NExus Letters all 50 States!
NExus Letters all 50 States!
A traumatic injury is trauma resulting from direct or indirect forces to the head that cause disruption of normal neurological function in the brain.
In a recent study it was found that paratroopers were twice as likely to sustain a TBI after joining the Army than did non-paratroopers. Head injuries can happen during rough landings and in-air collisions with other paratroopers.
Paratroopers are also at a unique risk from suffering a number of other musculoskeletal injuries as well.
Car accidents are the second leading cause of TBIs, making up 17.3% each year. So many things can happen during a motor vehicle accident that could result in a TBI-- your head could come into contact with the steering wheel, dashboard, or window; a free-flying object could hit you. Whiplash can even cause a TBI.
If you were involved in a car or motorcycle accident during active duty, you may have suffered lasting physical or psychological injuries. Interestingly, 39.2% of motor vehicle accident survivors develop PTSD.
Per research from Johns Hopkins, "The brains of some Iraq and Afghanistan combat veterans who survived blasts from improvised explosive devices (IEDs) and died later of other causes show a distinctive honeycomb pattern of broken and swollen nerve fibers throughout critical brain regions, including those that control executive function. The pattern is different from brain damage caused by car crashes, drug overdoses or collision sports, and may be the never-before-reported signature of blast injuries suffered by soldiers as far back as World War I. "
Falls are the leading cause of traumatic brain injury in children and older adults but can occur at any age.
Whether you suffered a blow to the head during a fight or during a contact sport, trauma to the head can result in a TBI.
Firearms with high recoil energies created enough head acceleration to potentially cause concussive brain injury.
A TBI Nexus Letter is a document drafted by a physician in approved specialty that describes:
1) Why you meet the diagnostic criteria for TBI
2) Details of onset
3) Course of condition since onset
4) Current Symptoms
No! The VA only allows certain medical specialties to perform TBI examinations for VA disability claims. A TBI examination can only be performed by a medical doctor (M.D.) who in one of the following specialties:
2) Physical Medicine and Rehabilitation (PM&R)
Headache is the most common symptom and residual condition attributable to head injury and TBI, both acutely and chronically. Diagnostic Criteria for Post-Traumatic Headaches Based on The International Classification of Headache Disorders, 3rd edition (ICHD-3) published in Cephalgia 2018, post-traumatic headaches are divided into acute or persistent subtypes based upon temporal relation to the trauma and duration.
The diagnostic criteria for Acute Post-Traumatic Headaches are as follows:
1. Traumatic injury to the head has occurred.
2. Headache is reported to have developed within seven days after one of the following:
» The injury to the head
» Regaining of consciousness following the injury to the head
» Discontinuation of medication(s) impairing ability to sense or report headaches following the injury to the head
3. Either of the following:
» Headache has resolved within three months after its onset
» Headache has not resolved, but three months have not yet passed since its onset
If you suffer from co-morbid headaches we will discuss them in your TBI nexus letter.
Some of these conditions are considered presumptive, for those that are not, we are able to offer nexus letters for conditions secondary to TBI.