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Located on North Main Street across from the Va. Tech campus

Located on North Main Street across from the Va. Tech campus


Understanding Rehab and Recovery from TBI

References of Interest Re: TBI rehab

Here are some references/links you may find interesting regarding symptoms, resources and rehab/recovery from TBI.

Dr. Clark Elliott, a professor of Artificial Intelligence in Chicago suffered severe symptoms for many years following a motor vehicle accident-related TBI. The story of how he eventually found appropriate care and recovery is fascinating and inspiring. Here is a link to a YouTube interview with him and the book he has written, The Ghost in My Brain.

Dr. Dan Engle is Board Certified in Psychiatry and Neurology. Just prior to beginning medical school he suffered severe head and neck injuries in a diving accident. Over the years, he learned there are many different ways to make a good chocolate chip cookie – or in his case to recover from a brain injury. His book, The Concussion Repair Manual, explores the relatively mainstream, the less mainstream, and the further alternative approaches that he has tried and believes may be helpful. My one reservation with this book is his all but total lack of discussion regarding anything to do with vision. Over half of the brain’s surface is dedicated to processing visual information and 90% of TBI patients experience visual symptoms. I think this is a significant omission. On the other hand, Dr. Elliott’s extensive focus on vision, can act as a counter-balance.

A great resource for all who have experienced a head injury or anything leading to neurological compromise, is the website for the Neuro-Optometric Rehabilitation Association – NORA. There’s much more on it than I can even begin to mention here. Please check it out.

Two approaches that we’re very excited about are Photobiomodualtion (PBM) and Pulsed Elector-Magnetic Fields (PEMF). They both show significant promise and may be something you’d like to read more about. Be aware – the PBM article is rather extensive. Here’s a little briefer overview.

HOWEVER, they do not have FDA approval for treating most symptoms you may be experiencing, and we are not recommending you use them or providing medical advice in this communication. The one exception I’m aware of is a device called Cefaly which is approved for migraine treatment and may be recommended and prescribed for appropriate post TBI headache complaints. For a prescription, please speak with your PCP, neurologist, physiatrist, etc…

We do not currently provide visual therapy services to assist in concussion recovery, although we may in the future. We can, however, recommend specific activities to your physical or occupational therapist. Please ask them to contact us if they would like our input.

If you have any questions or would like more in depth information, please feel free to call or email –

Best of luck.

Steve Jacobs OD

Protecting our Patients from Coronavirus Disease Outbreak

Making sure our patients and staff are safe is our top priority. While the risk of getting the COVID-19 in the US is currently low, we know many patients are concerned about the spread of Coronavirus.

Our Promise to Our Patients:

We understand the obvious concern that coronavirus has brought to the area. We want to make you aware of the steps we are taking to protect our patients and team members in this time of uncertainty.

We request the following of patients:

  1. If you have traveled in the last 14 days to a country other than the U.S. where coronavirus has been diagnosed, or to any area in this country that has had a number of cases of concern (eg, Seattle, DC-NY metro area, parts of CA, etc…) please call the office to reschedule your appointment for next month or beyond.
  2. If you have any symptoms that mimic that of the coronavirus, which includes a fever or respiratory symptoms, including a cough, please call and reschedule your appointment at least 14 days from now.
  3. If you suspect that you have had direct contact with people who have been around any of the people who have tested positive for the coronavirus, please call us to reschedule your visit beyond 14 days from now.
  4. Remember to follow basic hygiene guidelines to avoid the spread of germs, which includes washing your hands thoroughly with warm water and soap for at least 20 seconds.

Our staff will also follow these guidelines and will not be present at work if they exhibit any of the above-mentioned symptoms:

  1. Any eye doctor or team member who is sick is staying home
  2. We sanitize every piece of equipment after each use and again at the end of the day (as part of our precautions we always adhere to).
  3. We will sanitize all patient contact surfaces between every patient.
  4. Our team washes their hands often throughout the day
  5. If we don’t shake hands with our patients during this time, please don’t take it personally.
  1. Please call us with any questions or concerns, and if you feel it best for you or your family member to reschedule your appointment, feel free to do so.
  2. We do expect this to be an ongoing situation in our area for an extended period of time, and do not want our patients to neglect their eye care needs during this time. We will continue to give recommendations based on the evidence we have on safe delivery of eye care in a time of uncertainty.

For the most up-to-date information on treatments, FAQs, news and more, please visit the following official health organizations:

Centers for Disease Control & Prevention (CDC) at

World Health Organization (WHO) at

Thank you for helping us to protect all of our patients.

Drs. Jacobs, Steckenrider and Staff