A Rise Above: Occupational Therapy Services LLC

06/06/2026

Did you know....

What if your headache vanished the moment you laid down? 🛌

Most headaches stay with you whether you’re standing, sitting, or lying down. But a CSF Leak (Spontaneous Intracranial Hypotension) plays by different rules.

The Hallmark Sign: A "positional" headache. It feels like a heavy, dull throb while you are upright, but within minutes of lying flat, the pain significantly improves or disappears entirely.

Why is this happening?
Your brain is supposed to "float" in a pressurized bath of cerebrospinal fluid. If there is a tiny tear in the dura (the sac holding that fluid), the pressure drops. When you stand up, gravity pulls the brain downward, tugging on sensitive nerves and blood vessels.

Other "Low Pressure" Signs:
- Muffled Hearing: Like you’re underwater.
- Nausea: Worse when standing.
- Stiff Neck: Often mistaken for tension.

Does your headache have a "favorite position"? Tell us if lying flat helps you in the comments! 👇

I’ve drafted a complete guide on the blog about how we find these leaks. Click the link in my bio to read the full post! 📖

06/06/2026

The real countdown begins for the soon to be Mrs. B.! A week to go! 💍🔔

06/02/2026

Calling all providers! Whether you have experience or not, Martha would love your help when it comes to concussion related vision disorders.

06/01/2026

Happy birthday to one of our favortest PT's! Happy birthday, Jesse!!

05/25/2026

05/24/2026

Whether you’re newly navigating brain injury recovery or have been carrying symptoms for far too long, not feeling like yourself doesn’t mean this is as good as it gets—you may just not have found the right pieces yet.

05/24/2026

They say never stop learning because life never stops teaching...and we hold that as one of our core values. It helps us help you when we need to pivot and when we need to think outside of the box. We attend conferences, read research articles and take courses so that we can help you improve. We then integrate those learned strategies into our sessions to allow your brain to feel safe so that you can perform the tasks you want and need to do in life.

Our growth is your growth.

05/23/2026

Sometimes your body doesn't have the same priorities as you or your therapist. We may start down one road but your body wants to take a different route. That doesn't mean we discharge you...it just means we have to pivot. Our goal is to find your primary driver of symptoms, and sometimes it's not that obvious.

If one strategy isn't working, we explore other options to guide you through the process. Maybe you can't see clearly because you are stuck in fight or flight. Maybe you can't see single because your interoception has been shut off due to the trauma of your injury and you can't feel eye pulling. Maybe your neck is so tight, it doesn't allow your cranial nerves to fire so that your eye muscles move efficiently.

We don't give up on you, we just change the approach.

05/23/2026

When the reality of symptoms related to a concussion hit really hard, we offer support to get you through the darkness. Our A Rise Above Community Group meets every Tuesday, in person and online, to help you and your loved ones take one step at a time. The support is mutual, given not only by our group leader, but by each of you to each other. Sometimes that looks like a baseball game, other times it looks like attending a local brain injury conference together. But it always means we are here for you.

And even when your darkness chooses to come on a different day, we support you through each session, each milestone, each life event when you know it is going to be overwhelming. We support you through education on how to handle your overwhelm and offer tips and tricks to make it through another holiday.