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Dak Prescott Injury & Rehabilitation Process Explained by a Sports Injury Specialist

Dak's Injury & Road to Recovery

The Dallas Cowboy’s star Quarterback, Dak Prescott, sustained a gruesome, season-ending injury to his ankle during the third quarter of this past weekends’ matchup against the New York Giants.

It was announced that Prescott underwent surgery, to repair a compound fracture and dislocation of his ankle. This was very likely a season-ending injury for Dak, as it takes time for this injury to heal, on top of the fact that he will have to go through rehabilitation in order to get to 100%.


It was officially reported by multiple news outlets that Dak Prescott sustained a compound fracture and dislocation of his right ankle in Sunday’s game against the Giants. This means that the bone itself broke, as well as breaking through the skin. Additionally, the bone was moved off to the side or – dislocated (this is a very simple explanation of a complex injury). This got me thinking a lot about these types of injuries in general, and what the recovery and rehabilitation process involves. So, let’s talk about what to expect with a Musculo-Skeletal injury.

In layman's terms muscle bone problems, are generally treated by several options (which option, is dependent on the severity of the injury at the beginning).

His doctors may have him on a medication regimen at this time and will consider starting him off with light therapies roughly around four to six weeks in duration. After that they will start increasing the resistance and working on increasing range of motion (ROM) of his leg and ankle. Once they have increased stability in his ankle and leg, as well as improved on his overall ROM, they will likely end up focusing on strength exercises & therapies. After strength has developed and increased, typically the attention should be on incorporating functional motions, such as actions and movements performed in a football game.

The Road to Recovery: There are no Skipping Steps!

In Dak’s case, he suffered a pretty severe injury, and while injuries might not be as severe, the steps to recovery are still the same. It can be a tedious & time-consuming process; however, it is imperative to work hard and focus on each part of recovery. There are no skipping steps, there is no “next before you finish the previous step”.

You should find a rehabilitation provider who is going to know the correct steps and know when to transition into the next step. This is very important in order to have the right pace of progress, because if a doctor believes you are progressing faster than what you are you could hurt yourself and get worse.






IRC Clinic - What To Do After an Accident - Plano Chiropractor, Can I really get injured in a low speed accident?

Can I really get injured in a low speed accident?

Injuries from Low Impact Accidents

A low impact auto accident is generally defined as an incident that takes place at speeds less than 10 miles per hour (mph). This type of collision usually causes the least amount of damage to the vehicles involved. Body injuries can result from any accident and that includes ones that occur with vehicles going less than 10 mph. Soft tissue injuries are the most common problem for those involved in a low impact accident.
A motor vehicle accident that takes place at speeds between under 10 mph often brings about little visible damage to the cars involved. Sometimes due to the fact that minimal damage was done to vehicle the injuries to the people in the vehicles are overlooked. This does not mean that bodily injury did not occur to the passengers during the crash.
While an automobile is built to take a slow 5 to 10 mph crash that is not necessarily true for your body. In a low impact accident a person’s soft tissue can be damaged.The back and neck are the usual problem spots for soft tissue injuries. Soft tissue is basically a person’s ligaments, tendons and muscles. Soft tissue injuries are typically classified as contusions or bruises, sprains or strains. 
A contusion is an injury to the soft tissue caused by blunt force. This force produces pooling of blood around the injury causing discoloring of the skin. This is commonly is referred to as a bruise. Bruising can be found in different shapes and colors.
A sprain is an injury to a ligament often brought about by a wrench or twist. A sprain can be a simple sprain, a partial tear or a complete tear. This can happen to various parts of a person’s body during an accident. It is not uncommon for a person to twist in their seat as a vehicle strikes theirs during the incident.
A strain is an injury to the muscle or tendon caused by overuse, force or stretching. The force of the car crash can push on a person’s soft tissue or cause parts to stretch in an abnormal way.Muscles and tendons support your bones. A strain may cause a partial or complete tear in the muscle and tendon combination.
The neck of a car occupant can whip forward causing the most common rear impact injury known as whiplash. General Motors (GM) did a study regarding crashes at speeds below eight mph. GM found, to no surprise, that injuries do occur at such low speeds. The study also showed that whiplash injuries account for more than half of all injuries connected to vehicular accidents. 
Although these types of injuries are characteristically classified as minor nearly 30 percent of those hurt in low speed collisions have reported having neck pain up to three years later. This injury is likely to be worse in those that experienced a rear end collision. Depending on the age of the person this injury could cause a permanent disability.
A motor vehicle can take the force of a low speed collision without showing much damage due to the advances car manufacturers have made in the construction of their vehicles. When a collision does occur the force of the accident pushes inertia somewhere and once the automobile has taken part of that energy away the occupants take the rest. These forces are what can cause people bodily harm even in a crash of below 10 mph.Soft tissue injuries can occur to those involved in a low speed impact and though these injuries might be hard to see they exist. 
IRC Clinic - Whiplash - Richardson Chiropractor

Facts about Whiplash

Facts about Whiplash

The term “whiplash” usually brings to mind neck pain, headaches and/or a stiff neck. However, there are other symptoms associated with whiplash that we don’t usually think of, such as ringing in the ears or, tinnitus. In the absence of whiplash, there are many people who experience an occasional ringing or sound of some sort in their ears. The ringing may seem to keep time with the heartbeat or, in cadence with breathing and is more common over the age of 40, and more common in men. The sound can be a buzzing, ringing, roaring, hissing or high pitched noise that usually lasts only seconds or minutes at the most. So, think of those times when you’ve noticed tinnitus and ask yourself, “…how would that affect me if that noise never stopped or lasted for hours?”

Before we discuss the association of tinnitus with whiplash, let’s review some facts discovered about tinnitus. There are two primary types of tinnitus: Pulsatile and nonpulsatile. Pulsatile tinnitus is often caused by sounds created either by blood flow problems in the face or neck, muscle movements near the ear, or changes in the ear canal. The non-pulsatile tinnitus is usually caused by nerve problems involving hearing in one or both ears. The later is sometimes described as a sound coming from inside the head. The most common cause of tinnitus is from hearing loss that occurs from aging – technically called presbycusis. However, it can also occur from living or working in a loud environment. Tinnitus can occur with many types of hearing loss and can be a symptom of almost any ear disorder. Other common causes include earwax buildup, certain medication side effects (aspirin, antibiotics), too much caffeine or alcohol intake, ear infections – which can lead to rupture of the eardrum, dental problems, TMJ or jaw problems, following surgery or radiation therapy to the head or neck, a rapid change in environmental pressure (airplane rides, elevators, scuba diving), severe weight loss from malnutrition or dieting, bicycle riding with the neck extended for lengthy time-frames, high blood pressure, nerve conditions (MS, migraine headache), as well as other conditions such as acoustic neuroma, anemia, labyrinthitis, Meniere’s disease, otosclerosis and thyroid disease. The good news is that most of the time, tinnitus comes and goes and does not require treatment. When tinnitus is associated with other symptoms, does not get better or go away, or is in only one ear, it is wise to consult with us. Spinal manipulation and other chiropractic treatment approaches are often VERY helpful in resolving tinnitus with the benefits of avoiding the need for medications, all of which carry secondary side effects. Chiropractic approaches are also highly effective when tinnitus is accompanied by dizziness or vertigo, usually requiring treatment applied to the upper neck area.

So, how does whiplash cause tinnitus? There are primary as well as secondary causes that can give rise to tinnitus after whiplash. After looking at the long list of causes above, direct trauma to the head such as hitting the side window, the back of the seat, the steering wheel, mirror and/or windshield makes obvious sense. Secondary causes often involve the TMJ or jaw which is commonly injured in whiplash. By itself, TMJ can cause ear pain, tinnitus, vertigo (dizziness), hearing loss, and headaches. Because many nerves that innervate the neck and head arise from the neck as well as from the cranial nerves, spinal manipulation of the neck as well as certain cranial manipulations can have a dramatic benefit in the treatment of whiplash induced tinnitus.

We realize you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future


IRC Clinic - Carpal Tunnel Syndrome - Plano Chiropractor

Carpal Tunnel Syndrome: Prevention

Carpal Tunnel Syndrome: Prevention

People who spend a lot of time performing activities that require a high level of force, repetition, or use vibrating tools are at risk of developing carpal tunnel syndrome (CTS). Other activities such as driving, playing musical instruments, knitting, using a sander, screw drivers, air wrenches, waitress work, or assembling small parts are also associated with increased CTS risk. The good news: there are ways we can reduce the risk of developing CTS. Some of these include the following:

  1. Stay Healthy: There are many conditions that contribute to the onset and/or make CTS worse. Exercise, maintain a healthy weight (Body Mass Index – BMI – of 25 or less), stop smoking (or better yet, never start), take your thyroid medication (if indicated), keep your blood sugar normal (obesity leads to diabetes which often worsens CTS), and do your carpal tunnel exercises multiple times a day.
  2. Ergonomics: Use “ergonomic” principles when arranging your workstation such as sitting properly at your home and work computers. The placement of your desk, the computer monitor, the keyboard (consider a convex keyboard rather than the flat type), the mouse (and type of mouse – the track ball mouse requires no arm movement, only the thumb), paperwork space and location. The type of chair and its height are also very important. Avoid desks that have sharp edges as they can compress the forearms and pinch the CTS nerve.
  3. Posture: The position in which you sit is important! Sit in an upright position, head/chin tucked in, feet on the floor or on a box, elbows resting on adjustable arms of the chair bent about 90 degrees, and keep your wrists fairly straight/neutral. Avoid slouching, reaching out with the elbows less than 90 degrees, head shifted forwards and shoulders rounded and feet not positioned under you. When you talk on the phone, STRONGLY consider a headset! Pinching the phone between your shoulder and ear with your head bent sideways for any length of time is a ticket to disaster for developing CTS and/or other types of cumulative trauma disorders (pinched nerves in the neck, shoulder tendonitis/bursitis, elbow tendonitis and more).
  4. Plan your activities: Pay careful attention to your daily routine for activities that may increase your risk of developing or perpetuating CTS. For example, these activities can increase your chance of developing or worsening CTS: playing a musical instrument, knitting, carpentry, playing video or computer games for hours, working on cars, operating vibrating tools, using forceful gripping such as spray bottles, using a crutch, cane, wheelchair, engaging in certain sports such as long-distance cycling that load the arm and hand, skiing – waterskiing requires a firm grip on the handle and snow skiing requires firm gripping on the ski pole.
  5. Sleep: It is impossible to control the position we put our hands/wrists in at night. Therefore, it is essential to wear wrist splints so we avoid bending the wrists in our sleep. Many of us curl up in a ball and tuck or bend the wrists and hands under our chin. In a “normal” wrist, the pressure inside the carpal tunnel DOUBLES when we bend our wrists! If we have CTS, the pressure goes up exponentially or, 6-8 times because of the increased pressure that’s there already because of the CTS. Use a pillow that is designed for you, we’ll help you with that!
  6. Take a break! It’s important to pace yourself if your work or play includes fast, repetitive activities. It’s easy to get lost into what you’re doing so a timer to remind you that an hour has gone by and to take a break is a wise purchase.  There are computer programs that flash on your screen, “Time to stretch!” Some of these may include the actual exercise so you don’t forget what to do. If not, talk to us about what exercises are good to do either at the workstation and/or at home for CTS.
            We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for Carpal Tunnel Syndrome (CTS), we would be honored to render our services.