Concussion treatment in New York

A concussion occurs when a blow to tell the patient when he or she can resume normal activities, including sports.

The skull that encases the brain both protects it and can make injuries worse when they do occur. When it’s concussed, the brain bangs up against the hard bone of the skull. Unlike other organs, a brain that’s injured and reacts by swelling as it would in post concussion trauma has nowhere to the head before the first incident can be treated or recovered from.

People who play violent contact sports like football are at risk for concussion, as are people who experience combat. Concussions are also a risk for people who ride bicycles or motor vehicle accidents.

The symptoms at first, but warning signs concussion can be confusion or drowsiness, nausea and vomiting, blurry vision, pupils of different sizes, either brief or long term unconsciousness, memory problems, personality changes, headache and bleeding in the scalp. Clear fluid leaking from the nose or the ears are sure warning signs concussion. This is an indication that not only has the brain functioning been disturbed but that the skull has been fractured.

If the person is unconscious, a first aider should give them an AVPU evaluation while an ambulance is called. The AVPU checks the person’s level of response. It stands for:

Alertness
An alert victim will have his or her eyes open and will be able to questions.

Voice
Can the victim respond to the first aider’s voice and follow directions?

Pain
Does the victim respond to pain?

Unresponsiveness
Is the victim responsive or unresponsive to stimulus?

The first aider should let the medical team know of any change in the victim’s AVPU. The victim shouldn’t be given any drugs until his or her condition is diagnosed.

When the victim reaches the hospital, his or her head will be X-rayed or CT scans will be taken of the head for a diagnosis. There might also be studies of the victim’s blood and cerebrospinal fluid. The patient will need toma, the blood pools inside the brain and squeezes brain matter against the skull. This can cause a stroke.

The frightening thing about a hemato the destruction of vital areas of the brain. Another thing about this kind of pressure is that it can develop rapidly or slowly.

The patient needs to be alerted right away is if the patient falls asleep and can’t be woken up. Other signs that the patient might be experiencing post traumatic concussion are:

• Vomiting
• Paralysis
• Temperature above 100 degrees F.
• Convulsions
• Stiff Neck
• Very severe headache

Fortunately, many patients who have suffered a brain injury never suffer from post traumatic concussion, or the condition resolves itself.

Here at New York Dynamic Neuromuscular Rehabilitation, we have developed an interesting kind of brain concussion treatment called virtual reality treatment, or VR. This is a type of rehabilitation where the patient’s concussion sympto the patient.

One type of virtual reality treatment that’s proven tor the patient’s concussion and sleep patterns.

Though New York Dynamic Neuromuscular Rehabilitation is the only private clinic in the country to set up your consultation.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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