May 31 2009
Not a smart man of the Month May 2009
Yahoo Sports runs a pretty good website with areas for all sorts of different sports. I rate it pretty highly. Each week or so the Mixed Martial Arts MMA section hosts a ‘Ask the Doc’ column where readers can write in and ask the Doc any questions and he responds to some of them. This weeks was comical to me…. Robert you moron.
Dear Dr. Johnny Benjamin:
In keeping with the theme of your last “Ask the Doc” feature, my question concerns the health impact of body conditioning for MMA competition. Specifically, I would like your opinion on the potential longterm health effects of one common body conditioning technique that I participate in at my gym. The technique involves one of the participants holding still while receiving several (15-20) light strikes (gloved) to the forehead and top of the head in rapid fashion from the other fighter. This is repeated several times. The suggested purpose of the technique is to condition the brain to absorb minor shocks to the head with greater ease. I am curious as to your opinion on the effectiveness of this technique and any longterm negative health effects that might arise from this practice (sub-concussive blows?). Furthermore, would you recommend any detective medical tests that could identify potential brain damage before it occurs (i.e. identifying potentially harmful brain scarring)?
Thanks for all your helpful and insightful health articles relating to MMA.
Sincerely,
Robert
*Thank goodness the Doc tries to bring some common sense to Robert.
Robert, before I attempt to address this interesting question, a bit of advice: Stop participating in this potentially dangerous technique immediately!
I never ceased to be amazed and inspired by the practice of medicine. I learn so much by listening to my patients, diligently reading journals and conducting research for articles that I write. The questions that I receive challenge my beliefs and make me a better doctor, if not a better person.
Some well-meaning individuals and some who are merely attempting to profit at your expense continue to represent certain techniques and potions as useful and beneficial with little to no credible basis for such claims. Some of these notions and potions merely waste your time and money, but some of them potentially jeopardize your health and well-being.
The “training” technique of repeated light blows to the head in an attempt to condition the brain against concussions is both a gross misunderstanding of brain physiology and potentially very dangerous. I must highly recommend that anyone participating in such a technique stop immediately.
I assume that this misconception came from incorrectly utilizing legitimate conditioning techniques (e.g. shin conditioning) for other applications. It’s a bit like saying, “Since Drano and Liquid-Plumr are effective in unclogging pipes, they should be fine for you to take for your constipation.”
Shin conditioning works by slowly inducing bone growth and strength by slowly and repetitively increasing stress applied to it (Wolfe’s Law). Martial artists and orthopedic surgeons have understood this principal and have applied it correctly in the arenas of sport and fracture healing for centuries.
Brain tissue and bones are not the same and do not respond to repeated stress in a similar fashion.
Brain tissue (gray and white matter) responds to repetitive blows in a potentially very negative fashion. Repeated blows to neural tissue do not impart some sort of increased resistance to trauma. In fact, it injures tissue, disrupts cell-to-cell connections and creates scarring that is potentially deleterious to overall function.
The brain has some (but a very limited) capacity for repair of traumatically induced damage. And no one, nor any diagnostic test/scan, can accurately predict how many blows are too many blows for any specific individual. Current diagnostic imaging (MRI and CT) may reveal damage once it has occurred, but by then, it may be too late. The damage may very well be permanent.
Your brain should be viewed and treated as a very expensive laptop computer. It doesn’t like to be jostled, dropped, punched or kicked. Contact is an integral part of MMA, but allowing someone to potentially beat you silly with a misguided, ineffective and potentially harmful training technique is something much different.
Here are some recommended tips to safely improve your ability to take a blow:
1. Strengthen neck musculature to better withstand and dissipate the energy of the blow.
2. Certain mouth guards show real promise for dampening the force transmitted through the TMJ and ultimately to the brain. Look into getting one of them.
3. Light-boxing sparring with head gear under the supervision of a true boxing coach will help you better anticipate and avoid punches. It also conditions you to keep your eyes open during contact. (Photos of world-class boxers often show their eyes wide open when they receive a blow.)
4. “Roll” with the blow to lessen its force.
5. Keep your chin tucked at all times.
6. As my good friend, two-time world champion and 2002 Boxing Trainer of the Year Buddy McGirt, would say: “Move your damn head!”
Unfortunately Doc I think you lost Robert after the word ‘potentially’.
I think the Darwin awards may well feature Robert anytime soon.
