Thom Evans – Brutal Injury, Spinal Surgery and Recovery

Reading last Tuesday’s Daily Mail article about former Scottish rugby star Thom Evans, I found myself shocked at how closely the doctors literally held his life in their hands during­ his major spinal injury. These amazing doctors, positive family members and supportive fans and friends helped Evans find his feet again.

As I read the footballer recalling the agonising memories from the tackles that caused the injury, the emotional and physical stress he experienced, and his amazing fight for recovery, I was aware of how important the mental state and support network becomes to any athlete.

“Things started to go wrong when I got an elbow to the face,” Evan remembers, “My lip split open and I went off to have it stitched. Little did I know about how significant that would be in terms of what was about to happen to me.”

Hands on the ball and running towards the biggest guy in the Welsh team, “I remember hyper-extending my back when he tackled me and I hit the deck hard. I was so­­­­­­­­ in the moment I bounced straight back up. I was told later the damage to my back may have started in that tackle and I may have slipped a couple of discs but I was running on adrenaline and felt nothing.”

In his third and final knock for the game, Evans remembers ducking his head in an effort to protect his lip from re-splitting. “Who knows if the serious accident would have happened, as my neck and back would have been at a different angle in the tackle.” Falling to the ground Evans immediately lost all sensation to his body. Not being able to move he watched the ball slip and spin out of his hand. He had dislocated his spine, resulting in temporary loss of feeling to his hands and feet.

Evans felt like he was dreaming as the Doctor held his back and neck in place to avoid movement on the field. Evans recalls, “I thought I would die there on the grass wearing my Scotland shirt. After 3 long, numb, minutes the pain finally kicked in.

Evans suffered through the ‘earth-shattering’ pain without morphine or painkillers at the team Doctor’s discretion. He was later told it was to keep him aware of the seriousness of the pain so he wouldn’t shift his neck. The seriousness and fragile state of Evans spine meant even the slightest movement would have snapped his spine, killing him.

Once in hospital an MRI was carried out, where the Doctors were able to pinpoint the dislocation high up Evan’s spine behind his throat. Evans family was in the hospital with him as the doctor informed him of the surgery required. Because Evans back was so badly injured, the procedure for surgery was to make an incision through the front of his throat, shift the spine back into place as the vocal chords were hung to one side.

After 3 hours in the operat­­­­­ing theatre Evans came out to find it was successful, however as any recovering patient or athlete knows, the recovery can often be the hardest part.

Evans was dealing with the shock of the accident, the painful aftermath of surgery, and the haunting question of whether he will be able to play again. The recovery becomes a physical and mental battle.

The doctors had braced the area behind his throat with metal plates and screws to support his fragile spine. The pain was still excruciating for Evans and the Doctors decided to operate a second time to help speed up the healing process.

Desperate to go home to Glasgow, Evans was up out of bed one week after surgery. Each day, walking one more step than the other, by the time he was walking to the end of the ward and back he knew he was ready to go home. Before he knew it, Evans was walking then running around Glasgows Kelvingrove Park. His recovery was exceptional, displaying the mental strength and determination required in professional sports. Evans had clearly acquired and was utilising these techniques  at a time where he wanted a fast and strong recovery.

A return to Rugby was suggested, and Evans thought he could make a comeback like other athletes had made from serious injuries. However tossing up the dangers involved with returning to the sport professionally after the major trauma to his spine biased Evans decision for retirement. Now in his home, “his boots sit as a reminder of how lucky he was to play for Scotland, and how lucky he is to be alive.”

The ‘Integrated Approach to Functional Change’ Physiotherapy Course

I completed my final weekend of the “Integrated Approach for Facilitating Change” course. This was run over 15 days over a 9 month period and brought together the previous training on treating and assessing the low back, neck and shoulder.  The final 4 days of training focussed on an entire approach of assessing injuries and included the  lower limb.
This approach identified the cause of the problem and got rapid results with fast effective techniques. I was able to see clearly how the foot should function in gait and how  ideal movement and alignment of joints can relieve pain. Functional rehabilitation was a key component in relieving pain and preventing pain from returning.
After the weekend I treated a man with hamstring pain. I assessed his rib cage and identified a problem. With correction of this problem he could touch his toes, sit and flex forward and straighten his knee and replicate kicking a rugby ball with no hamstring pain. He has had a second treatment and he is about to start cycling again.
I treated a triathlete with pain in his shoulder from catching his daughter in a swimming pool. He could not ride in profile position because pain extended down his arm and became too intense. I treated his rib cage and taught him how to suspend his body and he could ride with no pain after 1 session.
These are two of the changes I have made with effective long term results. I plan to specialise in treating Ironman athletes. These athletes need fast relief of pain and also to continue training.  My skills enable me to treat all other areas of body. To be truly effective the patient must comply with instructions and complete the treatment.
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