Now, from your experience, are there aspects of a quad tendon injury that make it a tricky one to rehab?
Stotts: Yeah, because it's an extremely powerful muscle. People have to remember the quadriceps is a muscle group -- it's four muscles, that's where it gets its name from. People tend to forget how much we use our quad, and how important it is to our knee -- for stability, for the ligaments inside, for so much of what we do just on a day-to-day basis involves the quad.
And then you're talking about about a player who has to make start and stop motions, he's an extremely good defender so he's making lateral and hard cuts off that leg, and then running and jumping at a high velocity. So the stress put through that leg is a lot. And you want to make sure that muscle is taken care of, because if it's not, it can make him susceptible to other injuries that are more problematic, or come with a definitive timeline. And you want to make sure you avoid those things and focus on player health and safety.
R1Molano escribió:Ten cuidado Fredy que tu idolasso esta todo el dia dandole cera tambien a Trump
El_Picorcito_30 escribió:Una pena, para los Spurs y la NBA en general. Ojalá vuelva pronto. Me parece el tipo de jugador al estilo Westbrook, pero en el extremo opuesto. Alguien falto de carácter, apático, frío, y que al final en ambos casos faltos de carisma, de esa chispa que llega a la gente. Suelen pasar desapercibidos en los medios y tertulias, pero sus números e impacto en el juego son de candidatos claros a MVP.
Así, sin que nadie se entere ni se lo explique, como Russell el año pasado, que no lo merecía tanto como La Barba, promediando el chavalín un triple doble con 31.6 puntos... Bah... Eso no vale nada... ¿Provinieron de él, verdad? Su nombre no resuena, claro está.
Yo me alegro cada día que lo veo jugar esta temporada. Fue un hito histórico merecedor de tal galardón. Este año va de camino y se sigue sin hablar apenas de las hazañas sobrenaturales de este jugador. El año pasado claro, el sólo como líder y en un equipo sin opciones, eso lo hace cualquiera. ¿Y este año? Juega al lado de un tal Carmelo Anthony y otro que apenas tira ni lidera, Paul George.
Así, mientras tanto, Russell sigue cada noche con su martillo pilón, como si no resonara cada balón que revienta en la canasta cuando hace un mate con su propia marca y énfasis característico. Baah.....
Metzger1985 escribió:Tiene una pinta horrible esto.
Coach X escribió:From reddit:
Actually, in all likelihood, rest will not help Kawhi's injury at all.
I’m not a doctor but played a lot of ball and have had quadricep tendinopathy.
Someone is “able” to play through quad tendinopathy but it is uncomfortable and seriously aggravates the tendons. Usually, when tendinopathy occurs, it's because rest wasn't taken initially and the injury has turned into something akin to chronic inflammation (but inflammation isn't actually present on the cellular level).
I learned, after the fact, that in playing through my tendinopathy, I turned a small injury that could have been treated with two weeks of rest, into an injury that required two years of rehabilitation and treatment. Even with treatment, I was unable to squat down to tie my shoes for the better part of three years.
Essentially, it’s an overuse issue in which the athlete has had many micro-traumas to the tendon, and as such, their body begins to dump type-3 collagen (weak scar tissue) in unorganized bundles atop the injury sites. Our tendons are made of well-organized bundles of type-1 collagen, so this is problematic. Imagine cutting a bunch of incisions into a piece of paper and then handing that piece of paper to a child and asking them to use that tacky white school glue to patch the holes — that’s sort of what’s happening within the body during tendonopathy.
As rest alone will not heal this issue, to combat the body’s response, most physiotherapy consists of eccentric loading (lowering weights very slowly) and not performing the isometric contraction (lifting the weights up). For patellar tendinopathy this would be something like wall-sitting and holding your weight on your injured leg, and then standing up from the wall-sit with your healthy leg. This more-or-less teaches or shows the body to once again deposit the collagen in tight and straight bundles.
This is problematic because the athlete needs to load to that perfect balance where they are achieving the necessary resistance/load to incur healing, but not so much resistance/load that they’re aggravating the injury. As such, the healing really feels like 2 steps forward one back. It’s a delicate affair.
Eventually, the athlete has to slowly re-introduce jumping, running, and other explosive movements in increments so as to not completely ruin their tireless rehab efforts. It’s difficult and frustrating for the average athlete, and likely even more so for a highly motivated athlete like Kawhi.
So, while he may be feeling minimal pain and have full functional movement at this point in his recovery, physiotherapists and doctors need to be very very careful not to rush him back. He'll also need to correct his biomechanics that caused the issue in the first place to ensure that he’s not re-aggravating his injury again, as once it becomes chronic, it could plague him for the rest of his career.
So, yeah, it’s really a touch-and-go scenario that is more of an active recovery than you may believe. But with the trainers and professionals he has access to, he’ll likely clear it up and never have to deal with it again. In my opinion, it's wise of him to sit and avoid aggravating the issue.
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