 Here’s what we know:
That last bullet point is a HUGE problem. How do we know when an athlete is ready? Traditional return-to-sport criteria are mainly focused on the time after ACLR and knee-specific impairments, while the return-to-sport decision-making process is only made at the hypothetical “end” of the rehabilitation period. When is this “end” point? When the patient runs out of insurance-covered visits? When the ortho clears them based on a 5-minute exam? When there’s no longer a government shutdown? This “end” point is completely made up and very subjective. That is why we need more concrete, objective measures to allow these athletes return to sport at a high level with the lowest risk of re-injury.  Dingenen et al. proposes: “an optimized criterion-based continuous and multifactorial return-to-sport approach based on shared decision making, with a focus on a broad spectrum of individual sensorimotor and biomechanical outcomes, within a biopsychosocial framework.” I could not agree more.  This means that we need to get away from time- and isolated-based assessments and look at this from a holistic 360 degree view, taking into account not only the biological factors of the athlete, but psychosocial factors as well. Since there are many individuals involved in this process, it takes a team to make the outcome truly successful. This team consists of the individual, their family, physical therapist, athletic trainer, orthopedic surgeon, sport coach, strength coach, etc.
Remember – A single component alone (i.e. time) is not enough to determine whether someone is ready. All of the components below could have the box checked except the last one and this athlete would still not be ready. I hope this provides some insight to you if you are going through this process as an athlete, parent, or clinician looking to return to sport.
Cheers, Dr. Ravi Source: Dingenen B, Gokeler A. Optimization of the Return-to-Sport Paradigm After Anterior Cruciate Ligament Reconstruction: A Critical Step Back to Move Forward. Sports Med. 2017;47(8):1487-1500.
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 “Since 2008, average family premiums have increased 55 percent, twice as fast as workers’ earnings (26%) and three times as fast as inflation (17%).” “Premiums for employer-sponsored family health coverage rise 5% to average $19,616; single premiums rise 3% to $6,896.” “Deductibles for covered workers has tripled since 2008, growing 8 times faster than wages.” Not trying to be a Negative Nancy, but that’s no bueno. Unfortunately, this is where our current healthcare system stands. This data was released by the Kaiser Family Foundation in a recent survey. The annual survey was conducted between January and July of 2018 and included 4,070 randomly selected, non-federal public and private firms with three or more employees (including 2,160 that responded to the full survey and 1,910 others that responded to a single question about offering coverage). Over the past decade, insurance premiums and deductibles have significantly increased relative to workers’ earnings and inflation. We continue to pay more for insurance, but get less in return. We want a healthier country, but we continue to create barriers to access “healthcare.” So how do we change this? Use the system less and, more importantly, NEED IT LESS. What I’m getting at is taking control of our own health. We have plenty of data to show that chronic disease is impacting this country.  Improving and maintaining our health and wellness through movement, nutrition, sleep, stress management, and social relationships is crucial. With technology, we have this information at our fingertips. While it can be tough to decipher through the guruism and instamodels these days, it’s important to do your research and find professionals that you trust with your health. Here are some general recommendations we give: 1. Move everyday. Strength train at least 2-3x per week. Test your heart and lungs. 2. Eat real food, not too much, mostly plants (but also.. protein is life). 3. Get at least 7 hours of quality sleep each night. 4. Stress management is often overlooked and this can be managed through self-reflection, meditation, counseling, exercise, etc. Find what works best for you. 5. Social connection and relationships is an area I believe is very important for all of us. We all have our people and it’s important to prioritize those relationships for our own health and well-being. If you want to dive further into the details of this survey, you can find the original article here: https://www.kff.org/health-costs/press-release/employer-sponsored-family-coverage-premiums- rise-5-percent-in-2018/?fbclid=IwAR2u9WY8T4eAiEOUaJQkjHXF7-p6xEVXPHXhx5Qpup-o- NKz-slUBSK-1Bc Insurance and healthcare is expensive. Employers and employees are starting to take notice of this tread. They’re being incentivized to take a proactive approach as well as minimize the use of their healthcare. At the end of the day, let’s get people moving better and eating less shit, and more importantly, realize that we have the power to take control of our health and avoid being imprisoned by this expensive healthcare system. Cheers, Dr. Ravi  Coming at you with the the final part of our two-part series for ensuring healthy shoulders while improving your pull-ups. In this part we’re talking about how to develop appropriate strength in the appropriate areas. For those of you who missed it, part one is super important and I highly recommend reading that before moving on with part two. For those of you who are caught up, let’s get after it. Part II: Strength In any training program, it’s important to make sure your movements are balanced and that your shoulders are working in multiple directions (ex: vertical pulling, horizontal pushing, horizontal pulling, etc). The pull-up is an excellent example of a vertical pull strengthening exercise. With most pulling exercises, your body is primarily moving through two movements: elbow flexion and shoulder extension. This means your primary shoulder extension (latissimus dorsi, teres minor, post delt) and primary elbow flexion (biceps brachii, and brachialis and brachioradialis) muscle groups need to work synergistically to perform this movement appropriately.  https://coreem.net/core/biceps-and-triceps-tendon-rupture/ Unfortunately this synergistic relationship isn’t normally the case. More often than not I find that people way over utilize elbow flexion and underutilize shoulder extension. When this happens bad things happen and those bad things usually end up manifesting themselves as pain along the front of the shoulder. As you can tell in the picture above, the long of of your biceps tendon crosses the shoulder joint and when you rely too much on elbow flexion with pulling based exercises, you can end up agitating that tendon, which leads to shoulder pain. I see the aforementioned situation happen all the time in athletes who do a lot of kipping pull-ups vs strict pull-ups, specifically in those who don’t have the requisite strength to perform consecutive strict pull-ups but are repping out 15+ kipping pull-ups at a time. Now I’m not saying kipping pull-ups are bad or that you shouldn’t do them, but kipping pull-ups should be an expression of strength, not a way to avoid a weakness. To ensure you’re not overusing your biceps while doing the pull-up you want to have strong, engaged lats (latissimus dorsi). To make sure this is the case, check out our top 3 exercises below for improving shoulder lat strength and control. Drill #1: Active Hangs This drill is an all time favorite of mine for a couple of reasons. First, it allows you to feel how your lats should be contracting while you are going a pull up. Second, it allows you to strengthen your shoulders in a vulnerable/weak position. You’re only as strong as your weakest link and being strong in a weak position is a great way to prevent injuries. Drill #2: Lat Pull Over This one is a great example of “killing two birds with one stone” because not only are you able to improve lat strength with this drill, but because of the long eccentric phase (muscle contracting while lengthening) of this drill, it’s also a great way to improve shoulder mobility. Drill #3: Single Arm Banded Lat Pull Downs Breaking up a bilateral movement (using both arms) into a unilateral movement (using one arm) is a highly underutilized training modality that allows to balance out weaknesses. Plus, as an added bonus, you’re able to perform a vertical pulling drill at a slightly different angle which, as we talked about above, is how you train for healthy shoulders. If you have shoulder pain while doing pull-ups, or want to prevent pain from coming, this two-part post is a great place to start. Ensuring appropriate mobility and then building appropriate strength is a common occurrence in the rehab world. If you’re in the Atlanta area and are interested in working with a unique professional that can help you optimize your health in all of these areas, we need to talk. Being proactive and staying on top of your health will help you avoid serious health problems down the road. Submit a contact request by clicking the button below and we’ll get you set up with one of our Doctors for a free 15-minute phone consult. Thanks for reading, Dr. Jacob  Have you ever been in the middle of a workout and feel an ache or pain? It’s completely normal if it’s something small and goes away. It’s another story if it continues to bother you or increase in pain. Sometimes we just do too much (or too little) and it pisses off some part of our body. You may start to realize it’s impacting the way you move and you may even avoid a particular movement that causes the pain altogether. Often times, people see this as a sign to take some time off and rest. This may be the case in some instances, but it’s not always the best solution. Some people go to a healthcare professional to find out what’s going on. Quite frequently, they’re told to stop that activity or exercise. We hear it all the time from new patients. “Squats are bad for your knees.” “Running will wreck your body.” “Stop doing CrossFit. You’ll get hurt.”  [Credit: Barbell Physio] But, what if you’re an Olympic weightlifter who has a competition coming up? What if you’re a runner who loves a good 5k? What if you have a stressful job and CrossFit is your outlet to relieve that stress? Come on, healthcare - we can do better. If these are your goals, we want to help you get there. Here’s 5 different ways to train around pain and decrease stress on that painful area:
MAIN GOAL: MAKE THE LEAST CHANGES POSSIBLE TO THE MOVEMENT Now, let’s break down each one of these using knee pain with front squats as an example.
 [Credit: EricCressey.com]
 [Credit: Barbell Rehab]
Here are a few other examples for you:
Here’s the overall concept: Pain comes on --> scale back movement slightly --> train movement --> adapt --> progress difficulty --> adapt --> back to prior level --> continue training pain-free --> hit PR  [Credit: kcbi.org] I believe that any great coach or physical therapist should be able to modify and progress/regress any movement or activity. If you have given these methods a shot and pain continues to impact your life, then find a healthcare professional who understands your goals and doesn’t tell you to stop.
Cheers, Dr. Ravi  Squatting is simple- get down and get back up. It’s an essential movement for everyone. Children often hold a squat and play. We all must squat, to differing heights, to get on and off the toilet. The elderly need to be able to sit down and stand up on their own to promote quality of life and longevity- this is a squat! But squatting actually isn’t simple. There are 101 ways to squat, some awesome and some not so awesome. However, there are five “principles” that are true across all of the barbell squats. I’m not sure these are the only principles, in fact I know they are not, and I’m not sure principle is the right word. Anyway, these are five pieces of the squat that I am constantly emphasizing with patients. #1 Set up and create tension while the barbell is in the rack- Place your hands, set your feet under the bar, full grip on the bar and elbows down. Then unrack the bar and maintain this while you squat.  #2 Toes stay down- Feet should remain fully planted. Big toes and heels stay down, screw feet out into the floor and descend into your squat.  #3 Maintain Stacked Position- Use a PVC or broomstick to check your ribs and pelvic position throughout the range. The stick should remain in contact with back of your head, mid back (between the shoulder blades) and hips.  #4 Hip Below Knees- This position is not unsafe or bad for your knees. In fact, it is healthy for your knees to have full range of motion. Warning: this will lead to glute gainz that might lead you to needing new pants.  #5 Bar over midfoot- Regardless of the type of squat, the bar should still be aligned over the middle of your foot. Take some film of yourself the next time you squat and see how it looks!!  If you have pain when you squat, try applying these principles. This is a great way to find major movement deficits and clean them up. If you can’t seem to add weight to your squat, apply these principles. Creating more tension with shoulder and foot set up can be enough to help you put up bigger numbers. Maybe your squat is perfect... Probably not. Apply these principles! Thanks for reading, Dr. Jackie  [Credit: San Francisco Chronicles] Did you know that 70-85% of ACL injuries are typically non-contact? Or, that female athletes have a greater risk of ACL injury compared to males playing similar sports? It seems like every week you hear about another athlete who tears their ACL. In the NFL, 36 season-ending ACL injuries have been reported this year. Three took place this past Sunday, including a non-contact ACL injury by 49er’s QB Jimmy Garoppolo.  [Credit: Fox Sports] What’s even worse is when it comes from a celebration… A contact ACL injury seems to justify itself more so than a non-contact ACL injury. These season-ending injuries can have a huge impact on an athlete. Not only is it a long and costly process, but it can take a toll on you as an individual from a physical and mental standpoint. Take it from someone who has had two ACL injuries himself. I’ve even talked to parents who keep their kids out of sports due to the risk of an ACL tear. After my first ACL injury, my mom begged me to stop playing football and cheer my team on from the stands…HA! Love you Mom, but no way was that happening. I had to come back to play my senior year and it was 100% worth it. My second ACL tear was non-contact and didn’t come until six years later – which has fueled me on a path to help those who have suffered this same injury. So……Can ACL injuries be prevented? Prevented? Not really. Reduced? Definitely. Prevention means that we can stop something from happening, which means we can predict it. We’re not quite there yet. Reduction means we are making it smaller or less in amount, degree, or size. We have proof of this. For simplicity's sake, you will still see prevention and reduction used interchangeably, but keep in mind what we discussed above. A powerful research study came out this year by Webster et al. 2018 - Meta-Analysis of Meta- Analyses of Anterior Cruciate Ligament Injury Reduction Training Programs. It conclusively shows that 50% of all ACL injuries and 67% of non-contact ACL injuries in females can be reduced with the simple implementation of 2-3x per week of injury reduction/prevention programs.  [Credit: Woodcreek Soccer] Some important components of these programs are: Dynamic Warm-Ups Foundational Strength Proprioceptive Training Plyometric and Power Development Acceleration/Deceleration, Multi-directional Sport-Specific Training In later posts, we will break down these different components of a well-designed injury prevention program. At Athletes’ Potential, we design and implement these programs often to help our athletes, whether you’re someone who has had their first surgery or an unsuccessful rehab experience. It is our goal for the athletes we work with to return to their sport not only physically prepared, but mentally as well. Please feel free to reach out to our Docs if you have any questions. Cheers, Dr. Ravi  Whether you’ve never stepped into a gym or are a diehard fitness enthusiast, chances are you’ve attempted a pull-up. That’s a good thing! It’s hard to argue an exercise that is more foundational to upper body strength than the pull-up. That being said, for how much I love this exercise and think it is something everyone should be doing (or at least a type of modification), I treat patients all the time in the clinic with shoulder pain related to the pull-up. Whether it be mobility issues, strength, or poor technique, there are a number of reasons why your shoulder can hurt during or after pull-ups and this article is the first of a two-part series that will teach you how to keep hitting your pull-ups pain-free! Part 1: Mobility First and foremost, let’s take a look at what exactly is happening at the shoulder joint while doing a pull-up. When you raise your arms over your head to get in the starting position for this exercise, your shoulder joint has to do a combination of two movements: flexion and external rotation. If you're limited in any of these two ranges of motion your body will make compensations to get your arm in position, which will eventually set you up for a higher risk of injury. Think of it this way: If your car tires are out of alignment, nothing will happen right away, but eventually there is going to be uneven tread wear and you’ll end up blowing a tire sooner than later. The same can be said for your shoulder if you're lacking requisite mobility with either shoulder flexion or external rotation. The videos below are great ways to test if you have enough shoulder range of motion, as well a favorite drill of ours to improve any range that needs work. 1. Flexion  (Shoulder Flexion Self-Assessment (Performed by Norcal Strength and Conditioning)
(Banded Overhead Opener)
(Thoracic Spine Opener)
2. External Rotation  (Shoulder External Rotation Self-Assessment - Performed by Michael Carroll)
(Chest Opener)
(Front Rack Opener)
To recap, if you have shoulder pain while doing pull-ups, or want to prevent pain from coming, the first place to start is to make sure you have enough shoulder flexion and external rotation to perform the exercise without compensation. Be on the lookout for Part II of this blog post which will dive into the common mechanical flaws and strength imbalances that can lead to shoulder problems with the pull-up. If you’re in the Atlanta area and are interested in working with a unique professional that can help you optimize your health in all of these areas, we need to talk. Being proactive and staying on top of your health will help you avoid serious health problems down the road. Submit a contact request by clicking the button below and we’ll get you set up with one of our Doctors for a free 15-minute phone consult. Thanks for reading,
Dr. Jacob  We’ve all seen the outliers: People who are in their 70s, 80s and 90s that just look like they’ve aged better than everyone else. Not only do they seem physically healthier, but they’re mentally very sharp. Early on in my career as a physical therapist, I had the opportunity to work with one such man. His name was Charlie and he owned a mechanic shop in New Braunfels, Texas. When I saw him, he was 85 and was coming in because of some hip pain. I was blown away by how physically active and quick-witted he was. He still worked full time in his mechanic shop with his two sons. The main reason for him coming in was that his hip pain was limiting him when it came to climbing into his deer stand. To make him even more impressive, he was on no medications. He had never had a significant health issue and lived independently. If you’ve been around people in their 80s, being on no medications is incredibly rare in its own right. I ended up working with Charlie for a few months and every time I saw him I picked his brain on life and how he was so healthy and active at his age. Over the course of our time I picked up 4 Key Habits that had contributed to his remarkable physical and mental health at his age. If you want to age like Charlie, stick to these four habits: Habit 1: Move a lot Charlie never did one day of structured exercise in his entire life, except when he was in the Army early in his life. What Charlie did a lot of was move. He started his mechanic shop in his 30s and had been doing that pretty much everyday for 50 years. This is a physical job to say the least, so he had a lot of movement built into his day. He also was a big believer in walking. He would walk 3-5 miles every morning with his dog. You don’t have to exercise much if at all when you move and are active all day long. Habit 2: Have something to wake up for I thought this was a really interesting piece of advice he gave me. He gave me this nugget of advice as he was describing the new computer software they were using for his mechanic shop. In his mid 80s, he was learning a new software program to help his shop run more efficiently. He was so excited about the changes they expected to see with this new change. What I found out was that he loved what he did. He was obsessed with cars and making them run better. He had done what very few people every accomplish. He had matched up his interest in live with how he made his living. He got up early everyday so he could be at his shop to open up and greet the first customer. Constantly trying to improve and having something worth waking up early for really resonated with me. Think about how many people hate their jobs. The internal stress created with hating what you do, yet having to go and do that everyday is significant. Charlie was onto something and it was one of the big reasons for his long term health. Habit 3: Eat like you have Type I Diabetes Charlie’s wife had died about 10 years before I met him. She was born with Type I Diabetes and had lived an incredibly long life for someone born in the early 1900s with Type I Diabetes. Charlie credited the way his wife had the family eat to much of his health. Because his wife had to be very strict about what she ate, the entire family just ate the way she did. There were two big nutrition components to how he ate. First, he ate minimal to no sugar besides fruit. Black coffee instead of with creamer, banana on his oatmeal instead of brown sugar and he never ate desserts. Second, eat nothing white. Charlie explained that his wife would have big insulin spikes when she would eat white bread, rice, or even drink milk. Recent studies have shown that a cup of milk causes the same insulin response in the body that eating a piece of white bread does. He and his wife just figured this out by tracking her insulin response to food. Other than that he ate pretty much whatever he wanted. He was a big fan of the brisket from Rudy’s BBQ which was right down the road from our clinic. He was also an avid hunter and would eat a lot of venison as well. Habit 4: Go to sleep early Charlie swore that going to sleep early was important. To put this in context, he usually got to his shop around 7am and they didn’t open for business until 8am. He would get up around 5am every morning to take his dog on a walk before going into his shop. He would usually go to be by 8:30/9:00pm. That meant he usually was getting about 8 hours of sleep per night. We all know sleep is important. Often one of the most difficult parts of sleep for people is actually getting to sleep at a decent time. Follow Charlie’s advice and start waking up earlier. You do that for a week or two and I’m sure you’ll be ready to go to be once it’s 9:00 or 10:00pm. I know these 4 habits seem simple, and they are. Your health doesn’t have to be complex. There’s also no magic supplement you can take that will give you longevity like Charlie. In an age of Bird Scooters, Amazon delivering your groceries, and having an app for everything, don’t forget the basics. Move often, have something you're excited to wake up for, sleep and eat well. If you’re in the Atlanta area and are interested in working with a unique professional that can help you optimize your health in all of these areas, we need to talk. Being proactive and staying on top of your health will help you avoid serious health problems down the road. Submit a contact request by clicking the button below and we’ll get you set up with one of our Doctors for a free 15-minute phone consult. Remember: If you have a body, you’re an athlete! Thanks for reading, Danny  In the past two weeks, we defined concussions and the signs and symptoms to help identify one. In the final part of this series, we will cover my favorite part: Management and Return to Sport. A study in 2014 showed that in 43.5% of concussion cases, the patient returned to sport too soon and in 44.7% of concussion cases, the patient returned to school too soon. That’s almost every other concussion. Come on, we can do better. Management Let’s build on my previous example about Billy Bob – It’s Saturday, the day after the playoff football game, where he had to sit out after receiving a concussion. He didn’t sleep much. He has a headache, some trouble concentrating, and light sensitivity. What should Billy Bob do next?  Be like J.Beebs and wear sunglasses inside? [twitter.com] In the past, medical professionals would advise staying in a dark room and resting till all symptoms go away. But with more recent research, we see that being in these dark caves and shut off from the world can actually hinder your recovery. For the first 24-48 hours, I do think rest is an important component. But what I would recommend is to try to go about your normal day within your capacity and don’t exceed your symptom threshold. What does this mean in English? Try to work with what you currently have and don’t make it worse. The goal here is to get back into your normal routine as fast, but safely, as possible. Below is a slide from a recent presentation I gave in June at one of our National Physical Therapy Conferences regarding concussion management.  What this basically shows is that there’s a “sweet spot.” Too much rest and/or too much activity can make a concussion worse. We call this graded exposure. This is why understanding your threshold is important and using your symptoms to help guide the process. To better understand graded exposure, I always like to give patients the pool analogy. You don’t want to be in the shallow end and you don’t want to be in the deep end. You want to be somewhere in the middle where you can start causing some stress on your body in order to create positive adaptations. Now, there are many different routes that concussion management and treatment can go. This all depends on the clinical exam and the signs and symptoms the patient is experiencing. I’m going to keep this general in order to provide a 360 degree view of these different options:
These are all areas that Physical Therapists can address and help treat. Return to Play The Concussion in Sport Group (CISG) creates consensus statements for physicians and healthcare providers involved in athlete care every 4 years. Below outlines our most current model from their meeting in 2016 for the concussion return-to-play process.  I also like this integrated model by Complete Concussions below where they combine school and play together to give you a better overall picture of this process.  And, I would be remiss if I also didn’t mention 3 other aspects of health that are very important in this recovery process:  Our best recovery weapons are sleep and nutrition. We have to approach this from a holistic perspective if we expect to have the best outcomes.
I want this article and the rest of this concussion series to serve you as a resource. If you suspect you or someone you know has had a concussion, it’s important to make sure it gets addressed. Concussions are incredibly complex and it takes a team approach to make sure each person gets the best care. At Athletes’ Potential, we have Doctors of Physical Therapy who are able to appropriately screen and assess for concussions as well as offer treatment for the management of this condition. If you have any questions, please call us at 470-355-2106. Cheers, Dr. Ravi  cdc.com Last week, we dove head first into concussions (sorry, I can’t help it), looking at what exactly defines a concussion and what sports populations are most at risk. If you missed it, check out Concussions, Part 1. The interesting part about concussions is that you may not see some signs or symptoms present until minutes, hours, or even days later, which is why I want to equip you with the knowledge to know what to look for in part 2 of this Concussion series. The easiest way to do this is to break it down into acute (sudden/very recent concussion) and chronic (prolonged period of time after concussion) phases. Acute: But first, a story about Billy Bob. So say it’s 3rd and goal with 10 seconds left in the 4th quarter. Your high school team is losing 22-27. This game decides whether your team goes to the state championship. The ball snaps and Billy Bob, the running back, runs towards the goal. He is instantly met by the middle linebacker with a head-to-head collision. Now, it’s 4th down. Billy Bob lays there and struggles to get up. The team Athletic Trainer (AT) runs on the field and finds that he is able to now stand up, but definitely notices something is off. Billy Bob repeatedly assures the AT that he is okay and can play the final play. What do you do as the AT? As the head coach? As the parent? – do you sit Billy Bob out? What about the game? This seems like a no-brainer (again, sorry), but can be a very controversial call, especially when there’s a game on the line. I always go by the rule: “When in doubt, sit it out.” Now, you’re probably saying, “Ravi, quit being a softy and suck it up. There’s a game to win!” But as someone who has personally experienced a concussion, I would say the risk is not worth the reward. Let me explain why… Introducing Second Impact Syndrome (SIS) – This happens when an initial concussion has occurred or not fully resolved and the individual receives another concussion, this time resulting in more severe complications including excessive swelling in the brain. That’s no bueno. If I have you freaked out, don’t worry. This is a rare occurrence, but it can happen. As long as everyone is doing their job, there should be nothing to worry about. And, statistically speaking, most concussions resolve within a matter of 7-10 days. “Can imaging diagnose a concussion?” No. This is a HUGE misconception. Currently, there is no imaging that can effectively diagnose a concussion. Typically, most concussions present as a functional issue, rather than a true structural issue (Think more of how a computer program runs rather than the wires connecting it) which is why imaging is rarely helpful. Signs and Symptoms of a Concussion:   Each concussion can present with different signs and symptoms based on numerous factors (i.e. where the impact was, number of concussions, severity, etc.), which is why every concussion must be evaluated and treated on a case-by-case basis. As you can see above, headache takes the cake for most common symptom. Recognizing these signs and symptoms can be very helpful to make sure no concussion goes undiagnosed. Chronic: Introducing Post-Concussion Syndrome (PCS) – this is categorized as a complex disorder in which symptoms – such as headaches and dizziness – continue to persist for more than 21-28 days after the initial injury. A variety of factors can play into why there are prolonged symptoms:
A team approach is most effective to tackle these acute and chronic concussion cases by utilizing a variety of treatment approaches. Next week, we’ll discuss the final part of this series where we’ll cover management and return to play for concussions. In the meantime, if you have any questions, please feel free to reach out by giving us a call at 470-355-2106 or clicking the button below! Cheers, Dr. Ravi |
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