Brain and Pain Diet Help

By Amy Price PhD

Brain injury and chronic pain survivors often ask me why they are getting so fat inspite of  low fat eating. Many people blame it on the meds but patients in increasing numbers are stating they get overwhelming cravings for sweet and fatty foods. This makes sense as it is one way the body tries to bring the reward system into balance since being brain damaged and in chronic pain sucks out the feel good neurotransmitters like dopamine, oxytocin and opiod receptors which the body then tries to take short cuts to get back to acceptable levels by over indulging on sweets and fats. Sadly over time this makes things worse and the system requires more and more fats and sweets just to find a balance. Getting your thyroid levels checked after a spine injury is important too thyroid dysfunction due to injury can show up years later and thwart efforts to have clear thinking and a slim body.

Changing your diet can help as can safe effective forms of exercise not only because you will look better but because your body will operate more effectively and the brain fog will lessen.

In the spinal patient community patients have been unofficially using bio-active magnesium and benfotiamine  (along with a multi B and C supplement) for relief of CNS nerve pain along with piracetam or aniricetam to assist cognitive functioning. There is also considerable discussion on the merits of a heart healthy diet inclusive of lots of green vegetables, whole grains and lean proteins for improving cognitive function, cell repair and pain levels after spine and head injuries. Some of us have found supplementing glucosamine chondritin along with vitamin C, E and fish oil to be helpful as well, for the vegetarians flax seed oil seems to do the trick. The diet rich in magnesium may seem counterintuitive due to the brain’s demand for glycogen and sweets cravings induced by chronic unremitting pain and brain fog but many have found good results with a change in diet and supplementation. In light of  this, the following  information about research on magnesium  was an interesting find.

Here is a link to a doable diet, for recipes there are some good ones at this  South Beach Diet site. You can download free apps to your cell phone  or use this program from your desktop that will total not only calories but nutrients so you can track your progress

Brain Training You Can do Together

By Amy Price PhD 

    Do you need to get your life back and restore relationships after trauma? It is not only truama survivors that can benefit from training but also family and caregivers who deal with the unexpected pressure of caring for a critically injured loved one. Brain neurons that fire together wire together, families that play together, stay together! Extensive research indicates our brain needs to overcome the negativity bias ingrained through the fight/flight response produced by trauma or social rejection to operate at maximum potential. It is more than positive thinking as the mind has a specific ratio of positive to negative input it accepts plus the input must be genuine to release the feel good chemicals that promote brain learning and healing.  Many people involved in an auto crash must fight for insurance rights and social acceptance during an era of limited capacity and chronic pain. All these aspects take a critical toll on the brain and promote inflammation cascades that lead to long term functional loss. The great news is that with targeted brain training in small manageable steps you can get back the edge taken from you though trauma, bad relationships, or serious illness. Your brain wants to work for you! 

Clicking on Train Your Brain , Save Your Mind here will take you to a fascinating short video on the power of personal brain optimization and contains a clinically validated assessment tool. This video is presented by Dr Evian Gordon of Brain Resource Company  and speaks about the highly acclaimed wellness program My Brain Solutions. It is well worth investigating, in less than 15 days I showed improvement on several measures of cognition. If you would like to sign-up for MyBrainSolutions please email me ….read on for why training your brain matters. 

Our minds and brains become so starved for approval and acceptance that we accept input and relationships that are harmful and not genuine. Your own brain even when it is damaged can pick up emotional cues in 1/20 of a second  which will determine how we respond to others.  I worked for the medical director of an organization for several years following a TBI…it was not until I was past that situation and had embarked on an adventure training positive emotions that I realised that in four years I had never been given a genuine smile. How can you tell? For a smile ask your self if the eyes crinkle slightly and the pupils enlarge, smiling with only the mouth is not genuine expression. Interestingly this insight has been validated by multiple behavioral, FMRI, GSR and QEEG studies, yet like many insights it is rooted in wisdom passed down from successful individuals who are at peace with themselves. Dr David Whitehouse, an eminent Harvard trained Psychiatrist put is this way  ”PEOPLE NOT ONLY SEEK AN EMPOWERING MIND, BUT ONE THAT IS AT PEACE WITH ITSELF”.  My Brain Solutions can help you learn to discern emotion and train your brain from a negative to a positive bias and offers a clinically validated personal assessment with a presonalized prescription to increase your brain function. Dr Evian Gordon states in his book ‘The Brain Revolution’ that  “THE DIFFERENCE BETWEEN AND EXPERT AND A NOVICE LEARNER IS A MODEL” One critical component of cognitive skill is one’s ability to speedily reframe or re-appraise the circumstances that surround you. People that successfully reframe have better life satisfaction and long term survival rates than those who are fixated on negative events, this ability can be trained. 

Research on cognition that shows transfer of training and increase in quality of life is dependent on carefully assessing individual differences with  clinically accepted tools which provide personalized training to meet these perimeters[1,2,3,4,] 

Learning and novelty are partners yet many brain fitness programs offer rote repetition of weak areas without variation in task or content in a bid to target learning, However research shows us this is not the way meaningful learning occurs. Tasks must be individually challenging to hold engagement and yet structured enough to be doable. Ideally tasks will adapt to changing learning curves to build neuroplasticity. The best learning capitalizes on emotional and intellectual strengths already present while strengthening areas of weakness in a positive atmosphere. For example, teaching a university student mnemonics and concept mapping may make the memory more efficient however teaching an individual with organic damage or early dementia how to remember names and faces with a mnemonic is an exercise in futility. 

Specific training alone can lead to plastic changes in the brain as demonstrated by expert Braille readers who show an enlarged hand area and smearing of finger representations in the somatosensory cortex. This result was observed in expert, but not in novice Braille readers suggesting that the training and not the blindness which leads to the changes in cortical representation [5]Similar domain specific results were noted in London taxi drivers and expert violinists. Kramer et al [6] states recruitment of additional brain regions helps performance only if the recruited area complements processing of the task in question. This is likely why rote memorization fails to increase working memory whereas training that targets attentional networks and processing speed increases working memory limits. We are incapable of processing in depth what we have not attended to and our capacity for material attended to is limited by the speed at which we process stimuli. 

References: 

1. Posner, M., & Rothbart M. Educating the human brain. Washington, DC US: American Psychological Association.; 2007:189-208. doi:10.1037/11519-009 

2. Jaeggi SM, Buschkuehl M, Jonides J, Perrig WJ. Improving fluid intelligence with training on working memory. Proceedings of the National Academy of Sciences of the United States of America. 2008;105(19):6829-33. Available at: http://www.ncbi.nlm.nih.gov/pubmed/18443283 

3. Willis SL, Tennstedt SL, Marsiske M, et al. Long-term effects of cognitive training on everyday functional outcomes in older adults. JAMA : the journal of the American Medical Association. 2006;296(23):2805-14. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17179457 

4. Gordon E, Arns M, Paul RH. Research Report THE INTEGRATE MODEL OF EMOTION, THINKING AND SELF REGULATION: AN APPLICATION TO THE “PARADOX OF AGING”. Thinking. 2008;7(3):367-404. 

5. Greenwood PM. Functional plasticity in cognitive aging: review and hypothesis. Neuropsychology. 2007;21(6):657-73. http://www.ncbi.nlm.nih.gov/pubmed/17983277 

6. Kramer AF, Bherer L, Colcombe SJ, Dong W, Greenough WT. Environmental influences on cognitive and brain plasticity during aging. The journals of gerontology. Series A, Biological sciences and medical sciences. 2004;59(9):M940-57.: http://www.ncbi.nlm.nih.gov/pubmed/15472160

By Ninah Kessler, Brain Fitness Coach

Can an economic downturn be good? Can it help you to recreate your life at a higher level? It can if you have the right mindset. That’s why it’s so important to teach your brain to think positively. But we also have to take care of the machinery of the brain itself. We need brain fitness.

The experts used to think that we all had a limited number of neurons in our brain. Then in the 1990’s, the decade of the brain, neuroscientists discovered that we could develop new neurons and new neuronal connections at any age. If we want to succeed in this new millennium, it behooves us to strengthen our brains.

Without help, our brains reach their peak in our twenties and then start deteriorating. By our 40’s we can usually notice a difference. It’s really very similar to what happens to our bodies. On the cognitive level, names disappear and our brains slow down. Multitasking becomes more challenging. The technical term for this is age related cognitive decline. It’s normal, but it’s not nice.

The good news is that there are things that we can do to slow down and reverse this process.

I’d like to give you an analogy from the physical world. In the 2008 Summer Olympics Dara Torres beat out women half her age to bring home silver medals. How did she do that? It wasn’t luck or chance. She created a professional training team to supercharge her body. On the everyday level, if you want to create a functional aesthetically pleasing body, you have a better chance if you work with a professional trainer or at least take a class. If you are extremely motivated, you can create your own program, but most of us do not have this level of commitment.

The key to training our brains is to expose ourselves to new and novel stimulation, continually challenging ourselves to take it to a higher level. Now we can all do this on our own to a certain degree. Crossword puzzles and suduko are good, and Nintendo DS, bridge, golf and bananagrams are even better. Traveling is great, especially if you learn a language, and playing a new musical instrument is a great neuronal enhancer. And don’t forget to eat a healthy diet, get physical exercise and decrease stress.

But the experience is enhanced with the expertise of a brain fitness coach. It is brain science to know that there are many different abilities that need training – logic, memory, attention, processing speed and mental flexibility, to name a few. Creating a training program that compensates for your weaknesses and enhances your strengths is an art.

When you’re looking for a job, you need your brain to be at its best. You need mental flexibility to figure out where the jobs are and how to format your old job qualifications into skills sets that will take you where you want to be. You need auditory processing ability and processing speed to answer questions in an interview. The best way to get these skills is with a brain fitness coach. You can even increase your brain fitness even if you’re dyslexic, have adult ADHD or a brain injury. Those with cognitive challenges often benefit the most.

A brain fitness coach can help you with stress too. It’s so easy for our thoughts to take a negative direction especially when we are looking for a job. Do you really have the luxury of wasting long periods of time in an unnecessary funk?

At Sparks of Genius, we’ve been training people to get the most out of their brains since 2001 and we have been cited as a brain fitness leader in The Wall Street Journal. You can work with your own personalized fitness coach or be part of a group. One day brain fitness coaches will be as popular as life coaches or personal trainers. But for you, that day can be now.

Ninah Kessler, LCSW, Brain Fitness Coach. SparksofGenius.com 561-859-4060

Thyroid problems may make you fat and moody

People who have sustained head or serious neck injuries can also damage the thyroid as well. Sometimes people who are diagnosed with whiplash later develop thyroid issues. Many of the symptoms of hypothyroid are the same as those as those for people who have dealt with a brain injury so they tend to be ignored. This is tragic because low thyroid levels can eventually lead to cognitive damage and even dementia. The thyroid can be damaged even if you are thin. It is not always true that people gain massive amounts of weight with this kind of condition just as it is not true that people with a past brain injury need to be constantly exhausted or depressed. The video above will tell you about symptoms and what you can do about this disorder

Your thyroid gland weighs less than an ounce and is located in the front of your neck just below the Adam’s apple. The thyroid acts as a feedback mechanism for your metabolism so when it is too slow or too fast this can upset a lot of body functions The thyroid gland takes iodine and converts it into thyroid hormones. Thyroid cells are the only cells in the body which can absorb iodine. These cells combine iodine and the amino acid tyrosine to make T3 and T4. T3 and T4 are then released into the blood stream and are transported throughout the body where they control metabolism (conversion of oxygen and calories to energy). Every cell in the body depends upon thyroid hormones for regulation of their metabolism.

Get this checked by your doctor. It takes a simple blood test and oral medication. This disorder can show up years after an injury so be aware.

Symptoms of a slow thryroid include

•Fatigue, Depression

•Weight gain or increased difficulty losing weight, or loss of appetite

•Coarse, dry hair, thinning hair or outer portion of eybrows thinning out

•Dry, rough pale skin,

•Cold and heat intolerance  (you can’t tolerate cold temperatures like those around you)

•Muscle cramps and frequent muscle aches, weakness

•Constipation

•Depression, Irritability

•Memory loss, lack of focus, reduced coordination

•Abnormal menstrual cycles, decreased interest in sex

By Amy Price PhD

There is some information on the internet declaring Alzheimers is more common in people who take NSAIDS. I have watched people do things like take vicodin instead of an antiinflammatory or discontinue baby aspirin therapy suggested by a cardiologist to deal with sticky platelets. Some will not take an antiinflammatory because bone fractures don’t heal as well if one is simultaneously taking this class of medication.

Getting drug addicted,setting up the CNS for chronic pain sensitivity by not treating inflammation,or letting excess platelet aggregation continue doesn’t help cognition either and in may ultimately set you up for the very condition you are trying to avoid.

There is research reporting specific use of antiinflammatory agents may reduce Alzheimers. It could be chronic pain and inflammation that aggravate loss of cognition rather than the NSAIDS taken to alleviate the symptoms.

There are many cardiac patients who took part in a Canadian study 25 years ago. They were encouraged to take a baby aspirin, vitamin C, and calcium buffered with vitamins K and D rather than be placed on beta blockers and more heavy duty cardiac meds. For many of these individuals this regimen solved the problem.

Drug addiction doesn’t always come from illegal street drugs. There are multitudes who became addicted just trying to stop the long term pain. These drugs work by altering nerve and brain messengers and overtime this leads to imbalance in the way the brain works.
As for the bones? Studies show that in eostrogen deficient or aged persons aspirin use may protect bone density. Research also shows fracture healing can be slowed by antiinflammatory use but this effect is temporary and if you stop taking them the fracture will heal at a normal rate.

In conclusion it is all about balance…

It was once thought that if there was no improvement in cognitive status in the first six months following an injury further progress would be minimal. Advances in science show this is no longer an absolute. Progress is possible.Every year Traumatic Brain Injury causes 20 times more disabilities than AIDS, Breast Cancer, Spinal Cord Injuries, and Multiple Sclerosis combined. Traumatic Brain Injuries have claimed more lives than all U.S. wars combined since 1977. Approximately 1.5 million Americans sustain a Traumatic Brain Injury each year. Traumatic Brain Injury is the number one cause of both death and disability in children and young adults.

WHAT IT DOES & HOW IT WORKS

Do you need help fixing your broken brain? Even if you don’t this article contains great strategies for improving memory skills and coping with life.
Want help with your memory? Let us look together at where the problem might be so we can suggest solutions. Information is first filtered through the senses (seeing, hearing, touching, smelling) or sensory memory. The sensory input combines with what we already know as the brain attempts to classify the information before it is encoded into our memories. Before it can be encoded accurately we have to pay attention or attend to it. The brain has only a few seconds of what is called working memory to encode material. When the information is needed we call on it to come out. This process is called retrieval.

POSITIVE STRATEGIES FOR A VARIETY OF SITUATIONS

Retrieval can be enhanced by rehearsal. The most common kind of rehearsal is saying something like a phone number over and over until it sticks in the brain. This is a problem for a person with memory deficits as by the time they get to the last number they forget what it is! In this case there is an unorthodox but useful strategy called chunking, instead of remembering numbers digit by digit such as 301 5700 think of three hundred one, fifty seven hundred. There are other solutions, write information down while repeating it to your self or ask someone else to write it for you. This is most useful when someone is giving you directions. The next step is to read the information back to who ever you got it from and ask them if your version is correct. This is also good for reinforcing understanding in conversation as sometimes what someone says to us is different to what we heard them say or is not what they meant.

To deal with problems of losing things here is some help. Pick places where you are comfortable storing things like keys, licenses etc. Make it a habit to always put them back in those places only. Write down where these places are and put it somewhere you will see it everyday in case you forget. When you go to a store only take something that can be attached to your body, forget about the purse that could be left in the shopping cart or car keys you carry in your hands.
When the memory is less than stellar even a parking lot can seem like a hopeless maze. Most cell phones have voice recorders on them as do many other devices. Record where you parked the car, for example the car is at exit c parking lot level three, third car down. Pay attention to which store you enter and what is close to the door, for example Macy’s, men’s shoes. This way if you get lost you can ask someone where these landmarks are and find your way.

Here is another strategy A piece of paper/card with a grid (kids math jotter paper with the little blocks) with place for a couple of stores names around the periphery or a land marks/monument, a McDonalds or a gas station and make an X in the block of the area where you best estimate your car is. A good place to put ID, credit card, money, parking lot stubs is in a ‘fanny pack’. If you can not remember how to get somewhere or get home buy a turn by turn GPS or phone a non judgmental friend.

There are many kinds of memory, visual auditory episodic, semantic, conceptual and more. This is good news because it means that you can use another kind of memory to enhance which ever kind is not working for you right now.

Here are some useful strategies. To remember an event think about what else you did, where it happened, the conditions around the event, ask your self how you felt that day, who was with you even what you did afterwards. Anyone of these can release a cue to help you remember.
To remember Peoples’ names, think about where you first met the person or go through the alphabet mentally, sometimes it helps to recall their significant others’ names or occupation. Just one piece of information can trigger the missing link. If all else fails ask them for a business card and read it or ask how they spell their names.

Learning something?-To remember something you need to learn, teach it to someone else, read your notes on tape and play them as you walk or at the gym, create a mind map or make the information into a story. Trouble finding words, look up a word that means the same in a good dictionary usually the synonyms will be displayed and your missing word will show up. A good dictionary can also show you how to pronounce words you have forgotten how to say. Forget how to spell it and spell check is not bright enough to figure it out? Break the word into syllables and spell the part you can figure out, from here spell check may pick it up or you may remember the whole word.

In the kitchen-For kitchen memories….don’t leave the room or be otherwise distracted when you have a pot on the stove. The same people that distracted you will remind you over and over about how you forgot something again! Do one thing at a time until your memory is healed, your ability to multitask will usually return. Buy appliances that turn off automatically, this may be expensive initially however it is cheaper than a house fire! Discipline yourself to use timers.
Often individuals forget steps of a process/task. In this case it is useful to lay everything out ahead of time. Think through what steps you need to take to complete a process/task. If this is difficult get someone to help you and write it down or record it for yourself.

For schedules…got an appointment write it down, put it on the computer, in the day timer or on a PDA. Another method is to call your telephone answering service and leave your self messages as they come up. Alternately make a list and number it for priorities then cross them off when you are finished. Too busy to prioritize…you are too busy! Make changes or you will get buried.
I Hope this helps some, nobody remembers everything so don’t beat yourself up. Keep working at it slowly and surely the more you use your brain the better it will get.