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Dec 15

Tournament Medical Services

When planning a tournament, large or small, the health and safety of your participants is an important aspect. As the tournament organizer you are responsible for protecting the health, safety and wellbeing of everyone participating in your tournament. Panno Medical can ensure that your tournament is adequately staffed with the right professionals to address onsite medical needs that may arise.

The Panno Medical team provides a wide range of quality on-site medical services ranging from basic first aid to comprehensive paramedic services.

The sport type of tournament helps in determining which type of medical service is most relevant to your tournament. Is there intense physical contact such as hockey, football or rugby? Or is there a lesser degree of need such as racquet sports, swimming and golf? In either case as the skill and age level of your tournament increases so does the need for professional medical services.

Panno Medical will assist you in determining which services fit your specific tournament needs. Provide an action plan and the qualified personnel to support your tournament participants. All of our staff are qualified in injury assessment, emergency life support, recognition and management of acute injuries, first aid treatment, and where appropriate, utilization of techniques to ensure a safe return to play.

Panno Medical has the well trained staff required to ensure a healthy and safe environment for tournament participants.

Contact Panno Medical for more information about our tournament services designed to provide you with quality medical coverage your tournament needs and deserve.

Dec 01

Recognizing and Treating a Concussion

A concussion is an injury to the brain’s cells that causes a disturbance in normal brain function. Concussion can be caused by either getting hit directly on the head or by a hit to another part of the body that causes the head to accelerate forward or backward (like whiplash).

Most athletes who experience concussion will exhibit any one of multiple symptoms.

Headache is the most common symptom, however not all athletes will experience concussion in the same way. So, while one athlete may have a headache, another may not.

Other signs and symptoms can include being nauseous, having poor balance or coordination, being dizzy, and suffering from memory loss. Headaches may linger, but so can not-so-obvious symptoms. These can include sensitivity to light or noise, emotional changes, sleep disturbances and personality changes. Often, the signs and symptoms of a concussion are not evident until several minutes to hours later. The severity of the symptoms will vary as will their duration.

Signs and symptoms generally show up soon after the injury. However, you may not know how serious the injury is at first and some symptoms may not show up for hours or days. For example, in the first few minutes the effected child, teen or adult might be a little confused or a bit dazed, but an hour later they might not be able to remember how he or she got hurt.

Do not try to judge the severity of the injury yourself. Only a health care provider should assess a young athlete for a possible concussion. After you remove a young athlete with a possible concussion from practice or play, the decision about return to practice or play is a medical decision that should be made by a health care provider.

The post injury sideline assessment must be completed by a person trained in concussion recognition and treatment. Panno Medical provides sideline assessment for schools and minor sports associations.

If a concussion is suspected the athlete should be “immediately” removed from play. In most cases once removed from play, the player will NOT return to full activity for a minimum of one week. Immediate, emergency professional consultation may be required depending on the severity of the injury.

When a Panno Medical care provider suspects a concussion has occurred, an immediate sideline assessment is provided, including:

  • The post injury sideline assessment must be completed by a person trained in concussion recognition and treatment.
  • If a concussion is suspected the athlete should be “immediately” removed from play. In most cases once removed from play, the player will NOT return to full activity for a minimum of one week.
  • Immediate, emergency professional consultation may be required depending on the severity of the injury.
  • Athlete (and parent) instructed to “shut down” until symptom free, Step 1 of Return to Play protocol.

Six Step Return to Play Protocol

  • Step 1: No activity, only complete mental and physical rest. Proceed to step 2 only when all symptoms are gone. This includes avoiding both mental and physical stress.
  • Step 2: Light aerobic exercise, such as walking or stationary cycling.
  • Monitor for symptoms and signs. No resistance training or weight lifting.
  • Step 3: Sport specific activities and training (e.g. skating).
  • Step 4: Drills without body contact. May add light resistance training and progress to heavier weights. The time needed to progress from non-contact to contact exercise will vary with the severity of the concussion and the player.
  • Only go to step 5 after medical clearance. (Reassessment and note)
  • Step 5: Begin drills with body contact.
  • Step 6: Game play. (The earliest a concussed athlete should return to play is one week).

Nov 15

Preparing For Competitive Play

Whether hockey, football, baseball, basketball, tennis, track and field or any number of other competitive sports or activities proper physical preparation is key to reducing the chance of sport injuries.

Here are some simple steps that will help you prepare:

  • Rest: A well rested body and mind will enable you to perform better. If possible, try to get an extra hour of sleep prior to game day.
  • Hydrate: Consuming at least 32 ounces of water a day keeps the body well hydrated. During play, drink plenty of water, or optionally sports drinks, to replace lost fluids during physical exertion. This is especially important in warm and humid environments were dehydration can be accelerated leading to cramps and other muscular issues. For any athlete, minimizing your fluid loss to not more than 2% of your body weight is a good rule. At that 2% body loss, you’ll start to see increased fatigue, reduced endurance, the beginnings of heat illness and declining motivation. The good news is that rehydrating will reverse all these problems.
  • Diet: A healthy diet keeps the body and mind in top physical readiness. Stay away from junk foods. On game day eat plenty of carbohydrates to provide energy. Avoid high fiber foods. Eat a snack of fresh fruit prior to the game or activity.
  • Exercise: Run or practice your sport for a minimum of 1 hour a day. A good exercise route will assist in providing you with higher endurance and reduces risk of injury.
  • Stretch: Stretching is a form of physical exercise in which a specific muscle or tendon (or muscle group) is deliberately flexed or stretched in order to improve the muscle's felt elasticity and achieve comfortable muscle tone. The result is a feeling of increased muscle control, flexibility, and range of motion. Stretching is also used therapeutically to alleviate cramps. Warm up by stretching prior to the game or activity to reduce the chance of injury.

Nov 01

On Site Medical Coverage for High School Athletics

Participation in activities, including secondary school athletics, benefits student athletes by serving as an addition to a well rounded education program. High school athletics teaches valuable lessons in fair play, team work and promotion of continued success in later life. However, many of these activities involve the risk of injury.

Ensuring that young athletes receive consistent and adequate medical care while participating in high school sports activities is key to reducing the risk of injury and, when injury does occur, enables the athlete to return to pay safely.

Among the things which increase the anxiety level of parents of children playing contact or collision sports, or any sport for that matter, is the fact that many high school programs did not employ certified athletic trainers who have received training in treating sports injuries, including heat illness, spine and neck injuries, and in recognizing the signs or symptoms of a concussion.

Few secondary schools in Ontario have athletic trainers on staff. The funding for providing in-school athletic trainer is just not there. However there is still a need for such services to provide a safe environment for high school athletic participation.

From high impact sports like football, rugby and hockey, to less intense sports like volleyball, basketball and gymnastics, all these and other sports carry the potential risk of injury.

Panno Medical has the well trained staff required to ensure a healthy and safe environment for student athletes.

Contact Panno Medical for more information about services to provide your high school the quality medical coverage your athletes need and deserve.

Oct 15

Hockey Tournament Medical Services

The Ontario Minor Hockey Association OMHA website  lists more than 200 hockey tournament scheduled from September 2015 to April 2016. That’s a lot of hockey. Factor in the Greater Toronto Hockey Association (GTHL), Northern Ontario Hockey Association, Ontario Womens Hockey Association, charity and adult league tournaments you know that Ontario is hockey crazy.

Every tournament organizer wants their event to run smoothly and safely. But in hockey, like most sports, there is always a chance of injury. From minor bumps and bruises to serious injuries like concussions quick diagnosis, care and treatment of all injuries, minor or serious, becomes a foremost concern of tournament organizers.

Since tournament organizers don’t always have the needed trained personnel to provide these services, Panno Medical is often the medical services provider of choice. Panno has a network of fully qualified paramedics, trainers and athletic therapists suited for your particular tournament gear to any level of competition.

Panno Medical can assist tournament organizers to map out a medical services plan tailored to their specific needs. From a trained first aid specialist to a full paramedic team Panno can fulfill your needed requirements.

For specific questions regarding hockey tournament services, please contact Panno Medical.

Oct 01

Concussions in Minor Hockey

As reported in the Globe and Mail (March 4 2014) “A new survey conducted on behalf of the Rick Hansen Institute says that four out of five Canadian adults consider the national game an excellent activity for children, but:

87 per cent feel that hockey carries a “significant risk” of head, neck and brain injury, higher than football (82 per cent), skiing/snowboarding (74 per cent) or soccer (28 per cent).”

With such a high level of concern prevention is a foremost consideration for minor hockey. Most minor hockey association in Ontario disallow body checking in the 12 years of age and younger age groups thus greatly reducing the chance of concussions in these groups..

However, concussions are still of high concern in older age groups, especially at the A, AA and AAA levels.

The conversation about hockey head injuries—why they happen and what to do about it—escalated after Sidney Crosby struggled with concussion symptoms after two hits in 2011. Hockey Canada put out a concussion-awareness app, endorsed by Crosby, as a resource for kids and adults. In 2013, the government launched a multi-million-dollar initiative funded by the Canadian Institutes of Health Research to study the impact concussions have on the paediatric brain. We’re beginning to understand how damaging this common type of head trauma is.

If an athlete is suspected of sustaining a concussion during competitive play, a Panno Medical Inc. employee will follow the athlete from post injury evaluation, through the Six Step Return to Play protocol. We will ensure the athlete is seen by a qualified concussion specialist physician who can then determine the proper treatment plan to safely return the athlete to competition.

If you are serious about concussion care of student athletes consider Panno Medical Inc.

Sep 15

Acupuncture Continues to Gain Acceptance in the Medical Community

Acupuncture is a component of the health care system of China that can be traced back at least 2, 500 years. The general theory of acupuncture is based on the premise that there are patterns of energy flow (Qi) through the body that are essential for health. Disruptions of this flow are believed to be responsible for disease. Acupuncture may, it has been theorized, correct imbalances of flow at identifiable points close to the skin.

The practice of acupuncture to treat identifiable pathophysiological (disease) conditions in American medicine was rare until the visit of President Richard M. Nixon to China in 1972. Since that time, there has been an explosion of interest in the United States and Europe in the application of the technique of acupuncture to Western medicine.

Acupuncture is a family of procedures involving stimulation of anatomical locations on or in the skin by a variety of techniques. There are a variety of approaches to diagnosis and treatment in American acupuncture that incorporate medical traditions from China, Japan, Korea, and other countries. The most thoroughly studied mechanism of stimulation of acupuncture points employs penetration of the skin by thin, solid, metallic needles, which are manipulated manually or by electrical stimulation.

There is growing scientific support to the role that acupuncture plays in the treatment of pain and inflammation associated with soft tissue injury and ailment.  In Canada, licensed physiotherapists can and do incorporate acupuncture into their treatment plans with the following goals;

  • To reduce pain.
  • To reduce inflammation.
  • To promote tissue healing and regeneration.
  • To restore optimum nerve and muscle function.

There have been many studies on the usefulness and efficacy of acupuncture in the scientific literature. Study design and size have sometimes resulted in complexities in the measurement of outcomes with treatment, however promising results with acupuncture treatment have been shown in the treatment of many conditions. Acupuncture is used to treat a vast number of painful conditions such as low back pain, sprains and strains, whiplash, headaches, as well as neurological, and other medical conditions or problems.  Recent studies have shown that acupuncture provides pain relief, and improves function for people with osteoarthritis of the knee and is an effective complement to standard care.

For specific questions regarding how acupuncture may help you, please contact Panno Medical or click here to book an appointment.

Sep 01

Athletic Therapy – Getting You Back to Your Sport

Athletic Therapy includes the assessment, prevention, immediate care, and reconditioning of musculoskeletal injuries. As part of their services, Certified Athletic Therapists (CAT) utilize contemporary rehabilitative techniques, therapeutic modalities, physical reconditioning and supportive strapping and taping procedures to promote optimal healing for individuals in need of getting back into an active lifestyle. In addition to rehabilitative services, CATs can also provide extensive education, training, and program design for injury prevention and postural development.

User groups of this service are varied and can include but are not limited to people with a musculoskeletal injury that may be active individuals, injured workers, motor vehicle accident injuries, recreational athletes, professional athletes and competitive amateur athletes.

Often people think that Athletic Therapists only treat athletes; however athletic therapy services are not limited to athletes alone.  They also extend to those from non-sporting backgrounds who are involved in jobs that are physically demanding or have sustained injuries of a musculoskeletal nature.

Athletic Therapy differs from Physiotherapy

There are many similarities between Physiotherapists and Athletic Therapists when it comes to orthopaedic (musculoskeletal and biomechanical) assessments in the clinical setting. It is largely in the treatment styles and varying work environments in which we differ.

Certified Athletic Therapists specialize in musculoskeletal assessment and rehabilitation of all physical injuries as well as sport specific exercise rehabilitation. Athletic Therapy is based on the sports medicine model of rehabilitation which aims to not only get you back from injury as quickly and as safely as possible, but also to make you stronger than you were prior to injury.

For specific questions regarding how acupuncture may help you, please contact Panno Medical or click here to book an appointment.

Aug 15

Panno Medical Offers Chiropractic Care

One of the largest primary care professions in Ontario, chiropractic is a non-invasive, hands-on health care discipline that focuses on the musculoskeletal system.

Chiropractors practice a manual approach, providing diagnosis, treatment and preventive care for disorders related to the spine, pelvis, nervous system and joints.

Chiropractors use a combination of treatments, all of which are predicated on the specific needs of the individual patient. After taking a complete history and diagnosing a patient, a chiropractor can develop and carry out a comprehensive treatment/management plan, recommend therapeutic exercise and other non-invasive therapies, and provide nutritional, dietary and lifestyle counselling.

For many conditions, such as lower back pain, chiropractic care is frequently the primary method of treatment. Where other conditions exist, chiropractic care may complement or support medical treatment by relieving the musculoskeletal aspects associated with the condition.

Chiropractic care may also be used to provide symptomatic relief for patients with chronic conditions. According to patient surveys, by treating the musculoskeletal elements of such disorders, chiropractic treatment has been shown to improve the general well-being of the patient.

There are many reasons to seek chiropractic care:

  • Back pain
  • Neck pain
  • Headache
  • Whiplash
  • Strains and sprains
  • Repetitive strain injury (RSI)
  • Work and sports injuries
  • Arthritis
  • Limited range of motion in the back, shoulder, neck or limbs
  • General health and well-being

Chiropractic is a regulated health profession, recognized by statute in all Canadian provinces and American states. Almost 2 million patients in Ontario rely on chiropractic care every year to help them live healthy, active lives.

Contact Panno Medical for more information about chiropractic care, or click here to book an appointment.


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