Baptist Health Louisville: Concussion Treatment Options
Learn about Baptist Health Sports Medicine’s approach to concussion treatment, which emphasizes rest and a gradual return to activity, and see how rehabilitation and physical therapy can help to improve and reset an athlete’s balance.
Concussion Treatment Options HealthTalks Transcript
W. Michael Hughes, DO
Concussion, in simple terms, is an injury to the brain itself, where the brain goes through a deceleration/ acceleration as it slows down and then speeds back up as it hits the skull.
Most commonly, we see these in young athletes. The old adage, and it’s very true in our world, is “when it doubt, sit them out.” If there is ever a concern of concussion, the player should come off the field and should not play the rest of the game. There are state laws that mandate an athlete must be evaluated by a physician prior to return to play.
Certainly, the first few days are very important for giving the brain adequate time to rest. Sometimes, the balance center is thrown off in the vestibular system. At Baptist Health, we are very well equipped to handle these concussions and to treat them appropriately. We have physical therapists right next door where we can send patients for vestibular rehabilitation.
One of the things that we use is called the NeuroCom®. It helps with that vestibular rehabilitation. It makes the patient feel a little unsteady, so they’re trying to balance and there are a lot of different stimuli that are thrown at them to try to help re-equilibrate the vestibular system, which is in the inner ear. A lot of it is gradual return back to activity once we see they’re ready for that.
Baptist Health Louisville: Sprained Ankle Treatment
Baptist Health treats patients like athletes to help them recover more quickly from ankle sprains. Discover our methods for treating sprained ankles by encouraging ankle movement through stretches and exercises.
Sprained Ankle Treatment HealthTalks Transcript
Mark Puckett, MD
Ankle sprains typically happen with some form of injury to the ankle. Most of those happen when the ankle rolls in, so stepping off a curb, tripping on loose pavement, slipping on a wet surface, tripping on a sports field or a basketball court would be common ways that would happen.
The initial treatment of an ankle sprain usually involves an acronym that we call “RICE:” R for rest; I for ice; C for compression, like with an ACE bandage; and E for elevation, or raising the foot up above the level of the heart to allow the swelling to reduce and help with pain relief.
We recommend people be evaluated if they have difficulty bearing weight more than just immediately after the injury, or if they have severe swelling or bruising, or pain that just doesn’t get better over a few days on its own.
One of the first things we have people do is to start with range of motion. One common example is drawing the alphabet with their toes to get the ankle moving and keep it from getting too stiff, and we’ve learned that helps people recover more quickly from an ankle sprain. Usually, we would progress from there doing some stretches and exercises with an elastic band to move the ankle up, down, in and out, to turn on the muscles that also help support the ankle. Eventually, we recommend people practice their balance on one foot to help with the other motions that stabilize the ankle and keep it from being sprained again in the future.
Here at Baptist Health Sports Medicine, we’re going to treat the average person getting back to life the same way we treat an athlete, so we get you back to your activity as quickly as possible.
Baptist Health Corbin: Laryngeal Videostroboscopy
Watch a laryngeal videostroboscopy procedure to discover potential causes for vocal cord dysfunction, hoarseness, and loss of voice. Baptist Health provides this quick and painless procedure to help figure out potential causes for these vocal irritations.
Laryngeal Videostroboscopy HealthTalks Transcript
Chelsea Jones, Speech-Language Pathology
Videostroboscopy is an evaluation of your vocal quality by looking at your larynx in real time using a strobe light to watch your vocal cord characteristics while they’re in motion, while you’re doing different voice tasks, to see if there are any vocal abnormalities or reasons for causing hoarseness or any other vocal dysfunctions you may have.
A person might want to have videostroboscopy done because they are having vocal discomfort. We see a lot of church singers who experience frequent hoarseness or changes in their vocal quality. It could also be from maybe they were on a ventilator, and they’ve had some vocal cord damage from having the tube down, anything such as that.
Videostroboscopy is performed by an experienced speech-language pathologist with experience in voice and upper airway disorders. They pass a small, flexible endoscope through your nose and follow it down into your larynx to watch your vocal cords. They have you do different things during the evaluation to test the vibratory characteristics.
There is no preparation needed for videostroboscopy. You can eat and drink normally before the test. Once the test is over — it takes about five minutes and it’s not painful — the speech-language pathologist will review the images with you and tell you if there’s further follow-up needed with a specialist, or send you back to your referring provider with a treatment plan of what you need to do afterward.