What Can Help Patients With Adynamia?

Some interventions help patients with Adynamia progress and boost motivation. The best way is to make tasks simple and to make activities enjoyable.

Routines are essential when recovering from a TBI. The routine should be consistent and help the patient accomplish daily living activities. Break down tasks into simple steps to boost motivation. This can help the patient from becoming too overwhelmed. 

Allow the patient choices but make it simple for them. The patient may be overwhelmed by making decisions. For example, give them two shirts to choose from to wear for the day. Making it simple for them can help the patient build motivation with time. 

Also, set small but realistic goals. This is important in neurorehabilitation for it to be successful. Goals should be: 

It is important goals be personalized to have the best outcome possible. 

Why You Should Choose Neulife for Traumatic Brain Injury Rehabilitation

Do you have a loved one who needs post acute rehab after a brain Injury? Neulife is one of the largest neuro-rehabilitation centers in Florida and the southwest United States. Our team helps your loved one through rehabilitation by providing medical management, psychiatric and neuro physical services, and occupational, speech, and cognitive therapies. 

We want to ensure your loved one has the best possible recovery to get back to the family they love. Schedule a tour or contact us at 1-888-626-3876. You can also make a referral here! We are always happy to answer any questions you may have! 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

When your loved one has a brain injury (TBI), you may notice repetitive thoughts and behaviors. It is important to know what perseveration is to understand what your loved one is experiencing. 

Perseveration is quite common after a brain injury. It is often seen in rehabilitation for brain injury

We all experience perseveration to some degree. We can have thoughts that seem to run through our minds repeatedly, causing anxiety and frustration. 

But these thoughts are appropriate. However, it is uncontrollable and challenging to pivot away from intrusive thoughts in brain injury patients. 

Perseveration is when a brain injury patient continuously repeats words, actions, or thoughts. The cause is due to changes in their brain that affect memory, attention, and cognition. 

You can do many things to support a loved one who experiences perseveation after a brain injury. 


What You Need to Know About Perseveration

If a patient with a TBI is experiencing perseveration, they may be unable to multitask. For example, they are unable to perform tasks and hold a conversation simultaneously.

It is caused by damage to the brain's frontal cortex, the part responsible for awareness and inhibition. When damaged, patients have difficulty stopping an action or switching from one task to another. 

Patients are not aware they have perseveration and cannot control the symptoms. This can be incredibly frustrating for both the patient and loved ones. It can have an incredible impact on the patient's life. 


What are the Different Types of Perseveration?

There are different types of perseveration seen in neuro rehabilitation. The three most common types are: 

It is important to note that no two people experience perseveration to the same degree and can experience different types at the same time. 


How is perseveration Managed in Post Acute Rehabilitation?

In post-acute rehabilitation, a neuropsychologist evaluates and develops a comprehensive treatment plan. Occupational therapists help to work on coping skills to assist with perseveration symptoms. Other successful treatment options include: 

Patients may also learn a skill called thought stopping. Professionals use a visual cue or action that stops perseveration as it isis happening. One example is snapping a rubber band on their wrist when they notice they are perseverating. 


How Can You Support Your Loved One?

You can do things to help a loved one who is struggling with perseveration. Help them recognize when they are persevering and remind them to ask for help. Teach them to create a "stuck" signal when they are in the cycle of perseveration. 

It is helpful to give simple and clear instructions, such as helping them with getting dressed. Walk them through putting on socks, pants, their shirt, etc.

Also, consistently offer praise. If they are managing their perseveration, tell them! Reinforce the behavior with positivity. 

Allow some time for perseveration if it is appropriate. If your loved one is obsessing over a certain thought, schedule a time they are allowed to do so, but they have to stop once that time is up. You might want to set an alarm, so they know when it is time to stop. 

If you are struggling with supporting a loved one experiencing perseveration, seek help yourself. It can be very frustrating, and therapy can help you process your feelings. Setting boundaries for yourself and setting aside time for your self-care is essential. 


Getting Help for Your Loved One With a Brain Injury

Neulife is one of the largest brain injury rehabilitation centers located in Florida. Neulife rehab centers are experts in treating TBI patients, including catastrophic rehabilitation, traumatic brain injury rehabilitation, neuro rehab, post-acute rehab and more.

We use a patient-centered approach to help patients manage symptoms and accomplish their rehabilitation goals. 

We not only focus on the needs of our patients but also their families. We assist our patients by providing clinical evaluations, medical care, and therapeutic activities, including those that address perseveration.

The goal is always to develop a customized plan to transition the client back home with those they love. 

If you have any questions or would like to schedule a tour, please get in touch with us – we are looking forward to seeing you!

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The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.



Dedicated to providing the highest caliber of care to individuals with brain injuries, NeuLife Rehabilitation is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
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