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Neck and Shoulder Injuries in Football

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Neck and Shoulder Injuries in Football CERTIFIED ATHLETIC TRAINER PERSONAL TRAINER An athletic trainer is an expert at A personal trainer develops, monitors and Meet Dr. Buck Cavalier recognizing, treating and preventing changes an individual’s specifi c exercise musculoskeletal injuries. Certifi ed athletic program in a fi tness or sports setting. Dr. Cavalier received trainers (ATC) meet qualifi cations set by Some personal trainers also make nutrition his medical degree in 1999 Meet Dr. Buck Cavalier the Board of Certifi cation, Inc., and adhere recommendations. Personal trainers can earn from Medical College of to the requirements of a state licensing credentials through a number of agencies and Pennsylvania-Hahnemann Buck Cavalier, M.D., received board. They practice under the direction of can work as fi tness trainers without formal University School of Medicine his medical degree in 1999 from a physician and are members of a health instruction or certifi cation. (now Drexel University). Medical College of Pennsylvania- care profession recognized by the American During his clinical clerkship Hahnemann University School of Medical Association. Requirements: there he was the recipient of Medicine (now Drexel University). • May or may not have higher education in the Excellence in Orthopaedic During his clinical clerkship Requirements: health sciences Surgery award. there he was the recipient of the • Must obtain, at minimum, a bachelor’s • May or may not be required to obtain Following medical school, Excellence in Orthopaedic Surgery degree in athletic training certifi cation or state licensing Neck and Shoulder Dr. Cavalier stayed at Drexel for his internship and award. • Must pass a comprehensive exam to earn • May or may not participate in continuing orthopaedic residency training. During residency, Following medical school, Dr. Cavalier stayed at the ATC credential education Dr. Cavalier was active in the orthopaedic care Drexel for his internship and orthopaedic residency • Must keep their knowledge and skills • May become certifi ed by any one of of the NFL’s Philadelphia Eagles, the NHL’s training. During residency, Dr. Cavalier was active current by participating in continuing numerous organizations that set varying Injuries in Football Philadelphia Flyers as well as Division I college in the orthopaedic care of the NFL’s Philadelphia education education and practice requirements athletes. Eagles, the NHL’s Philadelphia Flyers as well as • Must adhere to standards of professional by Chantal Pierre, ATC Following residency Dr. Cavalier completed a Division I college athletes. practice set by a national certifying agency Daily Duties: fellowship in spinal surgery at the internationally Following residency, Dr. Cavalier completed a Certifi ed Athletic Trainer known Leatherman Spine Center in Louisville, KY and to a national code of ethics – Assess fi tness needs and design fellowship in spinal surgery at the internationally Southeast Georgia Health System where he trained with some of the nation’s leading appropriate exercise regimens known Leatherman Spine Center in Louisville, KY spine surgeons. There he gained experience in Daily Duties: – Work with clients to achieve fi tness goals Brunswick High School where he trained with some of the nation’s leading treating all aspects of spinal pathology including spine surgeons. There he gained experience in – Provide physical medicine and rehabilitation – Help educate the public on the importance degenerative conditions, spinal deformity, trauma, services of physical activity treating all aspects of spinal pathology including tumor and infection involving the cervical, thoracic degenerative conditions, spinal deformity, trauma, – Prevent, diagnose, treat and rehabilitate – Work in health clubs, wellness centers ootball is one of the most popular sports motion have returned to normal compared to the op- for pain, along with rest and immobilization, and a and lumber spine. tumor and infection involving the cervical, thoracic injuries (acute and chronic) and other locations where fi tness activities played by young athletes, and it leads all posite side. The athlete should work on techniques regimen of 15 to 20 minutes of ice or a cold pack Dr. Cavalier is a member of the American and lumbar spine. – Coordinate care with physicians and other take place other sports in the number of injuries sus- to improve fl exibility, strength and posture to reduce to the shoulder four times a day. Surgery is rarely Academy of Orthopaedic Surgeons and the North Dr. Cavalier is a member of the American Academy health care professionals tained. A 2011 study found that nearly 2,000 the chance of a repeat occurrence. Athletes who needed for a fi rst-time dislocation; however, the risk American Spine Society. He is board certifi ed by of Orthopaedic Surgeons and the North American – Work in schools, colleges, professional Fpediatric and adolescent football-related injuries have already had a stinger, or are identifi ed as being of injury recurrence is higher in younger athletes. the American Board of Orthopaedic Surgery. Spine Society. He is board-certifi ed by the American Neck and Shoulder Injuries in sports, clinics, hospitals, corporations, were treated every day in emergency departments at risk for this injury, should consider using special Surgery is often needed for a shoulder that is chroni- Football Summit Sports Medicine & Orthopaedic Surgery Board of Orthopaedic Surgery. industry, military, and performing arts during football season. For athletes, proper training, protective equipment such as a neck roll or cowboy cally unstable after a trial of conservative therapy. Chantal Pierre, ATC is a strategic affi liate of Southeast Georgia Health Summit Sports Medicine & Orthopaedic Surgery good technique, and safe equipment help to reduce collar. To help prevent a shoulder dislocation, rotator cuff Sports Medicine Team Leader, System, and has three convenient locations. Southeast is a strategic affi liate of Southeast Georgia Health injuries; however, not all injures can be avoided. If exercises can be utilized to strengthen the muscles Georgia Health System For more information, call 912-262-9961 in System, and has three convenient locations. For not managed properly, neck and shoulder injuries around the shoulder. An athlete should check with Acromioclavicular (AC) Sprain Athletic Trainer for Brunswick Brunswick, 912-466-5570 on St. Simons Island, High School more information, call 912-262-9961 in Brunswick, can linger, thereby keeping an athlete out of the An AC sprain occurs when the ligaments that hold his/her doctor or athletic trainer of possibly wearing or 912-576-6355 in St. Marys or go to www. 912-466-5570 on St. Simons Island, or 912-576-6355 game just as long as any knee or ankle injury. the collar bone and acromium process of the shoul- a special brace during sports to help prevent future summitsportsmedicine.com. in St. Marys, or visit www.summitsportsmedicine. der blade together get stretched or torn. This usually dislocations. com. Stinger occurs from falling on an outstretched arm or by a Following the direction of an orthopedic surgeon A stinger, also known “a burner,” is a very com- direct blow to the tip of the shoulder. Pain and dif- and certifi ed athletic trainer will help an injured ath- mon football injury, but it often goes unreported. fi culty moving the arm in all directions are common lete experience the fastest recovery possible. A stinger is generally caused by a blow or tackle with this injury. Depending on the severity, there can ® to the neck or shoulder area. When this occurs, the also be a noticible deformity where the collar bone brachial plexus (a complex of nerves in the lower will produce a bump at the AC joint. Meet Dr. Beau Sasser References: neck and shoulder) can over-stretch or compress An AC sprain should be immediately managed American Family Physician. 1999 Nov 1;60(7):2035-2040 causing burning, tingling or even paralysis down with rest and ice, as well as a sling to support the Beau Sasser, M.D., is a native one arm. These symptoms usually subside within joint and decrease pain. Anti-infl ammatory medica- of Glynn County and a graduate Nation AD, Yard EE, Comstock RD, Mehl AJ, McKenzie LB. 2011. Football-related injuries treated in US minutes, but weakness and muscle tenderness can tion, such as over-the- counter nonsteroidal anti- of Glynn Academy. He received emergency departments: 1990-2007. Clinical Pediatrics (Phila.). Vol. 50, no. 3. (March): 200-7. (IF: 1.699) sometimes last days or even weeks. infl ammatory drugs, can be given to reduce pain and his undergraduate degree The athlete should not return to play until all control infl ammation. The athlete should visit his/her from Washington University symptoms have subsided and strength and range of physican to get x-rays, which will determine the se- in St. Louis, Missouri, and his verity of the sprain and rule out fractures or other medical doctorate degree from associated injuries. the Medical College of Georgia, An athletic trianer can assist the injured athlete where he also completed both Buck Cavalier, M.D. with range of motion and strengthening exercises. his internship and orthopaedic Orthopaedic Surgeon These should start as pain begins to subside. Full residency. strength and mobility are necessary before returning Following his residency, Dr. Sasser received Dr. Cavalier received his medical degree in 1999 from Medical to play. It is a good idea to protect the AC joint with a exclusive sports medicine training while in College of Pennsylvania-Hahnemann University School of Medi- doughnut pad prior to resuming contact activities. a fellowship program with the Kansas City cine (now Drexel University). Orthopaedic Institute. During his time there, he During his clinical clerkship there he was the recipient of the Ex- Shoulder Dislocation worked with the NFL’s Kansas City Chiefs, treating The shoulder joint is the most frequently dislo- a variety of sports and orthopaedic injuries incurred cellence in Orthopaedic Surgery award. cated major joint of the body.
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