1. Chronic Injuries of Neck and Spine
Injuries, Part 3
Chronic Injuries of Neck and Spine

2. “Before & After” BELLWORK
Using a piece of notebook paper, answer the following questions, leaving a line between each answer. Put the paper aside until the end of class. 1. How do you get a herniated disk? 2. What is a herniated disk? 3. What are symptoms of a herniated disk? 4. What is the treatment for a herniated disk?
This activity is used in Bellwork as a pretest and then in the Closure as an assessment of new learning.
At this point in the lesson, students probably will not answer the questions correctly.
Teacher instructs students to put Before and After aside until the end of the lesson.
TEACHER! PLEASE FEEL FREE TO CHANGE QUESTIONS TO FIT YOUR PRESENTATION! IF YOU DO, CHANGE THE LESSON, AND ALL SLIDES THAT PERTAIN TO THEM

3. Objectives Student will be able to: 1. Define and use terminology.
2. Differentiate between chronic injuries and their mechanisms, signs, symptoms and treatments.

4. TERMINOLOGY
Ostephytes- outgrowth on a bone Disk bulge- disk moves out between the two vertebrae causing pinching of the disk Impinge- to come into contact with a nerve or disk causing a pinching action Transitory- not lasting, temporary Posterolateral- in the combined direction of posterior and later movements

5. Terminology Continued
Extrudes- to thrust out
Idiopathic- unknown cause

6. PROPERTY OF PIMA COUNTY JTED, 2010
Think-Pair-List
Think back to treatments for injuries that we have learned about and recorded on your Injury Tracker. Make a list with your neighbor. Share.
3. Think-pair-share
teacher presents a question
teacher gives wait time for student to form answer
teacher instructs students to share their answer with a partner
teacher calls on non-volunteers to share with the class
PROPERTY OF PIMA COUNTY JTED, 2010

7. Spinal Stenosis
Characterized by a narrowing of the spinal canal in the cervical region that can impinge the spinal cord

8. Spinal Stenosis Mechanism
Either a congenital defect or development of bone spurs osteophytes or disc bulges

9. Spinal Stenosis Signs and Symptoms
Transient quadriplegia may occur from axial loading, hyperextension, or hyperflexion
Neck pain my be absent initially
Symptoms may be burning and tingling or associated motor weakness in the arms and legs
Complete recovery normally occurs within minutes

10. Spinal Stenosis Treatment
If athlete demonstrates transient quadriplegia the athletic trainer should use extreme caution initially
Athlete must have diagnostic test including x-rays or MRI
If identified as having cervical spinal stenosis, athlete should be advised of the potential risks of continued participation
Physicians release is required to return to participation

12. Cervical Disk Injury Mechanism
Sustained, repetitive cervical loading during contact sports. The disk extrudes posterolaterally

13. Cervical Disk Injury Signs and Symptoms
Neck pain with some restriction in neck motion
Pain in upper extremity with associated functional weakness or sensory changes
Possible activation of EMS

14. Cervical Disk Injury Treatment
Rest and immobilization of the neck to decrease discomfort
Physician referral recommended
Cervical traction may also help reduce symptoms

15. http://www. greatriverspineclinic

16. Low Back Pain Mechanism
Either caused by a congenital or idiopathic defect.

17. Low Back Pain Signs and Symptoms
Localized or diffused pain in the low back
Low back muscles may be weak
Range of motion for back may be painful
Athlete may become discouraged with symptoms because they may last a long time

18. Low Back Pain Treatment
Dependent on athlete’s pain tolerance, he/she may continue with regular practice or be in complete rest
Alternating ice pack and heat pack (20 minutes)
Low back muscular stretching with athletic trainer
Athletic trainer teaches and demonstrates exercises the athlete should do at home

20. Herniated Disk Mechanism
Develops from extruded posterolateral disk fragment or from degeneration of the disk Primary mechanism involves sustained, repetitive cervical loading during contact sports

21. Herniated Disk Signs and Symptoms
Neck or back pain
Pain may be restricted or diffused
Restriction in neck movement
At some point in the range of motion of the back and neck the herniated disk may become impinged causing extreme pain

22. Herniated Disk Treatment
Initial treatment involves rest and immobilization of the neck to decrease discomfort
If discomfort is in the lumbar area, rest and an immobilization brace may be helpful
Cervical traction may help reduce symptoms
If this conservative treatment does not help surgical intervention may be necessary

24. “What’s My Injury?”
With a partner, choose an injury from today’s lesson
Write a creative scenario about that injury including the etiology, pathology, and treatment for the injury
Be prepared to share with the class

25. “Before & After” CLOSURE
On your Before and After bellwork sheet, answer the following questions on the line below your “Before” answers. This will assess your new learning for the day! 1. How do you get a herniated disk? 2. What is a herniated disk? 3. What are symptoms of a herniated disk? 4. What is the treatment for a herniated disk?