A logo for richard t. dombrovski do

The Importance of Following Concussion Protocol in Sports

January 12, 2024

In the world of sports, ensuring the safety and well-being of athletes is paramount. One critical aspect of player safety is the implementation and adherence to concussion protocols. In this blog post, we'll delve into the significance of concussion protocols, the essential concussion tests, and the crucial aspects of concussion treatment.


Understanding Concussion Protocol

Concussion protocol refers to a set of guidelines and procedures designed to address and manage head injuries, particularly concussions, in athletes. These protocols aim to provide a systematic approach to recognizing, assessing, and treating concussions promptly. The primary goal is to protect the athletes from potential long-term consequences of head injuries.

A woman is holding her head while talking to a doctor.

Recognizing the Signs

Recognizing the signs of a concussion is the first step in the protocol. Symptoms may include headache, dizziness, confusion, nausea, and sensitivity to light or noise. Athletes, coaches, and medical staff must be vigilant in identifying these signs during and after games.

Immediate Removal from Play

If a concussion is suspected, the athlete should be immediately removed from play. Continuing to participate in the game with a head injury can exacerbate the condition and lead to more severe consequences. Quick and decisive action is crucial at this stage.

A doctor is examining a young man 's eye in a hospital.

Concussion Testing

Concussion tests are an integral part of the protocol, aiding in the assessment of the severity of the head injury. These tests are designed to evaluate various cognitive functions and physical abilities affected by concussions.

 Impact on Cognitive Functions

Cognitive tests assess memory, concentration, and reaction time. Athletes may undergo assessments like the King-Devick test, which involves rapid eye movement and reading tasks. Identifying any deviations from their baseline performance helps in diagnosing the concussion.

A group of football players are playing a game on a field.

Physical Assessments

Concussion testing also involves physical assessments. Balance and coordination tests, such as the Balance Error Scoring System (BESS), can reveal impairments caused by a head injury. These tests contribute to a comprehensive evaluation of the athlete's condition.

The Crucial Role of Concussion Treatment

Once a concussion is confirmed, proper treatment is essential to facilitate recovery and minimize potential complications. The following are key aspects of concussion treatment.

Rest and Recovery

The cornerstone of concussion treatment is rest. Athletes must allow their brains to heal by avoiding physical and cognitive exertion. This includes abstaining from sports activities, limiting screen time, and getting sufficient sleep.

Gradual Return to Play

A phased and supervised return-to-play protocol is crucial in preventing re-injury. Athletes progress through different stages, gradually reintroducing physical activity under the guidance of medical professionals. This stepwise approach ensures that the athlete is fully recovered before resuming full participation.

A young girl is doing a handstand on a balance beam in a gym.

Multidisciplinary Approach

Concussion treatment often involves a multidisciplinary approach. Medical professionals, including neurologists, physiotherapists, and sports psychologists, collaborate to address the physical and psychological aspects of recovery. This comprehensive strategy enhances the chances of a successful recovery.

The Consequences of Neglecting Concussion Protocol

Failure to adhere to concussion protocols can have severe consequences. Ignoring the signs and pushing through a head injury can lead to prolonged recovery times, increased risk of re-injury, and potentially permanent damage to the brain. Additionally, repeated concussions without proper management may contribute to chronic traumatic encephalopathy (CTE), a degenerative brain condition.

An elderly woman is sitting on the floor with her head in her hand.

Conclusion

Concussion protocol is a vital component of sports safety, aimed at protecting athletes from the immediate and long-term effects of head injuries. Recognizing the signs, implementing concussion tests, and providing appropriate treatment are essential steps in ensuring the well-being of athletes. By prioritizing concussion protocols, sports organizations contribute to creating a safer and more responsible sporting environment. Remember, when it comes to head injuries, following the protocol is not just a rule – it's a commitment to the health and future of the athletes we admire and support.


Dr Richard T Dombroski is an expert in concussion management. He has worked with the NFL and other professional sports organizations advising them on concussion protocol and recovery. He spent decades in the United States military helping the solders overcome head injuries, concussions, and amputations. His knowledge of head injuries and other related problems is unsurpassed!


Having retired from the military, Dr. Dombroski now uses his expertise to guide patients (both current military and regular civilians) towards the most efficient and optimal long-term treatment for the best possible recovery outcomes for the degree of trama they have experienced.


If you think you may have had a head injury of any kind it is imperative to have a doctor like Dr. Dombroski evaluate your injury and start your recovery. To see what days and times he is available for an appointment or just to see what might be best for your situation, contact his office today by calling 817-367-9289.



A computer generated image of a nerve cell with lightning bolts coming out of it.
By Todd Herbst February 5, 2025
What is Neuropathy? Neuropathy is a condition that affects the peripheral nervous system, leading to nerve damage and disrupting communication between the brain and different parts of the body. This can result in pain, numbness, tingling, or muscle weakness, most commonly in the hands and feet. Peripheral neuropathy is the most common form and can arise due to diabetes, infections, injuries, or exposure to toxins. Common Causes and Examples of Neuropathy Neuropathy can be triggered by various factors, including chronic diseases, genetic disorders, and external influences. Some of the most common causes include: Diabetes – One of the leading causes of peripheral neuropathy, often leading to nerve damage due to prolonged high blood sugar levels. Chemotherapy – Some cancer treatments can cause nerve damage, leading to chemotherapy-induced neuropathy. Autoimmune Diseases – Conditions such as lupus, rheumatoid arthritis, and Guillain-Barré syndrome can attack the nervous system. Alcoholism – Chronic alcohol abuse can cause nerve damage by depleting essential nutrients. Infections – Certain infections like Lyme disease, HIV, and shingles can contribute to nerve damage. Most Up-to-Date Neuropathy Treatments While neuropathy treatment depends on its cause, several approaches help manage symptoms and potentially support nerve regeneration: Medications Pain Relievers – Over-the-counter drugs like ibuprofen or prescription medications such as tramadol are used for neuropathy treatment. Antidepressants – Certain antidepressants, like amitriptyline and duloxetine, can help reduce nerve pain. Anticonvulsants – Medications such as gabapentin and pregabalin are commonly prescribed to manage nerve damage symptoms. Lifestyle and Alternative Therapies Physical Therapy – Helps improve muscle strength and mobility. Acupuncture – Has shown promise in relieving neuropathy symptoms by stimulating nerve function. Diet and Nutrition – Eating a balanced diet rich in vitamins B1, B6, B12, and antioxidants can support nerve regeneration. Transcutaneous Electrical Nerve Stimulation (TENS) – A non-invasive therapy that uses low-voltage electrical currents to relieve pain. Latest News and Advancements in Neuropathy Research Neuropathy treatment is constantly evolving, and researchers are actively exploring innovative solutions to promote nerve regeneration and alleviate symptoms. Some of the most promising advancements include: Stem Cell Therapy – Research indicates that stem cells may help repair nerve damage and promote nerve regeneration in patients with peripheral neuropathy. Gene Therapy – Scientists are investigating genetic modifications to enhance nerve repair and prevent further nerve damage. New Drug Developments – Emerging medications targeting nerve pain with fewer side effects are currently in clinical trials. Wearable Technology – Devices designed to stimulate nerve function and reduce neuropathy symptoms are being tested for real-world use. Regenerative Medicine – Scientists are exploring tissue engineering techniques to repair nerve injuries and restore lost function. Living with Neuropathy: Tips for Managing Daily Life Living with neuropathy can be challenging, but adopting certain strategies can improve quality of life: Exercise Regularly – Engaging in low-impact activities such as swimming, yoga, and walking can improve circulation and nerve function. Monitor Blood Sugar Levels – For individuals with diabetes, maintaining healthy blood sugar levels can slow the progression of peripheral neuropathy. Use Proper Foot Care – Inspect feet daily, wear comfortable shoes, and avoid extreme temperatures to prevent injuries. Reduce Alcohol and Quit Smoking – Both can worsen nerve damage and interfere with neuropathy treatment. Practice Stress Management – Techniques such as meditation, deep breathing, and mindfulness can help reduce pain and discomfort. Final Thoughts Neuropathy is a complex condition, but with the right neuropathy treatment and lifestyle adjustments, many people can manage their symptoms effectively. As research into nerve damage and nerve regeneration continues, new treatments are on the horizon, offering hope for better solutions in the future. If you suspect you have peripheral neuropathy, consult with a healthcare professional to explore the best options for managing your condition. By incorporating these latest advancements and practical tips, individuals affected by neuropathy can take proactive steps toward better nerve health and overall well-being. Dr. Dombroski is one of the leading specialists on helping those with neuropathy live better lives. Many people travel hundreds of miles or more to be treated by him and his clinic. If you've gone through all the normal resources and haven't found relief, give his office a call during business hours at 817-367-9289. If you want to be more familiar with Dr. Dombroski, read about him here .
A close up of a person 's hand being examined by a doctor.
By Todd Herbst January 23, 2025
What Is Peripheral Neuropathy? Peripheral neuropathy is a condition resulting from damage to the peripheral nervous system, which connects the brain and spinal cord to the rest of the body. This intricate network of nerves transmits sensory information, motor commands, and autonomic signals. When these nerves are damaged, it disrupts their communication and can cause a range of symptoms that significantly impact daily life. Common Symptoms of Peripheral Neuropathy The symptoms of peripheral neuropathy vary depending on the type of nerves affected. The three main categories of neurons are sensory, motor, and autonomic. Some common symptoms include: Sensory symptoms: Numbness or tingling (paresthesia) Burning or stabbing pain Heightened sensitivity to touch Loss of sensation, especially in the hands and feet Motor symptoms: Muscle weakness Cramps or twitching Difficulty with coordination or balance Autonomic symptoms: Abnormal blood pressure or heart rate Excessive sweating or inability to sweat Digestive issues, such as constipation or diarrhea Possible Causes of Peripheral Neuropathy Peripheral neuropathy can be caused by various factors. Some of the most common causes include: Diabetes: Diabetic neuropathy is one of the most frequent forms of peripheral neuropathy, often caused by prolonged high blood sugar levels. Infections: Conditions like Lyme disease, shingles, HIV/AIDS, and hepatitis C can damage peripheral nerves. Trauma or Injury: Physical injuries, including fractures or compression of nerves, can lead to neuropathy. Autoimmune Disorders: Conditions like lupus, rheumatoid arthritis, and Guillain-Barré syndrome may trigger neuropathy. Vitamin Deficiencies: Deficiencies in vitamins B1, B6, B12, and E can impair nerve function. Toxins: Exposure to heavy metals, certain industrial chemicals, or excessive alcohol consumption can damage nerves. Medications: Some chemotherapy drugs and certain antibiotics can cause neuropathy as a side effect. Hereditary Disorders : Genetic conditions such as Charcot-Marie-Tooth disease can result in peripheral nerve damage. Diseases Associated With Peripheral Neuropathy Peripheral neuropathy is not a standalone disease; it often occurs as a complication of other conditions. Some associated diseases include: Diabetes Chronic kidney disease Cancer (due to chemotherapy) Autoimmune diseases (e.g., lupus, Sjögren’s syndrome) Infections (e.g., HIV, Lyme disease) Hypothyroidism Medications and Vitamins for Treating Peripheral Neuropathy Medications Pain Relievers: Over-the-counter medications like acetaminophen or ibuprofen can help with mild pain. Prescription painkillers may be used for more severe cases. Antidepressants: Tricyclic antidepressants (e.g., amitriptyline) and serotonin-norepinephrine reuptake inhibitors (e.g., duloxetine) can relieve nerve pain by altering chemical levels in the brain. Anticonvulsants: Medications like gabapentin and pregabalin are effective for managing neuropathic pain by calming overactive nerve signals. Topical Treatments: Capsaicin cream or lidocaine patches can provide localized relief. Immunosuppressants: For autoimmune-related neuropathy, corticosteroids or other immunosuppressive drugs may be prescribed. Vitamins and Supplements Vitamin B12: Essential for nerve health and repair, B12 supplementation is particularly helpful for neuropathy caused by deficiencies. Vitamin B1 (Thiamine): Supports healthy nerve function and may help with neuropathy symptoms. Vitamin B6: Necessary for nerve function but should be taken in moderation to avoid toxicity. Alpha-Lipoic Acid: An antioxidant that may reduce inflammation and improve nerve function. Acetyl-L-Carnitine: Shown to reduce pain and promote nerve repair in some studies. Current Success Rates of Treatments The success of treatments for peripheral neuropathy depends on its underlying cause and severity. While some patients experience significant relief, others may only achieve partial improvement. For example: Diabetic Neuropathy: Early management of blood sugar levels and lifestyle modifications can slow progression. Medications like gabapentin and duloxetine are moderately effective in relieving pain. Chemotherapy-Induced Neuropathy: Treatments like acupuncture and physical therapy have shown promise, but complete recovery is rare. Vitamin Deficiency Neuropathy: Supplementation often leads to substantial improvement if the deficiency is addressed early. Overall, symptom management is the primary goal, as complete nerve regeneration is challenging in most cases. Emerging Treatments and Future Directions Research into peripheral neuropathy is ongoing, and promising treatments are on the horizon: Gene Therapy: Investigating the potential of gene editing to repair damaged nerves or correct genetic mutations associated with hereditary neuropathy. Stem Cell Therapy: Early studies suggest that stem cells could promote nerve regeneration and reduce inflammation. Nerve Growth Factors: Developing drugs that enhance nerve repair by stimulating growth factors. Non-Invasive Devices: Advanced devices like transcutaneous electrical nerve stimulation (TENS) and wearable neuromodulation systems are being refined for better outcomes. Targeted Biological Therapies: Research into monoclonal antibodies and small molecules offers hope for specific and effective treatments. Conclusion Peripheral neuropathy is a complex condition with a variety of causes, symptoms, and treatment options. Early diagnosis and targeted treatment can significantly improve quality of life for those affected. While current therapies focus on symptom management and addressing underlying causes, emerging treatments hold promise for more effective and long-lasting solutions. By combining advances in medical science with personalized care, the future looks brighter for individuals living with peripheral neuropathy.
MRI image of head and brain looking for brain injury and trama
By Todd Herbst January 14, 2025
Car accidents often cause head injuries. A common injury is a concussion. Concussions are common but often underestimated or mismanaged . This can cause long-term physical, cognitive, and emotional issues. Effective concussion management is vital. It reduces the risk of lasting damage and boosts recovery. This article will explore the importance of concussion management for car accident victims. It will cover tests, treatments, care, and outcomes for concussions.
Share by: