There’s a saying in bull riding: “It’s not if you’re going to get hurt but when.” The same thing can probably be said about combat sports. It seems the injury bug rears its ugly head quite frequently. So if you’re involved in mma or any other sport where your opponent is trying to punch, kick, choke or slam you, an injury may be right around the corner. If you are a professional fighter, remember that your livelihood depends on your ability to function at a very high level and correct rehab of an injury is crucial. All facilities and therapists are not the same. No matter what discipline you choose for your injury, the suggestions below will apply to PT, chiropractic, acupuncture or any others.

So you are injured and are in need of rehab, what next?

Do your research and ask questions. Even if your doctor suggests a specific clinic or a trusted friend tells you about a therapist he used, make sure you do some looking into the therapist’s education and experience. Does he/she have a specialty?  If possible, call them and have a conversation about your injury, what to expect, how it is going to be addressed. How is his/her treatment approach different from the other 25 therapists within a 10 mile radius? Has he/she worked with combat athletes?

Make a visit to the clinic. Is it like an ant pile with people running all over and a general state of chaos or does it seem like a well oiled machine that is going along smoothly? Individual attention gets better results whether you are in the classroom, a jiu-jitsu lesson or rehab. Will you get individual attention at this facility or are you just another dollar sign in the therapists eyes? If it is a larger facility, pay attention to how the current patients are being treated. If you go into a clinic and the therapist is saying to patients “Ok, go ahead and start on your exercises and I’ll be with you in a few minutes,” that to me is a big red flag. If your exercises are so technical that they have to be done in therapy then they had better be supervised by the therapist. If they aren’t that technical then you can do them at home. Whether or not you choose to do them at home is up to you, but you don’t need to pay somebody so you can do exercises on your own.

Who owns the clinic? Most doctors are very ethical. However there are some who own physical therapy clinics and try to steer patients there in order to make more money, not necessarily because they provide the best rehab. Now if the clinic does a good job, obviously it isn’t a problem. But remember that you are in charge of where you go to therapy even if your doctor suggests a particular clinic.

Make sure your Bulls**t  detector is on. If they are trying to sell you a bill of goods that seems to be unrealistic or B.S., go somewhere else. You may have to shop around to get to an office that is right for you. I recently had a patient who brought in an ad for a particular clinic in my area advertising anti-gravity technology that was a breakthrough in treating back pain. It was back traction. It was dressed up and looked fancy but it was still traction. It also cost between $3500-$5000 for the treatment package and you had to pay for your sessions in advance. That would have had my B.S. detector pegged.

I also worked with a fighter who initially went to a different clinic before starting rehab with me. His treatments were being paid for by the event promoter so the other clinic was charging about 5 times the normal rate per session. He saw a copy of his bill and guess what… the B.S. detector redlined. Not only that, his treatment sessions consisted of borderline effective methods. If you get a bad vibe off of a place, go somewhere else.

Expect results. Whether your injury required surgery or not, you should start to see positive results within 3-4 sessions. Not necessarily cured, especially after surgery, but you should be able to say to yourself,  ”Yeah, this is really helping.” If you aren’t getting results don’t be afraid to talk to your therapist about what is happening or go to a different therapy clinic.

In my opinion the biggest things to remember are:

Do your research and ask questions; make sure your B.S. detector is on; and don’t be afraid to go to a different facility.

Fightmedicine.NET is the world’s trusted source on MMA Training, Fitness, Advice, and Injuries. Be sure to check back regularly for more informative articles.

ACJ Injuries in MMA

Posted: May 15, 2013 by Seth Wimmer in Injuries
Tags: , , , , , , , , ,

 

ACJ Injuries

The acromioclavicular joint (ACJ) is the joint sitting atop the shoulder between your deltoid and the base of the neck, and is where the top of the shoulder blade meets the clavicle bone.

Commonly in contact sports such as American football, rugby and combat sports such as wrestling, the top of the shoulder can forcefully strike an opponent and cause injury at this joint. As such, rather than running congruently with the top of the shoulder, deformations of the joint can occur when placed under strain as demonstrated clearly by Gil Melendez in his recent UFC on Fox 7 lightweight title fight against Benson Henderson (see picture above).

The ACJ is usually injured from a direct impact to the point of the shoulder or outer point of the collar bone. The amount of joint damage is classified commonly in terms of the amount of joint displacement (separation) which infers a specific degree of injury to the acromioclavicular joint ligaments.

Classification & Diagnosis

ACJ injuries are classified as follows:

I: An ACJ sprain only (Minimal- <50% collar bone elevation or subluxation)
II: ACJ ligament and joint capsule tear, 50% collar bone elevation or subluxation)
III: Disruption to ACJ ligament, capsule and coracoclavicular ligaments. 100% dislocation of the collarbone upwards and loss of contact between collar bone and shoulder blade.
* IV: Disruption to ACJ ligament, capsule and coracoclavicular ligaments. 100% dislocation backwards into or through the trapezius muscle.
* V: Disruption to ACJ ligament, capsule and coracoclavicular ligaments. Dislocation with 100-300% separation between collar bone and shoulder blade. Detachment from collarbone and deltoid & trapezius muscles.
* VI: Disruption to ACJ ligament, capsule and coracoclavicular ligaments. ACJ dislocated with collar bone moving beneath the acromion and coracoid process(downwards)

* NB: For grades IV- VI early surgical intervention is required.

Management

Grade I-III injuries are usually managed conservatively with anti-inflammatory medications, analgesia and physiotherapy interventions.

In my experience there are a few type of presentations for these grade ACJ injuries which individuals will suffer from.

1. Pain only

Grade I injuries will commonly not demonstrate laxity or movement of the clavicle out of joint, but will report pain specifically on palpation of the joint, on loading of the arm above head height or at end of range elevation or reaching across the body. Usually this will settle within the correct healing times for ligaments (8-10 weeks) with relatively non-strenuous activity being undertaken. Pain can be managed by icing frequently to prevent swelling accumulating and disrupting joint mechanics, and by keeping active to gently increase the load bearing tolerance of the ligaments.

2. Hypomobile with no laxity

These patients may have initially a higher degree of ligament sprain, with laxity or collar bone movement, which has now become stiff but not out of place in the joint. These patients will have no obvious deformation, similar to those described above, but on pressure through the collar bone will have lost the small but important movement in this joint which is essential for good joint mechanics. They may require joint mobilisation to ensure the joints are able to function appropriately.

3. Hypomobile with laxity & deformation

This group of patients will demonstrate with a “step deformity” as Melendez does above which is always present, as their collar bone is being held “out of place”. Their ability to elevate their arm may be much more limited (to usually about 90°). These individuals will need mobilisation to a greater degree to improve joint motion, but then may require taping regularly to ensure the joint remains in place to allow the ligament to attempt to heal in position.

4. Instability

These patients will demonstrate a transient step deformity, with the movement of the collar bone changing dependent upon their activity. They will have less joint stiffness and pain is dependent upon the joint position. Taping is essential for these patients to ensure the joint stays in position.

General Rehabilitation Foci

Some specific components of rehabilitation should be undertaken to ensure a successful management of this injury.

• Classify properly and identify what is mechanically occurring at the ACJ
• Utilise closed chain exercises (where hands remain in contact with a stable surface), such as plank holds or push ups early to activate muscle stabilisers around the joint and the shoulder blade- whilst controlling movement of the ACJ.
• Start strengthening the arm below 90° before elevating higher, and ensure the joint remains in place.
• Tape, re-tape, teach your patient how to tape, get them to re-tape (if you feel the collar bone is elevating)
• Train the trapezius through exercises which retract (or bring backwards) the scapula, as this is an essential muscle to control the shoulder blade (e.g. Y’s or T’s/ Blackburn exercises)

Key Tips

• Do not over stress ACJ ligament tissue whilst it is healing
• Avoid prolonged immobilisation
• Muscle balance around the shoulder blade is essential (think 3 pulling exercises for every 1 pushing)
• Spend time of shoulder blade muscle strength (especially the trapezius)
• Improve posterior shoulder flexibility
• Consider proprioception and neuromuscular control

Stay Healthy and Keep Fighting.

Chris Tack is the lead physiotherapist and owner of All Powers Rehabilitation & Conditioning in London, England.

You can follow Chris on Twitter @AllPowersPhysio

The views of FightMedicine contributors are not necessarily the same as those of the website or other contributors.

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DreisbachPicAs a cutman, my job is to tend to the cuts that fighters sustain during their bouts.  The Association of Boxing Commissions has approved three coagulants/coagulates for use: Adrenaline Chloride 1:1000, Aventine, and Thrombin.  Some state commissions like the Nevada state Athletic Commission have approved other coagulants, like Qwick-Aid, which may later be added to the list.  This article, will focus on the three approved coagulates and Qwick-Aid.

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Allana Jones is Fallon Fox's Next WMMA Opponent

Allana Jones is Fallon Fox’s Next WMMA Opponent

A few weeks ago, FightMedicine.net analyzed whether transgendered fighters such as Fallon Fox have an advantage from a medical and scieintific standpoint. You can read that article here. Fox made news when she applied for a California fighters license. Her opponent, Allanna Jones has been somewhat overlooked in this story where medicine, science, and MMA overlap. In an exclusive interview, UFC and MMA veteran Nate “Rock” Quarry discusses the current issue and speaks with both Allanna Jones and her manager in a FightMedicine.net exclusive audio interview.

As awareness of the long term health effects of MMA concussions increases, programs for concussion management are on the rise. Coaches, commissioners and athletic directors are paying closer attention to athletes who have symptoms of head trauma. Even sports like basketball, where concussions are less common, have concussion management programs.

Much of the focus seems to be on managing symptoms and return to competition. Prevention, in the form of rule changes, referee education and equipment changes has also helped. These are definitely steps in the right direction, but is there something the coach and athlete can do to be proactive in reducing concussions? Although this subject has not been studied much, new research currently under peer review seems to point to the fact that stronger neck muscles can be effective in reducing concussions. Since a concussion is an interruption in neural function caused by acceleration or deceleration of the head, improving how the neck muscles respond to these forces could reduce their frequency. Granted, neck muscles that are stronger and react quickly aren’t a substitute for keeping your hands up and chin down, but they have the potential to help.

When we are talking about MMA concussions in fighters it is believed that once you get knocked out, especially as you get older, your brain is more susceptible to KOs. While this may be true, I also believe that in many cases repeated stresses of training coupled with the trauma of the knock out causes inhibition in the neck musculature. Without getting into a long boring explanation of the physiology, the bottom line is that a program of consistent isometrics to improve the muscles’ ability to fire and stabilize the head/neck should improve the neck muscles’ capacity to tolerate intense training and competition. In this case when I use the term stabilize, I am referring to the neck muscles’ ability to contract quickly in reaction to a blow to the head in order to decelerate the head and neck complex.

Injuries are more common when a body part is at extremes of its range of motion. These exercises are going to be done at your end range. The theory is that if you can get strong at the end range where the muscle is least effective at stabilization then you will be more stable throughout its range of motion. The fact that you will  be doing the exercises in the neck’s weakest positions is also the reason you want to make sure you are doing the reps as specified.

For the following exercises you’ll hold each rep for six seconds. The first rep will be done at 30% effort, then one rep at 50%, the next is at 70%, then eight reps at 90-100%. You’ll push your hand into your head as if you were trying to push your head back to the neutral position. This may seem trivial but you want to make sure you are initiating the exercise by pushing your hand into your head and not vice versa. You are going to resist forces that are trying to move the head. These exercises are very simple but effective.

                 The graduated effort is very important. I see a lot of patients who think “If I do all of these at 100% then it will get stronger faster.” Sorry, it doesn’t work that way.  Treat these like any other strengthening exercise, you need warm up reps.  If you start off too aggressively,  you may actually make the situation worse. If you feel pain, cramping or weakness at any effort level, drop back to the previous level and finish all remaining reps at that level. For example if the 30% and 50% effort levels go fine but you start to get a cramp or feel weak at the 70% level then you would back down to 50% effort and do all the rest of the reps at 50% effort for this episode. Don’t worry, you will tolerate more force as time goes on. If you make a mistake on your effort level, err on the side of too little effort. Don’t get in a rush.

Finally, your neck is a pretty important piece of equipment. If you have a history of neck injuries or have any issues after starting these exercises get it checked out by a qualified physician. These are designed to give you a base of stability. They are not a substitute for a thorough evaluation or a rehab program designed for your specific injury.

Each exercise will start in the neutral position either sitting or standing.

Exercise 1

-Bend your neck forward as far as you can comfortably and rotate it to look at the middle of your right collarbone.

-Place the heel of your right hand against your forehead and push as if your are trying to move your head back to the neutral position.

-Each rep is 6 seconds long. 1×30% effort, 1×50%, 1×70%, 8 reps at 90-100%.

-Repeat looking down and to the left.

*If you feel pain, cramping, weakness, etc at any effort level drop back to the previous level and finish all remaining reps at that level

 

 

Exercise 2

-Bend your neck back and look to the right.

-Place both hands behind your head and push as if trying to move your head back to neutral.

-Each rep is 6 seconds long. 1×30% effort, 1×50%, 1×70%, 8 reps at 90-100%.

-Repeat looking back and to the left.

*If you feel pain, cramping, weakness, etc at any effort level drop back to the previous level and finish all remaining reps at that level

 

Exercise 3

-Rotate your head to the right as far as you can comfortably.

-Place the palm of your right hand against the side of your head and push toward neutral.

-Each rep is 6 seconds long. 1×30% effort, 1×50%, 1×70%, 8 reps at 90-100%.

-Repeat looking to the left.

*If you feel pain, cramping, weakness, etc at any effort level drop back to the previous level and finish all remaining reps at that level

These exercises should be done daily. If you tolerate them well and have the time, you could even do them twice a day. Coupled with exercises to improve trap strength these should help to improve neck strength and improve your chances of preventing concussions

World-reknowned MMA Training Coach  and FightMedicine contributor Kevin Kearns has trained some of Mixed Martial Arts’ most elite athletes. In this MMA training article, Coach Kearns provides us with some exercises to improve balance, an important attribute for MMA training and competition.

“Hey Coach how do improve my balance with minimal equipment?” Well one of the best ways I believe is what I call coming to the “ dark side”.

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The following is the first in a series of MMA Nutrition articles by Lucas Dyer, a Certified and Licensed Sports Nutritionist. In his first column for FightMedicine.NET, Lucas breaks down the importance and function of Protein.

What Protein Should I be Taking and How Much?

People often ask me for my opinion on MMA nutrition with “what is the best protein to take and how much should I be taking?” Unfortunately, the answer to questions on Mixed Martial Arts nutrition are not short. There is a wealth of information surrounding this topic of MMA nutrition and a lot of it depends on lifestyle to include your daily activities, nutritional needs, and goals.

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Fight and Train Like You Know What You’re Doing – MMA Training Advice with Nate “Rock” Quarry, the ZombieCageFighter.

FightMedicine.NET would like to welcome UFC veteran and MMA Uncenscored Nate “Rock” Quarry to the FightMedicine Team! This is the first article by Nate where he discusses the importance of finding the right coach. Surrounding yourself with the right team is essential to promoting a safe and productive training environment!

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??????????????????????Mental Health Meets the UFC and MMA

 There was a time when I thought a person must be crazy to compete or even train in Mixed Martial Arts (MMA).  Today, I know that those people classified “crazy,” (or “living with mental illness” to be politically correct) can benefit both physically and mentally from the many benefits of the sport. So, how can you battle bipolar disease with MMA? What are the mental health benefits of mixed martial arts?

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This article by FightMedicine.NET contributor and Will Lenzner examines the first key to becoming an elite purposeful performer: preparation. Stay tuned to learn about the next two keys: goal setting and embracing the now.

Whether you compete in wrestling, grappling, bjj, judo, shooto, mma, or any other discipline, you absolutely must perform with a fundamental purpose. To maximize your true potential and evolve into your best self and competitor, you absolutely have to perform with purpose, no exceptions.

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JawCT

Stefan Struve’s Jaw Xray after UFC on Fuel 8

In a sport where the aim is to cause disabling injury to an extent that the opponent cannot continue, various injuries including broken jaws in mma are common. In mixed martial arts, with a large percentage of strikes aimed at the head and face it is a surprise that there are not more serious facial injuries. In fact facial injuries occur in only 10.1% of MMA matches according to Ngai et al. (2008) who examined 1270 fights over a period of 5 years and published his findings in the British Journal of Sports Medicine.

In the last month UFC heavyweight Stefan Struve and former UFC heavyweight champion Andrei Arlovski, now fighting for World Series of Fighting, have both suffered serious jaw fractures caused by their opponent’s strikes. The aim here is to discuss broken jaws in MMA (mandible fractures) as an area of potential injury and advise strategies prevent such injuries.

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Dan_Hardy

UFC Fighter Dan “The Outlaw” Hardy

Last week, UFC Fighter Dan “The Outlaw” Hardy announced he was out of the UFC on Fox 7 card against Matt “The Immortal” Brown with a “wolf” heart condition. While most fighters announce they are out of a card due to an injury, Dan’s story was a little different. Pre-fight tests showed Dan Hardy’s Wolf Heart condition is a syndrome called Wolf-Parkinson-White, which is an abnormality in the conduction system of the heart.

Here we will discuss the intricacies of the heart’s electrical system and what it means for Dan Hardy’s Wolf Heart and other athletes with this heart condition

 

 

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John Hackleman is a legendary UFC trainer and founder of the famous Pit, which has produced such UFC stars as Chuck Liddell, Glover Texeira, and Court McGee. Besides being a legendary trainer and UFC coach, John is also a registered nurse and respiratory tech. With his background in MMA and medicine, John was a natural addition to the FightMedicine Team!

This week, John will discuss the dangers of losing water weight and altering electrolyte balances for weight cutting before an MMA bout.

 

 

for more articles by John Hackleman and the FightMedicine.NET Team

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The views of FightMedicine contributors are not necessarily the same as those of the website or other contributors.

FightMedicine.NET is the world’s trusted source on MMA Training, Fitness, and Injuries. Making Mixed Martial Arts safer through education!

photoThis is the latest installment of the FightMedicine Laws of MMA Training by UFC (Ultimate Fighting Championship) and Mixed Martial Arts veteran, Matt “The Law” Lindland. See previous Laws here. In this installment, Matt stressed the importance of keeping training routines simple to avoid fads and potential injury. Remember, the keys to MMA safety are education and preparation!

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Fallon Fox, MMA's first openly transgender fihgter. Photo via glaad.org

Fallon Fox, MMA’s first openly transgender fihgter.
Photo via glaad.org

Males competing in MMA is the accepted standard. Females have begun to gain widespread acceptance in MMA. Now, what happens when an openly transgender (male–>female) fighter wants to compete at the professional level? 37-year-old Fallon Fox was born a male, but underwent gender reassignment therapy and hormonal treatment beginning in 2006 to become a female. As such, she has applied to fight as a professional female MMA fighter.

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Last month, FightMedicine brought you the first in a series of training advice from MMA veteran and Team Quest trainer Matt Lindland. If you missed it, check it out here. This month, legendary trainer Greg Nelson talks about his experience in MMA, the value of smart training, and how important it was that one his most successful pupils, Sean “The Muscle Shark”, Sherk worked with the right doctor. Besides Sean, Greg has trained UFC champions Brock Lesnar and Dave Menne.

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photoFightMedicine.net has partnered with UFC and MMA veteran Matt “The Law” Lindland to promote safe and effective training techniques. Many injuries happen during training and the key to injury prevention is education and preparation. This is the first installment of a monthly series where Matt provides advice on smart and safe training to help you reach your goals while staying injury free.

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InjuryDuring the opening bout of the main card of UFC on Fuel TV 5, Duane “Bang” Ludwig, an MMA and Muy Thai veteran, collapsed with a knee injury. MRIs later revealed both a ruptured ACL (see ACL article) as well as torn menisci (plural for meniscus). FightMedicine spoke to Duane about his old injuries as well as his newer injury. Previously, we explained ACL injuries. Today, we will explain more about meniscus injuries, as they are even more common than ACL injuries in sports. Read the rest of this entry »

UFC on Fuel 6 from Macao, China saw the long-time MMA veteran and former Strikeforce Middleweight Champion Cung Le knock-out UFC veteran Rich Franklin. Long before Zuffa owned Strikeforce, another mega-battle occurred between Cung Le and Frank Shamrock. Frank, an MMA legend and pioneer, spoke with FightMedicine.net about the forearm fracture he sustained against Cung Le as well as other injuries he amassed during his long and storied career.

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Pete Spratt is a welterweight known for his appearances in the UFC and on The Ultimate Fighter 4 reality television show. Always a good guy, Pete recently spoke with FightMedicine about his biggest injury as well as his most emotional moment as a professional fighter.

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Recently, FightMedicine had the opportunity to speak with legendary UFC cutman Jacob “Stitch” Duran about his start in the business and mistakes cutmen can make. If you missed Part 1 of our interview, you can read it here. In Part 2, Stitch discusses Invicta FC and Womens MMA, hand wrapping, fighter unions, and other safety issues in MMA.

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One of the main goals of fightmedicine.net is promoting education and fighter safety. One of the men that shares this goal with us is non other than the legendary UFC MMA cutman Jacob “Stitch” Duran. Stitch spoke with fightmedicine.net about his experiences and expertise as a cutman. Here is Part 1 of the two-part interview:

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In our continuing effort to create an open and honest conversation about substance testing and performance enhancing drugs, FightMedicine.net sought out Dr. Margaret Goodman, one of the founders of the Voluntary Anti-Doping Agency (VADA). Dr. Goodman has been a strong voice in the ringside medicine community and has been a ringside physician at many big boxing and MMA events. She is probably best recognized by her red hair as she examines legendary fighters both in and out of the ring.

Dr. Goodman and VADA were recently in the news when both BJ Penn and Rory MacDonald both agreed to be tested openly by the organization prior to their UFC 152 bout. Unfortunately, Rory suffered a cut during training and the fight was postponed to UFC on Fox 5.

Dr. Goodman and VADA recently were encouraged when female MMA fighters Rosi Sexton and Sheila Gaff volunteered to be tested before their Cage Warriors 49 contest on Oct. 27.

In addition, Georges St. Pierre has also suggested VADA as the organization for which he would be willing to submit to testing before his UFC 154 title unification bout against Carlos Condit.

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Yet another injury has changed the face of a UFC title-fight and division. A partial MCL tear has sidelined another contender in his quest for UFC gold. Erik Koch was schedule to face Jose Aldo at UFC 153 in Rio De Janeiro, Brazil. Unfortunately, Erik suffered a partial tear of his Medial Collateral Ligament (MCL) in his knee and will be replaced by Frankie Edgar at UFC 153.. This is the same injury that knocked Dan Henderson out of his title fight with Jon Jones at UFC 151. If you missed the explanation of Dan Henderson’s injury on FightMedicine.net, here it is.

Erik spoke with FightMedicine.net about his injury, rehab, and insurance coverage.

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Keith Kizer, Executive Director of NSAC

In our continuing coverage of Testosterone Replacement Therapy (TRT) and its associated issues in MMA and combat sports, FightMedicine.Net interviewed Keith Kizer, Executive Director of the Nevada State Athletic Commission (NSAC). Since there is no federal oversight of athletic commissions, each state has their own. With a large majority of fights taking place in Las Vegas, most other commissions look to the NSAC to set the standard for other commissions. In the first part of our interview, Keith discusses how the NSAC tests for TRT and how a fighter is allowed a Therapuetic Use Exemption (TUE). He also discusses other organizations out there such as the World Anti-Doping Agency (WADA) which tests on an international level such as cycling and the Olympics. If you missed our primer on TRT basics, you can see it here.

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Famed trainer John Hackleman recently described Dan Henderson to me as “one of the toughest humans ever”. Yet, a partial tear of the Medial Collateral Ligament (MCL) did what very few people have ever done – both stop Dan Henderson from fighting and cancel an entire UFC event (UFC 151). Beyond that, Jon Jones’ reputation after refusing to fight Chael Sonnen may continue to be injured long after Dan straps on his gloves for his return match. All from a partial tear of a knee ligament.

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Injectable Testosterone

[tweetmeme source=”FightMedicine” only_single=false]A hot topic right now is Testosterone Replacement Therapy, or TRT (See Bas Rutten’s comments in his interview with fightmedicine.net). News coverage of TRT seems to be eclipsing that of anabolic steroids. The reason Testosterone Replacement Therapy is considered controversial is that its use has infiltrated combat sports, especially mixed martial arts (MMA), and many consider it a performance enhancing drug (PED). A 1996 New England Journal of Medicine article suggested that higher than normal levels of testosterone can lead to increased muscle size and mass, especially when coupled with weight training (Bhasin et al, NEJM 1996). Another study in 2003 suggested that increased testosterone increased leg muscle strength, but had no effect on endurance (Storer et al, J Clin Endocrinol Metab 2003). In professional sports, any chance to get an edge in athletic performance can, and will be, exploited.
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In an attempt to bring the mixed martial arts and medical communities together, fightmedicine.net has sought out professional fighters to share their experiences with injuries, training, and other medicine-related issues

Our first installment is with non-other than the 3-time King of Pancrase Champion, UFC Heavweight Champion, and owner of a twenty-two fight win streak, “El Guapo” Bas Rutten.

“El Guapo” Bas Rutten

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The California State Athletic Commission released the ringside doctors’ decisions regarding how long the participants in this past Saturday’s UFC on Fox. The two that stick out the most are Mike Swick and Jamie Varner, who are both currently suspended for 3 months. However, they may be cleared by a physician before then. I think this will likely happen for Jamie Varner, as it sounds like he has a fracture, which usually heals in 6-8 weeks; fractures in the hand sometimes heal even quicker – thus 12 weeks seems a bit long. Varner will likely see an orthopedic surgeon who will make a more specific decision.

Here is the full list of medical suspensions:
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Mike Swick managed to come back in the second round of last night’s UFC on Fox to knock out DaMarques Johnson. Mike Swick is no stranger to comebacks. He has had a slew of injuries including a torn ACL and meniscus. But Mike has been battling something much more elusive and much more debilitating.

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