Learn from the Olympians – A Helmet Can Prevent Concussions and Save Lives

What do the Olympic snowboarders, skiers, sledders, and hockey players all have in common? Win, lose, or draw – they all wear helmets.

If you have been watching the 2014 Winter Olympics as I have, you have seen some nasty skiing, sledding, and snowboarding “wipe outs.” I personally saw one of the athletes crack her helmet as she hit the ground. I bet it saved her life – even if she still got a concussion out of the deal.

With that being said, we’ve heard a lot about concussions lately. If you watched the Super Bowl and other NFL games this past season, you heard the word concussion plenty of times. In years past, we would often “blow off” minor head injuries that may have been true concussions, but these days, we take concussions much more seriously. And we do this for an important reason – the research has clearly shown that concussions need to be taken very seriously, diagnosed accurately, and treated appropriately.

At the “end of the day” we need to be doing everything in our power to prevent concussions in ourselves and our kids – and hence the column about helmets…

The Olympics – and most importantly the Olympic crashes and wipeouts – highlight the need for children – and parents – to wear their helmets when engaging in activities that could result in head injuries. We simply need to take the appropriate precautions when we engage in sports and endeavors that could place us in harm’s way. Your mother was right – it’s simply better to be safe than sorry.

Take it from a guy whose bonked his head a few times – and gotten very lucky – helmet use is very important. No matter what your age or level of experience, whenever you bike, inline skate, skateboard, ski, snowboard, sled, or engage in other activity where your head is vulnerable to injury, you should wear a helmet.

Why wear a helmet?

Cuts, bruises, sprains, and even broken bones will heal, but damage to your brain can last a lifetime. In an instant your head can smack the street, sidewalk, curb, a car, tree or anything else around you. Some of the most tragic cases that I have seen are closed head injuries and concussions. Sadly, many would have been prevented if a helmet was worn.

How do helmets protect you?

When you fall or crash the helmet absorbs much of the impact that would otherwise cause a bruise, concussion, skull fracture, or serious brain injury. Thick plastic foam inside the hard outer shell of your helmet cushions the blow. The helmet essentially “takes the hit” instead of your head.

Here are some keys to choosing an appropriate helmet:

  • Choose the right helmet for the right sport.
  • The helmet should be snug: It does not slide from side-to-side or front-to-back.
  • The helmet should be level: It is square on top of your head, covering the top of the forehead. It does not tilt in any direction.
  • The helmet should be stable: The chinstrap keeps the helmet from rocking in any direction.
    Choose a bright, colorful one that everyone will see and respect!

Children and helmets

Young children are particularly vulnerable to head injuries. They have proportionally larger heads and higher centers of gravity, and their coordination is not fully developed. It is more difficult for children to avoid obstacles when biking, sledding, in-line skating, skiing, or doing other activities.

Tips to help children understand the importance of wearing helmets:

  • Teach by example: Always use your helmet when playing sports with potential for collision.
  • Buy a helmet that fits your child now – don’t try to skimp by buying one to “grow into.”
  • Be aware that your child is more likely to wear a helmet if he or she likes the way it looks.

Oh, and parents – remember that it’s not just the kids who need to wear their helmet. Let’s all take a lesson from the Olympians and wear our helmets!

Enjoy the rest of the Olympics – and just like an Olympian – be a winner, first and foremost, by being smart and be safe.

The Olympic Games Should Motivate All of Us

These days I am seeing two groups of kids in the community, and we will simply call them the “haves” and the “have nots.” Let’s be clear – it really has nothing to do with socioeconomic status, but there really are two distinct groups of kids: 1) either the parents and kids are being pushed earlier and harder to excel in a particular sport, or 2) the parents and kids are simply disengaged all together from sporting activities.

With this being said, this column is directed at all kids, but I’m really trying to reach out to the parents of kids who just aren’t that interested in sports. Let’s be clear – there’s nothing wrong with playing the flute, starring in the play, or anchoring the debate club. These are noble and appropriate pursuits, but there are just too many disengaged kids these days when it comes to basic physical fitness.

Looking back to my own youth and young adulthood, I can clearly assert that nothing is as motivational as watching the Olympic Games. The “thrill of victory” at the Olympic level has no parallel in its ability to motivate all of us. As I write this column, I am looking up at my own signed team jersey from the 1980 USA Olympic Gold-Medal-Winning Hockey Team. It still gives me goose bumps when I think about that game. Let’s use some of this positive Olympic energy to highlight how we can better ourselves and our kids from a physical fitness standpoint.

Although the Olympics Games highlight athletic pursuit and achievement, they should also serve as a wakeup call for parents of kids who are not active. If you look at the statistics, youth fitness levels are dragging – it’s estimated that only one out of four American schoolchildren gets an adequate amount of physical activity each day. It’s no surprise that the number of overweight children is rising rapidly. Almost 13% of 6 to 11-year-olds are obese. Importantly, children who don’t get at least 35 to 60 minutes of walking or other exercise each day can also miss out on their chance to build the strong muscles and bones that they will need later in life.

The bottom line is that many kids need a lifestyle change from one that is sedentary to one that is more physically active, and that’s going to take some work on the part of you parents. Let’s face it, it’s easier to “plop” our kids in front of the TV or computer than it is to actually play with them. Your involvement in your kid’s play time is not only good for your family, but it can also often be good for your family’s over-all fitness. Exposing your children to the Olympics might be just the motivation that you and your kids need.

There are a lot of perks to your kids being active:

Bones, for instance, grow in size and strength during childhood. The peak bone mass that you gain through physical activity while you’re young helps to determine your skeletal health throughout life. In addition to building stronger bones and fit muscles, regular physical activity also strengthens the heart and lungs. It lowers blood pressure, improves muscle strength and flexibility, reduces stress and depression, helps control weight, and improves sleep. In addition to exercise, a healthy diet, not a junk food diet, is key to over-all wellness.

Get started with physical activity:

Making the switch to a healthy lifestyle isn’t always easy, and getting started is the toughest and most important step in any exercise program. Slow and steady is the best way to begin. Also, do a variety of different physical activities. Here are some tips:

  • Choose fun, year-round activities.
  • Take plenty of time to warm up and cool down. Do walking, bending, and gentle stretching exercises. Flexibility exercises help avoid injuries.
  • Work toward fitness goals gradually.

The minimum 35 minutes of physical activity each day can be broken up into shorter periods, such as 15 minutes of walking and 20 minutes of sports.

Tips to get kids moving:

  • Reinforce that exercise is fun! Avoid emphasis on winning.
  • Model active behavior. Join children for a bike ride, a ball game or a long walk.
  • Use physical activity as a reward, such as a family canoe trip or berry-picking outing.
  • Make exercise part of daily routines: simple chores such as raking leaves, painting or walking the dog are effective ways to increase activity.
  • Schedule physical activities in 10 to 15 minute blocks of time throughout the day.
  • Designate indoor areas for physical activity.
  • Select physically active-oriented toys and gifts.
    • Finally, check out the 2014 Winter Olympic Games – and encourage your kids to watch them. While watching TV might not actually increase your fitness level in and of itself, seeing these athletes compete might be “just what the doctor ordered” to get your child – and perhaps you – off the couch and involved with something healthy.

    Avoid Getting Sidelined This Winter

    For Immediate Release
    2/19/14

    Avoid Getting Sidelined This Winter
    Orthopaedic surgeon provides tips to prevent winter sports injuries

    Bloomfield Hills, MI ⎯ At the sight of the first snowfall, kids and adults alike are eager to enjoy the variety of winter sports available. Hours of recreation are spent on activities ranging from sledding, snow skiing and tobogganing to ice hockey, ice skating and snow boarding. But according to the American Academy of Orthopaedic Surgeons, if the proper precautions are not taken to ensure warmth and safety, severe injuries can occur.

    Winter sports injuries get a lot of attention at hospital emergency rooms, doctors’ offices and clinics. According to the U.S Consumer Product Safety Commission, more than 310,000 people were treated in hospitals, doctors’ offices and emergency rooms in 2012 for winter sports-related injuries. Specifically:
    • more than 40,000 injuries were caused by sledding;
    • 97,713 by snowboarding;
    • 119,715, snow skiing; and,
    • nearly 53,000 by ice skating.

    “Countless numbers of winter sports injuries happen at the end of the day, when people overexert themselves to finish that one last run before the day’s end,” explained Dr. James Bicos, Orthopedic Sports Medicine Surgeon with William Beaumont Hospital. “A majority of these injuries can easily be prevented if participants prepare for their sport by keeping in good physical condition, staying alert and stopping when they are tired or in pain.”

    The American Academy of Orthopaedic Surgeons urges children and adults to follow the tips below for preventing winter sports injuries:

    Sledding
    Numerous sledding injuries are caused by collisions at the end of sledding paths and/or sledding in improper positions. Click here to read a detailed list of safety tips to help reduce these injuries.

    Snowboarding and Skiing
    Many snowboarding and skiing injuries can be avoided by utilizing appropriate equipment, ensuring a safe environment and following all rules of these sports. Click here to read a full list of snowboarding and skiing safety tips.

    General winter sports safety tips:
    • Consider participating with a partner. If possible, skiers and snowboarders should stay with a partner and within sight of each other. Also, make sure someone who is not participating is aware of your plans and probable whereabouts before heading outdoors.
    • Check the weather for snow and ice conditions prior to heading outdoors. Pay attention to warnings about upcoming storms and severe drops in temperature. Make adjustments for icy conditions, deep snow powder, wet snow, and adverse weather conditions.
    • Dress for the occasion. Wear several layers of light, loose and water- and wind-resistant clothing for warmth and protection. Also wear appropriate protective gear, including goggles, helmets, gloves and padding and check that all equipment, such as ski and snowboard bindings, is kept in good working order.
    • Warm up thoroughly before playing and exercising. Cold muscles, tendons and ligaments are vulnerable to injury. It’s important to warm up by taking it easy on the first few runs.
    • Know and abide by all rules of the sport in which you are participating. Take a lesson (or several) from a qualified instructor, especially in sports like skiing and snowboarding.
    • Always carry a cell phone in case of an emergency.

    Click here to read more safety tips.

    More tips:
    Winter sports safety

    For more information, contact:
    Dr. James Bicos
    Performance Orthopedics
    248-988-8085

    Sledding Safety

    You can feel the excitement building as the Winter Olympic Games approach. While the Olympic Alpine events are thrilling to watch, speeding down a hill on a ski, a snowboard, a sled – or some other contraption – has its risks. As you may recall, I recently wrote an article on “skiing safety,” and low-and behold – right about the same time – our iconic Olympic skier, Lindsey Vonn, blew out her knee. And many of us remember the Olympic sledder who tragically crashed and died during the last Winter Olympic Games.

    On a brighter note, sledding is a great activity. It’s fun, it’s family-oriented, and it’s good exercise! With this being said, Olympic injuries and tragedies remind us that safety comes first when it comes to ourselves and our kids. Even though your sledding speeds won’t approach 90 miles per hour like in the Olympics, some precautions are still in order.

    Although we have been bombarded by the weather this winter , it seems that some of our best sledding days may be upon us and our children. Rather than complaining about the snow, I truly believe that we should all have some fun with it! Perhaps we can learn from our kids who seem to find plenty of ways to have fun with the snow. Many of us adults simply drive through it, shovel it, and blow it. It’s no wonder that so many people in Michigan despise the snow and suffer from conditions like seasonal depression. Have we all forgotten about snow ball fights, snow men, snow angels, snow forts, and last but not least – sledding? I guarantee that if you spend some time with your kids out in the yard or on the sled hill, it will lift your spirits, give you a little exercise, and perhaps even give you a more positive view of one of Michigan’s seasonal gifts.

    Of course, sledding is supposed to be fun, but it also needs to be safe. Every year, thousands of youths and adults are injured while sledding down hills in city parks, streets and resort areas. Most of these injuries are very preventable. Your kids probably won’t hurt themselves building a snowman or making a snow angel, but it’s worth taking a moment to discuss sledding safety.

    Incidence of Injury

    According to the U.S. Consumer Product Safety Commission, there are approximately 75,000 sledding, snow tubing, and tobogganing-related injuries treated at hospital emergency rooms and doctors’ offices each year. Believe it or not, the total medical, legal, and work loss-related costs exceed $2.3 billion! Luckily most sledding injuries are “bumps and bruises,” but some of the injuries, even on our hills in Michigan, can be serious enough to cause lifelong disability or death.

    When a sled hits a fixed object such as a tree, rock or fence, the rider may suffer serious head and neck injuries. The majority of injuries happen to youths age 14 and younger, especially in the run outs at the end of the sledding path. Young children are especially vulnerable, as they have proportionally larger heads and higher centers of gravity than older children and teens. In addition, the coordination of youngsters has not fully developed and they can have difficulty avoiding falls and obstacles.

    Essential Precautions

    Sledding should be done only in designated and approved areas where there are no trees, posts, fences or other obstacles in the sledding path. The sledding run must not end in a street, drop off, parking lot, pond or other hazard. Do not sled on public streets – the first big snowfall of the winter season often tempts youths to sled down sloping streets where they may be hit by cars and trucks or slam into parked vehicles, curbs, and fences.

    Parents or adults must supervise children in sledding areas to make sure the sledding path is safe and there are not too many sledders on the hill or at the end of the run at the same time. A little “sledding organization” can go a long way when it comes to avoiding collisions.

    No one should sled headfirst! All participants should sit in a forward-facing position, steering with their feet or a rope tied to the steering handles of the sled. Some youths like to run with their sleds and leap forward in a “belly flop.’ This does not give them control of where they are sliding and can expose them to possible head and neck injuries.

    Preferred Precautions

    • Young children should wear a fitted helmet while sledding.
    • The sled should have runners and a steering mechanism – this is safer than toboggans or snow disks.
    • Sledding in the evening should only be done in well-lit areas.
    • Plastic sheets or other materials that can be pierced by objects on the ground should not be used for sledding. In addition, they are difficult to steer.
    • Sledders should wear layers of clothing for protection from injuries and cold.

    Bottom line – Let’s take a few simple precautions and have both a fun and safe time sledding this winter! It’s truly one of the great seasonal activities that we Michiganders have the opportunity to enjoy.

    Dr. Bicos to talk on shoulder pain at The Community House

    Come attend a free lecture on Shoulder Pain — It’s Common Causes and Treatments by Dr. Bicos at The Community House in Birmingham, MI, on Wednesday, April 23rd from 6:30 – 8:30 PM.

    Dr. Bicos will discuss the anatomy of the shoulder in terms you can understand, the most common tests that help us diagnose your shoulder pain, and the 5 most common causes of shoulder pain with their treatment options.

    Be prepared when you go and see your physician on the questions to ask!

    Dr. Bicos is a board certified Orthopedic Surgeon who specializes in cartilage restoration, shoulder injuries (rotator cuff, shoulder replacement, dislocations), and sports related knee injuries.

    He is on staff at William Beaumont Hospital with the Department of Orthopedics. Dr. Bicos is the team orthopedic physician for the USA Gymnastics Team and was named Top 10 Sports Surgeons by Sports Illustrated Magazine in 2012.

    You can register by calling 248-644-5832 or by visiting The Community House website.

    You can also see the TCH flyer below…

    Dr. Bicos talks on the 5 most common causes of shoulder pain.

    Dr. Bicos talks on the 5 most common causes of shoulder pain.