Primary Care Sports Medicine
Since then, Dr. Chris Miars and Dr. Corbett Boone, primary care sports medicine specialists, have joined the practice. They allow Southwest Sports Medicine to offer comprehensive sport medicine care; this includes services such as concussion management, pulmonary function testing, and exercise induced asthma diagnosis and treatment.
Dr. Miars and Dr. Boone have also trained in musculoskeletal ultrasound that provides improved in-office diagnostic capabilities as well as minimally invasive office treatments.
Concussions are an increasingly more common problem in sports and have the p[potential for dangerous complications if not treated correctly. SWSMO offers a sports concussion management program where we help to educate athletes, trainers, coaches, and parents on the prevention, recognition, and treatment of concussions.
Given the complexities of concussion management it is important to manage concussions with multi-disciplinary approach on a case-by-case basis using the most comprehensive exam and innovative neurocognitive tests available. Dr.’s Boone and Miars recommendations at each stage of the recovery process and will be in direct context with your schools athletic trainer to help in any way through out your return to play process. We want to ensure your body and brain are ready for the demands of high levels of activity.
Through tools such as the ImPACT Concussion Management Model ImPACT addresses the need for an accurate, medically accepted assessment system that is used as part of an overall concussion management protocol. This model builds partnerships with healthcare professionals and athletic trainers to offer training and resources for affordable concussion management. ImPACT benefits athletes at all levels of play, from professional sports teams to students and their parents.
ImPACT and its products continue to evolve by incorporating the latest advancements in neurocognitive science and in technology for portability and ease of use. In addition, ImPACT is constantly expanding educational resources and tools to raise awareness regarding the importance of proper concussion management. Proof of ImPACT’s clinical value can be found in more than a thousand clinics and hospitals throughout the United States and elsewhere.
The ImPACT Test is
- One important piece of the overall concussion evaluation and management process.
- A sophisticated test of cognitive abilities.
- The most scientifically researched concussion management tool.
- A tool that can help health care professionals track recovery of cognitive processes following concussion.
- A tool to help communicate post-concussion status to athletes, coaches, parents, clinicians.
- A tool that helps health care professionals and educators make decisions about academic needs following concussion.
The ImPACT Test is not
- A “panacea” or cure-all for concussion, as there is no such thing. As long as contact to the head occurs, concussion will continue to happen.
- A tool to diagnose concussion, which should always be diagnosed by a qualified health care provider.
- A substitute for medical evaluation and treatment.
Platelet Rich Plasma (PRP)
What is Pure PRP?
Pure Platelet Rich Plasma (Pure PRP) is concentrated from your own blood. Containing healing factors, such as white blood cells, growth factors and stem cell signaling markets, these cells are vital for tissue regeneration and repair. Platelets, once thought of being responsible for only clotting, have been scientifically proven to be a reservoir of these vital healing components. With advanced techniques we are able to concentrate these regenerative healing cells in a simple outpatient setting.
Any Risk Factors?
Pure PRP is from your own blood, autologous, so there is little to no risk when conducted by a trained professional. Since Pure PRP is autologous there is no risk for an allergic/immune reaction. Side effects or complications with Pure PRP are extremely rare. Consult your Physician for more information.
Pure PRP vs. Traditional PRP
What makes Pure PRP better than traditional PRP, is that Pure PRP has a 2-step concentration process which eliminates red blood cells (RBCs) and neutrophils, RBCs which show no therapeutic effect for regeneration may create a more viscous solution, which can be more painful when injected and take up space in the PRP concentrate. Neutrophils which are a type of white blood cell have an inflammatory component which may enhance pain and inflammation post-treatment.
A small amount of peripheral blood is taken from the patient and placed into a FDA medically approved sterile container. This sterile disposable container is place in a specialized centrifuge, for spinning twice, to separate the whole blood sample into ‘layers’ of platelet rich plasma, platelet poor plasma (PPP) and red blood cells with neutrophils.
The total process can last up to 30 min. However, the majority of time will be used for processing by a trained medical specialist.
The Healing Process
Pure PRP signals from Stem cells and regenerative cells to repair and rebuild the damaged tissue. This accelerated healing process reduces pain, promotes increased strength, and improves overall function. The process, called the healing cascade, can be active and take place over a 4-6 week period.
Long Term Outcome
Patients can expect to see significant improvement in symptoms over the course of healing time. This procedure may eliminate the need for further invasive treatments, such as surgery, or prolonged medication use. While treatments such as corticosteroid injections may provide temporary relief from pain and inflammation, PRP injections stimulate healing of the injury for long lasting results. Patients usually report a gradual improvement in symptoms and return of function. Some patients may require two or three treatments to obtain optimal results and may even experience a dramatic return of function/relief within 2-3 months.
Recovery After Treatment
The anesthetic used to numb the skin generally wears off in 1-2 hours. Mild pain and swelling may occur at the injection site. However, the majority of patients are able to return to usual activities with NO down time.
You must be particularly careful not to traumatize the area during this post-treatment time frame. Initially the procedure may cause some localized soreness and discomfort. Patients can apply ice and elevation as needed. Use the area as tolerated since restricting movement for an extended time can cause stiffening. Movement and massages promote circulation in the area and also assist with healing. After a week the patient will likely begin a rehabilitation program with physical therapy. Pain medication will be prescribed if needed.