took about a year of working with Cardenas before she saw my son come back. Even then, it wasnt until recently that Rudy was cleared to return to s

PHOENIX -- Despite all the rehabilitation, the headaches would not go away. The imbalance, while better, was still there. His speech improved, but vision and hearing issues persisted.Months after the blow that caused his concussion, Rudy Ayala still had significant symptoms.Though he loved playing football, the lingering problems, along with watching a friend suffer a similar injury, led Ayala to make a difficult decision: He walked away from football.I just realized the damage that can happen to your brain with a big blow like that and I didnt want it to happen again, Ayala said.The NFL and NCAA have taken steps toward preventing, identifying and treating concussions in recent years. The practices used on those levels have trickled down to high schools, where coaches are getting better concussion-recognition training, limitations have been put on head to head impacts and treatment protocols have been established.At the same time, concussions are still a substantial issue in high schools, in part because there are so many more players at that level than in the college and professional ranks combined.The National Federation of High School Associations has guidelines for concussions, including management of athletes who exhibit symptoms and an online concussion course developed with help from the Centers for Disease Control.But the reach only goes so far; there are just too many schools, too many players and too many variations from state to state and school district to school district to make sure concussions are being treated in a uniform manner.The fact that were talking about treatment of concussions is an advancement, said Dr. Javier Cardenas, a neurologist at the Barrow Neurological Institutes Concussion and Brain Injury Center. That said, theres clearly more left to be done.Inconsistencies in the availability of athletic trainers can make it difficult.Having coaches and parents with concussion awareness is a big step, but athletic trainers have a deeper, more clinical understanding of what to look for and what needs to be done after a head injury.Most big school districts can afford to have athletic trainers at every school. Smaller districts may have a trainer who serves multiple schools or none at all.Nationally, about 55 percent of schools have a full-time athletic trainer, according to the National Athletic Trainers Association. Arizona has one of the highest rates at 60 percent and California, in part because of licensing issues, is around 20 percent.If theres one thing that a school can do to improve the safety, it is to have an athletic trainer, Cardenas said. But thats not always possible.Games have a higher rate of concussions due to the increased intensity and larger impacts, with 1.86 per 1,000 athlete exposures, according to a Journal of the American Medical Association Pediatrics study. From an overall standpoint, more concussions occur in practice, a logical progression since there are far more practices than games.Ayala suffered his concussion while practicing the day before a game in August 2014.A defensive lineman on Tempe High Schools junior varsity team, he was injured while tackling a teammate during warmups and the coaches sent for the schools athletic trainer. When Ayala collapsed while trying to stand up, the trainer called paramedics and rushed him to the hospital.I saw him, he wasnt looking right, said Ayalas mother, Teresa. He was just acting weird and I said somethings not right with him. It was very scary.At the hospital, doctors ran a battery of tests and scans to make sure nothing catastrophic had occurred with the impact. The presentation of the concussion was typical, so doctors sent Ayala home.His odyssey was just beginning.Ayala suffered intense headaches, had problems with his hearing and vision, particularly in bright light. He also had trouble with his speech, issues with sleeping and struggled with his balance, often needing to catch himself on a wall after stumbling.Ayala was told not to use his cellphone, computer or to watch TV for more than three months. Accommodations were made for him at school, like closing the blinds in the classroom to block out light, moving him to the front of the classroom so he could keep focused on the lessons.Progress moved at a sloth-like pace, the symptoms lingering months after the initial impact.I felt like, `Am I going to get better? he said. I was really scared.The previous protocol for concussion treatment was rest and more rest. In recent years, doctors have taken a more proactive, multi-disciplinary approach.From a physical standpoint, doctors can prescribe headache medicines and help patients work on their balance. They offer speech therapy and will work with patients on regaining their hand-eye coordination.Doctors now also work on behavioral therapies, helping patients get past the irritability, anxiety and depression that can often come with a concussion. There are cognitive therapies as well, assisting patients with their short-term memory, focus and tasks like calculations or finding the right words when their minds struggle.Our recommendation is you can be active in your recovery aside from that initial period of two to four days, Cardenas said. We want them to get back to being active, healthy and normal, but still avoid injury.Ayalas case was atypical.Most teenagers will recover from a concussion in 14 to 21 days. Ayala continued to have symptoms nearly two years after his injury.Teresa said it took about a year of working with Cardenas before she saw my son come back. Even then, it wasnt until recently that Rudy was cleared to return to sports. He still occasionally suffers headaches.I would hate for anyone to have to go through anything like that, said Ayala, now a senior at Tempe. I know I wouldnt.Ayala is currently a member of Tempes cheer squad for football games and plans to go out for the baseball team next spring.His football career is over. Nike Air Max 720 Günstig Kaufen . The judges scored it 48-47, 48-47, 49-46 for Jones (19-1). It was the champions closest call. 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TORONTO -- Wimbledon champion Andy Murray has withdrawn from the Rogers Cup tennis tournament because of fatigue.The world No. 2 mens tennis player and defending Rogers Cup champion made the announcement Monday, saying he needs time to rest after going deep in several recent tournaments.Murray is coming off his second career Wimbledon victory, beating Canadas Milos Raonic in three sets in the final on July 10.I always look forward to coming to Canada and its the first time Ive missed the tournament, the guys there do a great job and always look after the players, said MMurray, a three-time Rogers Cup champion.dddddddddddd.My body needs some recovery time after reaching the latter stages of tournaments over the past few months. Im sorry to my fans in Toronto, but I look forward to being back in Canada next year.Top-ranked Novak Djokovic, as well as highly ranked players Roger Federer, Rafael Nadal and Raonic, remain part of the Rogers Cup field.The tournament begins with the start of qualifying on Saturday. ' ' '