Nowinski Now Trending Toward Omalu on Rest

4 Mar

We have seen that Omalu and others in the field have been saying one or two weeks may be not enough to “calm down” the effects of a concussion.  What was pointed out by our friend Matt Chaney is that some of the “heavy hitters” had not followed the same plan.  That was until now, as Chris Nowinski of the Sports Legacy Institute said this during an interview on the Dennis & Callahan show of WEEI;

Nowinski said it makes no sense to rush an athlete back after a concussion. “Science is starting to show that you almost can’t be too sensitive to this issue,” he said. “While guys are coming back from concussions in a few days or maybe a week or two, some studies are showing that the changes in the brain — that really expose the brain to another hit will cause more damage, this window of vulnerability — is really a lot longer than a few days. And some people might be 30 days or even 60 days. The reality is, maybe if you don’t want to make a concussion worse, no one should be back within a month. The science is starting to point in that direction, but it will be a while before we can confirm that.”

This is a very positive trend, one that I have been hammering into the coaches and players at the school I work at.  Simply there is no need to rush anything when it pertains to the brain.  There will always be the outliers that can recover in the two-week time frame, but research is showing that 30-60 days is more likely for full recovery.

Before everyone starts to fly off the handle, just think of the ACL or rotator cuff injury and surgical recovery, those to take a long time before they can be stressed and tested in practice and on the field.

To this author and others out there this is wonderful news that the “big dogs” are starting to trend toward more conservative approaches.

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3 Responses to “Nowinski Now Trending Toward Omalu on Rest”

  1. brokenbrilliant March 6, 2011 at 07:37 #

    This is really great news. Chris Nowinski is a known and trusted source of information, and it’s great to hear him leaning towards more rest. Something I read on this blog (I think) a little while back really hit home, while I was watching a hockey game and sports roundups last night – coaches and folks involved in sports have gotten accustomed to factoring in time off for injuries like knee and shoulder and achilles tendon (seems like most of the sports news is about who’s injured, how long they’re going to be out for, and when they’re coming back – if at all). It’s not unheard-of for players to be sidelined for any number injuries. But when it comes to head injuries/concussions, it’s a different story. Somehow, our mysterious brains are supposed to be able to come back from injury in the space of hours or days — weeks at the longest — while our ankles and knees and shoulders and wrists and various bones and ligaments and tendons get to take a breather.

    It’s good to see this turning around, and more science getting into the mix.

  2. Mark Picot March 6, 2011 at 09:36 #

    Boxing has already figure much of this out. They mandate a 30day break between ko’s and mouth guards

    The statement by Nowinski O8 CNN article, “I got hit in the chin and every thing turned orange” has been confirmed by experts and needs to become the focus in these cases. A blow to the jaw, like the one Savard and Crosby received, has been confirmed as a mechanism in concussion. New data is being reviewed by the University of Pittsburgh Medical Center who care for Crosby and Army researchers along with the Pentagon are reviewing the latest data. This misunderstood mechanism is unlike the conventional theory of mtbi occurrence, where the brain hits off the side of the inner skull like a piece of jello, here the medial temporal lobe is traumatized when the end of the jawbone pierces the temporal bone. The end of the jawbone rests on the skull base, cushioned by a dime sized piece of cartilage, once this cushioning element is displaced, it becomes dangerous. Its been documented in boxers with a “glass jaw”, when this cartilage disk slips out of place, it creates a bone on bone condition allowing hard bone to hammer the area of the medial temporal lobe where CTE manifest. This is diagnosable and documented in research with boxers and now NFL and NHL players. Congress and the Mass dept of health have requested more info on an corrective orthotic appliance already shown to be effective in use with the Washington Capitals system and recognized by CHUBB the workers comp provider to the NHL and Loydes of London. Mahecor has the published data under football concussion study that has been peer reviewed by a Harvard MGH expert and accepted for presentation at the 08 Zurich Concussion Conference, the standard on which the NFL has set its new guidelines. Many high profile NHL players are already benefitting from this innovative approach, the NHL doesn’t have to look to far, they have already been presented this information, like the NFL, what are they waiting for, the military is already taking action, based on the same data.

Trackbacks/Pingbacks

  1. A different kind of brain injury « Broken Brain – Brilliant Mind - March 8, 2011

    […] first was a comment at the post about how Nowinski is leaning towards the “more rest” position of Omalu, and concussion — while widely attributed to the brain being shaken inside the skull — […]

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