Did you know about the strong correlation between concussions and developing CTE/Alzheimer's?

I'll teach you about all that and more here

👇
What is a Tau protein?

Simply put, they are proteins that are found in neurons and provide stability and keeps the internal skeleton of neurons together

A shortage of these inside the neurons decreases brain function
Accumulation of Tau proteins outside the cell promotes brain cell damage death

And how might these Tau proteins end up outside the neuron?

Brain injury such as a concussion

Learn more here
When there is brain trauma, Tau proteins detach from the cell and float freely (quite bad)

In addition to this, there is diffuse axonal injury (DAI)
When these Tau float freely, they connect with other Tau proteins and form neurofibrillary tangles (NFTs lol)

These tangles slow the ability to think

What are the biological markers of Alzheimer's?

DAIs and NFTs
A single traumatic brain injury (TBI) can induce progressive Tau pathology for years

The correlation of TBI and CTE/Alzheimer's can be drawn given because all the conditions share nearly identical biological markers
CTE and Alzheimer's are triggered by the following:

☑️Chronic neuroinflammation
☑️Tau accumulation
☑️Neurodeneration

In fact, Tau accumulation is so prevalent in CTE, that they diagnose CTE post-mortem via blood analysis showing a surplus of Tau
It is no coincidence that a TBI(concussion) triggers all of the events mentioned above

In fact, CTE is 8% more prevalent in someone that has sustained a TBI than those without (22% risk vs 14% risk)
So now we understand the biological processes that occur with a concussion as well as CTE/Alzheimer's

Again this was a gross oversimplification of what goes on in the neurons
That's it.

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More from @bowtiedkobra

Mar 24
Have you ever felt a pop in your knee only to look down and see your knee cap on the side of your knee?

If so, this thread is for you

Breaking down a patella dislocation today Image
First off, a patella and a knee dislocation are not the same thing

A knee dislocation is a traumatic, limb threatening emergency

A patella is not
Quick definitions:

A dislocation is when any bone is forced out of its socket and stays out

A subluxation is when a bone is forced out but goes back in on its own

Both injure the same structures but a dislocation lends itself to more trauma
Read 13 tweets
Mar 24
Ibuprofen and Naproxen are commonly prescribed anti inflammatory medications

However, using them will kill you

I'll explain the dark side of NSAIDS below
To understand why NSAIDS are bad, we need to quickly dive into some inflammatory mediators/pathways in the body Cox 1 and 2

These are enzymes that:

-create prostaglandins (needed for inflammation response)
-create thromboxane (helps clotting)
-provide blood flow to the kidneys
Cox 1

-helps keep platelets together to stop bleeding (clot)

-facilitates blood flow to the kidneys

-protects your stomach lining
Read 13 tweets
Mar 22
Tommy John surgery

The most dreaded phrase in throwing athletes

It involves the UCL of the elbow

Lets breakdown whats going on
The UCL stands for Ulnar Collateral Ligament in the elbow

It provides stability against valgus stress to the elbow, the elbow and knee are very similar so think of the MCL in the knee

It is comprised of 3 bundles; anterior (the strongest), posterior and transverse
The UCL is injured in 2 ways:

Throwing

Valgus force to the elbow

We'll focus on throwing as this is when UCL Injury is a concern
Read 14 tweets
Mar 21
I'm gonna teach you all how to put a dislocated shoulder back in (reduction)

First, I'll show you what not to do

👇
This is a few months ago, but still one of the worst attempts I've seen

Everything you see here, do the opposite
The textbook gold standard for a shoulder dislocation reduction is done under anesthesia and x-ray

This scenario usually doesn't exist so I don't blame the medical staff for making an attempt
Read 10 tweets
Mar 21
Working with athletics, hamstring strains are something I see all the time

As such, I've gotten quite good at rehabbing them

Here is the best EARLY, ACUTE guide to managing one

👇
First off, never use RICE, POLICE, PRICE or any other redacted variation of using ice

You need to restore ROM and strength

Ice does neither. Don't waste your time
The exercises:

1. Isometrics
2. Toe touches
3. Hamstring curls
Read 10 tweets
Mar 20
Did you know that the average human has the ability to lift boulders?

The brain just doesn't let you (most of the time)

Lets discuss the limits of human strength
There are generally 2 different types of strength:

What you can achieve in normal circumstances (think a weight room)

Hysterical strength (superhuman feats that occur in life or death situations)
Normal strength estimations vary

But its generally accepted that a human can exert 40-60% of complete maximal strength in any given bout

This top range can be increased via heavy strength training but only to a very finite range
Read 12 tweets

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