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Old 11-17-2012   #22
CloakNNNdagger
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Default Re: No Texans sit out of practice

Quote:
Originally Posted by silvrhand View Post
Hamstring injury was the result of the collision and Ed Reed falling ackwardly on the back of his legs, they were both down for a while on that.
If this was the mechanism of the hamstring injury, it is referred to a "hamstring contusion." Kubiak initially referred to the injury as a "slight" hamstring pull. A direct blunt hit to the hamstring essentially creates a crush injury of the muscles against the underlying bone (femur). It can create even a "slight" tear of the muscle which can in turn tear a blood vessel or blood vessels within the muscle group........essentially a bruise or hematoma within the muscle. A small tear can create a small amount of bleed or a very large amount of bleed. The latter scenarios, if not the immediate case, is especially likely if the therapy is too aggressive or implemented too soon. There is additional tearing and potentially much greater exacerbation of the previously ceased bleeding. This has great effect on the prognosis of ability to return to play. The greater the bleed, the more spasm of the involved muscle......and the more dysfunctionality........a vicious circle. If the bleeding creates a distinct pocket of blood, the area can be surgically drained, and the recovery hurried along. However, commonly the bleed is into the muscle substance itself. And in this case, the re-absorption of the blood can be a very long process. A blunt trauma leading to "slight" tear and minor bleed, properly treated, will usually lead to return to play within 3 weeks. The problem with further injury resulting in significant rebleed is that the recovery can be easily prolonged to 4-8 weeks or longer. The longer the blood remains unabsorbed, the more chance of a more uncommon phenomenon of calcium deposits being laid down in the muscle, a condition called myositis ossificans. The latter condition can essentially turn the return to effective play from many weeks to many months. We haven't officially been giving any real information about Tate's injury and subsequent course, but it is somewhat strange that a hamstring injury that was initially characterized as "slight" has turned into a mini-nightmare.

BTW, as an FYI, a turf toe will create compensatory gait "adjustments" that can place abnormal stress on the hamstring muscles. While trying to recover from a hamstring, stiff turf toe orthotics don't help things either. Think of placing a plank of plywood inside your shoe and not being able to normally run and push off by bending your toes back. You will appreciate the transfer of stresses to the hamstring.
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