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Being an athlete, Neymar's recovery will be faster, but even a sneeze can cause pain

Being an athlete, Neymar's recovery will be faster, but even a sneeze can cause pain

The fracture in the third lumbar vertebra in the transverse process of the vertebra suffered by the Brazilian soccer player Neymar Jr. Last Friday (July 4) is simple consolidation and will not leave sequels. Research shows that they occur by a reaction of the muscles fixed in the region of the transverse process of the vertebra. These muscles contract and cause a fracture of this point in the vertebra.

The fractured region is distant from the spinal cord and therefore does not leave neurological sequelae after recovery. The treatment of fractures in the transverse process in the vertebra is similar in any region of the spine, except that in the lumbar region, as was that of the Neymar, a brace is placed and a cervical collar is used in the neck.

Rest is the first step in the treatment of this type of fracture. The strap should be used in the rest, the plaster is not an alternative as it would lead to difficulties in breathing. During rest the orientation is to spend much of the time lying down. Rest time will depend on the age and how well done the rest will be. This is because any movement, even a sneeze, can lead to muscle contraction and cause pain.

The brace is expected to be used and rest for about two to three weeks. The person will be released to physical therapy after the X-ray finds that there was bone healing. At this stage it is not necessary to take medicines for bone healing, just for pain if necessary.

It would be inconsequential to have Neymar return to play this World Cup in a possible final. This is because if he re-exercising may have difficulty in bone healing and increased inflammatory process. Carrying out infiltrations at the site would be just a way to mask the pain, but the fracture would not be resolved and would jeopardize the ongoing fracture consolidation. This is not to mention the consequence of shocks during the game, leading to more serious injuries in the region of the spine.

Surgery in the region is not even considered because it is a simple consolidation injury and the surgical procedure would involve exposing noble air and thus there is increased risk of sequelae.

Physical therapy

After resting and bone healing, physical therapy should be performed. This treatment is important because our body has a natural immobilization to protect the region that has been injured. The person gets in a way to help the healing of the injury. The problem is that after consolidation, we do not have an "antidote" that disassembles all of this and tells the ligaments and tendons to return to normal that the bone is now healing.

This is where the physiotherapist is important. This professional will perform maneuvers and exercises to return the normal functions of the lumbar spine, which are flexion, extension, rotation to right and left and lateroflexão.

In the case of the athlete the orientation is to do physical therapy every day and the expectation is that between four and five weeks. People who are not athletes can perform physical therapy for about three times a week and take another one or two months to get the same results as the athlete in physical therapy. When the normal functions of the lumbar spine are recovered, a return to exercise is essential, not only for athletes, but also for those who do not. is sedentary. As the sportsman already has a good muscle memory, this part will not be so difficult. However, the more sedentary the person is, the more exercises he or she will have to do, because the muscle atrophy due to rest was probably greater. At this moment it is important the participation of the physical education professional with the guidance of the physiotherapist.


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