Bridging neuroscience and clinical care in traumatic brain injury.

Patients, attorneys, and referring clinicians have asked about the scientific framework that guides our work at St. Michael’s Neurology and Pain Medicine. I wanted to share a concise overview of the research foundation behind our diagnostic and therapeutic approach, especially for those interested in how we evaluate and treat traumatic brain injury (TBI) and chronic pain.
Over the past three decades, my research has focused on using neurophysiology to understand how biochemical and structural brain changes after injury can lead to persistent post-traumatic symptoms. Our findings support the understanding that chronic pain following TBI is often a brain-mediated process, not simply a result of peripheral tissue injury, a distinction that changes both evaluation and treatment strategies.
At our clinic, we integrate advanced neurophysiological, neuroimaging, and biochemical tools, including studies of how brain chemistry changes after injury, to objectively measure and interpret brain dysfunction. These methods help move beyond symptom description toward data-driven, precision diagnostics and targeted interventions.
My work has been cited in thousands of scientific papers and textbooks, with over 14,000 total citations, an H-index of 52, and an m-index above 1.4 — metrics reflecting sustained, internationally recognized scientific impact.
My goal in sharing this post is to help our patients, clinicians, and professional partners understand the evidence-based methods that guide every evaluation we perform, and to encourage continued collaboration in advancing neurological care.
(Photo: objective neurophysiological testing using qEEG — one of several modalities we employ to evaluate brain function after injury.) Please visit our page for more information