Musculoskeletal Ultrasound – An X-Ray in Motion

Musculoskeletal Ultrasound – An X-Ray in Motion

Musculoskeletal Ultrasounds (MSUs) are my go-to when attempting to pin down an issue that we don’t believe to be bone related. That means they are perfect for diagnosing muscle, tendon, and ligament injury – as this dynamic investigative and explorable procedure tells us in seconds the make-up of your musculoskeletal system. We have found that MSU has been pivotal in helping diagnose sports injuries and others who find they are in pain when they move a joint. Traditional analysis like x-rays and MRIs take static images where MSUs create dynamic images in motion. Let’s explore that some more.

Using Nerve Blocks to Extinguish Headaches and Migraines

Dealing With Migraines So You Can Relax This Weekend

Migraines – they’re a real headache. After a long week of working we deserve to have some time off; and whether that’s having a lie in, a series binge on Netflix, or jumping into your overgrown garden and getting stuck into some horticulture – we all need to switch off a bit at the end of the week. We should have some escapism. But there’s nothing worse than your tranquillity being intruded on by a throbbing head pain that gets gradually worse. There’s a banging on one side of your head, like a nail been driven by a hammer and you feel a slight nausea. So much for your down time. Again, migraines, they can be real headaches. But not to worry, I can sort that for you.

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Enter: Nerve Blocks

Medical science has transformed the usage of Nerve Blocks, which work a type of local anaesthetic, to treat migraines and headaches. The procedure is usually used for the treatment of pain, chronic pain, and complicated dental work. 

Peripheral Nerve Blocks are a reasonable option for many patients with headache disorders. The injection is administered with a syringe and needle that is utilized to inject nerves on the outside of the skull. Alternatively, a soft and minimally invasive catheter will deliver numbing medicine to a target bundle of nerves via the nasal passages.

The goal of this procedure is to temporarily numb the nerves in the periphery and consequently reduce the pain signals travelling to and from the central nervous system, and of course –allow you to watch Netflix and drift off in peace.

How Does the Procedure Work?

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Your physician will usually take a few minutes to administer the entire procedure. Depending on your physician and the location of the migraine the anaesthetic may be injected directly to where the pain is manifesting itself. 

Thanks to this breakthrough procedure, no hair needs to be shaved – and all you will experience is a slight discomfort before your migraine completely breaks and you can enjoy the weekend you deserve. This procedure is especially beneficial for rescuing patients whose home medication has failed them.

If you are interested in Nerve Blocks to help you overcome a migraine, especially if your home medication is failing you, then make sure you contact your local physician. Alternatively, if you are local, you can find me at Mount Sinai’s Department of Rehabilitative Medicine’s Downtown office.

Spine Care: Strengthening the Core of Your Body

Strengthen Your Supporting Arch

If the body is a temple the spine is the supporting arch, but it should be treated like the sanctuary. That’s because the spine has more than a duty to keep the body upright. It’s more than just a bunch of bones as it homes the pathways of our central nervous system which allows our brain to communicate with everything else in our body. We should prioritize our spine’s health in our day-to-day life as lack of care can lead to physical discomfort and make us susceptible to future complications. Spine care is an everyday task that can be optimized with a few careful steps. This leads us straight into the crux and goal of this blog entry: keeping a good posture.

Keeping correct posture is the most difficult aspect of spine care, and it won’t happen overnight - although, you can get the process going immediately. Your spine wants to be in a slight S shape with your shoulders squared and your hip tucked in. Often, achieving this position is relatively easy, making it a subconscious and natural stance is where the difficulty lies.

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·        For starters, imagine a string tied to the back of your head. Now imagine someone lightly tugging it back as if you were a marionette. Your head should be lifted and held high and proud.

·        Then, tighten your shoulders by pulling them back slightly (without puffing your chest out like a bird). They should be squared and back, not rounded and hunched.

·        Tuck your pelvis in using your gluts. Stand up straight and distribute weight evenly between both your feet.

At this stage, you may feel slight discomfort – if not – great, just keep practicing until it becomes your natural stance. If you are feeling discomfort, then read on.

I frequently explain to patients who visit me about posture and back pain at the Mount Sinai Center of Rehabilitative Medicine that their discomfort in standing straight usually stems from underdeveloped supporting muscles. Either this, or the pain they are experiencing is due to their body weight – and I’ll explain why.

For every kilo you lose, your spine frees 8 kilos worth of tension, which means that thinner people put less strain on their spine and heavier people put on more. But an exercise regime isn’t just about losing weight, in fact, that is just a bonus. The real benefit comes from strengthening the muscles that support the skeletal structure.

Think about it, there are plenty of athletes who would score high on the BMI scale for being overweight, consequently meaning their back should be under high levels of pressure, but do not suffer from back problems as their muscles are sufficiently developed to handle the extra stress. Once your muscles have been adequately strengthened, holding the aforementioned posture will no longer be uncomfortable.

The balancing act lies between being at a suitable weight comparative to your core strength. That’s why a focus on exercising the abdominals and lower back muscles will immediately reduce the impact the spine sustains throughout everyday life.

But of course, make sure your lifting technique is spot-on. There would be nothing worse than damaging your spine in your attempt to strengthen it. 

 

How Technology is Becoming More Human Than Ever

The word technology resonates with incompressible circuit boards, expensive gadgets, and the film i-Robot. Sometimes, we even consider it something to be feared (just think back to Y2K). But technology is defined as an application of knowledge for practical purposes – it doesn’t have to be complex machinery and computers. In fact, the best technologies aren’t the most complicated, but the ones that have the most impact. Touch Graphics is a perfect example of innovative technology that makes treatment accessible. These innovative revolutions are helping to reduce the impact of life-altering events, like losing sight.

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 Touch Graphics focuses on technologies that enable the visually impaired to draw through low-tech, accessible, and affordable means. The project is predicated on the idea that when drawing, sight is needed to give feedback to the artist. You must visualize where your pencil has been, and where it is going to go to complete a coherent piece. If the drawer cannot see or visualize at which point they are at, it becomes difficult to locate where the next stroke will go – and even mean that they cannot experience their project upon completion.

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In the past, this has meant the visually impaired were unable to draw. The Touch Graphics project has revolutionized this principle by using tactile feedback. It is somewhat similar to braille. A person can learn to draw by using styli and paper – using feel to see their drawing – opposed to sight. As their instrument passes over the paper, the styli beneath raises, allowing the artist to explore their work and decipher the next point of contact without sight. They can visualize the piece, which empowers hobbyists and born-to-be artists to engage with art, in a way which was otherwise impossible.

 Anyone with good motor skills in their fingertips can learn to use this set-up. In bringing tactile sensation to the perceptual foreground, vision becomes effortless. It has shown to become a highly refined skill with practice. The set-up is affordable due to materials being easily accessible for everyone. A perfect example of technology being intelligent innovation – and fit for purpose.

 Touch Graphics, inc focuses on products that communicate spatial information through the sense of touch for use by visually impaired. They are featured on https://www.cooperhewitt.org/ an organisation which curates a myriad of designs that enable people in the artistic field. If you have a story to share, drop me a comment or retweet – I’d love to hear what you think.

 

 

Dr Spinner's Top Tips for Hitting A Home Run

Most things are easier said than done. Hitting a home run is no different. There are two key aspects when trying to become a Yankee superstar. Firstly, you need to hit the sweet spot -  and secondly, you need to hit it hard. Hitting the right spot is achieved by the movements I’m going to outline below. The great thing is, good technique will inadvertently make you hit the ball harder as well. By following these instructions, you won’t waste energy, and your entire swing will focus your power on the bat.

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Get Comfortable

Identify if you feel more comfortable with a narrow or wide stance when getting into position. Your knees should be inside your feet and you should be looking at the pitcher (who is about to get a shock when you smash his ball out the park). Your feet and body should be facing away from the pitcher at a perpendicular angle, with your head turned facing the pitcher.

Negative Mode

Next, we go into the Negative Move. As the ball approaches and you begin your swing, load your weight onto the back foot (remembering to keep the knees inside the feet). The bat should be slightly behind but parallel with the shoulder. As the ball approaches, you want to dip into negative mode before shifting your weight forward.

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Spin the Back Toe

Now we shift our weight onto the toe of the foot. As the ball approaches get onto the toe of your front foot releasing the weight from your back foot. Your weight should be shifting from back to front. As your front heel goes down your back knee should start to turn – ending with the laces pointed toward the pitcher. You should be doing this alongside the bat movement. 

 The batters laces are facing the pitcher.

The batters laces are facing the pitcher.

The Journey Begins

The bat should find itself coming from that starting position (parallel to shoulder), through the body motion, and hitting the ball with the shortest distance traveled from the starting position. All of your energy should be focused on shifting power through this small point. With practice, your feet, torso, and “third arm” will all move in harmony making for a high-intensity swing that pumps all your power into that one little point between your bat and the pitcher's ball. 

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Following Through

Once the ball is hit, the journey isn’t over. You need to continue to bring the bat around and end with it behind the front shoulder. Following through is key in all sports – from baseball – to soccer – to football. Any motion that requires maximum power (like a free kick in soccer) requires the player to follow through with their foot (or whichever limb). This allows the player to exert all their power through the ball.

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Start Slow

All good things take time. Get the technique right before you exert all your force into a shot. Slowly build up using power in your shot so that your body has the correct mechanics and muscle memory. Hitting a home run requires patience both during a game and in training. After some practice, you will master the solid path to the baseball.  

Practice Practice Practice

Batting is difficult because it requires your whole body to synchronize and rally its effort through a foreign object – i.e. the baseball bat – which becomes an extension of the body. Ensuring the upper body and lower body works together is key to hitting a home run. 

Practice is the key to learning how to shift your weight with the upper body movement while the ball flies toward you. There are three things going on, it’s a lot to take in. As you repeat the motion again and again, your body begins to remember how it should behave without you telling it what to do and your swing becomes second nature. Your knees know to not step outside the feet without you thinking about it and you won’t overshoot your back foot's twist. When you do all these things without thinking, you’re on the money.

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How Can You Cope With Male Pelvic Pain?

Dealing with Male Pelvic Pain

 Male Pelvic Pain is a generic term given to chronic pain in the groin, the prostate and surrounding areas of the pelvis. Its genesis varies and is generally considered a symptom. The pain can be a symptom of orchialgia, from a prior surgery around the testicles and penis, and patients who have recently had penile implants. Using neuromodulation and nerve blocks we can sever the ties between the pain receptors and the brain which will numb the pain. Let’s take a deeper look into the more common manifestations briefly aforementioned before delving into medical science’s response to it.

 

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What is Male Pelvic Pain?

Prostatitis

The prostate is a walnut sized gland that sits in front of the rectum – just below the bladder. It has the responsibility of making a part of the fluid required for semen. Prostatitis is an infection or inflammation of the prostate and is the most common urologic problem in men younger than 50. It can cause painful urination and ejaculation – and is commonly conflated or confused with other urinary tract infections. Prostatitis may not be associated with bacterial infections of the prostate.

Orchialgia

Orchialgia is the name given to long-term pain of the testes considered chronic if the pain persists over three months. It could be caused by injury, surgery, cancer, or testicular torsion – and is a possible complication of a vasectomy.

Inguinal Hernia

A hernia occurs when an internal organ pushes blood through an area that has damaged or weak muscle. Muscles are usually strong enough to keep organs in place, a hernia develops when there are weak spots. An inguinal hernia is the most common type of hernia – and appears as a swelling or lump in the groin. The swelling can be incredibly painful and will often protrude when lifting something and retract when sitting or lying down.

Surgery hopes to push the bulge back into place and strengthen the weakness in the abdominal wall, however, can cause serious pain to the pelvic area.

Penile Implants

A penile prosthesis is an optional treatment for men with erectile dysfunction. There is a myriad of distinct types of prosthetic from malleable rods to a pump connected to the system, connected under the loose skin of the scrotal sac between the testicles. This surgery can sometimes lead to chronic pain in the penis area.

 

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A Solution to Male Pelvic Pain

Advances in medical science have meant we can deal with acute and chronic localized pain in Male Pelvic Pain regardless of the cause. 

Nerve Blocks

During an episode of chronic pain, a group of nerves called a plexus or ganglion sends pain signals to the brain. This pathway can be blocked using Nerve Blocks – an injection of medication that numbs a specific region of the body from picking up pain signals. The brain will not receive signals that the area is in pain which stops pain.

Therapeutic Nerves Blocks can be used to treat more painful conditions. These blocks contain local anaesthetic than can control and relieve a localized pain.

Sympathetic Nerves Blocks can be used to determine if there is damage to the sympathetic nerve chain which serves as a diagnostic.

These can be used after, or in lieu of, surgery.

 

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Neuromodulation

Neuromodulation is the process by which an implantable wire is placed onto the nerves carrying the electrical transmission of pain and thereby reducing the painful firing of those nerves.  This is a very common approach to alter the nerve activity.  The process normalizes or modulates nervous tissue function. Subsequently, neuromodulation minimizes symptoms of Male Chronic Pelvic Pain by lessening the number of painful neurons fired. 

If you are interested in tackling Male Pelvic Pain with one of these minimally interventional methods, contact us to discuss a plan.

 

 

 

Pregnancy Related Musculoskeletal Pain

How To Deal With Pregnancy Related Muscle Pain

Pregnancy is an exciting time for any woman or family, but it brings with it many anatomic and physiological changes that can hinder a woman’s quality of life. During pregnancy, many women suffer from musculoskeletal pain due to the intense changes the body endures throughout the process, this includes but is not limited to: arthralgias, back pain, separation of the pelvis, transient osteoporosis, and tendonitis. This month, we’ll explore how we can manage the pregnancy-related pain while limiting the use of oral medications.

 

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Women usually gain in the range of 25-35 pounds during pregnancy. A shift occurs in the woman’s centre of gravity. Hormonal and biomechanical alterations strain the axial skeleton and the pelvis which are pivotal in maintaining good posture. The body’s adaptions can overload a normally well-designed system, which causes acute pain and possibly chronic pain.  Symptoms vary from person to person, but commonly patients experience pain, fatigue, and sleep disturbances.

 

 

Traditionally, treatment includes some oral medications including nonsteroidal anti-inflammatories (NSAIDs).   Patients who have trouble sleeping are often provided medications that modulate sleep and pain.   However, during pregnancy, the uses of oral medications is often limited as many medications can cross the blood-brain barrier and affect the foetus. 

Specialized physical therapy programs can focus on stretching, strengthening, bracing and the use of modalities such as heat, ice and massage to ease the pain.  We can also use the same ultrasound technology your obstetrician uses to see the baby to diagnose many of musculoskeletal disorders that arise during pregnancy.  We also utilize this same technology to provide accurate guided injections to provide relief for moderate to severe pain.   

We’ll focus treatment on limiting oral medications, working mainly with the right physical therapy and offering an ultrasound-guided (non-radiation) approach to interventions when necessary.

Reclaiming Your Life From Knee Injury

How Can Medical Science Put A Stop To Knee Arthritis?

Arthritis in the knee is caused by an inflammation of one or more joints around the femur, patella, and tibia. The joint will become painful, and gradually get worse if not attended to. This medical problem can be down to your genetics or lifestyle – long periods of not moving or heavy loads on the knees being the most common culprits. Patients tend to struggle with mundane tasks like walking up the stairs and bending the knee. Thankfully, with progressions in medical science, we have a promising treatment for knee arthritis - stem cell injections.

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Stem Cell procedures consist of taking cells from your own body and using them to create more cells. Cells live in all tissue and can be poised to fix existing damages to the body. A top cure for arthritis is to renew the cartilage that separates the bones, which will (often alongside physiotherapy) bring you back to fighting fit health – alongside preventing any more troubles this lingering problem will cause.

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But what exactly is knee arthritis? The knee is cushioned from impact by smooth and slippery substances called cartilage. This substance acts as a shock absorber and stops the bone from eroding. Arthritis is a condition in which the cartilage begins to wear away – a biological “wear-and-tear” – reducing the space between the bones. The result is painful, reduces the capacity of the knee, and chips away at surrounding bone, producing bone spurs.

Arthritis in the knee is a symptom of lifestyle, genetics, or a combination of both. You could be unlucky and have it hereditarily, or develop the problem from things you do. Playing sports and working jobs that have a heavy impact on the knees are often the genesis of this problem. Surprisingly, arthritis in the knee often worsens from lack of knee activity alongside an overload of activity – like heavy squats. Sitting with the knee in one position for prolonged periods of time can cause the arthritis to form, or worsen underlying issues.

As the symptoms get worse, it gets gradually more difficult to walk up the stairs, play sports; and can have a detrimental effect on your work and your quality of life. Imagine, every time you use your knee – you are causing more damage to it, as the bones continue to wear away at each other. Knee arthritis can be a slippery slope, once it begins – it can worsen to extreme situations where the cartilage completely erodes.

Thankfully, medical science can rescue us from this predicament.

Cells are harvested from the body – usually from a vein in your arm, and a sample of bone marrow will be taken (usually from the hip). The cells are then separately prepared before being re-injected into your body. Regeneration of the cartilage will mean you can resume sports, start walking normally again and give you the ability to reclaim your life.

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A Game Changer – Spinal Cord Injury

How To Prevent Spine Damage

Since an early age, I have always been an avid sports enthusiast. It was this interest in sports over the years that directed me to my current interest in sports injuries and other related fields of musculoskeletal medicine. So many careers, amateur and professional, have ended with an unfortunate knock to the spine. But injuries don’t just happen on the field. Often, it’s the seemingly trivial things, like the way we sit, that can augment damage during impact. A knock to the spine can gravely affect a person’s quality of life. However, a knock to a strong spine is not going to cause as much damage as knock to a weak spine. I want to walk you through what spinal cord injury is, how it can happen, and some damage-prevention tips.

Put simply, spinal cord injury (SCI) is damage to the spinal cord. But damage to the spinal cord is an extremely serious physical trauma. This is due to the role the spine plays in the body’s function. We can think of the spinal cord as the body’s “courier system” – it is a series of nerves and other tissues that send messages to the brain. This “system” is protected by the vertebrae, the outer bones that are more commonly associated with the spine. If the spinal cord is injured, either the bones or the nerves, some of these impulses may not be able to reach the brain. This results in complete or total loss of sensation and mobility below the injury. If the injury is closer to the neck, there is a substantial risk of complete paralysis or lack of mobility.

 

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I could (and won’t) sit here all day listing the assorted reasons people come to me with spinal cord injuries. But, I can quickly outline the more common: these include, motor vehicle accidents, bad falls, acts of violence, sports related injuries, alcohol, and diseases (such as osteoporosis and arthritis). Unfortunately, most of these are outside of our locus of control. I could recommend that you wear a seat-belt, that you don’t engage in violent behaviour, or abuse alcohol - but that wouldn’t be helpful, as you probably already know that. What I can offer here is some tips to help keep your spine strong, so, if you do encounter a grave knock to your spine – you will be in the best position to recover, and sustain as little damage as possible.

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Again: a hard knock to a strong spine will cause significantly less damage than it would to a weak spine.

Top Tips On Maintaining A Healthy Spine

1)     Exercising regularly is a fantastic way to keep your spine in great shape by helping maintain a stable weight, and helps reduce stiffness and tension in the spine. I recommend a mix of aerobic and anaerobic exercises. Importantly, when weight lifting you should maintain a balance between your chest and back, an overly strong chest on a weak back can cause serious back problems, and vice-versa.

2)     Maintain a healthy weight. Being overweight puts excess strain on the spine and can weaken the spinal column which makes a heavy impact (like a car crash) even more dangerous. Fat accumulation in the abdomen is especially detrimental as it can cause bad posture. There is a strong association between the premature wear of the cartilage that protects your “courier system” and being obese. So, make sure you stay on top of your weight.

3)     Eat healthily. These seems obvious from the last two points, but eating healthily not only helps maintain a stable weight, but also gives the body the nutrition it needs to help the spine do the job it needs. Vitamin D (which you can get from the sun) and calcium (which you can get from milk) are two key nutrients that help conserve bone strength and density.

4)     Improve your posture. A good posture, both walking and when resting, is a great preventative step to lessen stress on the spine. It facilitates weight distribution and keeps the vertebrae and discs in the correct position.

5)     Stretch. I especially direct this one to those of you who are in front of a computer screen all day. When at work, take time to stretch out your body every half hour to an hour. Even if you have great posture, staying the same position for extended periods of time usually causes tension and stress on the spine.

As I explained, SCI can occur from a vast quantity factors and there is only so much we can do in preventing damage to the spinal cord. We can’t prevent things outside of our locus of control, but we can ensure that if something does happen, we are in the best situation to combat it.

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Maintaining a strong spine is the best preventative step to avoid SCI. Maintaining a strong spine could be the deciding factor between a life changing accident, or manageable spine damage. Sports are a fantastic way of maintaining a healthy spine - a game of tennis or a quick gym session before work can do miles for helping your spine stay strong and healthy.

How To Cope With Spinal Cord Injury Pain

Using A Dorsal Column Stimulation For Spinal Cord Injury Associated Pain

 

Back pain is extremely common, it affects most people; fortunately, it usually goes away on its own accord after around six to twelve months. But for some people, chronic back pain is a lifelong struggle, and severely hinders lifestyle choices. We have a solution, one that means you will no longer wake up and realize you will not be able to attend your kids band rehearsal, make that perfect that golf swing, or make a coffee appointment with an old friend. With Dorsal Column Stimulation (DCS), we can squash these problems for you. Say hello to your new life.

DCS is a neurostimulation transmitter that works by intercepting nerve endings’ pain signals before they reach the brain. In more simple terms, pain originates in transmitted signals from nerve endings that pass up your spinal column - DCS intercepts these signals and transposes them. The brain receives a more pleasant signal in lieu of pain. Patients describe this feeling as a gentle massaging, and others as the absence of pain.  

 

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The minimally invasive surgery works firstly by making a small incision in you back, and placing the medical wires (leads) that deliver stimulation into the epidural space of your spinal cord. The second incision creates a tiny pocket under the skin that is large enough to hold the neurostimulator. Finally, the physician will connect the leads to the neurotransmitter. The parts are designed to work together to manage pain, and come with chargeable and non-chargeable batteries, usually placed inside the buttock or abdomen. You will be handed a small handheld device to give you full control over the pain signals, and allow you to manipulate the sensation. And with this, the surgery is complete; and you can begin planning your new life.

During the first few months, it is advised to not lift heavy objects, involve yourself in physical activity – or any movements that involve twisting, climbing, bending etc. You should look at this  as a recovery time, or better still, a space to plan your new life. Most patients report that their lives have never been better.

DCS has helped thousands reclaim their lives.

Dr Spinner can perform the surgery at Mount Sinai, NYC. With all that has been said, only your doctor can tell you if it right for you. There are some conditions where this surgery will not work. If you wish to see Dr Spinner, or would like to learn more, please contact our switch board at: (212) 724-6362

 

 Dr David Spinner, Mount Sinai

Dr David Spinner, Mount Sinai

Revolutionizing Post-Stroke Pain Management Methods

Revolutionizing Post-Stroke Pain Management Methods

Strokes can effect patients in a variety of ways depending on which area of the brain is damaged. 85% of all stroke survivors report developing pains in the arms and, more specifically, the shoulder. This pain tends to be on the side of the body effected during the stroke and can be caused by a weakening of the muscles that control the shoulder joints. Traditionally this pain is controlled with painkillers or steroid injections if the area is inflamed. These methods are only short term solutions as long-term use of painkillers can introduce new problems to the patient, however, a new technology has been developed that can control chronic shoulder pain in a more long term, drug-free way.

Summer Sports to Boost Health and Well-Being

Summer Sports to Boost Health and Well-Being

With summer fast approaching it is a perfect time to get outside and make the most of the sunny weather, while keeping fit with some outdoor sport. While there are obvious benefits of exercise, the addition of doing it out in nature has added advantages for your physical and mental health. Increased exposure to the sun will increase levels of vitamin D, needed by the body for the absorption and metabolizing of calcium and phosphorus. Working out in a more natural environment, with less physical restrictions increases energy levels while decreasing levels of stress, anger, and even to a certain extent, depression.

Gymnastics-Related Back Injuries

Gymnastics-Related Back Injuries

Gymnastics is a sport that requires high levels of dedication and perseverance. Professional gymnasts display great flexibility and athleticism which are not developed without certain adverse effects to the body over time. As well as risk of injury from falling when performing a move, gymnasts also experience higher risks of back pain due to repeat impacts when landing or pushing off from the ground.

Neck Strength and Concussions

Neck exercises are somewhat overlooked in sports training but they are absolutely vital for preventing concussions and other types of injuries. The neck muscles support the cervical spine and the head (and therefore the brain). Concussions (mild traumatic brain injury) occur when the brain - the most fragile organ in the body - receives a sudden jolt and subsequently bounces in opposite directions.

By strengthening neck muscles, you prevent the movement of the brain because of the increased stability afforded to the head. In sports such as football, boxing and MMA where the head received sudden and powerful jolts frequently, it is crucial to have strong neck muscles.

 

In football, players are tackling and blocking all the time. The powerful shocks to the body and even directly to head cause a notorious amount of concussions in the sport. The neck muscles help stabilize the head so that in such collisions the brain’s movement is restricted, thus decreasing the likelihood of a concussion.

In boxing and MMA, fighters receive blows to the head frequently and get concussions as a result of the impact of the blow which sends a powerful jolt inside the skull, causing the brain to bounce in opposite directions. A strong neck, especially when combined with the correct defensive technique of keeping the neck slightly tucked in, can greatly reduce the chances of a concussion.

There are two main ways of strengthening the neck: a) bodyweight exercises and b) weighted exercises.

Neck Bodyweight Exercises

A very effective set of bodyweight exercises for the neck are bridges. This is when you put your weight on your neck – either from the front or the back – and roll on your head. The great thing about this exercise is that it works more than just your neck – it also targets your core, abs and more. You can start doing these exercises with your hands on the ground to give you support and move on to taking them off the ground to add more pressure to your neck as you gradually build neck strength. I’ve provided some videos below of how to do neck drills which include basic to more advanced exercises.

Neck Weighted Exercises

The best way to strengthening your neck with weights is using a neck harness. This allows you to add any amount of weights and move your neck to build a considerable amount of mass and strength. It’s a great way of training your neck because you have full control of how much weight you’re using. Below of some videos of how to use a neck harness to strengthen your neck. You can do them in various ways; standing, sitting or even lying down.

MMA Injuries And How to Avoid Them

Brief History of MMA

The Gracie family invented Brazilian Jiu Jitsu and were determined to show the world that it was the very best of all the Martial Arts. They would video record themselves fighting other martial artists from various backgrounds such as Judo, Hapkido, and Karate etc.

23 years ago Rorion Gracie and his partners started the Ultimate Fighting Championships – a mixed martial arts (MMA) tournament. There were hardly any rules (apart from strikes to the eye and groin) making it a very dangerous tournament. To show the efficacy of their art, the Gracies picked the 176 lbs Royce Gracie as their representative to demonstrate that their art does not rely on size or strength. Royce Gracie would win multiple tournaments with victories over fighters who had considerable size and strength advantage over him (of course there were no weight categories in the early UFC events).

MMA has exploded since the early UFC events and there are now countless organizations promoting the sport all over the world from Japan and Russia to Europe and the US. The UFC is the most important of these organizations and recently sold for $4.2 billion dollars last year, having been bought for only $2 million 15 years earlier – which just goes to show how rapidly the sport is growing.

The sport has evolved over the years, becoming a fully-fledged professional sport with weight categories and rules to ensure fighters’ safety. The sport won a long legal fight last year becoming legalized in New York, celebrating its new legal status with UFC 205. The event did not disappoint, not least because of Conor McGregor’s historic win, becoming the first fighter in the UFC's history to hold titles in two divisions simultaneously.

With MMA being the fastest-growing sport, it’s important to understand common causes of MMA-related injuries and how to avoid them. This is particularly true for the millions of children who are now practising MMA and aspiring to one day take part as professionals.

MMA injuries and Prevention

Just like any sport, the standard practice to prevent injuries is also crucial in MMA. However, because of the dynamic of the sport, technique is much more pivotal in preventing injuries. This is a sport where you can get punched, kicked, kneed, elbowed, arm-locked, choked and more! Not only can you get injured from your opponent’s attacks but you can also get injured by executing an attack incorrectly or with bad timing. Another main cause of injuries is not knowing when to give up. Many fighters don’t quit because they cannot accept defeat and haven’t learnt to be smart and turn off the ‘relentless fighter’ mentality when it’s vitally needed. As such, their bodies are pushed over its capabilities which in turn leads to serious injuries. Below we look at some case studies.    

Leg Injuries from Kicks

There are two main ways of getting injured from a kick. One is not being able to check a kick properly which leads to swelling and severe bruising of the thigh. The best example of this was Uriah Faber who absorbed the devastating leg kicks of the explosive Jose Aldo for five rounds. The other way of getting injured is by not kicking with proper technique or kicking after “telegraphing” which can result in a check which in turn can damage your own leg. A popular example of this type of injury is when Anderson Silva broke his own leg when it was checked by Chris Weidman. Anderson Silva is one of many who has broken his own leg when throwing a kick- the internet is full of videos and pictures of fighters breaking their legs by kicking incorrectly. Below the MMA veteran Bas Rutten explains the correct technique.

Falling Correctly

MMA is full of throws, takedowns and slams and so one must master the fall in order to prevent injuries. A good example of how an incorrect fall can injure you is when Mauricio Rua fell and broke his arm when getting taken down by the wrestler Mark Coleman. Another example is when Ricardo Arona was knocked out when Quinton Jackson slammed him. Both these injuries could have been prevented with proper technique. See below a short video of how to fall properly.

 

Knowing When to Quit

Very often fighters don’t give up when being held in a submission and therefore end up with serious injuries. Usually this is a mentality issue with fighters not wanting to accept defeat, especially if the fight is with an opponent with whom there’s a longstanding rivalry. Good examples of these types of injuries are Tim Sylvia vs Frank Mir and Razak Al-Hassan vs Steve Cantwell. Both fights were ended by the referee stepping in and stopping the fight after the fighters’ arms were dislocated from over-extension caused by the submission holds. It’s very important that young children learning MMA are taught to quit well in advance of any injury taking place and not being indoctrinated with the ‘warrior spirit’ and ‘never give up’ mentality which can be so detrimental in the sport of MMA.

 

If you have any questions about any of the issues mentioned in this piece, or you have another health-related question, please do not hesitate to reach out via Facebook or Twitter or contact us here.

Common Hockey Injuries

 

It may not be a nationwide favorite like baseball or football, but hockey has been part of the North American sports scene professionally since 1917. This month, as a new season builds towards the Stanley Cup – and to celebrate the NHL’s centennial – we’re focusing on hockey injuries and how to avoid them!

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If you think football is a dangerous sport, try imagining it on frozen water, at 30mph…with blades on the players’ feet. In fact, the last player to die as a direct result of an in-game incident in a major North American professional sport was a hockey player. In 1968, Bill Masterton, of the Minnesota North Stars, was knocked backwards in a collision and landed on his head, suffering internal brain injuries. And it is not just collisions you need to worry about. Hockey players have been hit in the face with speeding pucks, impaled on equipment, and slashed with other players’ skates. Thankfully, these incidents are extremely rare, and many have been prevented with the introduction of new and better protective clothing, but there are still opportunities for injury, as well as easy ways to help reduce the risk of them.

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Arms

The most common hockey arm injuries are the result of crashing into the boards, the ice, and other players and can be particularly bad for the joints - shoulder, elbow and wrist. For injuries such as shoulder separations and broken collarbones, the only way to avoid them is to avoid the collisions – which may not be possible. Thankfully, these tend not to be serious and can be fixed with plenty of rest and a good sling. Players can protect their wrists from fracture by learning always to brace themselves with their forearms, rather than throwing out a hand to stop them. Bursitis in the elbow is also a common problem for hockey players – and involves the inflammation and swelling of a bursa. This is, essentially, a fluid-filled sack which forms over the joints and acts as a cushion between tendons and bones which can be a site of recurrent inflammation. The best way to prevent this is to make sure always to wear well-fitting elbow pads which provide support and protection.

Legs

Some of the most common soft tissue injuries in the game happen in the legs – particularly the groin and hips. The skating stride leaves hip flexors and groin muscles highly susceptible to injury so it is imperative that players undergo a strict off-season strengthening regime and that they warm up and stretch properly before practice. Again, bursitis of the hip pointer is also common but can be easily prevented by wearing hockey pants with reinforced padding. The ACL and MCL are also prey to injury during hockey games. The position of the leg with the skating stride, pushing the inside edge of the blade, can cause MCL strain and ACL disruption and torn cartilage in the knee can also occur.

Back

Quite apart from the obvious damage which can be done if a player falls badly on the ice, the hockey stance can also be bad for your back. The forward-leaning skating posture plus frequent hyperextension stress can lead to severe lower back pain and pulled muscles. The best way to avoid these is to strengthen your back muscles so they are more up to taking the strain, but also to strengthen the abdominal muscles and developing a strong core.

 

As with most sporting injuries, however, the basic rules for preventing hockey injuries are the same: warm up, undergo sport-specific strength training, get a full physical before the season begins, cool down properly, and wear the appropriate clothing and protective gear.

 

If you want to support your local NY teams – head over to NBCSN or TVAS tonight at 8pm ET to watch the Rangers play the Philadelphia Flyers or tomorrow tune in on MSG+, SNE or RDS at 7pm ET to watch the Islanders play the mighty Montreal Canadiens.

 

If you have any questions about any of the issues mentioned in this piece, or you have another health-related question, please do not hesitate to reach out via Facebook or Twitter or contact us here.

Reasons to Get Fit in 2017

2016 is coming to an end, and now is the time to start planning for, and looking forward to 2017. Whether or not you are the sort of person who makes New Year’s Resolutions, we believe making the decision to get fit and healthy is a vital one for the year ahead – and here are just some of the reasons why.

1.       Sleep better

It is no secret that how you act when you are awake greatly impacts how you sleep. In a time when increasing numbers of people report they have trouble sleeping or getting enough sleep, exercise could be the change you need to fix this. In a 2013 Sleep in America poll run by the National Sleep Foundation, it was found that 50% of people who did not exercise said they got fairly or very bad sleep, compared with just 17% of people who termed themselves “vigorous exercisers”.

2.       Work better

People who exercise for half an hour a day, five days a week, have been shown to be far more effective workers. Frequent exercise keeps you sharp, makes you more productive, and boosts energy levels. So, while it may feel counter-intuitive to spend 30 minutes a day working out, instead of working for an extra half hour, in the long-term it can boost the quantity and quality of your work.

3.       Feel better

As well as feeling fitter and better in your body, regular exercises does wonders for your mood. The extra blood flow to the brain helps lift spirits and mood-boosting endorphins are released as well. Exercising is an excellent stress reliever and has also been shown to ease depression and anxiety symptoms.

4.       Good for your head

Exercise increases blood flow – and this includes blood flow to the brain. This means that exercising can leave you feeling more awake and focussed but it also has longer term implications for brain health. Exercising regularly can actually boost your memory skills and ability to learn, as it fuels the birth of new brain cells in the hippocampus. It can also help to protect against degenerative conditions associated with age – such as dementia and cognitive decline. It is even good for headaches! If you are a sufferer of migraine headaches, research suggests that exercise can be just as effective as relaxation therapy or medication for preventing these.

5.       Good for your bones

While cardio exercise is excellent for helping to lose weight and boost general fitness, it is important to incorporate some strength training into your routine as well. One part of you which will particularly benefit from this sort of exercise is your bones. Like muscle, bones are made of living tissue and, as such, can be strengthened with regular exercise. Frequent strength training can help build up bone strength which, in the long-term, can help prevent against age-related conditions such as osteoporosis.

6.       Good for your insides (diabetes, gastrointestinal tract, cancer)

Unless you overdo it, regular exercise is better for your overall health, boosting your immune system and causing you to get sick less frequently. While fewer colds a year is a huge bonus, exercise can help protect you against far more severe illnesses as well. Regular physical activity has been shown to have a significant impact on certain types of cancer, it has been shown to help with a number of gastrointestinal tract complaints, such as diverticulosis, cholelithiasis and inflammatory bowel disease. It reduces the levels of bad cholesterol in your body and increases the levels of good cholesterol, which helps protect you against heart disease. It also increases your insulin sensitivity, meaning your muscles are more able to take in glucose, lowering your risk of contracting type II diabetes.

Regular physical activity is good for your eyesight, your blood pressure, your muscles and joints and, perhaps most importantly of all, it can help you to live longer. Studies suggest that even 15 minutes of exercise a day can add as much as three years to your life. A resolution which can mean you have more New Years? What could be better than that?

For more information about anything covered in this article, please reach out to us over Facebook, Twitter, or via our contact form here.

Winter Sports Injuries - Stay Safe this Holiday Season

Holiday season is here! And what better way to spend a bright, winter’s day than hitting the slopes or the rink? But be careful! Last year more than 245,000 people were treated for winter sports-related injuries, from skiing to skating, so this year follow our advice and avoid spending the snowy season in bed.

Skiing and Snowboarding

These are the two most common injury-causing winter sports, from strains and sprains, to bad falls, to collisions, the opportunities for injury on the slopes are numerous, but there are a few key things you can do to prevent any serious damage. Falling badly can lead to ACL and MCL damage by putting strain on, or twisting, your knees. If you throw your arms out to break your fall, it can also lead to wrist injuries, “skier’s thumb”, shoulder dislocations or rotator cuff tears. Therefore, it is imperative that you learn to fall correctly – tuck your arms in and roll with the fall, rather than fighting against it. Aim to somersault or land on your side or buttocks as this will spread the impact. It is also vital that you check and double-check your bindings, and have a ski mechanic do a release check – it could be the difference between another day on the slopes or the rest of the season laid up in bed.

Skating and Ice Hockey

The best way to keep safe on the ice is to make sure you have the right equipment. Figure skates for figure skating and, for ice hockey, everything from hockey skates and gloves, to kneepads and eye glasses. Rather than falls, the most common injury for skaters is collisions – with other skaters, with equipment, or with the ice itself. These can lead to bruising, pulled muscles, ligament tears and cuts or, more seriously, broken teeth and bones, dislocations, and concussions. If you do not wear the proper protective kit, your risk of these injuries increases tenfold. No player should be allowed to participate in a hockey game until they have demonstrated basic skating skills and the rules against checking from behind or to the head should be enforced at all times.

Sledding and Tobogganing

The cardinal rule for sledding is: do not go down face-forwards. However much more fun you believe it will be, the fun will only last until you run into something. Common sledding injuries include head and limb trauma, including concussion, and the variety of bumps, bruises and cuts sustained when you fall off or collide with something. The ways to avoid sledding injuries are fairly simple. Be sure to pick a hill which is free from obstacles, with plenty of space at the bottom, and well away from parking lots or bodies of water. Ideally, you should use a proper sled with runners and some way of steering it but, in any case, you should never improvise with sheet plastic or other thin material which could be pierced by rocks or twigs. Safest of all, is to wear a thick coat and a helmet, which should protect you from the majority of potential injuries.

General Rules

As with all sports, whatever the season, there are a few general rules which can be applied to all, and which will help you make the most of your winter season.

1.       Drink water. Just because it is cold, does not mean you are immune from dehydration – engaging in any activity will cause your body to warm up, so make sure to drink lots of water before, during, and after your exercise.

2.       Wear the right kit. Whether this is a helmet, the appropriate footwear, or simple a number of light, water- and windproof layers to keep you warm, this equipment and clothing is designed to keep you safe, so use it.

3.       Stay in shape. The healthier your body is all-year-round, the stronger it will be, and the less likely you are to hurt yourself. Going from no exercise at all, straight onto the most advanced ski slope or into a lively game of hockey, is a recipe for disaster.

4.       Warm up. As with any sport, it is crucial that you warm up gradually and don’t just jump right in. Do some basic exercises and warm-up stretches, holding each for 30 seconds, then do a few laps or an easy run before moving onto the harder stuff.

5.       Know when to stop. Feeling sore? Feel a twinge? Feeling tired? That is your body trying to tell you something, and it generally isn’t wrong. Whenever you feel tired or in pain, stop and have a break. But if you follow our other tips, chances are you will be able to keep going for longer before this happens.

What sports or activities will you be doing this holiday season? Get in touch on Twitter or Facebook and let us know! And for any questions about winter sports injuries, please reach out to us via our contact form.