Saturday, August 2, 2025
Home Blog Page 503

Never Take Your Vision for Granted

0

Dr. Jason Gorscak is an Ophthalmologist at Florida Eye Microsurgical Institute located in Wellington who focuses on comprehensive eye care including diagnosing and treating cataract conditions, glaucoma and diabetic retinopathy. In an interview, “Banzai Wellness Magazine” learned about his passion for helping people, his love for family and his thrill for car racing! Dr. Gorscak also kindly reminds us to never take your eyesight for granted.

How did you decide to specialize in Ophthalmology?

I knew I wanted to be a Doctor my senior year of high school after my grandmother passed from cancer. During that time she was seeing a number of doctors and going through a lot. As rough as it was for her, the doctors were so supportive and really good doctors. It inspired me to become one and do the same thing for people.

After attending Johns Hopkins, I went to Medical School at the University of Miami School of Medicine. However, I didn’t know what I would specialize in. There was a facility, Bascom Palmer of Jackson Memorial Hospital where I worked, observed ophthalmics, and attended surgeries. There was one patient in particular in her 90s who had such advanced cataracts she was legally blind. She came to Miami with no insurance but they had a charity program for her to obtain cataract surgery. I was there the day they took the patch off her eyes and her face was lit up with jubilation – such a big smile – so happy and so thankful! After that day, I said this is what I want to do. It was a very easy decision after that cataract surgery became my focus.

Tell us more about Florida Eye Microsurgical Institute and the environment. Why did you choose to work at this practice?

When I first interviewed at Florida Eye Microsurgical Institute in 2008, I knew everyone was working here for the right reasons. Our foundation is to make patients feel welcome and know we care. Every doctor here is passionate about what they do. Not only are they intelligent, qualified, and good surgeons, but you can tell – they care about people.

A team of multi-specialty Doctors is a major benefit to patients. Can you tell us more about the Specialists and the advantage to an all-encompassing group of Doctors?

During a comprehensive, basic eye exam we will check for everything. If a condition exists and it is cataract or glaucoma, then I would provide treatment for the individual. If it is something else pertaining to the eye that doesn’t fall into my specialty, then I can direct a patient to the appropriate Doctor in our practice to manage the specific issue.

I focus on cataracts as my primary, and glaucoma as my secondary. We have two retina specialists who handle conditions  like macular degeneration, and diabetic eye issues that can affect the retina. We also have one pediatric ophthalmologist for children, and one cornea specialist – who does corneal transplants from scars or infections and another General Ophthalmologist that does all the exams.

The advantage of working in a multi-specialty practice like this is how the Doctors work together to help each other out so the patient receives the appropriate level of care. For example, if I see something on a retina scan that doesn’t look quite right, I can speak with our Retina Specialist. We have the ability to cover a multitude of conditions. A doctor at this practice can cover a multitude of concerns without having to refer a patient out to somewhere else. We have the ability to cover a multitude of conditions without having to refer a patient out to somewhere else. The only thing we don’t do is most cosmetic concerns such as Lasik or plastic surgery, but everything medical we do.

The titles Ophthalmologist and Optometrist are often confused or misunderstood. Can you clarify the difference between the two?

Optometrists specialize in glasses and contacts. They do routine eye exams as well and play an important role in eye care. Ophthalmologists are Medical Doctors that specialize in the management and treatment of surgical and medical diseases of the eye. We tend to use more technologically advanced equipment to diagnose and manage all types of ophthalmic diseases. Sometimes we can even diagnose systemic disease including brain tumors, autoimmune diseases or diabetes.

What symptoms do you specifically treat and what is your typical patient?

I have a 50/50 mix of patients of all ages that come to me for routine eye exams and other problems. People with cataracts are typically 60 years and older. The common symptoms you may initially have are glare or sensitivity to headlights at night, fogginess, blurriness and difficulty seeing your television screen, even with the proper prescription glasses or difficulty reading. A common symptom I hear from patients is not being able to see their golf balls anymore when they hit it down the fairway. There is no pain associated with cataracts. People might think their glasses are dirty or prescription is wrong. Even with the correct prescription they still may not be able to see well or think it is quite right. Cataract symptoms are very subtle. Cataracts gradually develop over many years.

Are there any other examples of causes of cataracts?

Medications can cause cataract formation – an example is people who take Prednisone. Anyone can develop them, especially from trauma or prior injury but they are most common at an older age.

How do you diagnose cataracts?

It is still the old-fashioned checking visual acuity, checking glasses, and a dilated eye exam so I can look into the eye and the lens of their eye where the cataract forms.

What can you tell us about Glaucoma and treatment?

Glaucoma is a silent disease that can lead to blindness. That is why it is extremely important to be monitored with periodic routine exams, especially if you have a family history. It also is more prevalent with age. There is an in-office treatment with the newest laser Selective Laser Trabeculoplasty, or SLT, used to lower intraocular pressure and prevent the progression of glaucoma without having to undergo surgery if medications are not enough.

Can you tell us about other technological advancements?

Technology in cataract surgery has advanced in the last 10 years. We now have fematosecond laser, for cataract surgery. This is the newest technology where we use a laser instead of using a blade. The laser provides a way for me to customize the surgery to each of your eyes individually in a way that it provides more precision and clarity therefore afterwards. In addition, there are intraocular lens implants. We have always used them but nowadays the implants are so advanced that your glasses prescription can be built into the lens so that you can see both far and near without glasses. Reading glasses can be completely eliminated with cataract surgery. We can also fix a stigmatism. The technology is so good that the procedure itself only takes about 10-15 minutes, it is an outpatient procedure (not done in a hospital) and no overnight stay. Healing time only takes about a day on average. There are no stitches and no patches. You leave surgery and the next day you see a lot better. It’s pretty amazing!

What advice for eye care prevention and taking care of eyes?

It is important to have your eyes checked regularly. People sometimes take their vision for granted. People are busy and they don’t realize how important their sight is until something happens. I’ve had a large number of patients in their 20-30s who are now blind but it could have been prevented. They never were checked with routine eye screenings and exams.

What do you recommend?

I recommend exams once every 2 years up until age of 50. After 50, get checked once a year. It is very important to protect your eyes from the sun- wear sunglasses (polarized is best) or hats especially in Florida, since UV light from the sun can cause eye diseases. Using an artificial tear isn’t recommended but cannot hurt you. Never sleep in contacts no matter what anyone says or what is advertised. Again, routine exams are the best thing you can do.

Thank you for sharing your knowledge. I can tell you enjoy what you do and have a passion for helping people.

I truly have a passion for people’s vision. Every day and person is different. I treat everyone as an individual. If I can make people see or look better, that is what drives me. I live by the idea to treat others as you want to be treated yourself. I do that here and at home. You can’t expect kindness if you don’t show kindness.

I think that the entire staff at Florida Eye Microsurgical Institute is the same way and loves helping people. In turn, patients can sense that. We are grateful that the majority of our patients are extremely satisfied and are a heavy referral base by word of mouth. I also like that we are also involved in the community. Gwen Cohan, our Director of Marketing, plans and sponsors charity events to help people in need.

Besides your career, what are your hobbies outside of work?

I’m a family man. I have a wife and kid who I love to spend time with outside work. Then my crazy hobby is racing cars. I am in a few different clubs and enjoy racing on a track. It is exhilarating and my stress relief!

How can patients find you?

Florida Eye Microsurgical Institute ‘s website is http://www.fleyedocs.com/

There are multiple locations but my practice is located at 2575 State Road 7 in Wellington. You can make an appointment with the front desk at (561) 792-1205.

It was a pleasure speaking with you Dr. Gorscak! Thank you for speaking with Banzai Wellness Magazine. Thank you for your valuable time.

Car Show to Support Hospice

0

CARS OF DREAMS MUSEUM HOSTS SOUTHEAST RODS AND CUSTOMS

CAR SHOW TO SUPPORT HOSPICE

WHO:         Hospice of Palm Beach County Foundation

 

WHAT:       8th Annual Southeast Rods and Customs Hospice Benefit Car Show

The hottest cars and trucks in Florida will be on display for a day of family fun. Spectators will be amazed by the vast selection of restored classics and new luxury cars, which compete for awards in the judged show. Fans can enjoy the free rock and roll show outside featuring live music by: Spanky & Dino, The Whitestone Band, Orange Sunshine, and The Fabulons.  Participants will have a special invitation to visit the private Cars of Dreams Museum, housing one of the world’s greatest car collections. John Staluppi’s Cars of Dreams Museum is a private collection of classic vehicles located in Palm Beach County, Florida. The museum’s Coney Island theme features much of the memorabilia that is reminiscent of the iconic amusement park. The design features bumper cars, a beachfront boardwalk with a Carvel ice-cream store, Nathan’s restaurant, hand-painted murals of the Parachute Jump, and the world famous Cyclone rollercoaster.  Museum entry for spectators is $10 per person and is available for purchase during the event.  The day also features raffles, a 50/50 drawing, food and beverages.

 

 

WHEN:       Sunday, March 12
                                      8:00 a.m. – 4:00 p.m.

 

WHERE:     Cars of Dreams

                      133 US Highway 1
                       North Palm Beach, FL 33408

 

WHY:        Benefiting Hospice of Palm Beach County Foundation

 

 

About Hospice of Palm Beach County Foundation and Hospice by the Sea Foundation

The Foundations are the philanthropic arms of Trustbridge. They are dedicated to enhancing the quality of life in our community by supporting services that go above and beyond what Medicaid, Medicare, or private insurance provide under the normal hospice benefit. For more information, call (561) 494-6888.

4th Annual Family Promise Luau

0

Who: Family Promise of North and Central Palm Beach County, Inc.

What: The 4th Annual Family Promise Luau – Please join your hosts, Mr. & Mrs. Zinn and co-hosts Taylor Materio & Nick Spinelli for The 4th Annual Family Promise Luau at the newly renovated Beach Club. Be one of the first to attend an event at the newly renovated Beach Club! Enjoy Cocktails & Passed Hors d’oeuvres, a Lavish Dinner Feast, Bid on Live & Silent Auction Items, and Dance the Night Away to Live Reggae Music!

*Casual Luau Attire – No Shorts or Denim Allowed

When: Thursday March 30th, 2017 6:00 pm – 9:00 pm

Where: The Beach Club, Palm Beach 755 North County Road

Palm Beach, FL 33480

How Much: $200-$5,000. To purchase tickets please visit: www.luau2017.eventbrite.com. For more information, please call 561-318-8864

Public Contact: Family Promise of North and Central Palm Beach County, Inc. at www.familypromisencpbc.org or 561-318-8864.

 

A Medical Marijuana Education

0

FLORIDA PHYSICIANS TO RECEIVE MEDICAL MARIJUANA EDUCATION 
Hundreds of Florida’s physicians will gather for a day of education to explore the physiology of the endocannabinoid system, discover how medical cannabis can be used for pain relief and treat the progression of Alzheimer’s disease.

(Wellington, FL) – Florida-based Canna Holdings brings together an esteemed group of physicians, medical practitioners, attorneys and industry experts for the second medical symposium. Dustin Sulak, MD, Gregory Gerdeman, PhD, and Gregory Smith, MD, will be speak and present scientific research on how medical marijuana can benefit debilitating conditions such as pain and Alzheimer’s disease. A group of Florida licensed attorneys will sit on a legal panel to discuss key points from Amendment 2 and potential liability issues. 

Florida’s own, Dr. Gregory Gerdeman commented on the symposium, “Most conferences don’t undertake this type of educational event, even if they have great speakers. Too many cannabis educational conferences these days are primarily business shows, where you can pay sponsorship and get a podium spot billed as a thought leader. By hosting educational events with specific learning objectives, Canna Holdings is serving Florida’s medical community and ultimately patients.”

“Our goal for the symposium is to create an environment where physicians and medical professionals can learn about the science and research behind medical cannabis and the human endocannabinoid system,” says Gregg H. Weiss, founder of Canna Holdings and event organizer. “Our symposium will confront the legal issues many Florida physicians are facing. Education is a key component to a successful rollout of the medical marijuana program in Florida. If physicians do not have the facts along with recent science and research, it will be nearly impossible for the projected 500,000 patients in Florida to have access to this medicine”.

With the overwhelming passage of Amendment 2 and the current confusion on how the program will be implemented, physician education and legal guidance are critical.

Dr. Dustin Sulak, commented, “Thousands of patients and their doctors want to know how it’s possible that one herb can safely and effectively treat so many medical conditions.  The answer lies in the endocannabinoid system.  Strangely, endocannabinoid physiology is omitted from almost every medical school curriculum – it’s time for health care providers to discover what researchers know to be the one of the most important physiologic system involved in establishing and maintaining human health. I’m excited to be a part of the symposium that Canna Holdings has organized – it will ultimately benefit patients more than anyone else”.

The symposium is scheduled for Saturday, March 11, 2017 at The Westin in Fort Lauderdale. Registration will begin at 8am and the event ends at 3pm. Tickets can be reserved prior to the event at CannaHoldings.com. Limited tickets are available for this exclusive event on a first come, first serve basis. Attendees have the option to purchase a CME Ticket with the ability to earn up to 6 AMA PRA Category 1 CME Credits provided at The AnswerPage.com

Canna Holdings organizes medical marijuana educational symposiums across the state of Florida. The company brings in the brightest and accomplished physicians and researchers to speak about medical marijuana, presenting the most up to date science and research along with attorneys and cannabis industry experts. 

For press inquiries please contact Bianca Garza at  bianca@cannaholdings.com  or 813-892-3929

*Interviews with the presenters, panelists and attendees available upon request.

Max Planck Florida Institute for Neuroscience’s Science Meets Music Third Event

Calendar Listings

Max Planck Florida Institute for Neuroscience (MPFI)
Science Meets Music – 2017 events

WHAT: Science Meets Music is an innovative four-part series featuring a scientific lecture accompanied by a classical music performance. The very popular series has expanded from three events to four events this season based on high demand and the first two events in the series have seen record attendance.

WHAT | WHEN (info on the remaining two events):

• Friday, March 24, 2017; reception begins at 5:30 p.m.; Science and Music Presentation begins at 6:15 p.m.
Iain D. Couzin, Ph.D., Director of Max Planck Institute for Ornithology From Democratic Consensus to Cannibalistic Hordes: The Principals of Collective Behavior
Dr. Couzin is a National Geographic Explorer and has won multiple awards for his research including the Searle Scholar Award, Popular Science’s “Brilliant 10” Award and the Scientific Medal of the Zoological Society of London. Dr. Couzin’s lecture will provide a visual guide to ‘collective animal behavior’, using the latest imaging technologies to reveal how and why animals exhibit collective motion, the huge impact swarms have on human life, and the remarkable collective sensing and decision-making capabilities that have arisen in animal groups.

Music by Sofiya Uryvayeva, D.M.A, Pianist. Described as a phenomenal pianist, Dr. Uryvayeva has performed with great success throughout the world. Born in Siberia into a musical family, she graduated from the Odessa Stolyarsky Music School for highly talented children. While in Germany, she earned both Master’s and Doctorate Degrees in music performance. Critics have described her concerts as “a festival of all the senses,” “a magic ride on the witch’s broom,” and “brilliant technique with soul.”

• Wednesday, April 19, 2017; reception begins at 5:30 p.m.; Science and Music Presentation begins at 6:15 p.m.
Samuel M. Young, Jr., PhD, Research Group Leader of the Max Planck Florida Institute for Neuroscience

WHERE: All performances to be held at Benjamin Hall, The Benjamin Upper School; 4875 Grandiflora Road; Palm Beach Gardens, FL 33418

HOW MUCH: Free admission; seating is limited, so RSVP is required

MORE INFO: RSVP at http://rsvp.mpfi.org or call 561-972-9027 for more information

About the Max Planck Florida Institute for Neuroscience
The Max Planck Florida Institute for Neuroscience (MPFI), a not-for-profit research organization, is part of the world-renowned Max Planck Society, Germany’s most successful research organization with over 80 institutes worldwide. Since its establishment in 1948, 18 Nobel laureates have emerged from the ranks of its scientists. It has produced over 15,000 publications, more than 3,000 inventions and over 90 spin-off companies, putting it on par with the best and most prestigious research institutions in the world. As its first U.S. institution, MPFI brings together exceptional neuroscientists from around the world to answer fundamental questions about brain development and function and to develop new technologies that make groundbreaking scientific discoveries possible. Their research is shared publicly with scholars, universities and other organizations around the globe, providing the necessary foundation of knowledge to develop treatments and cures for brain disorders such as autism, schizophrenia, Parkinson’s disease and Alzheimer’s disease. For more information, visit www.maxplanckflorida.org.

Petco Foundation Invests in Awesome Greyhound Adoptions’ ‘Hounds & Heroes’ Life-Changing Work Supporting Service Animals

0

Friday, March 10 at 10 am – PetCo Boynton Beach

$13,000 grant check presentation

 

Contact: Barbara Masi, Awesome Greyhound Adoption’s Hounds & Heroes (561)-737-1941

 

Petco Foundation Invests in Awesome Greyhound Adoptions’ ‘Hounds & Heroes’ Life-Changing Work Supporting Service Animals

Grant of $13,000.00 will extend efforts to help disabled US Military Veterans and retired racing greyhounds in South Florida live their best lives

 

WHO: The Petco Foundation recognizes Awesome Greyhound Adoptions’ Hounds & Heroes’ success in its mission to help disabled US Military Veterans live their best lives with service dogs.

 

WHAT: Awesome Greyhound Adoptions’ Hounds & Heroes received a grant award of $13,000.00, which will extend its ability to train retired racing greyhounds as service dogs for disabled US Military Veterans.

 

HOW: Awesome Greyhound Adoptions’ Hounds & Heroes works to place specialty trained retired racing greyhounds as service dogs to US Military Veterans free of charge with both physical and mental disabilities such as Parkinson Disease, Multiple Sclerosis, PTSD, Traumatic Brain Injury, and mobility issues.

 

WHEN: A stakeholder and media event with Awesome Greyhound Adoptions’ Hounds & Heroes and the Petco Foundation will take place at 10 am on Friday March 10, 2017.

 

WHERE: Petco, 368 N. Congress Avenue, Unit A, Boynton Beach, FL 33426

 

For more information about Awesome Greyhound Adoptions’ Hounds & Heroes program or the Petco Foundation, visit www.awesomegrehoundadoptions.org or www.petcofoundation.org. Join the conversation on Facebook, Twitter and Instagram or by using the hashtag #HelpingHeroes.

Climate Control Services

AW Spotlight

Climate Control Services

An interview with Tom Edwards by Sabeen Faquir

1) How long has Climate Control Services (CCS) been open in Palm Beach County?

Since 1973, so 44 years.

2) Tell us the story about how and why CCS was founded?

Dean Ellis is our founder. He started the business in 1973 in order to create a better service company. A company that focused on customer service and skilled technicians. CCS started out in new construction but that was eventually phased out to begin a new type of service in service contracts.

3) What types of changes have come to CCS since its inception?

After new construction was phased out, Dean became a pioneer in the service contract business. Service contracts for homes was a new concept back then. No one had thought of this and Dean was one of the first to start it and he even helped with the creation of the legislation to get it started. Companies have to be licensed to sell service contracts and are regulated by the state of Florida. This is to keep fraud out of this industry.

4) What is your most popular service?

Service contracts are our most popular service. Customers prefer a one call does it all company instead of a separate plumber, appliance technician and A/C repairman for each problem. We strive to provide the highest quality service. We deliver high end customer service and strive to maintain this with each and every customer. Our main office is located in Boynton Beach but we service all of Palm Beach County.

5) What are the benefits of going with CCS over a competitor?

Satisfaction is guaranteed. We bend over backward for customers and provide the best solution for each individual. We are menu-driven. A customer can ask “What’s good for me?” There is no one size fits all. We custom-tailor contracts or maintenance so customers can choose the options and coverage that best fits their home.

6) Why is the CCS perfect for Wellington residents?

We sell all major brands because not just one brand fits everywhere. A round peg for a square hole is not good for the customer.

7) Tell us about some positive feedback you have gotten.

We send surveys on each service call and installation. Here are some quotes from customers.

“If your service stays as it is, there is no way you can improve. Your service is excellent.”
“Response was great, services was great, job well done!”
“You’re doing a great job, I was thoroughly impressed!”
“Keep sending these skilled technicians to us and keep up the good work.”

8) What are some ways that the organization gives back to the community?

We support a charity during the holidays. Employees donate money or objects, like for toys for tots. Sometimes, for money drives, the company matches the amount raised, doubling donations.

9) Do you offer specials?

Yes, a customer who elects to get a service contract gets 10% off anything that is not covered. We also include an energy saving tune-up FREE upon renewal of their contract. In addition, we offer manufacturer discounts and in Spring/Fall other manufacturer discounts. For example, a family with a service contract who now wants an A/C installation will get special consideration.

The sales team, Tom Edwards and Rick Walenius.

10) Is there anything you’d like to mention?

I have been with CCS since 1986. If ever there came a time I had to leave and seek employment elsewhere, I don’t know if I can. The ownership learned a long time ago that if it takes care of its employees the employees take care of its customers.

Are Equestrians More Resilient?…

Ask the Docs

Are Equestrians More Resilient to Concussive Injury Than Everyone Else?

equestrians-and-concussionConcussions, Balance, and the Equestrian Advantage

Concussions are a hot topic in professional football, but it’s something that horse lovers have been familiar with for years. A 2014 paper in published in the Sports Health medical journal showed that almost 50% of competitive riders will have experienced a concussion during their life while riding. Surveys have also shown that helmet usage amongst equestrians is extremely low with estimates ranging from 9%-25% of riders opting to ride without head protection.

The sudden deaths of high profile professional football players have made the complications of head trauma a hot button topic in sports and medicine. Concussions are considered a mild traumatic brain injury, but the truth is that a brain injury of any sort is anything BUT mild.

While most people will recover from the effects of a concussion within 7-10 days, approximately 15% of patients will experience symptoms beyond 30 days. When these concussive symptoms persist,  the patient will likely receive a diagnosis of post-concussion syndrome or PCS. The symptoms of PCS include:

  • Headache and migraine
  • Vertigo or loss of balance
  • Brain fog/difficulty with concentration
  • Memory dysfunction
  • Dysautonomia and fatigue

Pro-Riding and Pro-Brains. Not Mutually Exclusive

There are risks to all sports, and as an athlete you have come to accept those risks as part of the game. Additionally, if you have been involved with riding for a while, it’s easy to accept head injuries as an inevitable part of the sport, and the truth is that most people will recover in a week or two.
It’s a common thread with sports doctors to say that sports like riding are too risky for the developing brain. The truth is that concussions shouldn’t be something that scares you from playing your sport. Getting into sports like riding are the most effective ways for people to stay active and fit throughout your life.

I try to teach my riders 2 important concepts:

  1. If you get an injury, make it an injury of performance. Take the right steps to prevent injuries of negligence or careless behavior like not wearing a helmet.
  2. Know what to do after a head injury so that you can ensure maximum brain health and recovery.

Taking Care of the Concussed Brain – Performance Over Pathology

When talking about the long-term health consequences of head injury, it’s best NOT to get your stance from places like Will Smith’s recent film, Concussion. The brain illnesses discussed in that movie are pretty rare, and apply to very specific types of athletes.

However, that doesn’t mean that concussion is free of long-term consequences. Studies of athletes with a history of concussion have shown slightly slower cognition and reaction time 30 years later, even if there are no symptoms of head injury. Studies of previous football players have shown that athletes with a history of concussion are more likely to have back and leg injuries after retirement because of the way concussions affect control of your own joints.

Here’s where getting the right treatment after concussion can make all the difference in the world for an equestrian athlete. While most athletes aren’t overly concerned about something abstract like brain health, athletes are VERY interested in anything that can affect their performance on the field or rink.

The Equestrian Advantage

While equestrians are at a higher risk of head injury than most sports, the unique features of equestrian sports may help confer protection from some of the chronic problems associated with concussion.

From a neuroscience perspective, horseback riding requires a tremendous amount of work from the parts of your brain that control balance. Your sense of balance is made up of a delicate interplay between your inner ear (vestibular system), eyes (ocular), and joints (proprioception). Your brain takes information from these 3 systems and paints the image in your mind of where you are in space.

The 3 super systems that maintain your balance

The 3 super systems that maintain your balance

When you ride a horse, your body is constantly bobbing in a way that far exceeds the normal force of walking. Your brain has a magnificent system in place to help keep your vision in focus even though your head is moving all over the place. If this system gets corrupted, then really simple movement makes us feel off balance or dizzy. In other cases, this system also affects our emotional control and cause headaches.

The brain, like any other part of the body gets stronger and adapts the more that you use it and challenge it. Between simple riding, jumping, and dressage, equestrian athletes have to challenge their vestibular system more than almost all people, including many athletes. That means that many equestrians are likely to have a stronger sense of balance than most people, and research is actually starting to demonstrate that1. The effects that horseback riding has on balance or so strong that they are even being suggested for the treatment of balance problems in the elderly2 and in stroke patients3.

No Symptoms No Problems In Concussion Patients

So why is that important for a concussion? Most people associate concussion with your ability to think, but concussions actually have the strongest and most immediate impact on this balance system. When people suffer with concussions, you’ll often see that their ability to stand still and walk is affected even if they don’t have any cognitive symptoms at all. The brain hates when the balance system is broken. Overtime, as balance issues fail to get fixed, it spills over into problems leading to vision disturbances, headaches, and brain fog.

One of the things that I notice in my experience with equestrian patients is that many won’t show signs of head injury in their normal daily activities, due to their strong sense of balance. When your body feels like it has a good sense of balance, some of the cognitive and pain symptoms from a concussion don’t impact you quite as badly. This is a great thing in that a head injury won’t cause an obvious deficiency in your quality of life.

However, many times this is due to a compensation strategy by the brain. When you suffer a concussion, the parts of the brain that control the eyes, cognition, balance, and movement become compromised. When the brain suffers damage to one area, then other areas of the brain will start to work harder to perform the duties of the damaged region. This is driven by a concept called neuroplasticity. This is what allows blind people to have a heightened sense of hearing, or deaf people to have a more focused visual sense.

As a rider, a concussion may damage the regions of the brain that control neck and eye movements, which can be detrimental to your balance. However, your balance system from the inner ear is so strong that it can take over the task of keeping you upright without much of a hitch. Even though you feel good and your balance seems strong, there’s only so long that the brain can manage these compensation strategies before it starts to fail.

Compensated Performance = Suboptimal Performance

 So now we’re going to bring it all back together.

When you suffer a concussion and parts of this comprehensive balance system breaks, many equestrians are fortunate enough to bounce back without prolonged symptomatic consequences because of a well-trained balance system in the brain.

The problem is that our brain is designed to work with contributions from all of our sensory systems. If we partially lose a system like proprioception from the joints and the inner ear system works overtime, then we will gradually lose more and more function from the joint position system. It won’t affect us immediately, but it may start to show up as back pain and knee injuries later on in life. If we lose some of our visual sense, then things like double vision or blurry vision can become long-term consequences.

You can even perform simple tests to see if some of your balance systems are not working well. Something as simple as standing with your eyes closed vs standing with your eyes open helps to see if your inner ear and joint position sense are working. If you start having difficulty concentrating while reading, your ocular system may be compromised.

The good news is that the same plasticity that helps us compensate is what allows us to develop strategies to rehabilitate the brain when we know which system is compromised. A thorough structura and neurological exam can help ensure that your brain does not just survive after a concussion, but to get it back to thriving again.

  1. Kim SH, Lee C, Lee I. Comparison between the effects of horseback riding exercise and trunk stability exercise on the balance of normal adults. Journal of Physical Therapy Science. 2014 Sep; 26(9): 1325-1327
  2. Kang K. Effects of mechanical horseback riding on the balance ability of the elderly. Journal of Physical Therapy Science. 2015 Aug; 27(8): 2499-2500
  3. Kang K. Effects of horseback riding simulator exercise on postural balance of chronic stroke patients. Journal of Phhysical Therapy Science. 2013 Sep; 25(9): 1169-1172.

Drug Free Remedies

Health and Fitness

New Report States Drug Free Remedies Are The Way Forward to Treating Back Pain.

By Cheryl Alker

I can pretty much guarantee that if you are reading this then you will have experienced a back spasm at least once. Now it may have been just a warning tightness you felt which subsided fairly quickly or a spasm that stayed and became debilitating. With back pain guidelines hitting the news recently with the latest report from the American College of Physicians (ACP) stating we should try drug-free remedies such as heat wraps, exercise, stretching and stress-reduction techniques before reaching for pain killers, I thought you might like to know why your back spasms and why these guidelines are so relevant.

A back spasm will often occur when the deeper underlying layer of muscles are not firing with proper timing and duration. The role of our often smaller and deeper muscles in our back is to stabilize and brace the spine over long periods of time. However, if we under utilize these muscles and leave them under trained without proper conditioning then ultimately they will fatigue and become unable to perform their designated duties. When this happens, the larger more superficial layers of the back begin to compensate and try to perform the job of the deeper muscles.

Unfortunately our larger superficial muscles are not designed to perform in this way, their role is more movement with shorter bursts of energy.  Therefore asking them to perform over sustained and long periods of time means they will fatigue pretty quickly.

The result of this lack of balance between the muscles of our back are that the deeper layer of muscles shut down, no longer performing their primary function, and the outer layers fatigue with the extra work which can often progress into a strained or sprained muscle.

When muscles no longer function to protect the vertebrae correctly, other surrounding muscles try to take their role so as to protect the vertebral column. The only thing they can do is to become extremely rigid so as to limit movement to avoid any risk of injury to the discs and nerves.

This occurs during back spasms as the outer layers of the back freeze in order to protect the deeper ones and consequently the spine.  This phenomenon is known as “guarding”.  

When a muscle or group of muscles guard a specific area such as a joint or disc space, sometimes the area is no longer stable as the guarding locks the joint into a new position.   Here the muscles that were protected from the outer layer have fixed in to a new position or misalignment. There is an imbalance of strength and length in the muscle that remains as the pain subsides.

This ultimately presents a risk to the area, disc or nerve and perpetuates an additional problem in a cycle of pain and injury. 

Most people cannot even sense that they are out of alignment and continue to perform their daily activities.  They assume that they are healed and risk re-injury and further guarding that may exacerbate further misalignment and pain.

Therefore masking pain with drugs is not the way forward to stopping your back spasm in the future. Taking an approach of strengthening the smaller underlying muscles is key. However the training should be specific to the role that you are depending on them to complete i.e. keeping the spine in a braced natural “S” curve. Short tight muscles should also be addressed as they will be responsible for pulling your bones out of alignment. A stretching program should be implemented to address these muscles shortness.