Hidden Traumatic Brain Injuries: Symptoms and Signs

Uncovering Hidden Traumatic Brain Injuries: The Vital Role of Thorough Assessment and Integrated Care

Traumatic brain injuries (TBIs) affect millions of people each year. They happen from falls, car crashes, sports hits, or blasts. Often, these injuries go unnoticed. People might feel okay at first, but later face big problems with thinking, emotions, or daily life. Missing a TBI diagnosis can lead to long-term pain and health issues. This article looks at how to spot these hidden signs through careful questions and check-ups. It also covers how teaming up a chiropractor and nurse practitioner can help with healing. Plus, we’ll review the latest tools for detecting TBIs, arranged from simple to advanced based on symptom severity. The goal is clear: spotting and treating TBIs early makes a huge difference in recovery.

What Makes Traumatic Brain Injuries So Tricky to Spot?

TBIs can be mild, moderate, or severe. Mild ones, like concussions, often get overlooked because there are no big cuts or breaks. But even mild TBIs can change how the brain works. The brain shakes inside the skull during a hit, causing tiny damage to cells and nerves. These changes don’t always show on basic exams right away. Symptoms might pop up hours, days, or weeks later (Mayo Clinic, 2023). That’s why a full background check is key. Doctors need to dig deep into what happened and how the person feels now.

Take a car accident, for example. A person walks away with a sore neck but no headache. A week later, they struggle to focus at work or snap at family for no reason. These are red flags. Without asking the right questions, these signs get blamed on stress or tiredness. Early spots can prevent more serious problems down the road, such as ongoing pain or mood shifts (BrainLine, 2023).

How Asking Questions Uncovers Hidden Signs

A successful way to find hidden TBIs starts with lots of questions. A chiropractor or nurse practitioner sits down with the patient and family. They ask about the event: How hard was the hit? Did you black out? What changed right after? Then, they move to daily life: Are tasks taking longer? Do smells or tastes feel off? This full background paints a clear picture.

Chiropractors shine here. They check the spine and the nerves that link to the brain. A twist in the neck from whiplash can mess with brain signals (Reis, 2023). Nurse practitioners add medical know-how, spotting links to overall health. Together, they catch what one alone might miss.

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, stresses this team approach. With over 30 years in functional medicine, he sees how detailed histories reveal nerve issues tied to brain hits. His clinic uses questions to link back pain or numbness to possible TBIs, blending chiropractic fixes with wellness plans (Jimenez, n.d.a). Jimenez notes that patients often hide small changes, like fuzzy thinking, until asked directly. This builds trust and uncovers truths.

Common Hidden Signs: Thinking, Feeling, and Sensing Problems

Hidden TBIs show up in sneaky ways. They affect how we think, feel, and sense the world. Let’s break them down.

Issues with Thinking and Focus

Many people with TBIs say simple things feel difficult. Like reading a page but forgetting it seconds later. Or zoning out during talks. These come from damaged brain spots that handle memory and attention (Fisher Stark, P.C., 2023). Concentration dips make work or school tough. One study shows up to 50% of mild TBI folks face this for months (BrainLine, 2023).

Dr. Jimenez observes this in athletes after hits. They report slower reactions on the field, which questions reveal as brain fog from nerve strain (Jimenez, n.d.b). Without checks, it gets written off as “just tired.”

Emotional Ups and Downs: Anger and Mood Shifts

Feelings can flip fast with TBIs. A calm person might burst into anger over small stuff. Or sink into sadness without reason. These stem from brain areas that control mood, such as the amygdala (Hanscom Air Force Base, 2017). Irritability hits 70% of cases, per reports. Family notices first— “You’re not yourself”—but the patient might deny it.

In Jimenez’s practice, he sees emotional ties to spine issues. A misaligned neck from injury amps up stress signals to the brain, worsening anger (Jimenez, n.d.a). Asking about home life uncovers these patterns.

Sensory Changes: Smell, Taste, and More

Senses go haywire, too. Food might taste like metal, or coffee might smell foul. This happens when an injury affects the smell and taste nerves (Mayo Clinic, 2023). Blurry vision or ear ringing adds to it. About 20% lose their sense of smell fully after mild TBIs (Fisher Stark, P.C., 2023).

Patients rarely mention these at first. However, targeted questions such as “Does your favorite meal taste right?” can provide valuable insights. Chiropractors link this to neck tension blocking signals (Denver Chiropractic, LLC, 2023).

Other Key Signs: Headaches, Tiredness, Sleep Troubles, and Balance Woes

Beyond mind and senses, bodies scream warnings too.

Headaches That Won’t Quit

Post-injury headaches strike hard and often. They throb for hours, worse than before (BrainLine, 2023). Up to 90% of TBI patients get them. They signal swelling or nerve pinches.

Constant Fatigue and Drowsiness

Energy crashes fast. Even after rest, folks feel wiped out (Mayo Clinic, 2023). This “brain tiredness” comes from cells working overtime to heal.

Sleep Pattern Mess-Ups

Nights become weird—too much sleep or none at all. Insomnia or oversleeping disrupts healing (Fisher Stark, P.C., 2023). Questions about routines spot this early.

Balance and Coordination Struggles

Dizziness or stumbling occurs when the balance centers in the brain and ears are jarred (Hanscom Air Force Base, 2017). Falls rise, risking more harm.

Jimenez’s team uses these signs to tailor care. One patient with balance issues found relief through spine work that eased brain pressure (Jimenez, n.d.b).

Why Integrative Care: Blending Chiropractic and Nurse Practitioner Expertise

Healing TBIs needs more than one fix. An integrative method joins chiropractic care with nurse practitioner oversight. This team supports nervous and skeletal health, which are key to brain recovery.

Chiropractors focus on the spine. Hits cause shifts that pinch nerves, slowing brain signals (Northwest Florida Physicians Group, LLC, 2023). Adjustments realign bones, easing flow.

Nurse practitioners handle the big picture: meds, emotions, and check-ups. They spot secondary issues like infections or depression (García et al., 2024).

Together, they create full plans. Spinal tweaks correct body imbalances. Soft-tissue work, such as massage, calms muscles. Exercises build strength and balance (Calibration Mansfield, 2023). This enhances brain function by improving blood flow and nerve pathways.

Dr. Jimenez lives this. As both a DC and an FNP-BC, he blends adjustments with nutrition for TBI-like symptoms. His cases show faster healing when spine health is supported by emotional support (Jimenez, n.d.a).

Building a Thorough Therapy Plan for Recovery

Plans start with exams. Chiropractors test nerves and joints. Nurse practitioners run blood work and mood screens.

Then, action: Adjustments weekly at first. Soft therapies daily. Exercises like balance walks three times a week. Nurse oversight ensures safe meds and family tips (Reis, 2023).

Case in point: Paula, a TBI survivor from an assault and a crash. Chiropractic care with neuro therapies turned her life around. She went from bedbound to running marathons (Reis, 2023).

Benefits hit the nervous system hard. Adjustments spark neuroplasticity—brain rewiring (HML Functional Care, n.d.). Skeletal fixes cut pain, aiding movement (Pinnacle Health Chiropractic, n.d.).

Nurse care covers the mental and emotional sides. Counseling and family involvement lower stress (García et al., 2024). Physical checks prevent falls.

Latest Diagnostic Tools and Tests for TBIs

New tools make spotting TBIs easier and faster. We list them from easiest—for simple symptoms like a mild headache—to hardest — for complex cases with deep confusion or coma. This order corresponds to the increasing severity of symptoms and requires additional details.

1. Clinical Exams and Scales (Easiest—for Mild Symptoms)

Start simple: Glasgow Coma Scale (GCS) scores eye, verbal, and motor responses. Scores of 13-15 mean mild TBI (National Institute of Child Health and Human Development, n.d.). Add questions about symptoms. Quick, no machines.

2. Blood Biomarker Tests (For Moderate Symptoms like Fatigue or Dizziness)

Big news: i-STAT TBI blood test, FDA-cleared in 2024. It checks GFAP and UCH-L1 proteins in 15 minutes from a finger prick. The test reduces the need for CT scans by 40% in mild cases (Abbott Laboratories, 2023). By 2025, it will be standard in ERs (U.S. Department of Defense, 2024). Neurofilament light (NfL) tracks ongoing damage (Blujdea et al., 2025).

3. Eye-Tracking Devices (For Sensory or Balance Issues)

EyeBOX or EyeD tracks pupil movements. Spots mild TBIs in minutes, no blood needed. 2025 trials expand use (Oculogica, 2024). Great for athletes.

4. CT Scans (For Headaches or Vomiting)

Computed tomography shows bleeding or swelling fast. First-line for moderate symptoms (National Academies of Sciences, Engineering, and Medicine, 2025). But misses tiny damages.

5. MRI Scans (For Cognitive or Emotional Changes)

Magnetic resonance imaging reveals soft-tissue tears. This method is more effective for non-bleed injuries (Barbosa et al., 2023). Used when symptoms linger.

6. Advanced Neuropsychological Tests (Hardest—for Severe, Complex Cases)

Full brain function tests, such as ImPACT, for cognitive function. Additionally, the use of microRNA saliva swabs has been documented (Quadrant Biosciences, 2024). EEG for seizures. The new 2023 ACRM criteria guide these (Iverson et al., 2025).

These tools, from basic to high-tech, ensure nothing slips by.

Real-Life Wins: Cases of Missed TBIs Turned Around

Stories prove the point. One vet ignored dizziness after a blast. Questions revealed TBI; chiropractic and nurse care restored balance (Neurochiro, n.d.).

Jimenez shares a car crash patient with “just” neck pain. Deep dives found TBI signs. An integrated plan cut headaches by 80% in weeks (Jimenez, n.d.b).

Another: Boxer with mood swings. Biomarkers and interventions repaired neural pathways (Kamps et al., 2025).

The Big Picture: Don’t Let TBIs Hide—Act Now

Missing TBIs steals recovery chances. But with questions, teams, and tools, we can change that. Chiropractors and nurse practitioners lead the way, fixing body and mind together. Early care means fuller lives.

If you’ve experienced a head injury, please let us know. Ask about symptoms. Get checked. Healing starts with seeing the hidden.

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References

Abbott Laboratories. (2023). Finally, a blood test for traumatic brain injury. https://www.abbott.com/corpnewsroom/products-and-innovation/finally-a-blood-test-for-traumatic-brain-injury.html

Apex Chiropractic. (n.d.). 3 benefits of chiropractic care following a traumatic brain injury. https://apexchiroco.com/auto-injury/3-benefits-of-chiropractic-care-following-a-traumatic-brain-injury/

Barbosa, R. R., et al. (2023). Imaging for the diagnosis and management of traumatic brain injury. Diagnostic and Interventional Imaging. https://www.sciencedirect.com/science/article/pii/S1878747923015507

Blujdea, E. R., et al. (2025). Plasma and MRI biomarkers capture neuronal damage in former professional boxers. Scientific Reports, 15(1), 20005. https://www.quanterix.com/blog-blood-biomarkers-reveal-the-hidden-story-of-brain-injury-a-new-era-in-brain-health-monitoring/

BrainLine. (2023). Symptoms of traumatic brain injury (TBI). https://www.brainline.org/article/symptoms-traumatic-brain-injury-tbi

Calibration Mansfield. (2023). How can integrative chiropractic care help with traumatic brain injuries. https://www.calibrationmansfield.com/blog/how-can-integrative-chiropractic-care-help-with-traumatic-brain-injuries.html

Denver Chiropractic, LLC. (2023). Mild traumatic brain injury: Can a chiropractor help?. https://denver-chiropractic.com/mild-traumatic-brain-injury-can-chiropractor-help/

Fisher Stark, P.C. (2023). Hidden signs of a serious head injury (traumatic brain injury symptoms). https://fisherstark.com/hidden-signs-of-a-serious-head-injury-traumatic-brain-injury/

García, M. Á. M., et al. (2024). Nursing interventions to prevent secondary injury in critically ill patients with traumatic brain injury: A scoping review. Journal of Clinical Medicine, 13(8), 2396. https://www.mdpi.com/2077-0383/13/8/2396

HML Functional Care. (n.d.). How chiropractic neurology supports brain healing. https://hmlfunctionalcare.com/how-chiropractic-neurology-supports-brain-healing/

Hanscom Air Force Base. (2017). TBI recognition critical to treating invisible wounds. https://www.hanscom.af.mil/News/Article-Display/Article/1126278/tbi-recognition-critical-to-treating-invisible-wounds/

Iverson, G. L., et al. (2025). New diagnostic criteria for mild traumatic brain injury: Medical-legal considerations. Archives of Physical Medicine and Rehabilitation, 106(10), 1615-1619. https://pubmed.ncbi.nlm.nih.gov/40623617/

Jimenez, A. (n.d.a). El Paso, TX doctor of chiropractic. https://dralexjimenez.com/

Jimenez, A. (n.d.b). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. https://www.linkedin.com/in/dralexjimenez/

Kamps, S., et al. (2025). Plasma and MRI biomarkers capture neuronal damage in former professional boxers. Scientific Reports. https://www.quanterix.com/blog-blood-biomarkers-reveal-the-hidden-story-of-brain-injury-a-new-era-in-brain-health-monitoring/

Mayo Clinic. (2023). Traumatic brain injury – Symptoms & causes. https://www.mayoclinic.org/diseases-conditions/traumatic-brain-injury/symptoms-causes/syc-20378557

National Academies of Sciences, Engineering, and Medicine. (2025). Examples of technical innovation for traumatic brain injury prevention, diagnosis, and care. https://www.ncbi.nlm.nih.gov/books/NBK613057/

National Institute of Child Health and Human Development. (n.d.). How do healthcare providers diagnose traumatic brain injury (TBI)?. https://www.nichd.nih.gov/health/topics/tbi/conditioninfo/diagnose

Neurochiro. (n.d.). Traumatic brain injury. https://www.neurochiro.com/services/brain-injury/

Northwest Florida Physicians Group, LLC. (2023). Using chiropractic care to treat traumatic brain injuries. https://www.northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries

Pinnacle Health Chiropractic. (n.d.). Six ways chiropractic care supports healing after TBI. https://www.pinnaclehealthchiro.com/blog/six-ways-chiropractic-care-supports-healing-after-tbi

Reis, P. (2023). Chiropractic and traumatic brain injuries. https://www.nwhealth.edu/news/reis-writes-for-chiropractic-economics-chiropractic-and-traumatic-brain-injuries/

U.S. Department of Defense. (2024). CDMRP contributed to research leading to FDA clearance of traumatic brain injury diagnostic tool. https://cdmrp.health.mil/pubs/press/2024/TBIDiagnosticTool