DUCK-DYNASTY-facebookYou might say the executives of the A&E cable network were pleased with the premiere of the 2013 season of Duck Dynasty. Actually, it would be more accurate to say they were happy, happy, happy – to borrow a phrase from the patriarch of the Robertson clan!  As USA Today noted, “Wednesday’s episode, which focused on a surprise wedding-vow renewal ceremony for Phil and Kay Robertson, attracted 11.8 million viewers and 6.3 million advertiser-coveted young adults (18-to-49).” This was no fluke. This episode was up 37% in viewers and 26% in young adults vs. last season’s premiere, which also set records.

So, what gives here? Why would almost 12-million viewers tune in to a reality show based on the often ridiculous exploits of a group of self-avowed, redneck duck hunters?

Dr. Ralph F. Rashbaum, M.DWe asked Texas Back Institute surgeon and avid outdoor sportsman Dr. Ralph Rashbaum that question and his response is consistent with media observers around the world, “It’s simple, really. This show is about family values. All of the hunting, fishing, duck calls and related hijinks are just supporting storylines to this.”

Whether it was intentional or not, Duck Dynasty and the Southern charm of the extended Robertson family has had a positive influence on a large number of people –  both city slickers and country bumpkins – who have developed an interest in hunting and fishing. While the fishing rod, shotgun and camouflage apparel manufacturers are (dare we say it) happy, happy, happy, this will inevitably lead to more people in the fields when the fall hunting season kicks off in September.

Unfortunately, some of these hunters will show up in Dr. Rashbaum’s examining room shortly thereafter. Before getting some advice from him about avoiding back injuries while swinging that shotgun, let’s take a moment to introduce Duck Dynasty to precious few who have not made the acquaintance of the Robertson family of West Monroe, Louisiana.

Meet the Folks who Work for Duck Commander

 

The storylines of the 1950’s situation comedy “I Love Lucy” worked around a one-bedroom apartment in New York City where Lucy and Ricky Ricardo managed to get into hysterical predicaments with the help of their neighbors, Fred and Ethyl Mertz. Similarly, almost every episode of Duck Dynasty incorporates the “Duck Commander” duck call factory. Unlike Lucy and Ricky’s home, this factory actually exists and this very successful company, started by Phil Robertson, has produced highly regarded duck calls for many years.

When Phil retired to hunt ducks, fish for crappie and teach his grandbabies “how to avoid becoming yuppies,” his son Willie took over as CEO of Duck Commander. The other Robertson son, Jase, is an employee of the company and, as the most of the funny premises of the show result from Jase refusing to recognize the authority of his older brother, Willie. He is usually joined in this harassment of his brother by their Uncle Si, Phil’s brother, a Vietnam vet, perpetual ice-tea drinker and full time philosopher, and the rest of the employees at Duck Commander.

Each week, these real-life characters deal with simple issues that are cleverly embellished to become a comedic crisis. In the end, everything gets worked out and the last scene of every episode has the entire family around the dinner table with Phil saying grace.

Duck Dynasty: A Boon for Outdoor Sports

The fun these folks on Duck Dynasty are having is resonating with men and women who have decided to take up the sports of hunting and fishing. Several outdoor sports trade publications have noted that the show has done more for increasing the popularity of these ancient pursuits than anything in the past century.

It’s estimated by the National Shooting Sports Foundation (NSSF) that more than 20.6 million people in the U.S. hunt each year and this number will likely increase with the popularity of this show and others like it. Two years ago, the NSSF noted that more than 8,000 U.S. hunters annually were injured while enjoying their time in the woods and as more novice hunters get out in the field, this number will likely increase.

As someone who is both an avid outdoor sportsman and highly-regarded spine surgeon, Dr. Ralph Rashbaum is in a unique position to offer some guidance to both novice and seasoned hunters and anglers. “Stamina and flexibility are the two most important factors in avoiding back strains or injuries, but common sense and proper safety precautions are even more important,” he said.

Hochschuler and Rashbaum 03Dr. Rashbaum continued, “I love to bow hunt and many times this is done from a tree stand to avoid the superior sense of smell enjoyed by deer. Climbing up to the stand can cause back strains if the muscles are not properly conditioned. Falling from a tree stand can seriously injure or facture the vertebrae in the spine. This type of accident is very common and it can be avoided with proper precautions.”

Dove season begins in most states in September and many hunters will be donning the camo and swinging their 12 and 20-guage shotguns for hours. What does Dr. Rashbaum suggest for these hunters to avoid back strains and injuries?

“I’ve been on a 4-day dove hunt in South America, where my son-in-law and I shot more than 2,300 rounds of 12 and 20-gauge shells! Needless to say, we were tired at the end of the day (however, not as tired as the retrievers who brought back the birds!), but because we had conditioned our shoulders, neck and arms and had spent time stretching these muscles before the hunt, we were able to have an amazing experience and very little back pain.”

Fishing is also popular with the Duck Dynasty clan and millions of other outdoor sports enthusiasts. What does Dr. Rashbaum recommend to avoid back strain from a day of casting? “It really depends on the type of fishing you are thinking about. I love to deep-sea fish and also enjoy fly fishing in fresh water. These are two very different experiences and require different conditioning.”

“If you think you might fighting a marlin for two hours on the open sea, you should definitely get to the gym a few weeks before the trip and work on building strength in your back, shoulder and arm muscles. This can be done with weight training as well as such exercises as rowing and pull-downs. On the other hand, the most dangerous part of fly fishing is not from casting but rather from walking on slippery rocks to get near the fish. Having appropriate equipment – waders with boots that don’t slide and using a walking stick – will help with this.”

Life Lessons of Duck Dynasty

It’s interesting that the situations and values portrayed on Duck Dynasty seem to be as relevant to an urban audience as it is to that which is rural. While he lives and practices in the highly-urbanized area, Dr. Rashbaum is a big fan of the show. “The people on Duck Dynasty are the salt of the earth and represent the best of family values. Plus, they’re very funny!”

It appears that life lessons of Phil, his family and friends on Duck Dynasty go beyond frog catching and duck calling. As Uncle Si would say: “That’s a fact, Jack.”

Summer’s Back!

June 21, 2013

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Since the official beginning of summer is June 21st, the spine specialists at Texas Back Institute are preparing for the annual spike in the number of back injuries. “The primary culprits in this rash of acute back injuries are the accidents which occur when people get outdoors to enjoy some summer recreation,” notes Dr. Daniel Bradley, a spine surgeon at Texas Back Institute.

Activities such as mountain biking, water skiing and wake-boarding have an unusually high incidence of back injuries associated with them. Overdoing it on the golf course, tennis or basketball court can also lead to a visit to Dr. Bradley’s examination room. Even lifting those heavy suitcases into the car for summer vacation has the potential of causing painful back injuries.

So, how can you avoid the backache blues this summer? We asked Dr. Bradley for his advice.

Tips on Avoiding Summer Back Injuries

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“The best strategy for avoiding back injuries from summer recreation is to build core strength through proper conditioning before undertaking the activities, Dr. Bradley said. “Of course, this is easier said than done because in the summer, the weather is warm and we want to get out and play 36 holes of golf, rather than the 18 holes we are used to playing. Plus, we all believe we are in better shape than we really are.”

What is it about biking, equestrian sports, water skiing and wake-boarding that is makes them so dangerous to back health?

“The sudden pull on the ski line from the boat can cause trauma to unconditioned back muscles. However, this pales in comparison to the impact from falls that occur from a bike, horse, skiing and wake-boarding. A fall from this high speed can lead to strains and sometimes fractures to the vertebra of the back.”

What about swimming? Are there any potential back problems associated with taking a refreshing dip in the pool?

“So long as you’re careful on the depth of the water in which you’re diving, swimming is actually the best type of exercise anyone can do – in the summer or any other time of the year. In fact, we recommend regular swimming for those who are rehabbing from other back injuries. It’s extremely low impact and offers an excellent aerobic workout, while exercising all of the muscle groups.

Some summer sports such as fishing, tennis, golf and jogging seem to be pretty mild recreation. What are the possible problems with these activities?

“These activities are highly repetitive and sometimes involve twisting motions. While they are not high impact, they can exacerbate existing back pain if some form of stretching and muscle warm-up is not completed before the activity. By loosening up the muscles, they are more flexible and less likely to be strained by the motions of these sports.”  

How can someone determine when their back pain is related to soreness resulting from inactivity or a severe injury requiring medical attention?

“Any pain that does not subside after icing and over-the-counter pain medication over 2 or 3 days might require medical attention. Also, a physician should be consulted for any back pain which runs down the legs or arms and weakens these muscles.”

Summer is hot. Does heat have any effect on back pain or injuries?  

“Heat-related illnesses such as a heat stroke affect the central nervous system not the spinal muscles. I am not aware of any back injuries that are caused by the body overheating. However, the heat and fatigue can cause a person to be more careless in their physical activity and this can cause accidents. Plus, insufficient hydration can result in muscle cramps which can lead to injuries in the back and other areas of the body.”

Celebrating the Summer Solstice

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June 21st is the longest day of the year in the northern hemisphere and is known as the Summer Solstice. This is when the tilt of the earth’s semi-axis, in either the northern or the southern hemisphere, is most inclined toward sun around which it orbits.

While there are many myths and legends associated with the Summer Solstice, the most interesting place to celebrate the longest day of the year is at Stonehenge, located near Wiltshire, England. Many scholars believe this pre-historic monument was built to serve as a celestial observatory which helped predict events such as solstices, equinoxes and eclipses of the sun.

Online references note that during Summer Solstice, Stonehenge provides visitors with a visually stunning view of the rising sun. It can be seen rising above the ‘Heel’ Stone when one stands within Stonehenge facing north-east through the entrance towards the stone. The ‘Heel’ Stone stands just outside the main entrance of Stonehenge.

Whether you celebrate the beginning of summer at Stonehenge, in your backyard pool or favorite golf course, Texas Back Institute reminds you to exercise good judgment about the activities that can affect your back. Chronic back pain can take the fun out of this wonderful time of year. It can limit your ability to participate in the activities that are fun and can help you stay fit and healthy.

Don’t overdo it. Stay hydrated. And make this the best summer ever! 

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The fact that June 5th was National Running Day was lost on many people. Why? The joints and muscles of most individuals are not flexible or strong enough to take the pounding that running requires. However, almost anyone can walk and this exercise seems to be as effective as running. There’s even recent research that proves this.

In April 2013, Paul Williams of Lawrence Berkeley National Laboratory in California and Paul Thompson of Hartford Hospital in Connecticut compared 33,060 runners to 15,045 walkers and found that it’s how much a person exercises, in terms of energy spent, not how long he or she spends exercising. While it takes longer to walk a mile than to run one, when these two exercises compared in terms of energy expended, they are comparable yielding the same benefit.

The researchers measured blood pressure, blood sugar and cholesterol at the beginning, and then watched for six years to see who got diagnosed with high blood pressure, unhealthy cholesterol or diabetes. Those who exercised equally (in terms of energy output) got the same benefit whether they ran or walked. This study was published in the American Heart Association journal, “Arteriosclerosis, Thrombosis and Vascular Biology.”

In addition to these physical benefits, walking lowers stress levels in most people. A study at the Department of Behavioral Science at the University of Texas M.D. Anderson Cancer Center showed university students who walked had lower stress levels than sedentary people or even those who exercised strenuously. Plus, walking can be done almost anywhere – on the street, in a park or in a shopping center.

Is Back Pain Keeping You From Walking Tall?

With all of these benefits, why isn’t everyone walking every day? Sometimes, back pain precludes this activity. This is where the spine specialists at Texas Back Institute can be of assistance. We spoke with Dr. Stephen Tolhurst, an orthopedic spine surgeon at Texas Back Institute about the benefits and challenges of a regular walking program.

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To watch a video interview of Dr. Tolhurst explaining the benefits of walking for the back, please click here. 

Are there benefits to back health that are derived from a regular regimen of walking? If so, what are these?

Walking improves one’s overall health and this affects the whole body including the back and neck. The back tends to be healthier and less susceptible to injury and/or disease such as arthritis when an individual is active. Additionally, walking can help to keep the core muscles – abdominals, back and legs – stronger and this supports the back and neck.

What are some lower back problems that can keep someone from walking and how does one know when these pains are serious enough to visit the physicians at Texas Back Institute?

There is a condition called spinal stenosis, which is an abnormal narrowing of the spinal canal that can occur in any of the regions of the spine. This narrowing causes a restriction to the spinal canal, resulting in a neurological deficit. The symptoms of spinal stenosis include pain, numbness and loss of motor control. The location of the stenosis determines which area of the body is affected. This can cause a “rubbery” feeling around the leg when walking. This condition is serious and should be treated by a spine specialist.

There are also situations where pain shoots down one’s leg when standing or walking. This could be caused by a herniated disc or pinched nerve and should also be treated by someone on our staff.

However, mild to moderate back pain or stiffness during or after walking is usually not serious. If the pain is not getting worse, it’s probably safe to work through. In fact, the exercise from walking will likely help this pain and stiffness.

What are the most common factors that can cause lower back pain and keep someone from walking?

The number one factor is a sedentary lifestyle and the lack of regular activity. In this situation, core muscles are weak and walking can cause back pain. Obesity also plays a role in back pain and it’s no surprise regular physical activity can help to reduce obesity. Sleeping on awkward surfaces, such as a cot, floor or even a too-soft mattress, can cause back pain.

Some people experience “side stitches” when they walk. Is this a back problem or not?

Side stiches are not a back issue. While there are lots of theories on what causes them, no one is sure. They are not dangerous but they are annoying. When I’ve gotten them, I’ve used deep breathing techniques – after inhaling, breathing out through pursed lips to force the exhale – and this helps me. Stopping and stretching is also a tactic to use to work out this pain. Under any circumstances, this is not a sign of spinal problem.

How You Can Get Started

Just knowing the physical and psychological benefits of walking is not sufficient to motivate most people to “put on their walking shoes.” Texas Back Institute is involved in the specialized care of neck and back pain, spine trauma, scoliosis, artificial disc replacement and related spine surgery – not fitness counseling. However, we recognize physical fitness can have very positive effects on one’s back health.

With this in mind, here are a few fun suggestions to get you and your entire family involved in a daily walking program.

  • Bring along a walking buddy. This can be friends or family and if they’re excited about feeling better…all the better!
  • Walking has to be fun, otherwise it’s boring. Finding visually interesting places to walk such as trails in parks and greenbelts and then combining natural studies such as bird watching or tree/flower identification activities with your walking buddy.
  • Purchase an inexpensive pedometer, clip it to your waist and keep track of the miles you walk each day. Some of these steps will come from your daily activities. The average person’s stride length is approximately 2.5 feet long and this means it takes just over 2,000 steps to walk one mile, and 10,000 steps is close to 5 miles. Set a reasonable and attainable goal and then log your daily steps in a journal and try to add more steps each day.
  • Take the stairs whenever possible. Climbing stairs is a great aerobic exercise and when you take them, you’re not stuck in an elevator with 5 or 10 other people.
  • Get some tunes for your walk with your mobile device and ear buds. Music is a wonderful addition to any walking program because it not only distracts the walker from fatigue, but sports psychologists have noted that a steady beat can elevate a person’s performance by as much as 20%! In order to get you in the mood, why not download some tunes that have “Walking” in the title. Here are some:

Spring and summer is a great time for you to step up to a walking program. With this advice from Dr. Tolhurst you have some of the medical facts you need to get started. Now all you need is your walking buddy, pedometer and walking tunes and you’re good to go. Are you ready? Start walking.

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What is it about the spring and summer that makes us believe our bodies are indestructible? Maybe it’s the warm weather beckoning us to get out of the house after a long, cold winter. Perhaps it’s the traditional warm-weather outdoor activities such as gardening, walking, biking, running or fishing. It could be the horror that comes from glancing at the full-length mirror in the hall and noticing  the winter weight – resulting from all the comfort food and no physical activity – is about to be displayed for the entire world to see the first time a swimsuit or tennis togs are worn.

For these and a myriad of other reasons, many otherwise sane individuals decide  the pleasant chirping of birds and distant hum of a lawn mower should be accompanied by the sounds of running shoes hitting the pavement and the huffing and puffing that comes from someone trying get back into shape. In moderation, this is a worthwhile and even healthy endeavor. However, if it’s overdone or done improperly, it can result in debilitating back pain, excruciating joint pain, herniated discs, sacroiliac joint strains and possible injury to the spine, neck and limbs.

In order to help you avoid this rite of spring, we’ve asked Texas Back Institute occupational and sports medicine specialist, Dr. James Cable, to give us some insights on avoiding the pain while realizing the gain of exercise and activity. Before getting this advice, it’s interesting to review the ways we abuse our bodies, in the hopes of getting into swimsuit shape.

The Numbers Don’t Lie

The Center for Disease Control (CDC) is the U.S. governmental agency charged with a wide range of public health monitoring and management duties and one of its missions involves promoting physical activities and preventing injuries. The agency’s website notes, “Participation in sports, recreation, and exercise is increasingly popular and widespread in American culture. These activities include organized sports (school or club) and unorganized sports (backyard or pick-up), such as basketball, football, and hockey; recreational activities, such as boating, biking, skiing, swimming, and playground activities; and exercise and training activities, such as weight-lifting, aerobics, and jogging.”

The site continues, “Participation in sports, recreation and exercise activities contributes to health-related fitness; however, the risk of injury is inherent in any physical activity.” This is why the CDC is concerned about you or your family members’ participation in organized or individual exercise and recreational activities.

The public health agency references some serious public health data.

  • More than 10,000 people receive treatment in the nation’s emergency departments each day for injuries sustained in (recreational) activities.
  • At least one of every five emergency room visits for an injury results from participation in sports or recreation.
  • 1999, Americans made an estimated 1.5 million ER visits for injuries sustained while playing basketball, baseball, softball, football, or soccer.
  • Approximately 715,000 sports and recreation injuries occur each year in school settings alone.

And here is the most depressing part of these data.

  • Injuries are also a leading reason people stop participating in potentially beneficial physical activity.

The statistical breakdown on sports and recreational injuries is also interesting to contemplate – especially before jumping in to that full-court basketball game without warming up.

  • Children younger than 15 years account for about 40% of all recreation related emergency room visits.
  • Adolescents and young adults under age 25 have high participation rates in recreational activities and experience almost one third of all recreational-related injuries.
  • The population of older adults is increasing, and little is known about their injury risk during participation in Sports Related Exercise.  In 1996, emergency rooms treated more than 53,000 sports and recreation-related injuries among people 65 and older, a 54% increase from 1990.

This third point suggests even more mayhem as the Baby Boomer generation, which has a well-chronicled interest in feeling and looking healthy, ages. This zest for life and activity combined with the wear and tear on muscles and joints exponentially increases the potential for emergency room visits.

With All of These Fitness Options, Why is Obesity at an All-Time High?

With the popularity of “boot camps” and “cross fit” training along with the proliferation of high-tech workout facilities, spinning classes, treadmills and other fitness equipment, soccer camps, basketball camps, marathon training classes and any number of other sports and recreational opportunities men, women and children have numerous opportunities to get fit. With all of these opportunities, the intriguing question is: Why is the U.S. population – especially children – more obese than it has ever been in history?

The answer may have to do with the fact  pain and injuries discourage adults of all ages and kids from participating in regular fitness activities. This would also explain why the public health experts at the CDC are concerned about sports and recreational injury trends.

Before Undertaking Vigorous Activity – Read This

 Aside from the healthcare expenses, the human misery associated with spring and summer recreational activities are serious considerations.Therefore, before taking off on that 50-mile bike ride with no advance training, or having too much weight on the bench press bar, take a minute to read this advice from Dr. James Cable. He is a specialist in recreational and occupational back injuries at Texas Back Institute.

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What are the most prevalent sports and recreation related injuries  you treat in the spring and summer?

As people get more active – working out or doing yard work – the most common injury is a back sprain. Usually, if someone with a back sprain can take it easy and then slowly get back into gentle activity, they are able to overcome this problem. However, if they’ve given it 2 to 4 weeks to rest and they are still experiencing pain, they should probably get some medical attention. For a normal back sprain, one shouldn’t spend more than a couple of days in bed because any more than this will cause a loss in muscle strength. Conversely, they don’t want to exacerbate the injury. The best approach is to slowly test the water by slowly increasing the activity.

What can a person who has been inactive during the winter do to acclimate themselves to outdoor activities, without becoming injured?

They should use basic athletic training principles of gradual increases in the level of activity. For example, if someone is not accustomed to running, she/he should undertake a walking/jogging approach. This involves alternating three minutes of walking and one minute of jogging for a total of 30 minutes. Gradually, the individual should work to increase the number of minutes jogging, while still alternating with walking for a total of one hour. The key is to slowly ease into the activity. If it’s yard work your undertaking, you don’t want to be lifting 100 pound bags of cement unless you’re used to lifting this weight.

What are the types back injuries  you treat most often for those participating in spring sports and recreation?

The types of back injuries  we see the most of are those that occur from lifting, twisting and bending. These are back muscle strains, herniated discs and sacroiliac joint strains. The pressure from lifting that 100-pound of cement or twisting the body in the course of a pickup basketball game loads the spine in an awkward fashion. Under extreme conditions lifting heavy objects can result in the discs being ruptured.

Common aches and pains will always occur when someone takes part in strenuous activity. However, is there a type of pain or feeling that suggests  medical attention should be sought immediately?

It is very rare but if the person becomes paralyzed or loses control of their bowel and/or bladder, they should go to the Emergency Room immediately. Short of that, if one develops gradual numbness in legs or arms, they need to come in to see us. Neurologic symptoms such as dragging a foot or the extreme symptoms noted above are alarming and very rare, but if they occur after strenuous physical activity, a doctor’s exam is called for.

What is your best advice for someone thinking about getting into shape this spring?

Don’t get out of shape in the first place! The biggest battle involves the couch potato who has not been in shape for years. However, we live in the real world and lots of people are out of shape. Even athletes who fail to maintain a level of physical activity can get out of shape. However, if they have been in good condition before, it’s easier for them to get back into shape. The best advice is to do something; walking, ride a stationary bike just get moving a little. Fortunately, people who are not used to exercising will see benefits a lot faster, because their baseline is lower.

Since Sunday is Mother’s Day, here’s a story about my mom. We had some puppies and I gave my mom one of these little guys. She’s about 5’ 1” and at the time was a little overweight and had health issues associated with this weight problem. This is a lady who got no exercise whatsoever. Well, the puppy wanted to be walked and she started walking him around the block a couple of times each day. The effect of this minimal exercise was pretty amazing. She lost 20 pounds and her blood pressure normalized just by taking her dog out for a walk. If she can get into shape with this small commitment of time, anyone can!


 

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The National Football League is about 4 months from the opening day kick-off and yet millions of football fans will be riveted to their televisions and computer tablets on Thursday, Friday and Saturday. Why? The annual NFL draft of amateur players occurs on these nights and for at least 254 players, it’s the most important day in their young lives.

Being chosen in the NFL draft is the first official step to becoming a member of a very elite club. It’s a club which can be very lucrative and one where the membership is short-lived – usually about 6 years. It’s also a business where the occupational hazard often includes debilitating back pain.

Since Texas Back Institute specializes in spine injuries, artificial disc replacement, and treatment of chronic back pain, we thought it might be interesting for players and fans alike to get a glimpse into how these supermen withstand the back pain resulting from playing professional football. For this analysis, we’ve asked Dr. Shawn Henry, whose specialty at Texas Back Institute is spinal surgery, to give us his expert opinion on how these men survive a  physically demanding of team sports. But first, let’s look at this year’s draft.

Who Gets the Top Pick?

For the players who hope to hear their name called from the stage at Radio City Music Hall in New York City, draft day is the next step in a journey which likely started when they were about 8 years old, competing in Pop Warner or Pee Wee football. Through high school and college, these athletes have excelled in a game that requires strength, speed, year-round conditioning and athletic instincts only a tiny percentage of human beings possess.

Using a formula that allows the teams with the worst record in the previous year to get the earliest choices and theoretically the most talented players, the NFL draft has gone from a little observed event, watched by a few hardcore sportswriters in the early days of the league, to a three-day, fan-friendly happening. This year is no exception. The hoopla around the draft is palpable.

While it is always possible for a last-minute “trade” to occur among the teams which can change the order of their drafting position, as it stands now the first five teams in this year’s draft and their likely picks (based on media reports) are:

(1)  Kansas City – Luke Joeckel, OT, Texas A&M

(2)  Jacksonville – Dion Jordan, OLB, Oregon

(3)  Oakland – Sharrif Floyd, DT, Florida

(4)  Philadelphia – Star Lotulelei, DT, Utah

(5)  Detroit – Eric Fisher, OT, Central Michigan

For the rest of the draft order, you can click here.

Based on factors too numerous to list, many of the teams have more draft picks than others. For example, San Francisco, which had an excellent year in 2012, has the most number of picks in this year’s draft at 13. Theoretically, this should enhance their status in the upcoming season. Whereas, New England, New Orleans, Chicago and Carolina with the fewest number of picks (5) should be at a disadvantage. However, NFL fans know  having lots of draft picks seldom translates to a winning season.

When the smoke clears on Saturday night, 254 players will realize their dream of playing in the National Football League, assuming they make the team. Unfortunately, not every player drafted makes the cut and others in  this group can  sustain an injury in the summer training camps conducted by every team  prior to the opening of the season and their dream will die.

As noted earlier, a typical NFL career is extremely short – usually about 6 years for a player who is on the opening day roster. The reason for this is obvious when one watches the games each Sunday. The human body –even the superhuman bodies of these highly-conditioned players – has not evolved to the point of sustaining the type of repetitive trauma experienced in a typical season without injuries.

Some of these injuries can be  associated with the neck and back areas of the body and for some insights about these we asked the opinion of an expert, Dr. Shawn Henry an orthopedic spine surgeon at Texas Back Institute.

Henry_MD_web_1Over a typical season, the bodies of professional football players take a tremendous pounding. What is it about these player’s bodies that allows their backs hold up under this abuse?

In order to have attained their position in the NFL, a player has spent his life building muscle mass. This is the most important aspect of his conditioning is what allows the player to withstand the constant trauma of a typical season. This muscle mass gives dynamic support to the spine. Every player in the league has built strong abdominal muscles, quadriceps and other muscles groups and these “load share” the impact of the constant hits to the spinal column.

As fans, we often hear that a player has sustained a “stinger.” What is a stinger and is this a serious injury?

Basically, when someone gets hit hard in the neck and shoulder areas, the impact causes a temporary trauma to the peripheral nervous system. This causes a short-term burning, stinging pain. However, since this does not affect the central nervous system, there is no potential for paralysis and typically goes away in a short time.

The NFL Players’ Association notes the most common back problem among their members is degenerative disc disease, associated with arthritis. What does this mean and how can a player avoid this?

Actually, the most common back problem for every human, not just a professional football player, is degenerative disc disease. The medical term for this arthritic condition is “spondylosis” and it is a condition that is exacerbated by smoking, obesity and trauma. A player is not likely to smoke, but he may have tendencies toward obesity and withstanding physical trauma is a part of the job description. This trauma and weight can cause injury to the disc. For an athlete, good conditioning is the only way to help protect your spine.

There will likely be a great many young athletes watching the NFL Draft this weekend thinking they might get a chance to perform in the Big Show in the future. What can a young football player focus on in order to strengthen his back muscles?

The key is to build core, isometric spine stabilization. Weak core muscles cause injuries. They should also work on flexibility and increasing a range of motion in their muscle groups, their cervical spine and their lumbar spine areas. They should also make certain the correct equipment – helmets, pads, collars – are used in practice and game situations.

In your practice, what is the most common back injury  you see in younger athletes?

The most common ailment in high school and college athletes is a herniated disc in the neck and a pars fracture in the lower back. This is most commonly seen among interior linemen because they extend their spine by arching their back when they come off the line to block. With repetitive trauma a fracture can occur. Interestingly, because of the tendency to extend the spine, this condition also occurs with some regularity among equestrian competitors and ballet dancers.

What is the NFL doing to help control the number of spinal injuries among players?

Because of the potential for long-term neurological disorders, the league is researching the effects and prevention of concussions among players. There is no correlation between concussions – which affect the central nervous system – and back injuries. As for the league’s efforts in helping to reduce back injuries, there have been many advances in helmets, facemasks and neck wraps. Plus, a few years ago the NFL  introduced rules which prohibit “spearing” and this has probably resulted in fewer incidences of spine and back injuries.

Injuries Are a Part of the Game

Based on viewer ratings, the National Football League has become the most popular spectator sport in the United States. The athletes in this game are big, strong and fast and when they collide, injuries will inevitably happen. As every NFL coach says a few times every season: “injuries are a part of the game.” Hopefully, with better conditioning and high-tech equipment, these spine injuries will be limited in the future.

Mistakes Men Make Concerning their Back Health

Men taking charge is nothing new in most situations.  At work, at the gym, on the sports field or even when a little spider invades the kitchen.  When it comes to their back health and safety men can be known for being a little lackadaisical.

Dr. Ted Belanger, an orthopedic spine surgeon at Texas Back Institute in Rockwall shares 5 mistakes men can make when it comes to their spine health.

 

1)       They don’t exercise their back.  Guys go to the gym and exercise their “glamour muscles” to get strong and look trim, but they only rarely do any exercises to strengthen their back.  Your back is made of the same tissues as your arms and legs, and responds to exercise in much the same way.  The old adage that it’s dangerous to exercise or use your back for strenuous activity is a myth.  You can strengthen it just the same as you strengthen your biceps—with repetitive range of motion against resistance until you reach muscle fatigue.

2)       They don’t do enough research.  Very often evaluation of back problems is sought without any careful research to determine who might be the best person to see.  There are big differences in the training, background, certification and experience of the various practitioners available to assess a patient with a complaint about their back or spine.  The list includes chiropractors, primary care physicians, physiatrists, pain management doctors, orthopaedic surgeons, neurosurgeons and orthopaedic spine surgeons.  Among these, no specialist has more training and experience assessing and treating musculoskeletal conditions than an orthopaedic surgeon.  Most of the others on the list either have very little musculoskeletal training (neurosurgeon) or have no experience at all in the surgical treatment of spine conditions (all the rest).  An orthopaedic spine surgeon is in the best position to diagnose and treat a patient with a back/spine problem, whether or not they need surgery.

3)       They don’t ask enough questions.  Patients often present for a second opinion to our clinic.  A common element of their frustration and sometimes confusion is a lack of understanding of their problem.  This can be avoided by insisting your questions be answered the first time around.  Bringing a list of standard questions is a great way to make sure you are communicating well with your doctor.  Good questions are:  What is my diagnosis?  What will happen if I don’t do anything about it?  What are my options to treat it and what can I expect from the treatment?  How does the treatment work, exactly?

4)       They don’t recognize the difference between amateur and expert advice.  People often put as much weight on their neighbor or friend’s back advice as they do their doctor. While good-intentioned, the patient should at least recognize that their doctor, particularly if they are an orthopaedic spine surgeon or neurosurgeon, has much more insight and understanding about the diagnosis and treatment options.  A common comment made by patients and their friends and family is “back surgery doesn’t work”.  But that’s a drastic generalization that simply isn’t true.  There are many different kinds of back surgery (discectomy, fusion, disc replacement, decompression, etc.) and many different reasons to undergo back surgery (degenerative conditions, fractures, trauma, scoliosis, deformity, tumor, infection).  Whether or not surgery is successful depends largely on the diagnosis you are treating, the details of the workup, the execution of the surgery, the choice of surgical technique, and the alignment of the expectations of the patient with what the surgery can accomplish.  Orthopaedic Spine Surgeons know this better than anyone else.

5)       They too often think their back problem is hopeless and they just need to “live with it”.  Patients are often afraid to seek advice about surgery because they are afraid.  They should think of the office visit the way the doctor does: a consultation to answer questions and provide information.  The decision about what treatment to participate in always rests with the patient.  If you are still not sure after visiting with a doctor, feel free to do more research, ask more questions, and seek more advice from experts.  Sometimes second or even third opinions are necessary to come to a decision about how to proceed.

If you or someone you know has fallen victim to one of these mistakes, it’s not too late.  Give us a call today and we will talk to you about your situation and help you figure out what the best treatments are for you!

Now that the school year is off to a good start and football season is in full swing many may think the safest place for athletes is on the sidelines, however, studies show this isn’t necessarily the safest place for athletes anymore.  In the 29th Annual CATASTROPHIC SPORTS INJURY RESEARCH report high school cheerleading is accounted for 64.8% of injuries to female athletes and 70.6% at the college level.  Many attribute this high injury rate with an increase in gymnastic type stunts.  Though injuries may never be completely preventable, there are some tips cheerleaders can follow-up help decrease the likelihood of injury.

According to The University of North Caroline National Center for Catastrophic Sport Injury Research the following are a list of sample guidelines that may help prevent cheerleading injuries:

1. Cheerleaders should have medical examinations before they are allowed to participate.  This would include a complete medical history.

2. Cheerleaders should be trained by a qualified coach with training in gymnastics and partner stunting. This person should also be trained in the proper methods for spotting and other safety factors.

3. Cheerleaders should be exposed to proper conditioning programs and trained in proper spotting techniques.

4. Cheerleaders should receive proper training before attempting gymnastic and partner type stunts and should not attempt stunts they are not capable of completing.  A qualification system demonstrating mastery of stunts is recommended.

5. Coaches should supervise all practice sessions in a safe facility.

6. Mini-trampolines and flips or falls off of pyramids and shoulders should be prohibited.

7. Pyramids over two high should not be performed.  Two high pyramids should not be performed without mats and other safety precautions.

8. If it is not possible to have a physician or certified athletic trainer at games and practice sessions, emergency procedures must be provided.  The emergency procedure should be in writing and available to all staff and athletes.

9. There should be continued research concerning safety in cheerleading.

10. Cheerleading coaches should follow the concussion policy and guidelines published by the NFHS (National Federation of State High School Associations).

11. Cheerleading coaches should have some type of safety certification.

12. The NFHS should make cheerleading a sport, which will place cheerleading under the same restrictions and safety rules as all other high school sports (physical exams, qualified coaches, safe facility, athletic trainers, practice limits, and starting and ending dates for practice and games or competitions). The NCAA should follow this same recommendation.

A cheerleader has been defined as someone who calls for and directs organized cheering, but more recently cheerleading involves much more than this.  It’s important everyone involved in cheerleading is taking an active approach to keeping our cheerleaders safe.

Do you love cheerleading?  Tell us what’s your favorite thing about cheerleading below!

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