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Skateboarding is a popular activity among children, teenagers, and young adults. It is recreational, competitive, fun, and exciting but, like any sport, carries a risk of injury. There are around 70,000 skateboarding injuries requiring a visit to the emergency room every year. The most common injuries involve the shins, ankles, forearms, wrists, elbows, face, and skull, with many left untreated that worsen as they heal improperly, leading to further damages and complications. Chiropractic can treat the injuries, rehabilitate the muscles and joints, and strengthen the body to get the skater back on their board. Skateboarding Injuries Skateboarding injuries can range from scrapes, cuts, and bruises to sprains, strains, broken bones, and concussions. - Shin injuries often happen during flip/twist tricks where the board or axle hits the shin causing bruising and swelling.
- Shoulder, wrist, and hand injuries are common when skaters lose their balance and fall with outstretched arms.
- Ankle injuries include rolls/sprains, as well as dislocations and fractures.
- Dislocations usually happen to the shoulders, wrists, and fingers.
- Facial injuries include teeth knocked out, broken nose, or jaw are typically caused by fast forward hard falls.
- Severe injuries include concussions and head injuries.
Injury causes Skateboarding injuries typically occur from: - Skating on irregular surfaces locks up wheels and affects balance, causing falls.
- Losing balance or losing control of the board and falling hard/slamming into the pavement.
- Inexperience, slow reaction times, and less coordination lead to falls and slams.
- Skating into another skater, a person walking or cycling, a car, or a road hazard.
- Trying an advanced trick/maneuver too soon and beyond their skill level.
- The inexperience of knowing how to fall to prevent injuries.
Chiropractic Therapy A chiropractor can work with other doctors and specialists to: - Assess and treat the skateboarding injury/s.
- Reset the spine, hips, arms, hands, and feet.
- Rehabilitate and strengthen the body.
- Recommend safety and prevention education.
- Help prevent further injuries and long-term effects.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Forsman, L, and A Eriksson. “Skateboarding injuries of today.” British journal of sports medicine vol. 35,5 (2001): 325-8. doi:10.1136/bjsm.35.5.325 Hunter, Jamie. “The epidemiology of injury in skateboarding.” Medicine and sport science vol. 58 (2012): 142-57. doi:10.1159/000338722 Partiali, Benjamin, et al. “Injuries to the Head and Face From Skateboarding: A 10-Year Analysis From National Electronic Injury Surveillance System Hospitals.” Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1590-1594. doi:10.1016/j.joms.2020.04.039 Shuman, Kristin M, and Michael C Meyers. “Skateboarding injuries: An updated review.” The Physician and sportsmedicine vol. 43,3 (2015): 317-23. doi:10.1080/00913847.2015.1050953
Concussions are a fairly common injury in the world of sports medicine. As hard as it might be to admit it, the CDC reported 1.7 million concussions within the U.S. population last year. Furthermore, this type of mild traumatic brain injury (mTBI) is not exclusively seen in sports medicine. All the population can be exposed to this, and 90% of concussion patients have a resolution of symptoms after four weeks. Nevertheless, the remaining debilitating post-concussion symptoms can lead to neurodegenerative consequences later in life. Nowadays, integrating an anti-inflammatory nutritional approach after a concussion is integral to preventing post-concussion syndrome (PCS). Concussions and Leaky Gut - A patient with PCS can develop increased intestinal permeability within 4 hours after the injury. Indeed, this is due to the connection between the brain and the enteric nervous system.
- Dehydrated patients are more likely to suffer from post-concussion complications.
- In addition to intestinal permeability, patients with PCS are more likely to develop small intestine bacterial overgrowth, known as SIBO.
- A concussion is rapidly followed by brain hypometabolism, and studies have shown that a moderate caloric reduction may improve cognitive impairment.
Brain hypometabolism: Indeed, the brain is a highly metabolic organ that requires an elevated and uninterrupted energy supply, usually glucose. After a concussion injury, the brain can be susceptible to diminished glucose uptake resulting in a bioenergetic deficit. Recently, research has shown that a ketogenic diet has potential therapeutic applications to reverse the energetic deficit. In this one-arm study, post-concussion patients taking a very high fat-ketogenic diet reported improved visual memory and decreased concussion-related symptoms. The researchers noted that a ketogenic diet could promote multiple benefits to PCS patients. Ketone Diet Benefits: - Ketone body metabolism produces lower amounts of reactive oxygen species (ROS).
- A high-fat ketogenic diet upregulates mitochondrial antioxidant systems that scavenge ROS.
- This dietary approach increases the activity of the Nrf2 anti-inflammatory pathway.
- Overall improvement of neurotransmitter levels.
Supplements and Herbs vs. Concussion: The recovery of an injury is affected by the patient’s nutritional status. Indeed, there are specific nutrients in the particular case of a concussion: - Boswellia: The use of this herbal component has proven to enhance the cognitive outcome in patients with diagnosed diffuse axonal injury (DAI). In a double-blind, randomized study, 38 patients with DAI experienced an increased cognitive function when Boswellia was applied to their treatment.
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- N-Acetyl Cysteine: Treatments with NAC after ischemic injuries is associated with brain cell damage prevention and lower death. In addition, NAC stimulates and promotes glutathione peroxidase activity. Furthermore, this effect is linked with NAC’s potent ROS scavenging function.
- Fish oil: The application of omega-3 fatty acids is linked to the conservation of the brain’s protection mechanisms and maintenance of the integrity of brain cells.
- Vitamin D: vitamin D increases resilience to TBI due to its role during the conversion of tryptophan to serotonin. Furthermore, the genetic impact of vitamin D modulates serotonin levels, which controls mood, decision-making, and social behavior.
- Curcumin: Curcumin is a potent anti-inflammatory agent linked to reversing behavioral deficits in locomotion and memory. In addition, curcumin acts as an antioxidant reducing oxidative stress and thus improving synaptic simplicity and cognition.
The overall objective of using herbs and supplements to improve TBI and concussion secondary effects is to increase the body’s resilience. In addition, the recovery process will always be joined by a depletion of the vitamins and antioxidants pool, making us susceptible to other conditions. It is vital to support our patients with antioxidants, anti-inflammatory compounds, and enough vitamins to accelerate this curing process. – Ana Paola Rodríguez Arciniega, MS Bibliography: Ellis, E F et al. “Restoration of cerebrovascular responsiveness to hyperventilation by the oxygen radical scavenger N-acetylcysteine following experimental traumatic brain injury.” Journal of neurosurgery vol. 75,5 (1991): 774-9. doi:10.3171/jns.1991.75.5.0774 -
Moein, Payam et al. “The effect of Boswellia Serrata on neuro recovery following diffuse axonal injury.” Brain injury vol. 27,12 (2013): 1454-60. doi:10.3109/02699052.2013.825009 General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
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Wrestling is a sport that requires speed, strength, and endurance that involves intense physical contact, pushing and pulling the muscles, tendons, ligaments, and joints to their limits. Wrestlers' are constantly contorting their bodies. Pushing the body to its limits increases the risk of developing wrestling injuries that include: Wrestling Injuries The most common injuries usually occur from forceful contact or twisting forces. And if a wrestler has been injured, there is an increase for re-injury. Wrestling tournaments typically take place over days, often with back-to-back matches, which significantly fatigues the body and increases injury risk. The most common wrestling injuries include: - Muscle strains of the lower extremities and/or the back.
- Chronic problems can result from hours in the forward stance posture and repetitive motions.
- Trigger points.
- Neck injuries.
- Ligament knee injuries - Meniscus and MCL tears.
- Pre-patellar bursitis/Osgood Schlatter's syndrome from consistently hitting the mat.
- Ankle injuries.
- Hand and finger dislocations and fractures.
- Dislocations and sprains of the elbow or shoulder from take-downs.
- Cauliflower ear - is a condition that can cause ear deformity and develops from friction or blunt trauma to the ears.
- Skin infections occur from constant contact, sweating, bleeding, and rolling on the mats. Infections include herpes gladitorium, impetigo, folliculitis, abscesses, and tinea/ringworm.
- Concussions are usually caused by hard falls/slams or violent collisions with the other wrestler.
Injuries can cause wrestlers to alter/change their technique, exacerbating the existing damage and potentially creating new injuries. Chiropractic Rehabilitation and Strengthening There can be a variety of pain generators/causes when it comes to wrestling injuries. Joints and muscles can get overstretched, muscles can spasm, and nerves can become compressed and/or irritated. For example, a neck muscle spasm could be caused by nerve irritation from a shifted vertebrae. To determine the specific cause or causes of the injury/pain, a detailed chiropractic examination will be performed that includes: - Range of motion testing
- Ligament tests
- Muscle palpation
- Gait testing
Injuries often relate to the proper weight, neuromuscular control, core strength, proper technique, hygiene, and hydration management. Successful treatment depends on identifying the root cause of the wrestling injury. Chiropractic restores proper alignment through massage, specific manual adjustments, decompression, and traction therapies. Adjustments can include the back, neck, shoulder, hips, elbows, knees, and feet. Once correct body alignment is achieved, rehabilitative exercises and stretches are implemented to correct and strengthen muscle function. We work with a network of regional medical doctors specializing in referral situations and strive to return the athlete to their sport as soon as possible. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Boden, Barry P, and Christopher G Jarvis. "Spinal injuries in sports." Neurologic clinics vol. 26,1 (2008): 63-78; viii. doi:10.1016/j.ncl.2007.12.005 Halloran, Laurel. "Wrestling injuries." Orthopedic nursing vol. 27,3 (2008): 189-92; quiz 193-4. doi:10.1097/01.NOR.0000320548.20611.16 Hewett, Timothy E et al. "Wrestling injuries." Medicine and sport science vol. 48 (2005): 152-178. doi:10.1159/000084288 Mentes, Janet C, and Phyllis M Gaspar. "Hydration Management." Journal of gerontological nursing vol. 46,2 (2020): 19-30. doi:10.3928/00989134-20200108-03 Wilson, Eugene K et al. "Cutaneous infections in wrestlers." Sports health vol. 5,5 (2013): 423-37. doi:10.1177/1941738113481179
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There are around 70,000 skateboarding injuries requiring a visit to the emergency room every year. Chiropractic can treat and rehabilitate. For answers to any questions, you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677