Many are familiar with a traumatic brain injury (TBI) being caused by a bump, blow, jolt to the head or body. We have seen over thousands of patients and have come to classify a TBI as a complex process that leads to the disruption of brain function. There are two phases of a TBI, phase 1: the actual insult or injury and phase 2: the secondary injury also known as the inflammatory stage where the release of cytokines disrupt the natural chemistry of the brain.