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Old 08-01-2011   #1
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Default Brian Cushing not practicing due to knee issue

Not sure how I missed this, but Brian Cushing hasn't fully recovered from off-season knee surgery:

(on when ILB Brian Cushing will play) I liked what I saw today, watching during the individual. Hes (Brian Cushing) come a long way this past week. I dont think youre going to see him in the next couple days, but I dont think hes very far away. I dont want to put a timetable on it. Well see. Hes definitely a few days away anyway. link

Makes me nervous we've got both of our ILBs coming off surgery in the off-season.
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Old 08-01-2011   #2
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by cland View Post
Not sure how I missed this, but Brian Cushing hasn't fully recovered from off-season knee surgery:

(on when ILB Brian Cushing will play) I liked what I saw today, watching during the individual. Hes (Brian Cushing) come a long way this past week. I dont think youre going to see him in the next couple days, but I dont think hes very far away. I dont want to put a timetable on it. Well see. Hes definitely a few days away anyway. link

Makes me nervous we've got both of our ILBs coming off surgery in the off-season.
Cushing missed the whole preseason his rookie year and blew up the league. He also played with that knee injury most of the season last season so I think the Texans are just being smart with him. No need to worry!
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Old 08-01-2011   #3
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Default Re: Brian Cushing not practicing due to knee issue

He will be fine cushing rocks!
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Old 08-01-2011   #4
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Default Re: Brian Cushing not practicing due to knee issue

The depth at ILB seems a little week to me. I like Darryl Sharpton alot but after him I'm a little worried. What about Brooks or Conner play inside if we need to relieve the ILB for a while. It would get them on the field more, I think Brooks could kick but at any LB position.
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Old 08-01-2011   #5
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Default Re: Brian Cushing not practicing due to knee issue

Well, not what I really wanted to hear, but I'm sure he'll be okay vs Indy. Just hoping we don't get any major injuries in camp this year. I'm sure it'll happen, but I pray we can overcome it.
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Old 08-01-2011   #6
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Default Re: Brian Cushing not practicing due to knee issue

Maybe he's pregnant again...
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Old 08-01-2011   #7
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Default Re: Brian Cushing not practicing due to knee issue

I was told they are being very careful with the heat at the start of camp, especially with players coming off of injury.

He was out there without a helmet with the position groups today--watching, not participating. He didn't seem concerned about not being out there--but then again, Cushing/Texans have kept things quiet in the past.
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Old 08-01-2011   #8
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Default Re: Brian Cushing not practicing due to knee issue

He can take off until game one imo.
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Old 08-05-2011   #9
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by Texans_Chick View Post
I was told they are being very careful with the heat at the start of camp, especially with players coming off of injury.

He was out there without a helmet with the position groups today--watching, not participating. He didn't seem concerned about not being out there--but then again, Cushing/Texans have kept things quiet in the past.
From what I can make out from the available information, he underwent patella tendon surgery and a simultaneous scope for "cleanup." He evidently did not suffer an acute tendon rupture by history. So the surgery must have been for chronic cumulative partial tears. This can be a more difficult and complicated surgical problem than a clean rupture, and potentially carries a less predictable outcome. Total rehab from a classic patella tendon rupture can be as little as 6 months. Rehab from a chronic tear repair may be as long as 9-12 months especially if there is any question of the adequacy of repair.
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Old 08-05-2011   #10
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Default Re: Brian Cushing not practicing due to knee issue

On Cushing-

I watched him run today. I think he’s better every day. He’s not ready to come back out here quite yet so we’re being smart with him. Is that this week, is it next week, we don’t know. We’ll see. We’re day to day with him.


I translate that as "out for most of the season"
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Old 08-05-2011   #11
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Default

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Originally Posted by MightyTExan View Post
On Cushing-

I translate that as "out for most of the season"
Well... sounds like you're a "glass half shattered" kind of guy.
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Old 08-05-2011   #12
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by texanfan2002114 View Post
Cushing missed the whole preseason his rookie year and blew up the league. He also played with that knee injury most of the season last season so I think the Texans are just being smart with him. No need to worry!

He also did some drugs....which I think helped him immensely!
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Old 08-05-2011   #13
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by Nawzer View Post
Maybe he's pregnant again...
Freakin welfare mom
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Old 08-05-2011   #14
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Default Re: Brian Cushing not practicing due to knee issue

Based on his positive PED test and the assumption (no factual evidence here) that he has used PEDs in the past as well, I think cumulative damage to the joint sounds very probable and I wouldn't be surprised if this is the kind of injury that plagues him throughout his career
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Old 08-05-2011   #15
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Default Re: Brian Cushing not practicing due to knee issue

If his presumptive inflammatory jumper's knee was conservatively treated in previous seasons with local steroid injections (which is likely) in addition to anti-inflammatories, this could have further weakened and deteriorated the tendon integrity, leading to need for surgical attention.

The problem with most competitive athletes with jumper's knee is they do not see the need to rest and immobilization (and teams are sometimes reluctant to lose the player for that period), given that the condition presents with pain but does not affect their performance at that point.
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Old 08-05-2011   #16
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by CloakNNNdagger View Post
From what I can make out from the available information, he underwent patella tendon surgery and a simultaneous scope for "cleanup." He evidently did not suffer an acute tendon rupture by history. So the surgery must have been for chronic cumulative partial tears. This can be a more difficult and complicated surgical problem than a clean rupture, and potentially carries a less predictable outcome. Total rehab from a classic patella tendon rupture can be as little as 6 months. Rehab from a chronic tear repair may be as long as 9-12 months especially if there is any question of the adequacy of repair.
Doc, is this surgery 100% recoverable? He had surgery in January so he may be able to return by 1st game in September but how well?

I would appreciate your insight.

Go Texans!!!
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Old 08-05-2011   #17
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Default Re: Brian Cushing not practicing due to knee issue

Man Doc, you have an ESP or something? When I was writing a question to you, you already answered a few minutes before me.
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Old 08-05-2011   #18
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by Texans Pride View Post
He also did some drugs....which I think helped him immensely!
He did play all last year with a slight tear in his knee and still finished with 76 tackles and missed 4 games and played out of position for 2 of them.
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Old 08-05-2011   #19
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by SAMURAITEXAN View Post
Doc, is this surgery 100% recoverable? He had surgery in January so he may be able to return by 1st game in September but how well?

I would appreciate your insight.

Go Texans!!!
There is very little out there that addresses this question. Here is one of the few recent studies that give generic return to play information.


It is a publication in the American Journal of Sports Medicine. It reports on 24 followed ruptures (22 patients) during a 10 year interval. Three also had an ACL injury. Another 11 had preoperative symptoms (which could have indicated chronic tears). Among 19 of the injuries, the player returned to at least one game in the NFL, and players who were chosen earlier in the draft were more likely to return to play. The average number of games played by those who returned was 45.4 games, with a range of 1 to 142 games.

Another study showed that most all of the ruptures (complete) were followed by some chronic stiffness and small deficits of knee range of motion. Overall, athletes (not NFL) found their way back to normal or near normal strength and performance. This also follows along presentations of anecdotal experiences.

Chronic tears that are surgically repaired would be expected to have a somewhat less predictable performance return depending on the extent of damage to the tendon and associated structures.
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Old 08-05-2011   #20
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Default Re: Brian Cushing not practicing due to knee issue

Well If he has to miss any extended time maybe we could move Mario inside and put reed and barwin at OLB.
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