When and How ‘Not a Concussion’ Becomes a Concussion: Klay Thompson Injury

The Western Conference Finals not only provided an opportunity for the Golden State Warriors a chance at winning an NBA title it has provided a wonderful opportunity for people to learn more about concussions. The knee-jerk reaction to incidents like we have seen in Games 4 and 5 are often a mix of truth, hyperbole and eye-rolling; however what is clear they are cases that we can use to forge further understanding and education.

Last night in the would be close-out game of the WCF, Klay Thompson shot faked and the defender rose as he [Thompson] ducked and the defender’s knee blasted the side of Thompson’s head right in his right ear.

Unlike his teammate from the game before, Steph Curry, Thompson did not show overt signs, to my trained eyes, of a concussion. His face was “scruntched” in pain and he immediately grabbed for his ear, plus after the incident he immediately rose to his feet and walked straight to the locker room without assistance. As noted in Tuesday’s post signs are paramount when making critical in-game decisions about return to play; if they are there, there should be no doubt about removal.

The next report we received on TV or Twitter was about Thompson having an ear laceration and that they didn’t need to do a concussion evaluation. Which is entirely possible but unlikely, because I do believe they did a concussion “screen” at the time. The Warriors med staff probably didn’t do the full-blown evaluation because five minutes would not have been sufficient for that, but that was enough time to go over any symptoms and quick balance assessment (think roadside sobriety test). It is also important to know that because concussion are mainly subjective that a massive portion of any concussion evaluation is the interview: talking, questions and mental challenges about venue/score/date/etc.  Continue reading

“Contussiongate”*: The Steph Curry Incident

*I will admit that I could not come up with a catchy title for this post so I ripped this from Mike Freeman’s twitter feed (@mikefreemanNFL) last night:

But not only is this funny but it is about as accurate as it could have been when summing up the Steph Curry incident last night in Game 4 of the Western Conference series. So, thank you Mr. Freeman for your insightfulness and wonderful wordplay.

Those that were watching the game last night and happened to be on Twitter should know the entire process this sequelae; because of that I will be as brief as possible while injecting the overriding issues and thoughts on this.

It all began in about halfway thought the second quarter as the Warriors were getting throttled by the Rockets;

There is not speculation when looking at that vine, Curry hit his head on the court after taking an uncontrolled fall. What is not seen in the vine is Curry laying prone on the floor for a few minutes as the medical staff took a look at him (even noted checking his c-spine). When the world was brought back to the game from commercial we saw Steph getting assistance off the floor to the locker room, where further evaluation was to be done, obviously.

The first point to note in this event is that Curry not only immediately grabbed his head where it contacted the floor but he also was “down” for some time, that is obviously not normal. He hit his head and very hard so of course he would be slow to get up, but it was the amount of time that would and did have me concerned.

Before we go further we should define concussion for all of you out there, if you want the drawn out and dictionary definitions you can find it HERE, but for the simplest and most poignant way: a concussion is a disruption of normal brain function after a traumatic event. Notice there is nothing about getting hit Continue reading

2013 Concussion Tracking – Need Help

Looking for some help out there…  Due to a myriad of factors I have let time slip away from me and have gotten behind the seasons for concussion data collection.

I am looking to keep current the NBA, NHL, MLB and AFL concussion lists; as of right now I have the AFL taken care of, the rest, not so much.

I have virtually missed the hockey season, I am hoping you all can fill me in with that.

I have a list of NBA concussions, but it seems that there has not be a single concussion in nearly a month;

Davis Anthony NO
Zeller Tyler CLE
Kidd-Gilchrist Michael CHA
Kaman Chris DAL
Gasol Pau LAL
Williams Marvin UTA
Melo Fab BOS
Shengalia Tornike BRO
Sanders Larry MIL

And the MLB season is in spring training and have caught only Steven Drew’s concussion to this point.

I am asking for all of your help.  If you wouldn’t mind posting a comment to catch me up (NHL send me an email), or tweeting concussions I would be very appreciative.

If anyone is going to have the time to be the “keeper” of the stats you may also email me your information and we can discuss how best to achieve the most complete lists.

Thanks again!

How Many Concussions Are NBA Players Hiding?

I will make this quick, would love to get some more discussion on this…  If we think awareness and management are getting better, then I give you this wonderfully cited article of shots to the head in the NBA.  Some have resulted in concussions but others are very interesting, especially if you read how the player reacted to the contact.  From Henry Abbot of ESPN.com;

For a “noncontact” sport that allegedly doesn’t have a concussion problem, basketball sure does feature a lot of blows to the head.

A partial list just from this season:

  • October 30, 2012: Dwight Howard gets a flagrant for swinging an elbow at the face of Elton Brand.
  • November 2, 2012: Anthony Davis receives a concussion.
  • November 5, 2012: Tyler Zeller takes a hard elbow from DeAndre Jordan causing a fractured cheek bone and concussion.
  • November 7, 2012: Thomas Robinson is ejected for elbowing Jonas Jerebko in the head.
  • November 28, 2012: Marvin Williams falls hard to the floor, is diagnosed with concussion.
  • December 5, 2012: Thomas Robinson takes an incredibly hard blow to the head from Ed Davis.
  • December 12, 2012: After a flagrant foul from David Lee, LeBron James crashes to floor, hits head.
  • December 17, 2012: Tyson Chandler flagrantly fouls Jeremy Lin in the head.
  • December 17, 2012: Tim Duncan misses plays, dazed by an elbow from Kendrick Perkins.
  • December 17, 2012: Russell Westbrook hits his head on the floor in a scary fall.
  • December 18, 2012: Anthony Davis hits his head again.
  • December 18, 2012: Bradley Beal takes a very scary fall to the court.
  • December 25, 2012: Metta World Peace elbows Steve Novak in the head, Novak undergoes concussion testing.
  • December 26, 2012: Dwight Howard clocks Kenneth Faried in the face.
  • December 31, 2012: Fab Melo is diagnosed with concussion.
  • January 1, 2013: Charlie Villanueva is ejected for an elbow to the head of Isaiah Thomas.
  • January 2, 2013: Festus Ezeli sends Blake Griffin hard to the floor with a flagrant foul.
  • January 4, 2013: Jeremy Lin and Larry Sanders bang heads in bloody fashion.
  • January 4, 2013 Kevin Garnett hits Tyler Hansbrough hard in the face, and is ejected.
  • January 6, 2013: Pau Gasol takes a bloody shot to the nose that is diagnosed as a concussion and causes him to miss five games.
  • January 9, 2013: Carlos Delfino, who had a serious concussion two years ago, takes a hard blow to the head and appears shaken up.
  • January 26, 2013: Shannon Brown clobbers Manu Ginobili and was ejected.
  • January 28, 2013: Nets rookie Tornike Shengalia is recalled from the D-League to be treated for concussion.
  • January 29, 2013: Chris Kaman is out indefinitely with a concussion suffered in practice.
  • February 2, 2013: Michael Kidd-Gilchrist is hospitalized with a concussion resulting from colliding with a teammate.
  • February 3, 2013: Metta World Peace is suspended for punching Brandon Knight in the face.
  • February 5, 2013: Larry Sanders collides with a dunking Kenneth Faried in mid-air, hits the back of his head hard on the floor and leaves the game.

Now you might say, this is a physical sport. Who could be alarmed if that physicality involves the head once in a while?

The answer: Medical science.

For the record here is our list of NBA concussions: Continue reading

Please Explain

It is a common thought that crosses my mind when I see questionable actions around a concussion situation.  Unfortunately I don’t have the power to get the answers, so I basically post them on here for others to see.

This is not the case in Australian Rules Football; if you are team and you receive a “please explain” regarding an injury (mainly concussions) you are probably treading on thin ice.

There is a mechanism in AFL that formally puts teams and doctors on notice when things just don’t add up.  Take for example the handling of a concussion by the North Melbourne Roos;

Interim Kangaroos chief executive Cameron Vale emailed AFL operations manager Adrian Anderson on Monday after the Roos were told to respond to a ”please explain” issued by the league last week.

The Kangaroos have been under investigation over the manner in which they handled Hansen after he received a heavy knock against Essendon in round 20, and also for the way they have responded to AFL investigators Brett Clothier and Abraham Haddad in recent weeks.

The AFL has been unimpressed with the club’s handling of the issue, although the Kangaroos have bristled at suggestions football manager Donald McDonald had influenced the testimony of key figures involved.

The letter is not the first step, rather the end step in a process that allows the medical board of the AFL to investigate how the practices of player protection is put in place.  Is it oversight?  You bet and I feel that the AFL does something much-needed in all professional sports.  Really, it is only applicable to the pros because of the resources, however it could translate to large colleges as well.

In Zurich I spoke to Dr. McCrory about what they do in regards to this, here are the basics; Continue reading

NBA Head Coach – Clueless on Concussions

While traveling abroad you tend to miss a few things in American sports.  Take for example I missed all college football games and only caught snip-its of NFL action yesterday.  Even more easily missed are stories that are not “front page” news, take for example a professional basketball coach opening mouth and inserting foot;

“When you’re dealing with the brain, I guess what’s happening in football has impacted everybody,” Williams said before the game. “He got touched up a little bit last night. That happens a lot in basketball. It’s just that now they treat everybody like they have white gloves and pink drawers and it’s getting old. It’s just the way the league is now.”

“It’s a man’s game,” Williams said. “They’re treating these guys like they’re 5 years old. He desperately wanted to come, but he couldn’t make it.”

Anthony Davis was hit in the head via friendly fire as teammate Austin Rivers delivered a blow.  Actually if you look at the anecdotal evidence if the NBA players were treated like 5 year old’s he would have been right back on the court.  The NBA and the professional level is trying to set precedence for the youth to follow.

Maybe Monty Williams had a few too many hits to the head?  Perhaps Coach Williams didn’t get the memo Continue reading

Zurich Day 2… And We Are Live

I have figured out the power situation so I will be trying to update the blog ASAP after each session…  For the time being make sure to follow on Twitter…


1030 CST: Session 7, final session: The Sharp End

First debate between Dr. Cantu (yes) and Dr. Herring (no): is no RTP same day the best management paradigm?  Is keeping a player out one week long enough and is the graduated RTP protocol sufficient…

THERE WILL BE NO RTP on same day in the new statement!!!

Change of direction on Session 7, questions with panel answers, pro-con (if available)

Do 3 concussions end your career?

  • its comedy hour
  • Aubrey – treat each athlete individually
  • Dvorak – it has to be based on timing and complexity of each recovery – case-by-case basis
  • Putukian – if we can’t agree on dx how can we agree on a number
  • Overall theme is it is individualized, not all concussions are the same (Cantu)

Who is best qualified to make the sideline decision?

  • Cantu – multiple members working under a physician can make the call
  • Herring – concerning to him that some information is intrinsic to doctors so need to be careful
  • better question is who best qualified – person with most experience
  • Dvorak – looking at spectrum of games played, doctors are best qualified in most instances, but are they there in all matches?  We should aim all this to the “grass roots” as the professional level there is more than adequate coverage.
    • comedy about football versus american football
  • Ellenbogen – those that know the athletes should be making the decision, maybe a parent in youth sports, or athletic trainers, understanding the patients baseline is important
  • Putukian – balancing act, in a perfect world its a team approach (Athletic Trainer mention), and she says in the US the athletic trainer should be making the decisions on the sidelines…
  • Aubrey – Hockey Canada has a safety person (volunteer) in lieu of an athletic trainer
  • Cantu – brings up possibly training school teachers in concussion
  • Herring – if you are team physician do you need someone else to make the decision if you are on the sideline?  Panel – no

Is there a role for grading concussions?

  • Cantu – not perfect, but informing patient is important about severity and duration of recovery, after the fact
  • McCrory – we have moved from grading, look at the recovery – perhaps look at the SCAT/serial testing
  • Putukian – looking at history is more important than arbitrary “grade”
  • Herring – may help with continual care from one place to another, but again important to understand history

Should we be returning on the same day of concussion?

  • Aubrey – what about the NHL player in the playoffs (rhetorical question)
  • Cantu – no once recognized
  • McCrory – what about the players that clear the SCAT, so no concussion, but you know something is amiss?
  • Putukian – example of hockey player with delayed symptoms
  • McCrory – concussion is often an evolving injury
  • Ellenbogen – it is a traumatic brain injury, is the game worth it?  No.
  • Panel – consensus is NO RTP same day
  • McCrory to Aubrey about playoff example – what about a regular season, and Aubrey is being very honest, and he feels the player push back is greater
  • Ken Dryden from the audience – why are we treating professional athletes different from the youth or non-elite athlete
    • We are starting to move away from that, all athletes should be treated the same

Should there be helmets in woman’s lacrosse and field hockey?

  • Cantu – yes, because of stick and ball causation of concussion
  • Putukian – no, change nature of the game, no reports of intercranial bleeds in women’s lacrosse, weary of unintended consequences (BTW, probably has the most experience with this)
  • Cantu and Putukian discussing this topic
  • Change gears – what about football?
    • Dvorak not in FIFA’s plans to recommend, many reasons including the false security of wearing head gear
  • Audience Q: should we discourage the use of the head bands/head gear
    • Dvorak – your own prerogative but data does not support the use of them as recommendation (Czech goalie wears one)
    • McIntosh – Rules are more important at this time

Should there be age restriction on tackling in American football, heading in soccer and checking in ice hockey?

  • Cantu – his words speak for themselves, youth sports needs to look at how the game is played because of the differences between older
  • McCrory – in Australia you cannot get to the gladiatorial aspect of Aussie Rules until they are “of age” (13 if I heard correctly)
  • Ellenbogen – risk of activity, most concussions via CDC information is from wheeled sports and recreation, does not make sense at this time to him, advise accordingly
  • Cantu – youth sports don’t have the good data, personally he does not believe learning a sport at age 5 will make you elite, it is a genetic disposition in his opinion
  • Putukian – it makes sense to decrease exposure, US Lacrosse has put age 13 on checking, her take on soccer is that there is no data to support this when using proper sized ball and equipment
  • Dvorak – young soccer players learn sport first, and fundamentals of “football” its not “headball”, studies done on heading ball and with study there was no increase in biomarkers they were looking at it.  They don’t force kids to head ball until skills are sufficient.
  • Herring – false warranty?  Arbitrary age is concerning, take head out of the game rather then taking the game away from youth athletes.  The limit to exposure is accurate, but complete removal of the sport may not be necessary.
  • Cantu – sport needs to be safer for younger athletes
  • Aubrey – ice hockey has set limits on age for body checking, research is very important, it will help make decisions


Dr. Jamie Kissick speaking on “From Consensus to Action”

  • Knowledge is power
  • “There is an app for that”
  • Knowledge Translation (KT) Concepts Continue reading

Coalition for Concussion Treatment #C4CT

Yesterday I helped launch the #C4CT cause via the blog and twitter and it was nice to see the interest really begin to peak (thanks @SchuttSports, @the_jockdoc  and many others).  As with most movements or introduction of products getting interest is the first thing; now with official press release in hand it is time to explain and get more of us going here.

The hard work of Jack Brewer and Alex Nennig (and probably others) of Brewer Sports International have created this coalition which I believe to be a “best foot forward” approach in not only raising awareness and education of concussions (our number on goal on The Concussion Blog) but has a possibility to stake a claim in treatment of lasting effects of TBI.  I am honored to be asked to be a primary supporter of this cause, although as it catches wild-fire I am hopeful more important people jump aboard – looking at you NFLPA and NFL.

It is also an honor to be along side a very strong and promising law student in Paul Anderson.  I have had many conversations about creating such a cause, but have yet to find the trailblazing counterparts until this came along.  Please take the time to read the below press release and join along this weekend in using the #C4CT, even promoting questions from others about the hash tag is an opportunity to inform!

Press Release========== Continue reading

NBA Concussion Update #5

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.  Also to note for 2012 is the shortened season due to the lock-out.

There are only two games left (for the most part) but now might be a good time to give an update, since there is information fresh in the news cycle.  Let us begin with the very good news out of Minnesota, as it seems they have listened to us here at TCB;

Kevin Love has passed all concussion tests and been cleared by the NBA to return to the court, but the Minnesota Timberwolves aren’t about to take any chances with the new face of their franchise.

The other bit of news is the stunt that Metta World Peace pulled yesterday in the Thunder/Laker game;

Metta World Peace knocked James Harden out of a Sunday afternoon game at Staples Center. It’s not clear when Harden will be able to return to the court.

The Oklahoman reported that Harden was diagnosed with a concussion after taking World Peace’s swinging left elbow to his head during the second quarter of Sunday’s game between the Oklahoma City Thunder and the Los Angeles Lakers.

Below is our current count of concussions in the NBA for this season (all of last year there were 12 concussions);

  1. Andrew Bogut – MIL – 1/16/12
  2. Jameer Nelson – ORL – 1/27/12
  3. Kyrie Irving – CLE – 2/7/12
  4. Lazar Hayward – OKC – 2/20/12 – Fink’s Rule
  5. Jason Smith – NO – 2/22/12
  6. C.J. Watson – CHI – 2/22/12
  7. Kobe Bryant – LAL – 2/29/12
  8. Brandon Wright – DAL – 3/5/12
  9. Rudy Gay – MIL – 3/12/12
  10. Mickeal Pietrus – BOS – 3/24/12
  11. Eduardo Najera – CHA – 4/7/12
  12. Kevin Love – MIN – 4/11/12
  13. Reggie Williams – CHA – 4/17/12
  14. Chris Johnson – NO – 4/18/12
  15. Andris Biedrens – GS – 4/22/12
  16. James Harden – OKC – 4/22/12


Love with Concussion

It’s the classic “mild” concussion, you know the same “mild” concussion that sat Sidney Crosby out for over a year or the same “mild” concussion that put Jonathan Toews off the ice for 22 games.  You know its only “mild”…  For PETE’S SAKE there is absolutely nothing mild about this brain injury, please read the link!

Wow, I feel better..

Last night in Denver Kevin Love, the Minnesota Timberwolf – or is it Timberwolve – was elbowed in the head and crumpled to the floor.  It took a minute then he was helped to his feet with the aid of teammates and ushered to the locker room.  After that quick stop Love went to a local hospital where he was observed overnight.  Fellow Timberwolf, J.J. Barea had this observation;

“As soon as he got hit, I knew he was out. He was talking, but he wasn’t all there, though.”

Like with other high-profile athletes it will be interesting to see how the recovery is handled.  With Minnesota likely not making the playoffs, the prudent action would be to erase all doubts and sit Love for the remainder of the season.  That is what I would advise, if anyone is listening.

NBA Concussion Update #4

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.  Also to note for 2012 is the shortened season due to the lock-out.

Last year the regular season produced 12 concussions, with the season winding down we have identified 10 thus far in this shortened season, with others like LeBron, who is apparently to tough for concussions, not on the list: Continue reading

Attaboy LeBron

I don’t want to knock LeBron for being a poor role model here, because most media outlets stopped presenting him as any sort of paragon of high character around the time of The Decision. But his comments do help underscore how sports leagues can’t just reverse common conceptions of concussions with a new policy or strict rules against blows to the head. More than anything, it’s a cultural issue, with players being told to play through pain from a young age.

What is Eric Freeman of “Ball Don’t Lie” on Yahoo! getting on LeBron James for?  How about this;

As the questioning about the game winded down, James was asked whether he had ever suffered a concussion in his life. James smiled for the first time in the interview and delivered his reply with an attempt at humor.

“No, I’m too tough for that,” James said.

Tom Haberstroh of “Heat Index” on ESPN.com Continue reading

Kobe with a Concussion – Not News Here

As we hinted to on Monday Kobe Bryant has as concussion to go along with the broken nose;

In addition to a broken nose, Los Angeles Lakers guard Kobe Bryant suffered a concussion in the third quarter of the NBA All-Star Game on Sunday when Miami Heat guard Dwyane Wade fouled Bryant across the face.

The 16-year veteran visited Dr. John Rehm, an ear, nose and throat specialist, on Tuesday morning where his nasal fracture was confirmed. Bryant was experiencing other symptoms related to the nose injury and was sent to neurologist Dr. Vern Williams, who diagnosed the concussion.

Courtesy of ESPN.com.

We have listed Kobe as the 7th concussion of the season for the NBA…

NBA Concussion Update #3

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.  Also to note for 2012 is the shortened season due to the lock-out.

Concussions in the NBA are easily missed; they appear on searches but the normal searches I do the reports are often a sentence regarding the injury.  I believe this to be mainly because of two factors, the first being in the above statement the other is that a concussion has not occurred to a “big time” player, yet.

This could all be changing after an incident in the All-Star Game last night between Kobe Bryant and Dwayne Wade (video below).  According to Lakers Nation and Gary Lee Kobe may be suffering from some well-known symptoms; Continue reading

NBA Concussion Update #2

Kyrie Irving added to the list of NBA players with concussions this season, bringing the total to three;

Irving was evaluated Thursday at the Cleveland Clinic, one day after he was diagnosed with a concussion shortly before the Cavs beat the Los Angeles Clippers. Irving, who was accidentally kneed in the head during Tuesday’s game in Miami, complained of a headache after warming up and missed his first game this season.

  1. Andrew Bogut – MIL – 1/16/12
  2. Jameer Nelson – ORL – 1/27/12
  3. Kyrie Irving – CLE – 2/7/12

Not the NBA Too!! (2012 NBA Concussion Update #1)

Due to the nature of the sport and fewer players overall concussions are not as frequent in the NBA, only 12 during the regular season last year.  However, they do occur and possibly more than is being reported.  What is bothersome with the first second concussion found during this season is the aggravating term “concussion-like symptoms”.

Jameer Nelson absorbed at least two hits to the head in the last game he played and is it only “concussion-like”.  If it walks like a duck and quacks like a duck…  You know the rest.

Here is the current list (1 2), as you find more send it our way; Continue reading

Quiet Weekend

Other than some good football games and the occasional college basketball game the weekend was pretty quiet in terms of concussions.  There were a few players that were taken out of games for quick checks; subsequently only three were listed as concussions:

All three were easy to see on the field plus another in my opinion; Jimmy Graham had a two separate incidents of slamming his head against the turf in San Francisco and not “being himself”, it was OK because we found out later that it as just “back spasms” (see sarcasm).

As the football season winds down we will be focusing on NHL and NBA concussions, the former being a hot issue the later just getting the first concussion of the season: Continue reading

Recent Trend

The real job of this author not only includes being an athletic trainer for a local high school, but also doing rehabilitation on the entire spectrum of the population.  However, from time-to-time I am called upon to be a physician extender in a sports medicine doctors office.  The past few weeks I have been doing that more frequently and have noticed a very surprising trend.

Granted there is no “scientific evidence” of this trend, rather just my observation and upon asking questions to the doctor and the rest of the regular staff, they too have noticed relatively the same thing.

As we have progressed in the concussion era the doctor that we work for has been near the front on the concussion issue.  To his credit he used all the resources in the program to develop this progressive attitude and has taken all of his information along with others and developed a comprehensive concussion program.  When he started many, including some athletic trainers in the sports med program were in disagreement with the longevity and “conservative” nature of the treatment/management.  That quickly subsided with much of the evidence we have seen in the recent year, but it never really translated to acceptance among local coaches, school administrations, and players/parents.

All of the original skepticism about concussion care has slowly been washed away and this doctor has been accepted as one of the “go-to” guys in the area for this injury.  This is not the trend I speak of, although it is very nice to see; all the hard work of the athletic trainers has begun to sink in.

Rather the trend I am beginning to see is something mirrored in the national/international press Continue reading

Tuesday Quick Hits

When will people and doctors understand that not only do repeat traumas to the brain while still recovering from an initial injury make the sequelae prolonged and worse, but returning to school will do the same?  As we have said over and over on this blog and in my many public speaking appearances removal from school and other cognitive activities is a MUST;

Drawing is just about all the 14-year-old high school freshman can do right now. He can’t play video games, watch TV, or use his cell phone said his mom, Michelle Hensley-Shelton. He can’t even go to school.

“He can listen to some soft music,” she said.

Michelle said it’s all because Hunter is recovering from concussions.

“Definitely two but the doctors at Baptist say that it could have been three or four,” said Michelle.

Michelle said they happened while Hunter was playing JV football. The first happened in August when Hunter was knocked out for a few seconds in practice.

“It was a pretty hard impact he took. He come down on his shoulder and he kind of went up and messed with his neck,” she said.

Hunter got checked out at the hospital and while he didn’t go back to practice for a few weeks, he did go back to school the next day.

“We learned one of the first things we probably should have done with his first concussion is not only keep him away from athletics for a few weeks, but his brain needed time to heal from schoolwork, as well,” said Michelle.



Q: What exactly is tau protein and why does it matter in the concussion issue?

A: Normally occurring protein in the brain with a function, but in overabundance it has been implicated in CTE; Continue reading

NBA Post Season Concussion Report Week 1

Throughout the year we have been chronicling concussions in the National Basketball Association and National Hockey League and now both sports are in the post season.  Obviously there have been more concussions in the NHL than the NBA but this time of year will lend itself to more “exposure” to the injuries sustained on the court or ice.  We will be noting those injuries that are both ACTUALLY listed and suspected.

We only found/heard of 12 concussions in the NBA this past season so the rate of them in the playoffs should be extremely low.  I have my suspicions as we see the second season progress.  Case-in-point Indiana Pacer Tyler Hansbrough, I give you Exhibit A;

There has yet to be an official listing of “head/concussion” for Hansbrough as of late last night.  With that being said, it would be good to review the basic definition of a concussion; a disruption of normal brain function to include symptoms and signs, both overt and subtle.  Hansbrough appeared to be “out” on the floor, and was very “wobbly” on his feet in the tunnel; both obvious signs of head trauma to this observer.  Granted his symptoms could have resolved in that short period of time before he came back into the game, the portrayal in the media was that he was a “warrior” and able to play through the pain.  The exact cause of the stigma we are trying to change.  Tyler Hansbrough is our only NBA listing at this time.

NBA Concussion Report #7

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.

A rarely reported injury in The Association, concussions, has become front and center today as Monta Ellis of Golden State has been added to the list of NBA’ers with the injury.  Here is the full list, if anyone knows of more send it our way;

  • Sasha Vuajcic, Lakers – 10/14/10
  • Carlos Delfino, Bucks – 11/29/10
  • Taj Gibson, Bulls – 12/20/10
  • Corey Maggette, Bucks – 12/20/10
  • Luc Richard Mbah a Moute, Bucks – 1/1/11
  • Mike Miller, Heat – 2/11/11
  • Ersan Ilyasova, Bucks – 2/21/11
  • Vince Carter, Suns – 3/1/11
  • Damion James, Nets – 3/5/11
  • Anthony Morrow, Nets – 3/5/11
  • Chris Paul, Hornets – 3/6/11
  • Monta Ellis, Warriors – 4/10/11

We will update as warranted…

NBA Concussion Report #6

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.

We are back with this report only a few days later, why you ask?  This past week the NBA has been busy with concussion information; release of information about developing a league wide policy, and a spike in reported injuries.  Most of the concussions/head injuries we have found were through press write-ups about the game itself.  Here is the current list (special thank you to Colin Fly of the AP for digging up a few of these); Continue reading

NBA In Process of Making Official Concussion Policy

Remember a month ago when Luc Richard Mbah a Moute had some issues with the NBA and its “non-concussion” policy?  Apparently Commissioner David Stern and the rest of the NBA took notice; as today we have found out (via AP writer Colin Fly), the Association is in the process of adopting a policy/protocol for concussions.

“The NBA Team Physicians Society has been studying the issue of concussion management for several years and each team follows its own treatment and return-to-play protocols,” he said. “In addition, the league is working with a consulting neurologist concerning the possible adoption of a league-wide protocol.”

The move would bring the NBA more in line with both the NHL and the NFL. In just the last four weeks, at least six NBA players have missed games because of concussions or concussion-like symptoms.

Right, studying this for several years?  Mbah a Moute makes a very clear and valid claim, then one of the Association’s top stars gets hauled off on a stretcher.  Now is when the NBA says they have been studying this for “years”. 

Good to see they are willing to do something regarding the issue, but nice try on the snow job, at least you can be commended for doing something, just get it right.

NBA Concussion Report #5 (UPDATE)

Our periodical report for The Association.

These do not occur as often as football and hockey for a couple of reasons, one; fewer players equals less incidence and two; the reporting of injuries is up to beat writers, as I have yet to find an official league injury page.  I will be using the standard CBSsports.com and ESPN for compiling this information.

Last night a league star and point guard for the New Orleans Hornets, Chris Paul, was taken off the floor on a stretcher for a head injury.  He was treated and released from The Cleveland Clinic with a concussion, he will travel with the team to Chicago, but NOT play.

Also a great quote/thought from Patrick Michael of Yahoo! Sports;

Chris Paul’s concussion could keep him on the sidelines for two weeks or two months. We just don’t know. My point is that just because he is a star does not mean we will see him return any sooner because of that. In the meantime, get used to seeing Jarrett Jack running the point for the Hornets. In the short-term, I am not concerned about the Hornets. Jack has played very well of late and could be the starting point guard on most NBA teams. Look for the New Orleans Hornets to catch the Chicago Bulls on a letdown after their big win against the Miami Heat.

Here is the current list of NBA Concussions (that we can find); Continue reading

“Ear Infection” for Mike Miller

It is being reported that Mike Miller of the Miami Heat is out for a third straight game, over a week’s time, with an “ear infection”.

Miller is still dealing with the effects of an ear infection and was not cleared to travel with the Heat on Wednesday afternoon’s flight to Chicago. He has missed Miami’s last two games, including Tuesday’s home victory against the Sacramento Kings. Miller also missed last Wednesday’s game at Toronto after he was tested for concussion symptoms last week.

This is a very curious designation of injury for Miller, in lieu of what we and other have reported that happened last week.

Miami Heat guard Mike Miller was taken to an Indianapolis hospital for tests and observation Tuesday night after suffering a blow to the head for the third consecutive game.  Miller will not travel with the Heat to Toronto and will not play against the Raptors Wednesday night.

Perhaps he was infected when he was in Indy?  Or, wait…  While in the hospital, Miller contracted the ear infection.  If you cannot detect the sarcasm, I am sorry, but Miller and the Heat are raising some eyebrows.  Now it is completely possible that Miller has actual observable conditions of an ear infection (fluid in the tympanic membrane) but the fact Continue reading