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Richard's Achilles Heel

The most decorated DB in Seahawks history shuts down the 2017 season.

Dr. Philip Shaw, DPM

 

Richard Sherman


Achilles tendon ruptures On Thursday Night Football last week, few players were left unscathed, but Seattle's Richard Sherman suffered the unique devastation of a ruptured Achilles tendon. He'll be out for the remainder of the season, for good reason.

 

As the largest and strongest tendon in the body, the Achilles tendon connects the powerful calf musculature to the foot, providing explosive push-off power critical for jumping and sprinting. The gastrocnemius and soleus muscles, with a small contribution from the plantaris muscle, merge near the ankle to form the Achilles tendon. Between the calf muscles and the tendon's insertion on the back of the heel, the tendon receives poor blood supply and undergoes tremendous load as it is stretched and relaxed repeatedly with walking and running. With any preexisting weakness - Sherman admits to a previous minor injury of the tendon earlier this season - or a sudden increase in activity beyond the body's tolerance, the tendon can fail. The result is a complete tendon rupture, with a loss of all push-off power. Unless the tendon is repaired in a tight position again, an Achilles injury leads to long-term weakness and dysfunction.

 

Richard Sherman

 

Athletes who must sprint, cut, and jump are susceptible to a sudden rupture because of the nature of their sport. But these athletes are superbly conditioned and ready for play. The vast majority of Achilles tendon ruptures affect irregular exercisers - "weekend warriors" - especially middle-aged men. The occasional pick-up basketball or soccer game places a large sudden load on the tendon without any previous conditioning. The result is a audible or palpable "pop," pain in the back of the calf, and poor ability to walk.

 

The goal of treatment is to restore push-off power. For professional athletes and most active people, surgery is recommended. A surgical repair requires an incision over the ruptured tendon. The tendon ends, which appear to the surgeon like a frayed and torn rope, are sewn together with the tendon in a tight position. The patient should stay off the foot for several weeks, and will then start walking again with a protective boot. The tight, repaired tendon is stretched over several weeks and the patient then returns to regular footwear with a diligent calf strengthening program that will continue for months. Realistically, patients can expect normal walking at three months, light jogging at four months, resumption of training at six months and full return to play at nine months post-operatively.

 

 

Achilles tendon ruptures can also be treated without surgery, and for many less-active patients or those wishing to avoiding an operation, this is a reasonable option. Nonoperative treatment requires protecting the foot with the toes pointed down for several weeks to bring the torn tendon ends together. While the tendon heals with scar tissue, the patient is kept off the affected limb, then progresses through a rehabilitation process similar to the surgical recovery.

 

Why do professional athletes routinely undergo surgical repair? Athletes need power to run, jump and sprint. Following an Achilles tendon rupture, the ruptured leg will never be as strong as the nonruptured side, but it can be close, within 10-15%. Athletes need to minimize this loss of power and recover quickly. Surgery generally confers a shorter recovery time, less loss of strength, greater explosive power, and a lower risk of re-rupturing the tendon. Surgery gives athletes the best chance to return to their pre-injury performance.

 

 

 

About the aurthors:

Dr. Phillip Shaw, DPM

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

 

 

References:

1. CBS Sports. Seahawk’s Doug Baldwin: day to day ahead of week 4. https://www.cbssports.com/fantasy/football/news/seahawks-doug-baldwin-day-to-day-ahead-of-week-4/. Accessed September 26, 2017. September 26, 2017.

2. Rotoworld. Player Page: Doug Baldwin. http://www.rotoworld.com/recent/nfl/6825/doug-baldwin. Accessed September 29, 2017, October 4, 2017. October 4, 2017.


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Doug Baldwin's Groin Injury

Nothing seems to sideline one of the greatest WR in Seahawks History

Victor Kollar, PT, DPT, CSCS

Doug Baldwin

 

Doug Baldwin groin injury Groin strains are a tricky injury to deal with because of the range of presentations and severity that can come with them. They are often caused by an overextended lateral step followed by a quick change of direction to the opposite side. This move can be seen in many in and out routes that wide receivers perform when trying to lose a defender and get open for a pass. A pulled groin can also occur while running and changing speeds and upon acceleration.

 

It is also important to consider at what region of the groin was injured. More proximally involved strains typically take longer to heal because of the healing properties relative to blood supply in the musculotendinous junctions versus in the muscle belly itself. Strains that occur more into the bulk of the muscle belly may heal faster because the inflammatory process can lay down scar tissue more quickly in an area that is supported by other parts of the muscle that can help disperse the force throughout the muscle than a single attachment point. The groin typically references a group of muscles known as the adductors which connect from the inner, lower part of the pelvis to the femur. These muscles help with the action of bringing your leg in front and across your body, or back to neutral from an abducted position. Some of these muscles also act as secondary hip internal rotators. Baldwin is the type of player that does not have a tremendous amount of size and must therefore rely on his quickness and agility throughout his route running to put himself in targetable positions on the field. This means that when Baldwin takes a step away from his body with his affected leg, he is likely to experience acceleration deficits in this manner. The same can be said for different parts of his routes that require him to change speeds very quickly.

 

Doug Baldwin

 

Baldwin was originally listed as Questionable for the game versus the Colts and had been preparing to play regardless of being a game time decision. Baldwin still suited up and played a solid game with a few catches for 35 yards with his first being a long, clutch 27 haul for a critical first down. Baldwin was not needed in the second half and therefore sat out to rest as the younger wide outs garnered more playing time as the Hawks pulled away. His route running still drew a lot of Colts’ secondary attention which indirectly helped a lot of the other receivers too. Look for Baldwin to continue to make the start as he continues to heal up and near 100% because he definitely played better than original reports had projected.

 

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

References:

1. CBS Sports. Seahawk’s Doug Baldwin: day to day ahead of week 4. https://www.cbssports.com/fantasy/football/news/seahawks-doug-baldwin-day-to-day-ahead-of-week-4/. Accessed September 26, 2017. September 26, 2017.

2. Rotoworld. Player Page: Doug Baldwin. http://www.rotoworld.com/recent/nfl/6825/doug-baldwin. Accessed September 29, 2017, October 4, 2017. October 4, 2017.


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Chris Carson's Season Ends

Unfortunate injury to a spectacular rookie Start for Chris Carson

Victor Kollar, PT, DPT, CSCS
Ben Wobker, PT, MSPT, CSCS

Injury: Ankle Fracture (MRI Results pending)

 

Chris Carson

 

Chris Carson looked to endure a significant ankle injury during Sunday night's 46-18 win over the Indianapolis Colts. The Running back's ankle rolled under two defender as he was being tackled in the 4th quarter. The ankle appeared to have gone into severe plantar flexion. Head coach Pete Carroll said, "..the injury was significant but did not know if surgery would be required. The latest report from NFL Network's Ian Rapoport, the Seahawks believe Carson has broken his ankle but will run additional tests and an MRI to confirm the damage. Carroll said, via Bob Condotta of the Seattle Times, that Carson suffered a fracture just below his knee and likely a high ankle sprain as well. Carroll said that tests are still being done to assess the severity of the injuries, but that Carson is “going to be out.” While I was at the game you couldn't help but notice the quick reaction of Seahawks quarterback Russell Wilson as he dove into the pile. You could tell that there must have been a sound that was abnormal to get him into the pile so quickly to try to remove bodies.

 

Chris Carson

 

Carson was tended too quickly by Dr. Elias Khalfayan, MD who is a fantastic surgeon and physician. Many of our staff have been fortunate enough to have watched him in clinic and surgery over the years of his tenure as the Hawks Team Physician.

 

Chris Carson was the seventh-round draft pick out of Oklahoma State that rose on the depth charts during training camp/preseason becuase of great effort and ironically an ankle injury to last years RB Thomas Rawls. Carson's production this season was at a great pace for a first year running back. In four games, he had 209 yards on 49 carries with seven receptions for 59 yards and a touchdown.

 

Chris Carson

 

Injury rehab at this point is purely speculation but we can say with certainty the different timelines for ankle injuries.

 

Possible Prognosis:
Tibial Fracture: 8-10 weeks healing

Fibula Fracture: 6-8 weeks healing (typically a little faster)

High Ankle Sprain: Grade I (1-4 wks), Grade II (4-6 wks), Grade III (6-8 wks)

*these are simply projections as much is to be determind by MRI whether their is sprain or rupture of the ankle ligamentous structures.

 

I think it is safe to say that Chris will miss the majority if not all of the season. They will likely transition him to Injured Reserve (IR) to allow a roster spot to open up. They may have some hope of a return in the midst of a playoff run but if you do the math and rehab it is very unlikely.

 

Most of the rehab for the injury in the early phases of a hairline fracture in the fibula often includes a combination of reduced weight bearing and a walking boot to let the fibula heal. Depending on the extent of the fracture, patients can have an array of weight bearing precautions because of how the fibula distributes force through the leg. The force the foot experiences travels through the talus and into the tibia which is then partially dispersed through the interosseous membrane, a connective structure between the tibia and fibula, into the knee and the rest of the body. Ankle stiffness may be present after prolonged use of a walking boot or cast which can cause complications throughout the lower extremity kinetic chain of movement. A lack of ankle range of motion, especially into dorsiflexion, is particularly important to consider during functional movements such as squatting or running because of the ankles’ contribution to hip muscle activation and lower extremity kinematics. This translates to potential losses in explosiveness and power necessary to shoot the gaps and break for big runs and should not be overlooked during rehab.

 

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

 

References:

1. Pro Football Talk: http://profootballtalk.nbcsports.com/2017/10/02/chris-carson-has-fracture-in-leg-likely-a-high-ankle-sprain-as-well/ Accessed Oct 1st, 2017

2. 247 Sports: https://sea.247sports.com/Bolt/Seahawks-believe-Chris-Carson-has-fractured-ankle-108325503 Accessed Oct 1st, 2017


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Seahawk Players Explore Regonokine

Victor Kollar, PT, DPT, CSCS

 

 

Michael Bennett

 

The Regenokine treatment in the US stems from the original Orhokine treatment hailing from Germany that was developed in 2003. These are different than PRP (Platelet-rich plasma) injections. PRP injections are becoming much more mainstream these days and gaining momentum through research to back their effectiveness. These injections involve drawing the patient’s blood and a centrifuge process that spins the blood to separate it into its different components. The Regenokine treatment that many professional athletes are getting the in the states now involves an additive and incubation period which the PRP treatment does not. PRP treatment aims to accelerate healing by injecting platelets and other factors into the affected area. The Regenokine treatment draws from a different part of the patient’s blood after it has been spun to encourage an inflammatory process that has since been lacking as a part of the healing process from an existing injury.

 

KJ Wrigth

 

KJ Wright and DJ Alexander were the first Hawks to go through the Regenokine treatment plan and came back with raving reviews to the rest of the team. Players jumping on the bandwagon included Michael Bennett, Cliff Avril, Tyler Lockett, Luke Joeckel, and Michael Wilhoite. The celebrity status of these professional athletes makes it much easier to get special treatments such as Regenokine. These new and upcoming recovery technologies are not often covered by insurance because they have not been approved by the FDA. Tyler Lockett

The reason why it is a legal treatment method in the NFL is because it does not involve introducing any new or foreign substance into the body. There simply has not been enough time for the literature to back up the long-term effects and outcomes of a treatment such as this which is why it is often an expensive out-of-pocket endeavor. However, professional sports programs often have seemingly unlimited funds to push for new and upcoming treatments without the worry of expense. With only the first week of the football season in the books, only time will tell if the treatment has influenced the players and how their injuries will hold up.

 

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

2012 First Report of Regonokine by ABC news

 

 

References:

1. American Journal of Sports Medicine. The effectiveness of platelet-rich plasma in the treatment of tendinopathy: a meta-analysis of randomized controlled clinical trials. 43(1): 226-233. June 2016.

2. European Journal of Orthopedic Surgery & Traumatology. Platelet-rich plasma (PRP) injections as an effective treatment for early osteoarthritis. 23(5):573–580. July 2013.

3. New York Daily News. The Running Doc discusses the differences between PRP and Orthokine treatment to help speed healing. http://www.nydailynews.com/sports/more-sports/running-doc-dissecting-orthokine-prp-article-1.1478755. October 7, 2013. Accessed September 5, 2017.

4. SB Nation. What is Regenokine process and why are Seahawks players getting the treatment? https://www.sbnation.com/2017/8/28/16217976/regenokine-process-seahawks-treatment-michael-bennett-tyler-lockett. August 28, 2017. Accessed September 1, 2017.

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Replacing the Beast

Big Shoes to fill by Thomas Rawls and the Running Back Comittee

Victor Kollar, PT, DPT, CSCS

 

Thomas Rawls

 

Injury: Thomas Rawls Fibula Fracture

 

Thomas Rawls

 

The running back situation has had a loss of identity since the departure of Marshawn Lynch. The ground game looked like it was going to have a glimmer of hope when we saw Thomas Rawls break out for over a hundred yards and a touchdown versus the Bears last year. That glimmer quickly faded with the Beast’s replacement reinjured his already fragile ankle. He fractured his ankle in the latter part of the 2015 and was out for the remainder of the season. After his ankle fracture recovery, he was able to able to return to competition for the 2016 season, but was sidelined again with hairline fracture which was originally thought to be a bone contusion. Rawls has been battling in the crowded backfield for the Hawks with Lacy, Prosise, Collins and not to mention Davis and any other backs trying to get a piece of the pigskin.

 

Thomas Rawls

 

Most of the rehab for the injury in the early phases of a hairline fracture in the fibula often includes a combination of reduced weight bearing and a walking boot to let the fibula heal. Depending on the extent of the fracture, patients can have an array of weight bearing precautions because of how the fibula distributes force through the leg. The force the foot experiences travels through the talus and into the tibia which is then partially dispersed through the interosseous membrane, a connective structure between the tibia and fibula, into the knee and the rest of the body. Ankle stiffness may be present after prolonged use of a walking boot or cast which can cause complications throughout the lower extremity kinetic chain of movement. A lack of ankle range of motion, especially into dorsiflexion, is particularly important to consider during functional movements such as squatting or running because of the ankles’ contribution to hip muscle activation and lower extremity kinematics. This translates to potential losses in explosiveness and power necessary to shoot the gaps and break for big runs and should not be overlooked during rehab.

 

Thomas Rawls

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

References:

1. Bleacher Report. Thomas Rawls injury updates on Seahawks RBs ankle and recovery. http://bleacherreport.com/articles/2631076-thomas-rawls-injury-updates-on-seahawks-rbs-ankle-and-recovery. Accessed August 14, 2007. April 7, 2017.

2. CBS Sports. Seattle Seahawks RB Thomas Rawls could potentially miss 5-6 weeks with hairline fracture. https://www.cbssports.com/nfl/news/report-thomas-rawls-could-miss-5-6-weeks-with-hairline-fracture/. Accessed August 14, 2017. October 2, 2016.

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Wing It

Victor Kollar, PT, DPT, CSCS

 

 

Injury: Paul Richardson's AC Join Sprain

 

 

Richardson made a spectacular diving catch from Wilson early in the first preseason game against the Chargers last weekend. Unfortunately, the highlight catch came at a price as he landed on his shoulder causing him to sprain his shoulder and take him out of the remainder of the game. Richardson has been in a duel with Tyler Lockette coming of his own leg injury, battling behind Baldwin and Kearse for a starting position. Richardson filled in for Lockette in the playoffs last year quite nicely tallying seven catches for over 130 yards and a touchdown in two games. Tanner McEvoy also looks to make an impression with the first team as the wide receivers keep getting banged up or are coming back from injuries.

 

 

The acromioclavicular joint is the junction between the acromion and the clavicle. The acromion is the hook-like bony prominence on the scapula. This is one of the few joints that connect the scapula to the rest of the shoulder girdle and the rest of the body. This can make reaching tasks, especially overhead or across the body quite difficult because of the stress put on the join in these positions. There are several grades of AC joint sprains: the first through third which are generally non-operative in nature and the latter fourth through sixth which tend to require surgery to repair. Fortunately, Richardson has one of the former because he was already seen back at practice performing non-contact drills this week. However, it looks like the coaching staff will still keep him from playing for now, just to be safe. Officially, Richardson is listed as a game time decision for tomorrow’s second preseason game versus the Vikings.

 

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

References:

1. CBS Sports. Seahawks' Paul Richardson: Game-time decision Friday versus Vikings. https://www.cbssports.com/fantasy/football/news/seahawks-paul-richardson-game-time-decision-friday-versus-vikings/ . Accessed August 17, 2017. August 16, 2017.

2. CBS Sports. Seahawks' Paul Richardson: Expected to be fine for week 1. https://www.cbssports.com/fantasy/football/news/seahawks-paul-richardson-expected-to-be-fine-for-week-1/ . Accessed August 16, 2017. August 16, 2017.

3. Seattle 24/7 Sports. http://sea.247sports.com/Bolt/Pete-Carroll-Paul-Richardson-suffered-an-AC-Sprain-106110040. Accessed August 15, 2017. August 13, 2017.

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Weight on His Shoulder

Victor Kollar, PT, DPT, CSCS

 

 

Injury: CJ Prosise’s scapular fracture recovery

 

CJ prosise

 

The scapula is a bone that is part of the shoulder girdle that is not often fractured, but when it is, the scapula lends itself to being a tricky bone to heal. This is because of its limited connection sites for support and that it is not easily immobilized to promote safe bone healing. The bone has two small attachments: one to the clavicle and the other to the humerus. It also creates a false joint with the rib cage on which it slides on during movement. Fortunately, the scapula is a bone with good supply so that when it is kept safe by limiting physical activity and movement of the affected shoulder, it has the potential to heal quickly. A scapular injury seems like it could only impact CJ’s catching and ball holding capabilities, but it is actually heavily involved in his ability to run. The arm pumping motion running requires can easily aggravate a scapular injury because of its association with the rest of the arm and the rib cage.

 

CJ Prosise

 

Prosise was lucky to have a nonsurgical option for his the healing of his fractured scapula. Because this was an appropriate route for him, he was able to recover quicker as well. Even though he was sidelined for the remainder of the regular season after sustaining the injury in a Week 11 win against the Eagles, he was able to return for postseason play. Unfortunately, he did not record any run attempts or receptions but was available to play nonetheless. He also has been dealing with a series of other injuries including hamstring, groin and wrist injuries during the offseason. Prosise showed a lot of promise during his short rookie season, averaging almost six yards per carry and has established that he can be a threat in the air too. Carroll has alluded to the fact that Prosise has to prove himself in his sophomore campaign in order to solidify his seat on the roster. This puts a lot of pressure on athletes to push themselves to come back from an injury in an effort to earn a spot on the roster, and really to have a job for that matter. With Thomas Rawls healing up and ready to go, acquisitions of Eddie Lacy and a few more RBs, there is sure to be lots of competition for playing time early this season. Chiari, Mike. C.J. Prosise injury: Updates on Seahawks RB's scapula and return.

 

Cj Prosise

 

About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

References:

1. Bleacher Report. http://bleacherreport.com/articles/2653125-cj-prosise-injury-updates-on-seahawks-rbs-scapula-and-return. November 21, 2016. Accessed August 3, 2017. Kapadia, Sheil. C.J. Prosise among Seahawks' candidates for the second-year leap.

2. ESPN. http://www.espn.com/blog/seattle-seahawks/post/_/id/25699/c-j-prosise-among-seahawks-candidates-for-the-second-year-leap. May 23, 2017. Accessed August 3, 2017.


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Tyler Always Up for a Great Return

Victor Kollar, PT, DPT, CSCS

 

 

Injury: Tibia and Fibula Fracture

 

Tyler Lockett Wide out back in? Tyler Lockett’s step back onto the gridiron An impeccable catch to finish to a drive are the types of plays that athletes dream of, but not with the devastating and unfortunate finish he had. Tyler Lockett experienced a horrific leg injury last year against the Cardinals on Christmas Eve that broke his tibia and fibula. The gruesome nature of this injury tends to send a message of impossible outcome when teammates and viewers alike see a foot turned the wrong way after a hard tackle. He was in surgery that evening that lasted until the early the next morning, but surgeons were happy with the outcome of the repair. A vital piece to the Seahawks, Lockett is a utility player that has many roles and left a big void to fill.

 

 

A compound fracture is a bone break that pierces the skin and is exposed to air, which is very dangerous because it greatly increases the risk of infection. Lockett had a successful surgery and it should be noted that he not experience any damage to the ligaments in his ankle which reduced further complications for his rehab. There has been lots of talk about Lockett being “ahead of schedule” in his rehab and that he reports that he is “doing everything [the trainers] tell me to do” in order to be back for the start of next season. Even though the bones may heal in about 4-6 weeks while non-weight bearing, the time for rehab and return to sport must be considered. With top of the line equipment such as the Alter-G anti-gravity treadmill, Lockett is sure to have access to the best resources and staff available. The commitment of the athlete and extensive one on one daily care that professional athletes receive multiple times a day shows how they can sometimes return to competition much faster than the rest of us. Look to see how creative the Seahawks get with the reintegration of Lockett back into the line-up this year as he comes back from his injury.

 

Tyler Lockett


About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

Tyler Lockett

 

References:

1. Crabtree, Curtis. Tyler Lockett surgery went “exceptionally well” after compound leg fracture. NBC Sports. http://profootballtalk.nbcsports.com/2016/12/26/tyler-lockett-surgery-went-exceptionally-well-after-compound-leg-fracture/. December 26, 2016. Accessed July 26, 2017.

2. Scott, Gee. Gee Scott: Catching up with Seahawk’s Tyler Lockett during his broken leg rehab. 710AM ESPN Seattle. http://sports.mynorthwest.com/246097/gee-scott-catching-up-with-seahawks-tyler-lockett-during-his-broken-leg-rehab/ . February 13, 2017. Accessed July 27, 2017.

Tyler Lockett

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Bouncing Back with Jimmy Graham

Victor Kollar, PT, DPT, CSCS

 

 


The patellar tendon is a structure that originates from the end of the quadriceps muscle, surrounds the patella and inserts into the top of the tibia. It is responsible for transmitting forces produced by the quadriceps and acts as an anchor for the knee. Jimmy Graham

The patellar tendon undergoes particularly high loads during squatting activities or during the descent phase of jumping, like when Jimmy was in the process of landing on the ground after leaping up to catch a pass. His knee was unable to absorb the weight from his landing and the patellar tendon took the brunt of the force chain leading to the rupture. The tendon tore because the force placed on it was greater than the force that the tendon could handle. The power and explosiveness required of this muscle during such an intense sport such as football means that there is a high load of force put on the knees. This is part of the reason why the rehabilitation process is quite lengthy.

 

Jimmy Graham

 

The American Journal of Sports Medicine reports that the rate of return to play and performance metrics like yards gained and touchdowns scored are drastically lower for athletes with patellar tendon repairs than any other orthopedic injury. Graham was injured on November 29, 2015 and returned to play on September 11, 2016 when he had just one reception. He was able to return in time for that following season, but he was limited in his action for when he did as shown by his strict snap count early on in the season. Graham reached out to fellow NFL wide receiver Victor Cruz who suffered the same injury in 2014 and talked about his up and down prognostic timetable for return to competition. According to USA Today Sports, was noted saying how “it’s one of those things where you don’t want to rush it back. You want to take your time and come back when you’re ready.” Meeting appropriate recovery benchmarks in a timely manner is crucial, and with a healthy offseason we can hope for Graham to bounce back for an even more productive year for the Seahawks this coming season.

Jimmy Graham


About the aurthors:

Victor Kollar, PT, DPT, CSCS

Ben Wobker, PT,MSPT, CSCS, SFMAc

Photo Credit:

Dr. Larry Maurer

 

 

References:

1. Bell, J. Seahawks' Jimmy Graham consulted Victor Cruz while rehabbing patella tendon injury. USA Today Sports. https://www.usatoday.com/story/sports/nfl/seahawks/2016/08/10/jimmy-graham-victor-cruz-patella-tendon-seattle-pup-list/88544132/. August 10, 2016. Accessed July 12, 2017. Kapadia, S.

2. Why Jimmy Graham’s patellar tendon injury has such an uncertain recovery. ESPN. http://www.espn.com/blog/seattle-seahawks/post/_/id/20692/why-jimmy-grahams-patellar-tendon-injury-has-such-an-uncertain-recovery. July 11, 2016.

3. Accessed July 12, 2017. Mai HT, Alvarez AP, Freshman RD, et al. The NFL Orthopaedic Surgery Outcomes Database (NO-SOD): The effect of common orthopaedic procedures on football careers. Am J Sports Med. 2016;44(9):2255-62.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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