Greater Texas Orthopedic Associates
A clinician performing a neurological examination for a patient with a possible brain injury

Traumatic Brain Injury Care in Texas

Clinical assessment and ongoing management of concussion and traumatic brain injury, including symptoms that may affect thinking, sleep, mood, balance, and daily function.

Care scope
Concussion + TBI
Assessment
Neurologic + cognitive
Imaging
Reviewed as indicated
Access
6 Texas clinics
YLMedically reviewed by Dr. Yi Michael Li, NeurosurgeonLast updated July 2026
Quick overview

Who We Help

Two audiences read this page: the person navigating symptoms after a head injury, and the professional coordinating the related care or claim.

Injured patients

Anyone who struck their head or was violently shaken in a collision or fall, especially with headaches, memory trouble, light sensitivity, irritability, or sleep disruption that has persisted.

Attorneys and case managers

Firms handling a head-injury claim that need a clear clinical timeline, documented symptoms and findings, and appropriately qualified recommendations.

Overview

What Is a Traumatic Brain Injury?

A traumatic brain injury occurs when an external force, such as an impact or rapid acceleration and deceleration, disrupts normal brain function. Symptoms vary by person and may affect headache, balance, memory, attention, sleep, mood, and the ability to complete everyday activities.

CT or MRI may be normal in mild TBI and is not routinely required for every concussion. Imaging is used when clinically indicated to assess structural injury; diagnosis and follow-up also rely on the history, examination, symptoms, and clinician judgment.

Dr. Yi Michael Li, Neurosurgeon
Conditions

Symptoms and Presentations We Assess

TBI rarely presents as one complaint. These are the patterns we assess and track over time.

Concussion with or without loss of consciousness
Post-concussion headache and migraine
Memory, attention, and processing-speed difficulty
Dizziness, balance problems, and visual disturbance
Sleep disruption, fatigue, and irritability
Mood change, anxiety, and depression after injury
Our approach

How We Evaluate and Manage Traumatic Brain Injury

TBI care is longitudinal: the first visit establishes a baseline, and the value comes from measuring against it.

1

Injury and symptom history

The mechanism, whether consciousness was lost, what was remembered immediately afterward, and how symptoms have evolved since. Early details matter and fade quickly, so they are recorded verbatim.

2

Neurological and cognitive screening

A neurological examination with symptom and cognitive screening selected by the clinician according to the patient's presentation.

3

Imaging and red-flag review

Existing CT or MRI is reviewed and further testing considered when clinically indicated. A normal scan does not by itself rule out mild TBI.

4

Individual management plan

The plan may include gradual return to activity, symptom-specific care, and referral for neuropsychological, vestibular, vision, or other services when indicated.

5

Follow-up and reassessment

Follow-up timing is based on symptoms and clinician guidance. Progress, persistent limitations, or new concerns are documented as care continues.

Practical details

What to Expect

The practical shape of TBI assessment, care planning, and follow-up.

First visit
Clinical assessment

The visit may include injury history, a neurological examination, and symptom or cognitive screening.

Imaging
As indicated

Existing scans are reviewed and additional imaging is considered when the examination or red flags warrant it.

Recovery
Individual

Recovery varies with the injury, symptoms, health history, and response to a gradual return to activity.

Follow-up
As recommended

The clinician sets reassessment timing according to symptoms, functional needs, and the care plan.

Outcomes

Treatment, Recovery, and Follow-Up

Care is individualized to the symptoms, functional needs, and clinical findings identified during evaluation.

1Treatment

Symptom-specific recommendations when appropriateGuidance for sleep, mood, fatigue, or headache concernsVestibular, vision, or neuropsychological referral when indicatedClinician-guided return-to-work and return-to-activity planning

2Recovery

Recovery expectations tailored to the individualPersistent or worsening symptoms reassessedActivity progressed according to symptoms and guidanceCognitive and physical demands considered together

3Follow-up

Reassessment at clinician-set intervalsSpecialist referral for persistent deficits when appropriateRestrictions documented when clinically indicatedLong-term recommendations based on the observed course
When to call us. Go to an emergency department immediately for worsening headache, repeated vomiting, seizure, confusion that is increasing, unequal pupils, weakness on one side, or difficulty staying awake. These suggest a structural injury requiring urgent imaging.
Referral workflow

Referral, Documentation, and Communication

GTOA coordinates referral intake, scheduling, available records, and status communication for patients and authorized legal teams.

Initial evaluation report

History, mechanism of injury, examination findings, diagnosis, and the proposed treatment plan.

Imaging correlation

Available imaging findings are considered alongside the reported symptoms, history, and physical examination.

Clinical correlation

When clinically appropriate, documentation may discuss how the reported incident, findings, and pre-existing conditions relate.

Treatment records and progress

Visits are documented with relevant symptoms, examination findings, recommendations, treatment, and response information.

Future care recommendations

The clinician may document additional evaluation, treatment, therapy, or follow-up that should be considered.

Response times

Scheduling and records timing depend on location, clinical need, record availability, and clinician review. The team confirms the next step for each request.

Referral requestReviewed by the team
SchedulingBased on location and clinical need
Evaluation notesAvailable after clinician review
Records requestsConfirmed for each request
Status communicationProvided at key milestones
Cost & coverage

Insurance, Payment, and Case Coordination

Coverage and payment arrangements vary. Contact the team before scheduling so eligibility and current options can be confirmed.

Health insurance

Contact GTOA to verify current plan participation, benefits, and any authorization requirements before the visit.

Confirm eligibility

Qualified injury cases

Lien-based arrangements may be available for qualifying personal injury cases. The team confirms eligibility and terms for each referral.

Lien review

Self-pay

Patients paying directly can contact the office for current pricing and available payment arrangements.

Ask the team
Why GTOA

Why Choose GTOA?

The same six reasons matter to a patient choosing a clinic and to a firm choosing where to send a client.

01

Structured assessment

The history, neurological examination, symptoms, function, and available records are considered together.

02

Symptoms and function

Cognitive, physical, sleep, mood, and daily-function concerns are reviewed according to the patient's presentation.

03

Imaging when indicated

Available CT or MRI is reviewed in context, and further testing is considered when clinical findings warrant it.

04

Individual recovery guidance

Activity and follow-up recommendations reflect the person's symptoms, responsibilities, and clinical course.

05

Clear clinical documentation

Records document relevant history, findings, recommendations, treatment, and response as care progresses.

06

Six Texas clinics

Beaumont, Houston, San Antonio, Dallas, Arlington, and Corpus Christi provide access to GTOA care across Texas.

Request care or refer a client

Patients can request care through Contact Us, and legal teams can begin a referral through the For Attorneys page.

Main branch(409) 600-8707
Medical review

Traumatic brain injury specialist

The physician responsible for the medical review of this page.

Our branches

Find a clinic near you

Corporate office: 324 North 23rd Street, Beaumont, TX 77707

FAQ

Frequently Asked Questions

Still have questions?

Call us at (409) 600-8707

For patients

Yes. CT or MRI may be normal in mild TBI, and imaging is not routinely required for every concussion. A clinician considers the injury history, symptoms, examination, and any red flags when making an assessment.

For attorneys and case managers

Documentation may include the injury history, reported symptoms, neurological examination, and symptom or cognitive screening selected by the clinician, with follow-up findings recorded when appropriate.