Posts Tagged ‘concussion’

Updates: Football injuries, back pain & pregnancy study & more…

Tuesday, February 2nd, 2010

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Good Morning!

Another way too cold day here in Philadelphia- I am literally counting the days until Spring. Yesterday I received a stack of movie reviews of Avatar, both from people who thought it was the best movie ever made, and those who really hated it. As I said in the last post- I really enjoyed it a lot. What I hope is that James Cameron doesn’t try to make a sequel.

Today’s video:

This weeks video update includes a thank you for your comments on my daughter’s first blog post, a note on the Time magazine cover story regarding football injuries, a comment about a study regarding manual medicine for the treatment of pregnancy related back pain, and an update on the fitness challenge. Bear with me while I try to find the best way to ‘banner’ Back Together for the other sources displaying my videos.

Best, and be well,

-Andy

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Odds & Ends; Snow, Sports Concussions & Brains, New Studies, etc…

Monday, December 21st, 2009

What a weekend! The snow started on Friday, and didn’t stop until Sunday morning- the whole area got blasted. With the blizzard, came the flood of emails recommending that I do a post on the safe shoveling of snow. I thought about it, but as I watched the news I realized that EVERY news outlet was already running their respective pieces on shoveling snow- how to avoid back pain, how to not have a heart attack, how to stay warm while shoveling- and my personal favorite: How to shovel out your car without getting wrangled into digging out your neighbors’. A little selfish, I think.

In this case, I will be the rebel, and not say anything about shoveling and back pain- I’ll leave that one to the ‘experts.’ Partially because it has already been played out ad nauseum, and partially because my back is pretty sore from shoveling yesterday. If you can figure out a way to shovel 2 tons of snow and not affect your back- congratulations. You are either a magician, own a plow, or paid the neighborhood kids to do it for you. Nuff said.

The sprawling grounds of stately Chez What were blanketed with snow...

The sprawling grounds of stately Chez What were blanketed with snow…

Football Players & Head Traumas…

A couple of weeks ago, I posted a response to a mother who had concerns about head and neck traumas their child might incur playing soccer. I told her of a growing number of parents who allow their children to play soccer, but are specifically instructing coaches to not allow their children to ‘head’ the ball. I caught some flack for advocating this, as there are plenty of folks who feel that changes the nature of the game. My response is that it does change the nature of the game- but the flip side is that by ignoring this problem, you run the risk that the game will change the nature of your children- increasing their likelihood of neck pain and brain injury. There are people who will disagree with me on this, but this is where I stand.

I mention this specifically because of a new long term study being proposed by a partnership between the NFL and Boston University to try and better understand the risks to the central nervous system caused by repeated head traumas. The study is actually asking players in the NFL to donate their brains to science upon their demise, in an effort to study the long term anatomical changes which occur from play in the NFL. This is particularly poignant here in Philadelphia where Brian Westbrook- arguably one of the best running backs in football, has been saddled by back to back concussions which have taken him out for several games. There have been numerous calls from players, physicians and fans for him not to return and risk more serious trauma. I don’t know enough about his particular injury to say he should retire, but I am glad that the NFL is taking this problem seriously.

A new study suggests that psychology  plays a role in recovery from back pain…

A friend sent me a link to a new study which basically states that ‘mental therapy’ can help a person improve their back pain- that is, psychology is part of the overall picture of back pain. Well, DUH- Really?- this is a surprise? Bottom line: if you don’t address all of the facets associated with back & neck pain, it will never really go away. There is a triad of pain which I have elaborated on numerous times. If you take care of the physiological aspect of the pain without touching upon the ergonomics or lifestyle issues which compromised you in the first place, your pain won’t stay away. If you are recovering from an injury or trauma, and you don’t pay attention to your psychology, you are not likely to fully recover either.

If you are on the East Coast of the US- I hope you had a chance to dig yourself out-

Be Well,

Andy

Viewer Question: Children’s Soccer & Neck Injuries….

Tuesday, December 8th, 2009

I received a viewer question from Nahid:

“My son wants to play soccer at his middle school next year, and initially I had no problem with it. My neighbor then scared me by telling me about how all young soccer players wind up having neck injuries and concussions. Now I am really nervous about letting him play. Is there any way to make it safe?”

Thanks for your question Nahid.

First of all, let me preface my response with this statement: No sport is 100% safe. Virtually any sport your child wishes to participate in could result in injury. That being said, I would rather encourage kids to participate in sports and remain active, as this makes it more likely that they will develop good habits which will last a lifetime.

Until recently, soccer was thought of as a relatively benign sport, with less risk involved than football or hockey. However, in the past decade, physicians and sports physiologists have come to recognize the inherent risks in soccer- particularly those associated with ‘heading’ the ball. Heading is when a player uses the top of their forehead to slow down a ball, or to redirect it towards another player.

Multiple studies have shown that there is significant risk associated with heading, specifically relating to neck injuries and concussions. This risk has been well documented in studies from the American Academy of Pediatrics, The American Journal of Sports Medicine, and many others. Of course, concussions have become the subject of chatter here in Philadelphia, as two prominent Philadelphia Eagle players have recently sustained concussions.

Now I have two daughters, and I am hoping both of them will play soccer.

WHAT!?!?!

Well, as I stated- almost any sport has a potential for risk. Basically, I will instruct them not to ‘head’ the ball- there are alternative moves, such as slowing the ball down with your chest, letting it slide down the body and redirecting it with their feet. Additionally, being sure that your child is adequately warmed up, and has taken several minutes to stretch prior to a game or practice can do much to help prevent injury.

Several of my patients have children who play soccer, and have instructed the team coaches to not allow their kids to head. Again, I think it is more important that children remain active, and develop the confidence and skills they can only get by participating in a team sport. As parents, we just need to pay attention.

I hope this is helpful. Be well,

-Andy