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MEDICAL: CONDITIONS: CONCUSSIONS :
SPORTS: INJURIES :
SPORTS: FOOTBALL:
Despite Billions Spent on Treatments, Concussions Still a Puzzle
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Despite Billions Spent on Treatments, Concussions Still a Puzzle
August 26, 2016 8:53 AM
By Kris B. Mamula
Pittsburgh Post-Gazette
http://www.post-gazette.com/news/health/2016/08/26/Despite-billions-
spent-on-treatments-concussions-still-a-puzzle/stories/201608250028
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A shorter URL for the above link:
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http://tinyurl.com/zvf8hpp
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In a preseason game against the Steelers three years ago, Carolina
Panthers free safety Haruki Nakamura took a hit to the side of his head
while making a tackle. He left the football game with a career-ending
injury as headaches, distorted vision, depression, fatigue and other
concussion symptoms worsened.
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Concussions are rarely career-ending injuries, in the view of Michael
Micky Collins, director of the UPMC Sports Medicine Concussion Program.
Mr. Collins made the determination about Mr. Nakamuras injury, according
to a lawsuit Mr. Nakamura filed in July over an insurance policy, but
UPMCs programs more often advocate a variety of ways of treating
concussions to push for a full recovery.
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Not everyone has the same views of the head injury, which has been called
the black box of neuroscience.
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Disciplined research for any of these things to actually be beneficial
doesnt exist, said Geoffrey Ling, a physician and professor of neurology
and neuroscience at the Uniformed Services University of the Health
Sciences in Bethesda, Md., who specializes in traumatic brain injuries.
The diagnosis and treatment of concussion is highly, highly variable.
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As a new football season gets underway, parents with children who are
involved in contact sports are torn between competing views of concussions
a condition that can be treated to allow return to play or an injury with
long-lasting effects that are not fully understood. Whats more unlike
heart attack, breast cancer and a host of other medical problems
concussion has no standard treatment protocols.
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A concussion occurs when a persons head twists violently or is struck by a
mechanical force helmet, knee or baseball bat, for example resulting in
loss of consciousness, amnesia, headaches, dizziness or other symptoms. It
can set off a molecular cascade of changes in the brain that continue long
after the insult. Such traumatic brain injuries affect more than 1.7
million people annually in the U.S.
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Treatment costs reach into the billions of dollars while options for care
are all over the place. Whats missing are generally accepted treatment
standards.
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Have a heart attack in Pittsburgh, Pennsylvania, or Pittsburg, Kansas, and
the treatment will be virtually the same down to the type, amount and
timing of various drugs that are given in the emergency room. Not so with
concussions, where treatment mostly turns on the preferences of the person
providing the care, said Robert Cantu, co-director of the Center for the
Study of Chronic Traumatic Encephalopathy at the Boston School of
Medicine.
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We need randomized clinical trials, said Dr. Cantu, who is also a
neurosurgeon. What you have now is a smattering of publications, some
suggesting this, some suggesting that.
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Few treatments have been proven effective using medicines gold standard of
the randomized control trial, in which one group receives a treatment and
the other doesnt to allow researchers to compare results. Whats more, the
disparities in concussion care can be jarring.
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Topics Covered in This Article
A treatable injury?
To rest or not to rest?
Widespread changes
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The complete article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
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