Episode 32
In this Q&A episode of The Concussion Fix Podcast, Dr. Marshall, Melinda Krynen Hill, and Dr. Paul Hrkal answer real questions from Concussion Fix members about recovery after concussion and persistent symptoms.
They start by highlighting a powerful teen recovery story and how the program can support both teens and families, emphasizing that healing is possible even after long periods of symptoms. From there, the conversation moves into the first live member question about back-to-back concussions over a short time span. Dr. Marshall explains how multiple injuries can influence recovery, why time between injuries matters, and what realistic expectations look like. He emphasizes that even with a complicated history, the nervous system can still improve with the right approach.
The second member question centers on neck pain, dizziness, and nausea when rolling in bed, especially when changing position at night. Dr. Marshall walks through how neck dysfunction, BPPV (positional vertigo), and the vestibular system can all play a role, and when it’s worth getting assessed by someone experienced in both neck and vestibular rehab. The discussion reassures listeners that these symptoms are common and treatable, not a sign of permanent damage.
Later in the episode, Dr. Hrkal answers a question about food sensitivities versus allergies, explaining the differences between IgE allergies, IgG/IgA sensitivities, intolerances (like lactose intolerance), and how different forms of testing fit in. He outlines when functional testing can be helpful and how gut and immune function can influence symptoms in concussion recovery.
Melinda then addresses a chat question about falling asleep during mindfulness and guided meditations. She explains why this happens (especially in exhausted, dysregulated nervous systems), when it’s okay, and how to adjust posture, time of day, and intention so mindfulness serves as a regulating practice rather than just a nap.
Another member's question focuses on ongoing anxiety late in recovery, where the member feels almost back to normal but still struggles with anxiety they feel is “mostly from the neck and visual system.” Dr. Marshall and Melinda unpack how neck dysfunction, autonomics, and trauma/anxiety all interact, and why anxiety is usually multifactorial rather than coming from just one structure. They offer practical tools for separating fear from danger, using gradual exposure, and building confidence again.
The episode closes with big-picture encouragement: recovery is rarely linear, improvement comes from consistent, graded exposure (not avoidance), and members are reminded to see their “marathon” as something they train for step by step rather than all at once.
Timestamp:
00:00 – Intro & Welcome
01:30 – Teen Member Story & Hope for Families
02:55 – Member Q1: Back-to-Back Concussions & Recovery Timeline
08:00 – Dr. Marshall on How Multiple Conc
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Remember, these insights are not medical advice. Always consult with your healthcare provider before making any changes to your treatment plan.
Intro song credit - I Feel Good - All Good Folks, Orfium (Hexacorp Ltd.)- downloaded from Uppbeat.io
1 Std. und 11 Min.