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Concussion

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Much of the advice here is lightly supported by research. Some of it not so much. Chapek generally selects research that supports 'try this method, supplement, or diet', but doesn't consistently also include side effects, downsides, or contradictory research. Some examples: 1. While some studies have found positive effects of a ketogenic diet on certain brain issues (epilepsy and seizures), others have found impaired cognitive function to be correlated with the diet. Results are mixed and inconclusive. 2. While progesterone therapy seems to work for many men and women in reducing concussion symptoms--it is also highly correlated with impotence in men and at times with male breast development. 3. Zinc and Iron supplementation can cause overload--the body stores these. Overload can cause problems similar to deficits. Make sure you get blood levels and stores tested before supplementing. I would note on this third item that he recommends testing for several things and that he recommends looking at your personal genetics. The most common causes of concussion are falling (especially from a height), road traffic accidents and accidents whilst playing sports such as football, rugby, American football, skiing, boxing and cycling. This is a common misconception. A person does not need to have lost consciousness to have experienced a concussion. In fact, less than 10% of concussions result in loss of consciousness. Following a significant impact to the head, some important signs to look out for that may indicate a concussion are confusion, dizziness and forgetfulness. “I don’t want to let my team down by being removed from play if I have a concussion.” Meehan WP, et al. Concussion in children: Management. https://www.uptodate.com/contents/search. Accessed Jan. 9, 2020.

The search for answers would change Omalu’s life forever and put him in the crosshairs of one of the most powerful corporations in America: the National Football League. What Omalu discovered in Webster’s brain—proof that Iron Mike’s mental deterioration was no accident but a disease caused by blows to the head that could affect everyone playing the game—was the one truth the NFL wanted to ignore. Voss JD, et al. Update on the epidemiology of concussion/mild traumatic brain injury. Current Pain and Headache Reports. 2015; doi:10.1007/s11916-015-0506-z. What is a concussion? Centers for Disease Control and Prevention. http://www.cdc.gov/headsup/basics/concussion_whatis.html. Accessed Nov. 22, 2019. The Sideline Concussion Assessment Tool 5 (SCAT5) has a comprehensive inventory for possible symptoms of a concussion. [6]

If any of these symptoms are experienced following a blow to the head, the player must be removed from the game to seek medical attention and not be allowed to return to the field of play. Falling Away from You tells the story of Taylor Bingaman and his journey through the world of traumatic brain injury. Taylor’s mother, Nicole, recalls the events that happened as the result of a devastating fall down the stairs in their family home on Thanksgiving Eve in 2012. Thompson said he has experienced "massive guilt for what I've put my family through" since being diagnosed and that he has "massive downers and massive ups". Head Cases takes us into the dark side of the brain in an astonishing sequence of stories, at once true and strange, from the world of brain damage. Michael Paul Mason is one of an elite group of experts who coordinate care in the complicated aftermath of tragic injuries that can last a lifetime. On the road with Michael, readers encounter people with brain injuries as they struggle to map and make sense of the new worlds they inhabit.

This book left me feeling conflicted. Personally, I enjoy watching football, but I also knew that I never wanted my own son to participate in the sport. Fortunately, he chose soccer. I sincerely hope that scrutiny of safety precautions will continue to protect all players at every level. Treatment of a concussion is primarily supportive. Supportive care of concussion centers around the initial limitation of physical and cognitive activity,followed by a gradual return to previous activity levels. There is no longer a role for extended, strict cognitive and physical rest. [9] While reasonable to encourage rest during the acute post-injury period (i.e., the initial 24 to 48 hours), the patient should then undergo a gradual return to activity. However, there is no known optimal amount of time forthe initial rest period. [2]The patient should proceed with a stepwise return to activity with careful monitoring for the return or worsening of symptoms. [2] Recurrence of symptoms warrants a reduction in activity level until symptoms improve. Each increase in activity should generallytake at least 24 hours, but again there is no definitive evidence for the optimal timing of a return-to-activity protocol. [2]An athlete diagnosed with a concussion should be forbidden to return to play until cleared by a medical provider. Schutzman S. Minor head trauma in infants and children: Evaluation. https://www.uptodate.com/contents/search. Accessed Nov. 22, 2019. Tau tangles were kind of like a sludge, clogging it works, killing healthy brain cells – – in this case cells in the regions of the brain responsible for mood, emotions, and executive functioning. This is why boxers went crazy. This is why Mike Webster went crazy, too".Afterdiagnosing a concussion, an outpatient observation by a responsible individual educated onwarning signs requiring further evaluation is generallyappropriate. Patients with concerning signs or symptoms for more severe head injury may require continued hospital observation. Diagnosis of a concussion should prompt removing a patient from an environment that may lead to a repeat blow to the head (i.e., immediate removal of an athlete from athletic participation). [2] The definitive guide to treating traumatic brain injury (TBI), from mild to severe, Concussion Rescue provides the most up-to-date, effective strategies for recovering your health and your life. Dr. Chapek has created an essential resource for anyone struggling with the effects of concussion."

Making your home safe. Keep your home well lit and your floors free of anything that might cause you to trip and fall. Falls around the home are a leading cause of head injury. Recovery from concussion. Centers for Disease Control and Prevention. https://www.cdc.gov/headsup/basics/concussion_recovery.html. Accessed Nov. 22, 2019. Concussion is the story about the discovery of chronic traumatic encephalopathy, the fight to make it public knowledge, the massive tort case consisting of nearly 6,000 players suing the NFL for future benefits should they fall victim to the disease, the Senate hearings surrounding Big Tobacco the National Football League and the realization it wasn’t necessarily the big hits that caused the damage, it was the repetitive little hits (that amount to between 20-30 g’s on every play) . . . .

However, if you're looking for things to try that may speed healing and recovery, you're in the right place. We've just got to be proud of these little victories to make the game of rugby a lot safer and for everyone to keep enjoying it. Concussion. American Association of Neurological Surgeons. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Concussion. Accessed Nov. 24, 2019. It's important for athletes never to return to sports while they're still experiencing signs and symptoms of concussion.

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