Skateboarding is a popular activity among children, teenagers, and young adults. It is recreational, competitive, fun, and exciting but, like any sport, carries a risk of injury. There are around 70,000 skateboarding injuries requiring a visit to the emergency room every year. The most common injuries involve the shins, ankles, forearms, wrists, elbows, face, and skull, with many left untreated that worsen as they heal improperly, leading to further damages and complications. Chiropractic can treat the injuries, rehabilitate the muscles and joints, and strengthen the body to get the skater back on their board.
Skateboarding Injuries
Skateboarding injuries can range from scrapes, cuts, and bruises to sprains, strains, broken bones, and concussions.
Shin injuries often happen during flip/twist tricks where the board or axle hits the shin causing bruising and swelling.
Shoulder, wrist, and hand injuries are common when skaters lose their balance and fall with outstretched arms.
Ankle injuries include rolls/sprains, as well as dislocations and fractures.
Dislocations usually happen to the shoulders, wrists, and fingers.
Facial injuries include teeth knocked out, broken nose, or jaw are typically caused by fast forward hard falls.
Severe injuries include concussions and head injuries.
Injury causes
Skateboarding injuries typically occur from:
Skating on irregular surfaces locks up wheels and affects balance, causing falls.
Losing balance or losing control of the board and falling hard/slamming into the pavement.
Inexperience, slow reaction times, and less coordination lead to falls and slams.
Skating into another skater, a person walking or cycling, a car, or a road hazard.
Trying an advanced trick/maneuver too soon and beyond their skill level.
Help prevent further injuries and long-term effects.
Chiropractic Skateboarding Injury Treatment
References
Forsman, L, and A Eriksson. “Skateboarding injuries of today.” British journal of sports medicine vol. 35,5 (2001): 325-8. doi:10.1136/bjsm.35.5.325
Hunter, Jamie. “The epidemiology of injury in skateboarding.” Medicine and sport science vol. 58 (2012): 142-57. doi:10.1159/000338722
Partiali, Benjamin, et al. “Injuries to the Head and Face From Skateboarding: A 10-Year Analysis From National Electronic Injury Surveillance System Hospitals.” Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1590-1594. doi:10.1016/j.joms.2020.04.039
Shuman, Kristin M, and Michael C Meyers. “Skateboarding injuries: An updated review.” The Physician and sportsmedicine vol. 43,3 (2015): 317-23. doi:10.1080/00913847.2015.1050953
Many individuals enjoy riding all-terrain vehicles, or ATVs. It is a fun pastime and it gets individuals outdoors. However, when driving/riding any type of motor vehicle there is potential for crashes and accidents that can result in severe injuries. Unfortunately, many individuals get on an ATV without properly understanding how the vehicle operates, safety measures, and what to do in an emergency. Several facts about ATV accidents, provided by the Consumer Product Safety Commission:
130,000+ individuals are injured every year from ATV accidents
Over 700 individuals are killed in these accidents every year
Around one-third of the individuals killed are under the age of 16.
Many of the accidents could have been prevented if proper safety protocols were followed
Many of these accidents are based on negligence or recklessness of the driver or other individual/s doing the same in close proximity. The causes range from:
Speeding recklessly
Steep hill-climbing
Rollovers
Drunk driving
Exceeding capacity
Many of these vehicles are designed to hold one passenger only. When a second or third passenger is on the vehicle, the accidents are usually of the secondary passengers falling or getting thrown off. In other cases, the passenger is not able to shift their weight with the driver, resulting in throwing the entire vehicle off-balance.
ATV
Today ATVs are used for various jobs including border patrol, construction, emergency medical response, snow plowing, and maintaining farmland. They can be fun, but they can also be extremely dangerous if not properly ridden. Every year faster, and more powerful ATVs arrive on the market for purchase. The first ATVs had around 7-horsepower, an 89 cc engine, and weighed about 200 pounds. Today, some have engines that are 600 ccs, with 50 horsepower, weigh over 400 pounds, and can go up to 100 miles per hour. These are powerful machines that can cause severe injuries.
Injuries typically happen to men around 18 to 30 years of age
80 percent of injuries impact the driver and not the passenger
The most common injury cause is associated with flips and/or rolls
When this happens, both the driver and passenger can get thrown and in some cases, pinned underneath.
Symptoms and Injuries
Common ATV injuries include:
All around body pain
Muscle stiffness
Fractures
Broken bones
Dislocation/s
Whiplash
Headaches
Migraines
Concussion
Neurologic injuries
Spinal cord damage
Chronic pain
Blurred Vision
Chiropractic and Physical Therapy
Just like automobile accident injuries, there can be delayed symptoms that begin to present over days or weeks. Seeking the proper treatment as soon as possible is important to decrease inflammation and swelling before the injury/s worsens, or leads to other debilitating conditions. Injury Medical Chiropractic and Functional Medicine Clinic can help restore mobility and flexibility after an ATV accident. A combination of physical therapy, chiropractic adjustments, and massage will help with:
Keep a phone or other communication device in case of an emergency
Body Composition
Phase Angle values can determine what’s going on in the body
It can help identify health risks, address underlying health issues, and track the progress of lifestyle changes like diet and exercise. For many individuals phase angle analysis has helped them make data-driven health and wellness decisions. Many medical practices are using it to personalize a patient’s treatment plan. Lifestyle factors that are likely to impact phase angle include:
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Cauda equina syndrome is an emergency that needs to be treated as soon as possible. It is a form of spinal nerve compression, but if left untreated, it can lead to permanent paralysis of one or both legs and permanent loss of bowel/bladder control. Lower back pain after sitting for too long or improperly lifting something heavy happens to most if not all of us.
However, sometimes pain in the lower back can be an indicator of something more serious. Especially, for individuals that are dealing with or managing back pain. One condition is cauda equina syndrome. It�s not like sciatica or arthritis, but it does have specific symptoms that individuals should be aware of.
Cauda Equina Syndrome
The term comes from Latin that means horse�s tail. The cauda equina forms the group of nerves that run through the lumbar spinal canal. Generally, the condition means two things:
There is nerve compression of most of the lumbar spinal canal
Compression symptoms like numbness or weakness in the leg/s
How cauda equina syndrome differs from typical compression of the lumbar spinal canal is that it can be caused by different issues, from fractures, tumors, and infections. More commonly, it is disc herniations that cause the problems. The key difference is the degree of nerve compression, and the number of nerves compressed.
For example, compression of a single nerve will not cause loss of bladder function. But compression of multiple nerves, especially the sacral nerves can cause loss of function. Nerve compression that leads to pain or numbness can be treated differently. Surgery is reserved for severe cases and for individuals that are not improving with non-invasive treatment.
Sneaky Presentation
One of the major factors is long-term compression that individuals do not realize they have. Individuals are more likely to be aware of symptoms from another spinal condition before cauda equina syndrome presents. However, the condition presents quickly but often other overlapping back problems mask cauda equina syndrome.
Causes
The syndrome can be brought on from anything that compresses the nerves. Most commonly, it is a root compression from degenerative processes, specifically lumbar disc herniations. Other causes include:
A doctor will examine any significant changes in bladder, bowel, or leg function that are considered red flags prompting an early and complete assessment. A physician will ask for a complete/detailed history of the onset and progression of symptoms.
The second is a close physical examination which includes testing sensation and strength along with a rectal exam to assess voluntary contraction. Also checking the body’s reflexes, assess walking gait and alignment. If most or all of the symptoms are presenting this will set in motion spinal imaging or an MRI. If the symptoms, exam, and imaging match, it will lead to an emergency admission to the hospital.
Body Composition Spotlight
Obesity and Osteoarthritis Connection
A variety of factors contribute to the development of osteoarthritis, including genetic factors and lifestyle choices. Research supports obesity is a significant risk factor in the development of osteoarthritis. It is pretty straightforward as body weight increases this equals increased load on the spine, and joints, especially the weight-bearing ones like the hips and knees. Increased pressure leads to early wearing, tearing, and eventual development of osteoarthritis. Added weight affects the body’s biomechanics and gait patterns.
However, obesity has also been shown to be a risk factor even on the non-weight-bearing joints. This is based on adipose tissue, which is more than just insulation. Adipose tissue is metabolically active and is involved in the secreting adipokines and cytokines which promote an inflammatory response. Pro-inflammatory adipokines and cytokines can have detrimental effects on joint tissue including damage to cartilage, synovial joints, and subchondral bone. The effect of inflammation on the joints in the body can contribute to the development of osteoarthritis.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico*
It’s the weekend in the backyard doing some chores, grilling, etc, while several kids play and jump on a� nearby trampoline. The joviality from all this fun is filled with laughter, screams of joy, and other sounds or game instructions from one child to another. Then there is silence. The kids are huddled around their friend. One of the children fell off flat on their back.
The paramedics arrive and immobilize the head, neck, and spine strapping the child to a backboard and off to the hospital where there is no severe damage, just some mild bruising but everything turned out ok. This was a made-up scenario but unfortunately, emergency room doctors are seeing and treating this type of injury more and more.
Statistics
The statistics of the number of trampoline-related injuries treated in emergency rooms.
A simple analysis of the above stats is shocking. This means that since 1995, the number of injuries has increased between 30 and 45 percent. The CDC states that around 10 percent of trampoline injuries affect the head and neck. Many injuries are minor like bruising, scrapes and whatnot but some can be serious like broken bones, blunt-force trauma, and even paralysis.
For Home
Most of us see trampolines as a toy but are not aware of the dangers that come with it. Most injuries take place on trampolines purchased for home use. The American Academy of Pediatrics recommends that parents never let their children use a friend’s trampoline. While the American Medical Association recommends children should not be allowed to play/jump on a trampoline, even with adult supervision.
Trampoline Safety
Equipment Tips
A full-size trampoline consists of flexible fabric attached to a metal frame with springs, hooks, and a safety mesh/net. Most are around three feet off the ground. Consider the following safety tips:
Read the information and instructions provided by the trampoline manufacturer. Give this information to anyone who will be using the trampoline.
The proper placement of the trampoline is very important. Look at the location and surrounding area. Don’t place the trampoline close to a house/building, playground equipment, a swimming pool, the street, electrical lines, outdoor appliances, and plants/trees.
Remember a child can bounce 10 feet or higher in the air from a trampoline.
Make sure the springs, hooks, and frame are secured and covered with sturdy shock-absorbing pads.
There should be shock-absorbing material all-around and under the trampoline.�Use the owner�s manual for recommended materials.
Stores where trampolines are sold often sell special padding.
Check the trampoline for wear and tear often. Which include the frame’s structure like the screws, bolts springs, hooks, and fabric.
Using the Trampoline
Step-ladders, boxes, and chairs to climb on the trampoline should be kept out of reach to prevent children from using the equipment without permission. And they should be moved out of the way once the individuals are on.
Do not use the trampoline when darkness begins to take over like sunset. Individuals cannot see and when up in the air judging distance and where the trampoline is can be difficult/impossible.
Before use, warm-up with a few exercises. To make sure muscles are loose and ready to react.
Children need adult supervision at all times. Judging distances, foreseeing danger and quick reaction in situations that can become dangerous require an adult.
At least two adults are needed to spot the individuals and help prevent anyone from falling off.
Most want to jump together but too many people on a trampoline can be dangerous. Limit the number of people to where they can bounce safely without bumping into someone else, or falling off from lack of space.
CDC reports that half of all injuries happen when more than two people use a trampoline. Usually, this happens with children that are lightweight, still not fully coordinated, and can’t control how they move, especially in the air.
Learn how to land properly.
Unless a professional or expertly trained do not try somersaults, backflips, stunts, or crazy acrobatics.
Don’t jump or bounce off the trampoline.
Professional Help
There are professional gymnastic centers that have trampolines with padding all around and also give lessons/classes on proper usage. This could help a great deal, as it could be a safe alternative instead of home use. But if not then take the classes which could save a trip to an emergency room!
As El Paso�s Chiropractic Rehabilitation & Integrated Medicine Center, we are focused on treating patients after debilitating injuries and chronic pain conditions. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
The Best Sports Injury Rehabilitation Chiropractor El Paso, TX.
NCBI Resources
Spinal cord injuries occur more in the neck or cervical spine. Around 60% of cases involve the neck, followed by the mid-back or thoracic spine that averages to around 32% of injuries. Although most people experience low-back pain,�only 9% of spinal injuries occur in the low back and tailbone or lumbosacral spine.
Damage to the spinal cord not only affects the area where the point of impact occurred. The primary injury can also�damage cells, dislocate the vertebrae and cause spinal compression.�It can also trigger secondary injuries, that cause a series of biological changes. This can happen within weeks or months after the injury.
This is the season of the year that brings special time with loved ones, but it�s also a time when many un-merry mishaps and accidents can happen. From neck and back pain to sprains and strains to serious fractures that can put you in the emergency room. With a little care, preparation and precaution, you can be safe and enjoy the holidays to the fullest, while reducing the risk of experiencing a slip and fall injury.
The Garage
This is where holiday prep, go for tools and the like usually begin. However, the garage can be the first place where danger lurks during this season.
Most of us store the big boxes at the top on overhead storage racks etc. A wobbly step ladder, not enough upper body strength, someone opening the door where the ladder stands and tipping it, etc, is a perfect setup for a fall.
The first thing to ask is whether or not this is a job for you? If not then wait and ask for help from friends and family that can offer added strength and balance.
Plan ahead and prepare ahead so that repacking the decorations, lights, and so on will be a clean safe process.
Proper footwear that can grip a stable step ladder is a must.
Around the Tree
Anything can happen around the tree, ornaments fall and break, wire from the lights shorts out, trip and fall around it.
Just be aware of your surroundings and maybe keep a safe perimeter around the tree so nobody trips, slips and falls around it.
Focus on stability on a ladder if you have to add, adjust, the tree/ornaments, lights and what have you.
If the tree starts to lean, make sure reinforcements are there just in case when you’re ready to straighten it out.
Maybe Get Off the Floor
Wrapping gifts on the floor doesn’t pose the greatest risk for a spine injury, but it can increase chances for a�muscle�strain and sore back and neck. Hours just hunched over on the floor is a sure-fire set up for back pain.
Again plan ahead and knock out the trimmings and trappings little by little so there is plenty left in the tank when it’s time for the main event.
Maybe set up the wrapping station at a table and sit for a bit, stand for a bit,� take plenty of breaks, and move around and stretch out.
Sitting in a chair will help posture and prevent slouching.
On the House
As a spine injury specialist, I can tell you falls from the roof while hanging lights are real, and can be life-changing. From severe spine injuries to paralyzing fractures.
Safe Equipment is of the utmost importance!
Make sure the ladder you�re using is sturdy and on solid ground.
Only hang the lights from the eaves, so you can stand on a ladder.
Maybe think about using one of those projection kits that project various displays onto your house without the risk of injury.
No matter how you choose to decorate and entertain this holiday season, safety is priority one. From our team here at�Injury Medical and Chiropractic Clinic Happy Holidays!
El Paso, TX Chiropractor Personal Injury Attorney Recommended
NCBI Resources
The connective tissues in and around the spine can get:
Pulled
Strained
Sprained
Small tears in the disc can also contribute to back pain.
Basically, any number of activity and non-activity can cause damage to the spinal discs depending on the movement.
Manual tasks performed in an awkward posture
This includes:
Lifting boxes with the back and not bending the knees
Lifting something too heavy
Moderate physical activity
Vigorous physical activity
High intense strength training, long walks at the stores, handling people or animals, and picking up children can cause injury.
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