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Monday, May 7, 2018

Concussions in Football by Harrison Mooney


            Thousands of fans are cheering as they watch their favorite football team take on their rivals. The quarterback passes the ball to the slot receiver who is running across the middle. As soon as the receiver catches the ball, he turns and sees a linebacker. Then, he sees darkness. The linebacker has hit the slot receiver in the head and the receiver suffers from a concussion. These head injuries are very serious and can lead to a lifetime of pain and suffering. The worst part about it is that in the football world, these concussions are one of the most common injuries. Is the sports world doing enough to protect its athletes and is there more we can do to prevent and help deal with concussions?
History
            Concussions in football have been a problem since the very beginning of the sport. But, doctors have only recently been paying attention to the effects hits have on the brain. In 1994, the NFL commissioner created the “Mild Traumatic Brain Injury” committee (Ezell). This was the NFL’s first steps in researching the problems of concussions and protecting the players. In March 1997, the “American Academy of Neurology” came out with a study that stated that repeated concussions can cause brain damage (Rapaport). This study was the first study to set guidelines on when a player should return to football. In May of 2000, the first study of former football players and concussions was started (Rapaport). The players were asked whether or not they’ve had a concussion and what health problems they have today. Players that had suffered a concussion had a higher chance of memory loss, loss of concentration, speech or hearing problems, numbness or tingling in the hands and feet, and major headaches (Rapaport). These studies started to raise eyebrows on the severity of concussions and the health risks they posed. So, teams wanted to better protect their players. In 2002, Riddell Sports designed a helmet that was supposed to reduce the chance of concussions significantly (Harrison). The football world is still changing and even more protocols are being put into place to help reduce concussions. This sport still entertains many people, but at what cost?
Effects on Society
            Concussions in football have changed the way the world looks at concussions in any aspect of life. The injury has changed how the football world protects it’s players. In a recent study of 202 deceased football players, 177 of the players had Chronic Traumatic Encephalopathy (Goldman). CTE is a progressive degenerative brain disease that can lead to death (“Frequently Asked Questions about CTE”). The discovery of CTE in football players has raised concern for all football players. The whole football world has been altered. Football players are retiring early, deciding not to play, and asking for more protection and compensation. This heavily hurts football organizations. Star players have to sit out of games which hurts viewership. The football society has taken a hard hit from the discovery of how common CTE is in deceased players. This drives the football world to create safer equipment so that people will not be so afraid to play and so that players don’t have to sit out games.

            Another way that concussions in football has changed society is that doctors are now studying the effects of concussions in more depth. Because of how common concussions are in football, doctors are researching the effects the concussions have on the brain in a whole new way. A new study has found that hard impacts to the head that don’t result in concussions can still cause CTE (Goldstein). Concussion heighten the chance of the possibility of CTE. Dr. McKee at VA Boston HealthCare System suggests that they should follow football players for decades and see how their brains are effected by brain trauma (Goldman). Neurological doctors have put a new level of importance on concussions and they are striving to protect our players. This not only helps football players, but anyone in the world who suffers from a concussion. People who go to doctors with concussions now get treatments that professionals do. This helps protect the brains of everyday people.
             Concussions have also changed how society as a whole views football. Parents are more reluctant to put their kids into football and teenagers are more reluctant to play football in high school. The amount of youth participation in sports as a whole has increased the past few years, but, the amount of players participating in football has decreased by 25,901 (“High School Sports Participation Increases for 28th Straight Year, Nears 8 Million Mark”). This shows how the increase in worry about concussions and other injuries has decreased footballs popularity. This decrease in participation will be felt at the college level and the professional level. Athletes that could have made the sport even more interesting and improve the game will end up playing another sport because they’ll have less of a chance at brain damage.
Examples
            You are playing football when all of a sudden you feel your head whip to the side and slam on the ground. You have suffered a concussion. What should you expect to happen to your body?
            If you have a minor concussion, you can expect dizziness, headaches, and maybe sleeping problems (Post-Concussion Syndrome). These symptoms can last a couple of days, but you should be able to return to the field before too long (Post-Concussion Syndrome). Minor concussions are more common than others. But, these minor concussions can add up and still cause CTE.
            If you suffer from a major concussion, you could be knocked out completely cold. The symptoms you can expect are the same as a minor concussions, but with more severity (Post-Concussion Syndrome). You can also expect “psychological symptoms such as depressed mood, irritability, and anxiety” and “cognitive problems involving memory, concentration, and thinking” (Post-Concussion Syndrome). If you suffer from a concussion of this severity, you should sit out for at least 30 days or until cleared by a doctor (Mullally).
            The last concussion you could suffer from is so violent that it is life threatening. This concussion could cause bleeding in the brain and brain swelling (Mullally). You would have to be hospitalized and monitored to ensure that your brain doesn’t swell too much and cause permanent brain damage. If you suffer from a concussion this bad, do not expect to come back to play until after six months and an MRI can indicate there is no structural damage to your brain.
Solutions
            There are currently no solutions on how to prevent concussion indefinitely. All there is to prevent concussions is better padding and rules that protect players from head to head collisions. Companies are continually creating new helmets for players to wear that will better protect them. The helmets can only help so much because the impact of a direct hit to the head can’t be completely absorbed by a helmet. Something else must help the helmet. The only thing people can do if diagnosed with a concussion is sit out and wait for their brain to heal. There are many new solutions that are being created though.
One of the most successful solutions is cannabis. There are compounds in cannabis that are produced by the body when the brain suffers from a concussion. Cannabinoids are produced by the body to reduce swelling, inflammation, and damaged tissue (Hansen). “In a 2011 study, researchers found that levels of 2-AG, an endocannabinoid, were significantly increased after a head trauma in mice” (Shohami). These studies have proven that the compounds in cannabis have the possibility of helping with the healing of concussions. But, that’s not all the cannabis could do. Studies have shown that cannabinoids can increase the amount of neuroblast migration to a damaged site in the brain (Bravo-Ferrer). What this does is the neuroblast promotes healing of the brain by creating new neurons in the damaged site of the brain. More studies are being conducted to see whether or not cannabis is truly an effective way to treat concussions. In the football world, trainers could use cannabis pills to treat concussions. Whenever a player is pulled off of the field and has been diagnosed with a concussion, the trainers could give the player the cannabis pill. This would be very beneficial because not only would the player be relaxed, but the brain would start recovering immediately. The swelling would be dulled and the damaged tissue would begin to heal.
Another solution being tested is one that would actually heal you and prevent you from getting CTE. The idea behind this solution is that doctors could give you a vaccine that would prevent you from getting CTE (Molteni). Normal vaccines work by introducing the illness to your body so that your body can learn how to fight it off. Well, doctors want to do that with CTE. Doctors want to try to introduce patients with a small form of CTE so that the body can learn to fight it off. The difficult part is that doctors need to test possible antidotes for CTE can extract it. Doctors can’t do this easily because you have to be dead to be diagnosed with CTE. Even though this solution is in very early stages of development, it shows a lot of promise. If we could vaccinate every football player, players wouldn’t have the fear of suffering the consequences of hits later in their life.
Out of the possible solutions to keep players safe while playing football, the best solution is the cannabinoids found in cannabis. Improving helmets only goes so far because you can never completely eliminate the force the head takes when it slams into another player. The vaccine solution is very promising but it is very far from becoming a reality. The cannabis is something that we can use right now, it is something we haven’t used before, and there are multiple studies that cannabis in fact does help the brain after a concussion.
Absurdity and Concussions
            Albert Camus would have seen concussions as a sacrifice that would be worth it. Camus was a soccer player and he said, “what I know most surely about morality and the duty of man, I owe to football” (Camus). Camus was grateful towards team sports because they taught him a major lesson. But, Camus had to stop playing soccer because he contracted tuberculosis (Cruickshank). He would’ve seen getting CTE as very absurd. Players are risking their lives and possibly shortening them just to play a sport. The players are damaging their brains just for the entertainment of others. Camus would’ve felt bad for the players though. He would’ve understood the pain the players would go through because they would be forced to stop playing once they suffered a concussion. When Camus was forced to stop playing because of tuberculosis, it changed him (Cruickshank). Camus said “live to the point of tears” (Camus). He would’ve seen the football players giving their hearts to the game and he would’ve seen it as man giving their all and rebelling against the limits of the body. Camus believed you should rebel against life and live your life. Camus would’ve seen CTE as absurd, but he wouldn’t see the players as absurd. This is because of the heart and the sacrifice the players gave.
Conclusion
            Of the 135,000 emergency department visits due to concussions, 60% of them occur from football (What is a Concussion?). This number is staggering. Concussions are one of the most common sports injuries and it has the largest consequence of any sports injury, brain damage. The football world maybe paying more attention to the severity of concussions, but there has yet been anything to prove that they are successfully protecting their players. The next thing to do now is to see what else there is to do to protect our players during this concussion epidemic.

Works Cited
Bravo-Ferrer, I, et al. “Cannabinoid Type-2 Receptor Drives Neurogenesis and Improves  Functional Outcome After Stroke.” Stroke., U.S. National Library of Medicine, Jan. 2017, www.ncbi.nlm.nih.gov/pubmed/27899748.
Cruickshank, John. “Albert Camus.” Encyclopædia Britannica, Encyclopædia Britannica, Inc., 18 Jan. 2018, www.britannica.com/biography/Albert-Camus.
Ezell, Lauren. “Timeline: The NFL's Concussion Crisis – League of Denial: The NFL's
Concussion Crisis.” PBS, Public Broadcasting Service, www.pbs.org
“Frequently Asked Questions about CTE.” Boston University, www.bu.edu
Goldman, Tom. “Study: CTE Found In Nearly All Donated NFL Player Brains.” National Public
Radio, www.npr.org
Goldstein, Lee. “NEW STUDY – Led by BU CTE Center Researcher, Dr. Lee Goldstein Shows
 Hits, Not Concussions, Cause CTE.” Boston University, www.bu.edu
Hansen, H H, et al. “Accumulation of the Anandamide Precursor and Other N-Acylethanolamine Phospholipids in Infant Rat Models of in Vivo Necrotic and Apoptotic Neuronal Death.” Journal of Neurochemistry., U.S. National Library of Medicine, Jan. 2001, www.ncbi.nlm.nih.gov/pubmed/11145976.
Harrison, Emily A. “The First Concussion Crisis: Head Injury and Evidence in Early American
Football.” US National Library of Medicine National Institutes of Health, www.ncbi.nlm.nih.gov
“High School Sports Participation Increases for 28th Straight Year, Nears 8 Million Mark.”
National Federation of State High School Associations, www.nfhs.org
Mullally, William. “Sports Related Head Injuries: When Is It Safe to Return to Play?” Brigham
Health Hub, 6 Feb. 2018, www.brighamhealthhub.org
“Post-Concussion Syndrome.” WebMD, www.webmd.com
Rapaport, Daniel. “Timeline: 6 Studies That Helped Link NFL to CTE.” SI.com, www.si.com
Shohami, Esther, et al. “Endocannabinoids and Traumatic Brain Injury.” British Journal of Pharmacology, Blackwell Publishing Ltd, Aug. 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3165950/.
“What Is a Concussion?” Protect The Brain, www.protectthebrain.org

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