Concussion Management

Concussion is defined as an IMMEDIATE and transient loss of NEURONAL function(Loss of Consciousness,  memory, and motor skills) secondary to trauma.  Concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with and impulsive force transmitted to the head.  There are 300,000 sports related concussions yearly and brain injury causes more death than any other injury in sports.

Sports with the highest incidence of concussion includes: Football(accounts for more concussions than any other sport in North America; 250,000 injuries/yr), Soccer(upper limb to the head), Skiing, boxing, Equestrian, Biking(more children ages 5-14 go to the ER with head injury related to biking than any sport)

What can we as parents, coaches, or doctors do to prevent or assess someone who have a concussion?  Safety should always be the number one the agenda.  Make sure to wear a helmet CORRECTLY for the appropriate sport.  Ask him or her if have you EVER hurt your head before?  Do not ask if they have had a concussion before because they might not know what a concussion is!

Why is the have you ever had one(concussion) before such an important question?  The brain heals slowly and before the brain has completely healed it is very susceptible to a second injury.  This second injury can lead to a second impact syndrome.  If you have a concussion the odds are 2-6 time greater for another.  Also, being a female may increase the risk of suffering a concussion and injuries on the head and face.

Coaches, also be aware that there is a significant difference in the incidence of concussion as reported to the coaching staff or health care providers verses the incidence of symptoms of concussion experienced by the athlete.  They will often tell their teammates or their teammates will pick up clues that there is something wrong with a concussed athlete.

Management of a concussed athlete includes:

  1. Record the time of the initial injury and document serial assessments.
  2. Monitor vital signs and level of consciousness every 5 minutes after a concussion until the athlete’s condition improves.
  3. The athlete should also be monitored over the next few days after the injury for the presence of delayed signs and symptoms and to assess recovery
  4. Assess the cervical spine and cranial nerves to identify any cervical spine or vascular intracerebral injuries.

You need to know what you need to know BEFORE you need to know it!

Yours in Health,

Dr. Nam

Major Health Plan Savings from CAM-Oriented PCP Program for Blue Cross Blue Shield to be Published in JMPT

An update on hard data from one of complementary and alternative medicine’s most intriguing experiments is about to be published in the peer reviewed media. The findings are significant:

  • 60.2% decrease in hospital admissions
  • 59% decrease in hospital days
  • 62% decrease in outpatient surgeries and procedures, and
  • 85% reduction in pharmaceutical costs off compared to normative values.

The setting is real world. Since 1999, some members of HMO Illinois, a subsidiary of Blue Cross Blue Shield of Illinois, have had the opportunity to choose to receive their primary care services through a network of broad-scope, primary care-oriented chiropractors. These practitioners practice in a context of a separate IPA network of conventional medical doctors, whose conventional services are used when necessary.

As it turns out, following 70,274 member months, the necessity for conventional medical services of any kind is significantly below that of other HMO members.

The Integrator recently learned that the Journal of Manipulative and Physiological Therapeutics (JMPT) has accepted for publication a study with these outcomes. The study reports data from 7 years of the unique managed care product developed by Alternative Medicine Integration Group (AMI Group). JMPT, an Elsevier publication, published an earlier report on the first years of the AMI Group’s product, from 1999-2002. In that time period, all PCPs were chiropractors. The soon-to-be-published report continues with the years from 2003-2005 during which AMI’s panel was opened to include CAM-oriented medical doctors and osteopaths.

Please read the rest of the study here.

October is Spinal Health Care Month in Michigan

A groundbreaking report recently detailed the cost-effectiveness and clinical efficacy of chiropractic care.  When combined with previous U.S. studies published in peer-reviewed scientific journals, the study found that chiropractic care for the treatment of low back and neck pain achieves equal or better health outcomes to longstanding health care options.  It also found that the cost of chiropractic care compares favorably to therpaies routinely covered in U.S. health benefit plans.  The report analyzed peer-reviewed literature and arrived at the following conclusions:

  • Almost half of all patients with persistent back pain seek out chiropractic care.
  • Chiropractic care represents a good value in comparison to medical physician care and to widely accepted cost effectiveness thresholds.
  • Chiropractic coverage improves clinical outcomes, increasing value-for-dollar.
  • insurance coverage for chiropractic care is projected to drive improved overall health care cost-effectiveness.

“This research confirms what we’ve known all along about chiropractic care,” says Dr. Bryan Kostelnik, Chair of the Michigan Association of Chiropractors Research & Technology Subcommittee.  “Chiropractic care treats actual ailments through proven, non-invasive procedures, as opposed to medical care, which focuses mainly on treating symptoms through surgery and pharmaceuticals.  Chiropractic care is the future of health care.”

(The Report was written by medical researchers Dr. Niteesh Choudhry from Harvard Medical School and Dr. Arnold Milstein from Mercer Health and Benefits.  It was entitled “Do Chiropractic Services for Low Back and Neck Pain Improve the Value of Health Benefits Plans?–An Evidence-Based Assessment of Incremental Impact on Population Health and Total Health Care Spending.)

A healthier you starts here in West-Michigan.  People in West Michigan are turning to chiropractic care to improve spinal health and prevent back problems, injuries, and disease.  Call our office today at 238-8888 and we will get you started on your own personalized program toward better spinal health care.