The Connection Between TBIS and Chronic Pain

By: Dr. Jerry Lewis


Traumatic Brain Injuries & Chronic Pain Symptoms

Although most people think of concussions when thinking of traumatic brain injuries, not every case is so mild. In fact, many TBIs can lead to the development of chronic pain issues. In light of Brain Injury Awareness Month, the experts at Lewis Pain & Physical Medicine are here to share what you should know.

What is a TBI?

A traumatic brain injury (TBI) is a sudden injury that results in damage to the brain as a result of a hit, bump, or jolt to the head. In some instances, TBIs can involve an object penetrating the skull.Because traumatic brain injuries range in their severity, it is common for patients to sustain both primary and secondary injuries.


Primary injuries are those that are sustained at the time of the accident. Typically, these can include:

  • Skull fracture
  • Contusions
  • Hematomas
  • Lacerations
  • Diffuse axonal injury
  • Open-head injury


Secondary injuries are those that result from physical and chemical changes that are an indirect result of the initial trauma. When it comes to TBIs, these can include:

  • Ischemia
  • Hypotension
  • Hypertension
  • Cerebral edema
  • Pressure within the skull
  • Hypercapnia
  • Meningitis
  • Biochemical changes
  • Epilepsy

Lingering Chronic Pain Symptoms

Along with typical short-term symptoms following a mild brain injury, the following symptoms can persist when a TBI is more severe:

  • Headaches
  • Migraines
  • Convulsions and seizures
  • Abnormally dilated pupils
  • Repeated nausea and vomiting
  • Weakness and numbness affecting the limbs
  • Coordination issues

Pain Management Specialists in Frisco and Irving, TX

At Lewis Pain & Physical Medicine, we understand that aches and pains affecting the body can negatively impact your quality of life. Our team of pain management specialists and physiotherapists works with our patients to create efficient and effective treatment plans specific to their individual needs and goals.

Call on the specialists at Lewis Pain & Physical Medicine and let us be your partner in pain relief! To schedule a free consultation, call (214) 613-0960 or contact us today to be seen within 48 hours.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.