Page 1 - September 11, 2018 Edition

FOOTBALL VS. ARKANSAS-PINE BLUFF ACKRABBIT ICKETS COM SEPT. 15TH • 6PM • BEEF BOWL GOJACKS.COM/CALENDAR
The
Town & Country
SHOPPER
ECRWSS
JT.
Vol. XLVIII No. 27 September 11, 2018 609 5th Ave., Brookings, SD 57006 Phone 605-692-9311 shopper@brookings.net
Pre-Sort Standard U.S. Postage Paid
Permit 114 Brookings, SD
Postal Customer
3405 Sixth Street, Brookings, located near the Swiftel Center To schedule an appointment, phone 693-7222
or visit our website at www.brookingschiropracticcenter.com
Dr. Steven Clites • Dr. Chad Munsterman • Dr. Jonathan Schneider Dr. Trevor Penning • Dr. Christina Yackley • Brenda Buus, PT
SEPTEMBER IS DRUG FREE PAIN MANAGEMENT AWARENESS MONTH
Various studies have shown support for the safety and efficacy of chiroprac c care. Chiroprac c care strives to balance the rela onship between structure and func on and assis ng the body as it heals. Chiroprac c has the following benefits, compared to conven onal
treatment op ons: Decrease medica on use, quicker pa ent recovery mes, reduced pa ent disability, significant improvement in pain symptoms, significant improvement in physical ac vity tolerance.
Sources: WebMD; Mayo Clinic; Science Daily; Na onal Ins tute for Occupa onal Safety and Health; PainMed.org
Physical Therapy for Rotator Cuff Tendini s
The rotator cuff muscles are a group of 4 muscles that a ach the humerus (upper­arm bone) to the scapula (shoulder blade). The rotator cuff muscles help raise, rotate, and stabilize the upper arm. Rotator cuff tendini s occurs when the tendon (a bundle of fibers that connect the muscle to the bone) connected to the rotator cuff muscles be­ comes inflamed and irritated.
Your individual treatment program may include:
Rotator cuff tendini s can be caused by:
Pain Management. Your physical therapist will help you iden fy and avoid painful movements to allow the inflamed tendon to heal. Ice, ice massage, or moist heat maybe used for pain management. Therapeu c modali es, such as iontophoresis (medica on delivered through an electrically charged patch) and ultrasound may be applied.
• Poorposture,suchasroundedshoulderscausedbyleaningoveracomputerfor long periods of me.
Manual Therapy. Your physical therapist may use manual techniques, such as gentle joint movements, so ­ ssue massage, and shoulder stretches to get your shoulder moving again in harmony with your scapula.
• Repe ve arm movements, such as those performed by a hair stylist or painter. • Overheadshouldermo ons,suchasthoseperformedbybaseballpitchersorswimmers. • Tight muscles and ssues around the shoulder joint.
• Weakness and muscle imbalances in the shoulder blade and shoulder muscles.
• Changes in the bones of the shoulder region that cause the tendons to become
Range­of­Mo on Exercises. You will learn exercises and stretches to help your shoul­ der and shoulder blade move properly, so you can return to reaching and li ing with­ out pain.
pinched.
Strengthening Exercises. Your physical therapist will determine which strengthening exercises are right for you, depending on your specific condi on. You will receive a home­exercise program to con nue rotator cuff and scapular strengthening a er you have completed your formal physical therapy.
Rotator cuff tendini s causes shoulder pain that can occur gradually over me or start quite suddenly. The pain occurs in the shoulder region and some mes radiates into the upper arm, not usually past the elbow. You may be pain free at rest or experience a mild, dull ache; however, pain can be moderate to severe with certain shoulder move­ ments. Reaching behind the body and overhead ac vi es, such as throwing, swimming, reaching into a cupboard, or combing your hair can be very painful. The pain can be worse at night, especially when rolling over or a emp ng to sleep on the painful side. You may no ce weakness when li ing and reaching for items.
Pa ent Educa on. Posture educa on is an important part of rehabilita on. For exam­ ple, when your shoulders roll forward as you lean over a computer, the tendons in the front of the shoulder can become pinched. Your physical therapist may suggest ad­ justments to your worksta on and daily habits.
A physical therapist can help beginning with an evalua on and asking you ques ons about the pain and other symptoms you are feeling. You will work with your physical therapist to create a treatment plan that is specific to your condi on and goals.
Rotator cuff tendini s can be prevented by maintaining proper shoulder and spinal posture during daily ac vi es, performing daily stretches to the shoulder and upper torso and keeping your upper body strong. Without a strong founda on, muscle im­ balances occur and put the shoulder at risk for injury. It is important to get proper treatment for tendini s as soon as it occurs. A degenerated tendon that is not treated can begin to tear causing a more serious condi on.
Concussion Guidelines
Condi ons may change significantly within the first 24 hours. The athlete should con­ tact their doctor or report to the emergency department if any of the following occur: • Personality changes or increased irritability
• Persistent nausea or vomi ng
A concussion is a trauma c brain injury that interferes with normal brain func on. An athlete does not have to lose consciousness (be “knocked out”) to have suffered a con­
cussion.
Common Symptoms of Concussion Include:
• Difficulty speaking or slurred speech
• Ringing or unusual sounds in the ear
• Shortness of breath or difficulty breathing
• Dizziness, trouble walking or staggering gait
• Areas of skin numbness/weakness in arms/hands/legs/feet
• Confusion or inability to recognize people/places
• Unusual drowsiness or loss of memory
• Bleeding or clear fluid drainage from ears/nose
• Inability to wake up completely or excessive sleeping
• Severe headache or a worsening/persistent headache
• Pupils of unequal size
• Fever (greater than 101 F./ 38.3 C. by mouth) or if shaking chills begin • Visual disturbances
• Seizures/convulsions or twitching movements of eyes/arms/legs/body • Loss of consciousness or any abnormal signs/symptoms
• Headache
• Nausea and lightheadedness
• Fogginess
• Difficulty concentra ng
• Easily confused
• Slowed thought processes
• Difficulty with memory
There may be some swelling and pain at the point of impact. A head injury can cause slow bleeding or other problems inside the head that may not be detected at the me of injury.
• Lack of energy, redness
• Dizziness, poor balance
• Blurred vision
• Sensi ve to light and sounds
• Mood changes ­ irritable, anxious, or
Observa on is performed every 4 hours for the first 24 hours following a head injury.
2. Any athlete suspected of having a concussion should be evaluated by an appropri­ ate health­care professional that day.
• Check to see that the pupils are equal. Both pupils may be large or small, but the right should be the same size as the le .
3. Any athlete with a concussion should be medically cleared by an appropriate health­ care professional prior to resuming par cipa on in any prac ce or compe on. Hav­ ing a baseline test helps determine if an athlete is ready to RTP, but does not take the place of being cleared by their healthcare professional.
• Check the pa ent to be sure that he is easily awakened; that is, responsive to shak­ ing or being spoken to, and when roused, reacts normally.
4. A er medical clearance, RTP should follow a step­wise protocol with provisions for delayed RTP based upon return of any signs or symptoms.
tearful
Suggested Concussion Management:
1. No athlete should return to play (RTP) or prac ce on the same day of a concussion. No ma er how mild it is.
• Check for and be aware of any significant changes.