Sidney Crosby’s “concussion”

Canuck · 12-06-2017, 10:52 AM

Quote:

Originally Posted by Mark in Idaho

Most PTs will focus on range of motion and look for increases in range of motion at each visit. They might overdo any head and neck traction efforts. A gentle PT will focus on gentle traction and mobilization and look for the source of muscle tension and maybe treat it with myofacial release or trigger point therapy. The goal is two fold. Reduce the muscle tension and allow the neck to settle into a stable and balance position because there is no muscle tension pulling it one way or the other so inflammation can go down.

Reducing inflammation is a priority. Warmth encourages blood flow and may cause muscles to relax. Cold reduces inflammation. Warm may be used before and during a treatment and cold after. That is how it was done with me. I would be sent home to ice.

I too have often wondered if I have a neck injury contributing to my PCS.

I had gone to chiro in the first 3 months of injury, but after one visit gave me a huge setback to square one (very likely a reconcussion), I will never visit another one. I've had sacral cranium massage with some relief. I guess what I'm wondering is
- left alone, will these type of neck injuries heal over time?
- what are the key words to use when visiting a physio, or massage therapist so that they focus on the trouble spot?

thanks

Mark in Idaho · 12-06-2017, 04:02 PM

The chiro did not cause reconcussion. He was more likely too aggressive with your neck and the strain from an adjustment caused an increase in inflammation that increased symptoms. I tell people to avoid the 'twist the head and pop the neck' adjustments. They may work for C-3 and below but put too much strain on C-1 and C-2.

Cranial Sacral Therapy can help if it is directed at the spine. The cranial plate work is highly suspect. Helping the neck settle down can be a big improvement.

Self-treating requires discipline to limit fast head and neck movement so the neck is not stressed.

Mother of Dragons · 12-07-2017, 08:24 AM

"Self-treating requires discipline to limit fast head and neck movement so the neck is not stressed."

Mark, what about the exercises that are done in vestibular therapy? Are those likely to cause more inflammation? There is a lot of head turning during those sessions.

Mark in Idaho · 12-08-2017, 03:09 AM

I know that I cannot tolerate that much head turning. Back in the early years, I had to be careful when we went sightseeing in the back roads of Idaho. I had to be careful when I went into the back yard to clean up after the dogs. I learned to turn at the shoulders. If you did your vestibular therapy turning at your shoulders, it would be easier on your neck.

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