Dr. Johnny Benjamin talks MMA safety -- An MMAjunkie.com Interview
As the sport of MMA continues its remarkable growth in the U.S. and throughout the world, physicians such as Dr. Johnny Benjamin are continually working to assure it remains as safe as possible.
While much of the general public still considers the sport violent and barbaric, Dr. Benjamin says the opposite is true. And he's on a mission to spread the word, even appearing on a recent edition of HDNet's "Inside MMA" program.
Dr. Benjamin is an experienced combat sports specialist who's worked with both MMA fighters and boxers. In fact, his list of boxing clients includes three-time light-heavyweight world champion Antonio Tarver, three-time junior welterweight and welterweight world champion Arturo Gotti, and former welterweight world champion Vernon Forrest.
MMAjunkie.com's David Andrest had a chance to speak with Dr. Benjamin about a number of issues related to safety in MMA ranging from blows to the back of the head and spine to performance-enhancing drugs.
MMAjunkie.com: What are the most common injuries you come across with combat-sports athletes?
Dr. Johnny Benjamin: The most common injuries are usually sprains and strains. These athletes train very hard -- way harder than most people will ever realize.
MMAjunkie.com: Controversial blows to the back of the head and neck have played a big part in at least three higher profile fights lately. What are your thoughts on these types of strikes, and what are the potential problems for the fighters?
Dr. Johnny Benjamin: They're terrible. The fighter cannot intelligently defend this area. The back of the head and neck are too exposed and contain very valuable structure. That, combined with a highly trained athlete striking this area, it's the perfect storm. As a fan, I understand people want to see the fights continue. I'm a fight fan and I love the blood, but (blood) doesn't cause permanent life-changing damage to a fighter.
MMAjunkie.com: Did you see the recent Thomas Denny-Malapait ShoXC fight?
Dr. Johnny Benjamin: Yeah, and I was just sitting next to the guy on "Inside MMA." He was owning Malaipet, and then he took the three elbows to the back of the head. As a fan I wanted to see him continue. As a physician, it was right for it to stop.
MMAjunkie.com: Is it possible for a fighter to take blows to the back of the head and neck and not realize they have suffered a serious injury?
Dr. Johnny Benjamin: Absolutely. They are in the heat of battle. The adrenaline is pumping. They could also have a minor injury and not be aware of it, and one more strike or an accident, and it becomes a major injury. MMA is very quick.
MMAjunkie.com: What are some of the things you think MMA can do to improve fighter safety?
Dr. Johnny Benjamin: The No. 1 thing that can be done is for organizations to have properly trained physicians at ringside -- physicians who are familiar with combat-sport-related injuries. I have seen cards where this is not the case. Also, I think licensed fighters should all undergo neurocognitive testing.
MMAjunkie.com: What is neurocognitive testing? How would that help with safety?
Dr. Johnny Benjamin: Neurocognitive testing helps measure the effects of concussions, giving us the ability to understand them better. I would like to see everyone tested once per year so there would be a baseline result for each fighter. If the fighter competes and is knocked out or has received a concussion, he would be tested again and not allowed to fight until he tests normal.
MMAjunkie.com: Most state athletic commissions issue medical suspensions. Are they long enough? Is the recovery time the same for most fighters?
Dr. Johnny Benjamin: No. It is different for each fighter. The cool-off period from the athletic commissions is a good start, but the fighters should be tested again to make sure they have fully recovered before they fight again.
MMAjunkie.com: So the results after recovery from a KO or concussion should match the baseline result you established in the initial testing for each fighter?
Dr. Johnny Benjamin: Yes. After recovery, they will return to the baseline result. The test itself is only about 15-20 minutes long and very straightforward.
MMAjunkie.com: Concussions from strikes to the head seem to be part of combat sports. What can be done to reduce them if anything?
Dr. Johnny Benjamin: Better mouth guards.
MMAjunkie.com: By better do you mean better materials?
Dr. Johnny Benjamin: No. Fighters need a better mouth guard that positions the jaw properly. Most mouth guards do not do this.
www.mahercorlabs.com has done research and makes a mouth guard that aligns the athlete's jaw the way it should be so the effect of a blow to the jaw is reduced.
MMAjunkie.com: What are your thoughts in regards to performance-enhancing drugs in the sport? You briefly touched on this as another way to make things safer when you appeared on "Inside MMA."
Dr. Johnny Benjamin: I think the organizations need to really get serious about steroid testing. Taking someone's bonus away isn't really serious when you consider the downside. If you are a professional boxer and you are caught, not only do you get suspended, you don't get paid at all.
MMAjunkie.com: Could they test better or differently?
Dr. Johnny Benjamin: They could take random blood tests. Show up at the gym and test the fighters. There would be a great chance that this would help the situation.
MMAjunkie.com: To many people who read this, that might seem a little excessive or intrusive.
Dr. Johnny Benjamin: The organizations need to step in and get on top of this issue. The Mitchell Report shows us that the federal government has no problem getting involved in private business. This is an issue that organizations need to step up and take care of themselves, or someone else is going to step in and do it for them. John McCain is running for President. He is a man that views MMA as human cockfighting. It would be best for the sport to be proactive and handle it themselves.
MMAjunkie.com: We often hear fighters who test positive say that they were recovering from an injury. How should that be viewed?
Dr. Johnny Benjamin: Anabolic steroids are not prescribed as a legitimate therapy for injuries, but many athletes use anabolic steroids and (human-growth hormone) for those purposes.
MMAjunkie.com: You have said that you were not a fan of the Fedor Emelianenko vs. Hong Man Choi fight due to Choi's lack of experience. Did you consider that a saftey issue as well?
Dr. Johnny Benjamin: Choi was 1-0 when he entered that fight. He had no business fighting Fedor with his experience. It was almost criminal. Matchmakers need to match fighters of simliar experience or skill. There need to be levels.
MMAjunkie.com: I know your first concern is always fighter safety. Is there anything else that you would like to see?
Dr. Johnny Benjamin: Smaller fights could use better regulation. Instead of putting a new fighter in a fight that has rounds that are five minutes long, have them fight three two-minute rounds. Also, I think the tournament style of fighting is bad. They shouldn't be fighing more than once a night.
MMAjunkie.com: I know you are also a huge fan of the sport. Which fighters do most enjoy watching?
Dr. Johnny Benjamin: Josh Barnett. Why does Josh Barnett get so little love? He is great and can get out of any situation. I also love to watch Urijah Faber. He is a great fighter as well.
MMAjunkie.com: Being as familiar with both MMA and boxing, what is your opinion of the potential fight between Roy Jones Jr. and Anderson Silva.
Dr. Johnny Benjamin: I think it would make a lot of money. <laughs> But it would be a very short fight.
MMAjunkie.com: Who would you pick to win?