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A “mild” hearing loss sounds harmless until you hear the data: it can raise the risk of cognitive decline and dementia by 200%. I sit down with Dr. Keith Darrow PhD, CCC-A, neuroscientist and clinical audiologist, to connect the dots between hearing loss and brain health and to explain why treating hearing loss shows up again and again as a top modifiable dementia risk factor in major research reviews.

We also get practical about what good care actually looks like. Dr. Darrow breaks down why so many people struggle with speech in background noise, why basic beep-only tests can miss real problems, and how prescription-grade hearing aids differ from over-the-counter devices when you care about outcomes like cognitive performance, fall risk, and tinnitus relief. If you or a loved one has ever seemed “withdrawn” or “down,” we talk through how hearing loss can mimic depression and early cognitive decline and why a thorough evaluation can clarify what’s really going on.

If you’re navigating concussion recovery or traumatic brain injury, this conversation gets even more relevant. We cover extended high-frequency hearing loss after TBI, tinnitus as a neurologic “phantom sound,” anxiety and sleep disruption, and hyperacusis (sound sensitivity) plus how gradual sound exposure can rebuild tolerance. We also touch on emerging tinnitus research, including where transcranial magnetic stimulation stands today.

If this helped you, subscribe for more evidence-based concussion and brain health conversations, share it with someone who keeps saying “I hear fine,” and leave a review so more people can find the show.

Dr. Keith Darrow's Resources and Links:

https://mytinnitusnumber.org/

https://excellenceinaudiology.org/

Free Book: Preventing Decline

Free Book: Silenced. The Medical Treatment of Tinnitus

Dr. Darrow's YouTube Channel

Dr. Darrow LinkedIn

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Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

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Pain isn’t a simple “damage equals symptoms” equation. Sometimes your nervous system turns the volume down so far you barely notice serious wear and tear, and other times it turns the volume up until every small sensation feels like an alarm. That difference matters if you’re living with chronic pain, fibromyalgia, or persistent symptoms after a concussion, because the right treatment depends on how your brain is regulating threat and sensation.

I sit down with Dr. Norm Hoffman to unpack the neuroscience of chronic pain in plain language, including the two common patterns he sees: persistent local pain that never fully resolves and chronic widespread pain that spreads with fatigue, headaches, and sensory overload. We talk about top-down pain inhibition from the brainstem, why cortical body maps can shrink or distort, and how changes in pain receptors can leave people feeling like their natural pain relief system is no longer doing its job. If you’ve ever wondered why pain can “move around” or why one big injury can temporarily mask another, this conversation connects the dots.

From there we get practical. Dr. Hoffman explains how he looks for hidden local drivers that often get written off, and why addressing nerve sensitivity, mobility restrictions, and other subtle inputs can reduce the overall noise in an amplified system. We also cover options like PRP and focused shockwave therapy, plus supportive nutrition and supplements that can improve tissue repair. For widespread pain, we dig into why graded exercise is so important and how tools like whole body vibration, music, and gentle dance can help you move without triggering days of flare-ups. Finally, we layer concussion and post-concussion syndrome on top of all of it, including how brain injury can disrupt pain control and how dual-task testing can guide rehab.

If this helped you think differently about chronic pain and concussion recovery, subscribe, share this with someone who feels stuck, and leave a review so more people can find the show.

Dr. Norm Hoffman: website.

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Website: lifeafterimpact.com

Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

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A concussion can change your life in a second, but what happens when the people around you treat it like an excuse? Sarah Wuebbolt joins us to share what it’s really like navigating multiple concussions as a teenager while trying to keep up with school, sports, friendships, and the pressure to “be fine” on a timeline that doesn’t match reality.

We talk about the first concussion that came with old-school advice to hide in a dark room, how isolation can spiral into depression, and why the emotional side of concussion recovery and post-concussion syndrome deserves the same attention as headaches and dizziness. Sarah also explains a surprising cognitive challenge she noticed after later concussions: how holding eye contact during high-effort conversations can trigger symptoms and be misunderstood as not listening.

From vestibular therapy and counseling to meditation, walking, and simple nervous system resets like stepping outside into cold air, we break down tools that helped her build a “new normal” and keep setbacks from defining her progress. We also go deep on school accommodations for concussion recovery, including what to do when a teacher doubts you, how to loop in support staff, and why return-to-learn plans matter. Finally, we zoom out to prevention: Rowan’s Law, baseline concussion testing gaps, and why concussion education should start earlier for every kid, not just contact-sport athletes.

If this conversation helps you feel seen, please subscribe, share it with someone navigating a brain injury, and leave a review so more people can find real-world concussion support.

Sarah's Instagram: @hopepostinjury. Website. LinkedIn

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Get 20% off your first order of Puori protein with code LIFEAFTERIMPACT by following this link.

Save $30 on Brain Ritual - A daily brain energy-support drink like none other. https://www.brainritual.com/AYLA94359

Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!

Follow us on Instagram @lifeafterimpact

Website: lifeafterimpact.com

Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.