Saturday, February 13, 2016

CTE: What Does It Mean for You and Me?

What images come to your mind when someone says concussion? Or that someone has been "dinged"? Or chronic traumatic encephalopathy (CTE)? If you’re like most sports fans the images center on football. More specifically, the NFL takes center stage. Whether it is Frank Gifford having been laid out by Chuck Bednarik in 1960 or as recently as Super Bowl 50 and Carolina wide receiver Corey Brown leaving the game after coming down hard on a reception. The news that the aforementioned Gifford, Ken Stabler, and Earl Morrall all had CTE also jumps to the forefront.

            CTE is the NFL’s biggest problem. The disease results in memory loss, depression, confusion, and most alarmingly, aggression. Debate and consternation focus on football’s future as disturbing accounts drive home the havoc CTE can create. In fact, the February15-22 issue of Sports Illustrated has an all too common passage about a potential CTE sufferer. This passage explores why the article’s subject ultimately committed suicide. “Freedom awaited. Freedom from the pain of dozens of broken bones and lost teeth. Freedom from the headaches that began sometime in his 20s and didn’t let up for a single day afterward.”  That quote sounds familiar to NFL fans who have read similar stories in the wake of the deaths of Junior Seau, Dave Duerson, and Mike Webster. But this quote comes from Michael McKnight’s superb article “The Bull Whisperer.” It is not about a football player but traces former bull rider and trainer Kent Cox’s life and final days.

            The truth is that CTE is a problem for any person exposed to head trauma. This means that rodeo, boxing, MMA, the martial arts, professional wrestling, auto sports, hockey, soccer, rugby, and stunt work all expose people to the long term effects of CTE. Evidence to date indicates that prolonged exposure is necessary for the development of CTE. Playing a sport, such as football, through high school or even college does not appear to carry the same risk as a professional career. Despite this slight assurance a broader reality remains. Logically, people who have experienced head trauma even outside of organized sports will also be at risk. To that end, the link between the victims of domestic violence and CTE is being researched.

            Yet, it is fair to assume that someone who simply played hard/ roughhoused as a child and young adult may be at risk for at least minimal symptoms. This is why the recent discovery of an initial way to diagnose CTE in the living is so important. So far post-mortem analysis was the only tool doctors and researchers had but an UCLA study co-authored by Dr. Bennet Omalu, of “Concussion” fame, have used a patented scanning system to identify the buildup of the tau protein, which is the root cause of CTE.

            This link is important not just for former NFL players and bull riders like Kent Cox. It is an important step in diagnosing a potentially broader societal problem. Medical advances have not discovered a new disease in CTE. After all CTE was once referred to as being punch drunk. No CTE has been with people as long as they have sustained repeated head trauma. Now medicine has the tools to give early care to those in need. That’s good news for the NFL and better news for everyone else.