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Old 08-03-2012   #143
CloakNNNdagger
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Default Re: Training Camp Live: AJ left practice

Quote:
Originally Posted by NastyNate View Post
Mario Williams is not "most". CND I know that because of your medical background you've seen every negative aspect of the medical community. This is why people come to doctors and surgeons, they're at the worst point of the injury. This is why it's hard to expect something to be minor, because you are constantly subjected to the most extreme versions of said injuries, along with minor versions. Mario most likely strained an abductor or adductor, I don't really think he pulled his groin.

My question to you is, have you pulled your groin before? I have, on many different occasions, it's always been a day or two, 4 days at most injury. It's pretty darn common in the sports community.

No disrespect intended. Flamesuit on.
No disrespect taken....and no flamesuit required. Your comments are legitimate concerning discerning between truly "minor" vs significant groin strains. A lot of the confusion rests in the terms "groin strain/pull," to begin with. Many people will include sources caused by hernias, thigh muscle/tendon tears, lower abdominal muscle/tendon tears, etc. within this group. The classic "groin strain," though, is usually, in fact, due to varying degrees of tear severity of the adductor muscles. Even within this more acceptable definition, it must be kept in mind that the adductor muscles are actually a group of 5 different muscles. Tear/strain of any of these muscles will result in the problems associated with "groin strain."

And you are correct, I have tended to see these problems at a more severe stage. However, many of these patients related that their problems all started with a "tweak" or "minor tug' or "tightness"........and progressed due to inadequate rest and rehab periods. No doubt, we have already seen this scenario play out in a number of Texans players over the past few years.

All athletes and coaches tend to push the minimal time for recovery to its limit for obvious reasons..........even though they say they are not doing so, and are just following protocol for the severity of injury.

As far as AJ's injury, even though it was originally reported that he had fallen awkwardly to cause the strain, it is now clear by his own words that the strain occurred while he was simply stretching out for the ball. Sure, it could be caused by deficient "warm up" period. But, it can't help you be concerned about a muscle balance and stability question, especially in light of his recent left knee scope, clipping of his right semitendinosus hamstring muscle last year, previous MCL and PCL left knee injury, previous ankle problems, etc. The fact that he is running now is not an extrapolation to on-the-field risk. Any adductor injury no matter how minor, can be re-injured following inadequate rest and rehab, when a player sprints full speed, changes direction acutely, or runs against resistance.........especially if there is any residual lower body muscle imbalance or instability. I have, indeed, followed many patients who wish they could have traded an extra week or two lost to caution for a month or two or more of watching TV.

For so many reasons which I have related here and in past postings, I will remain very guarded about what AJ's future is as he deals with his "historic" injuries and their potential affect on future performance and likelihood of future injuries. No different than everyone else here, I hope that, at least this time, it was and will remain only a story of "The Tweak That Scared Millions."

Last edited by CloakNNNdagger; 08-03-2012 at 05:08 PM.
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