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Old 08-05-2011   #21
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Default Re: Brian Cushing not practicing due to knee issue

Eh, I think Mario should come off the edge...I'd try Reed back there, or Sharpton. I don't know why people keep forgetting about Sharpton, he looked pretty good towards the end of the season and has kept showing good things in TC so far...
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Old 08-05-2011   #22
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by CloakNNNdagger View Post
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.
Thanks for info Doc. So, Cushing should be back but not sure of outcome. Average of returned play was 45.4games which is 3 seasons only? This concerns me. Hope, he comes back smoking and stay healthy for a long time.

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Old 08-10-2011   #23
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Default Re: Brian Cushing not practicing due to knee issue

Interesting comment of PFT:

Quote:
Cushing showed up at camp talking about losing 10 pounds. (As MDS notes, it’s always a little funny when guys busted for PEDs brag about losing weight.)

We think the Texans defense can improve greatly under Wade Phillips, but getting Cushing back on the field and effective again is a big x-factor.
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Old 08-10-2011   #24
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by CloakNNNdagger View Post
Interesting comment of PFT:
Not that I don't believe he did not use PED's, but I don't attribute the weight loss to discontinued PED usage. Usually that is the case, but Cushing went all of last season at the same weight. If someone works hard enough in the weight room, they can keep their lean mass.

In this case, I think he really did trim down for speed.
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Old 08-10-2011   #25
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by CloakNNNdagger View Post
Interesting comment of PFT:

We think the Texans defense can improve greatly under Wade Phillips, but getting Cushing back on the field and effective again is a big x-factor.
Man, can PEDs really have that much effect over a players ability and productivity?
I mean, they're basically saying that they think there's a chance that Cush goes from dominant pro bowl caliber animal to not ever being effective again because he stopped PEDs.
Can someone with some insight on PEDs speak to that?
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Old 08-10-2011   #26
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Default Re: Brian Cushing not practicing due to knee issue

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Man, can PEDs really have that much effect over a players ability and productivity?
I mean, they're basically saying that they think there's a chance that Cush goes from dominant pro bowl caliber animal to not ever being effective again because he stopped PEDs.
Can someone with some insight on PEDs speak to that?
They're called PEDs because they enhance your performance.

Can taking PEDs turn a so-so player into a Pro-Bowler? Yes. For the right guy on the right regimen, definitely. They won't turn every so-so player into a Pro-Bowler but they will turn some into one.

The thing about drugs is that different people react to them a bit differently. I've known some guys that have taken steroids and worked their asses off in the gym and really not gotten much of a performance increase. And then there are guys who can take steroids and just half-ass it in the gym and turn into monsters.

One of the biggest problems with workouts is recovering from them. PEDs allow you to recover from things that would normally be detrimental and become stronger/faster from workouts that would be counterproductive for a normal person. PEDs can totally change your body and how it reacts to things.
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Old 08-10-2011   #27
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Default Re: Brian Cushing not practicing due to knee issue

So, if Cushing never regains his rookie form and underperforms for the next few years and is finally cut, can he be called a bust in spite of his stellar first season?
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Old 08-10-2011   #28
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Default Re: Brian Cushing not practicing due to knee issue

Is there still no timetable on his return? There's going to be a learning curve for the entire D in learning this new system. The more time he misses the more it's going to harm the team. Obviously he shouldn't rush the injury and make it worse but it'd be nice if he got better soon...
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Old 08-10-2011   #29
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by The Pencil Neck View Post
They're called PEDs because they enhance your performance.

Can taking PEDs turn a so-so player into a Pro-Bowler? Yes. For the right guy on the right regimen, definitely. They won't turn every so-so player into a Pro-Bowler but they will turn some into one.

The thing about drugs is that different people react to them a bit differently. I've known some guys that have taken steroids and worked their asses off in the gym and really not gotten much of a performance increase. And then there are guys who can take steroids and just half-ass it in the gym and turn into monsters.

One of the biggest problems with workouts is recovering from them. PEDs allow you to recover from things that would normally be detrimental and become stronger/faster from workouts that would be counterproductive for a normal person. PEDs can totally change your body and how it reacts to things.
Nice summary.
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Old 08-10-2011   #30
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by TexansFanatic View Post
So, if Cushing never regains his rookie form and underperforms for the next few years and is finally cut, can he be called a bust in spite of his stellar first season?
Yep, and there will always be that pesky little asterisk next to his name.
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Old 08-10-2011   #31
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Default Re: Brian Cushing not practicing due to knee issue

Keep in mind that use of anabolic steroids can chronically weaken tendons and disproportionately strengthen muscles. A patella tendon tear/rupture is a more infrequent injury than even a quadraceps tendon rupture.

In other words, history of anabolic steroid use + very strong quad + very weak patella tendon = significant increased risk of patella tendon tear/rupture.


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Old 08-10-2011   #32
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Default Re: Brian Cushing not practicing due to knee issue

Does Cushing ever practice? I remember he sat out a few weeks last year, not including the suspension. I think he sat out some of training camp his rookie year too, right? Maybe what's affected his performance MOST is the lack of practice. Relying on Demeco to practice for him.......'cept when Demeco couldn't play? Cushing looked timid and unsure on the field.

Do I think steroids can make a regular athlete a mega athlete? Yes.
How big of an effect can that have on performance? I'd say less than what most people think but more than nothing at all.
Pro-bowl/DROY to scrubby scrub difference? No.

The difference is he didn't practice at all last year. And he isn't practicing much this year.
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Old 08-10-2011   #33
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by CloakNNNdagger View Post
Keep in mind that use of anabolic steroids can chronically weaken tendons and disproportionately strengthen muscles. A patella tendon tear/rupture is a more infrequent injury than even a quadraceps tendon rupture.

In other words, history of anabolic steroid use + very strong quad + very weak patella tendon = significant increased risk of patella tendon tear/rupture.


Doc Jean, I *thought* Cush's issue was behind his patella. Seems as though I read about him having it scaped or "cleaned up".

Is that what he had done or was it a "tear/rupture" of the actual tendon that had to be repaired?
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Old 08-10-2011   #34
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Default Re: Brian Cushing not practicing due to knee issue

Call me an a-hole for this, but I don't think there's a happy ending for Brian Cushing or for Cushing fans.

If he has been doing PEDs since high school, and only recently stopped, he's got a long history of jacking with his body in ways that will end up with consequences he doesn't like.

I don't know, man. he might come back from this issue with the knee, but will it only come back again? Will other areas of his body fall victim to the after-effects?

I think you put him in the middle and you have him rush the QB right up the gut, over Center/Guard or Guard/Tackle, and ask him to eat up anything that comes straight down the pipe at him.

Him and 'Meco should be the two middle guys because of their knee/achilles problems--You ask them to police the middle, leaving your outside guys like Mario, Barwin, Reed to cover the huge area between each end of the o-line and the sidelines.

In essence: Extend their careers as much as you can by asking them to stay limited/restrained to the size of field they have to roam/cover. Let the long-striders like Mario and Barwin get to the edges and chase and track down scramblers.

Maybe I'm wrong, but I think there is a great risk with both 'Meco and Cushing of losing them to further injury if we ask them to do too much. They're greatest asset is their ability to see the play and know where it's going.
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Old 08-10-2011   #35
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by GP View Post
If he has been doing PEDs since high school, and only recently stopped, he's got a long history of jacking with his body in ways that will end up with consequences he doesn't like.
They held him together with scotch tape the first year and he was fine. I think his injury is more of a mental problem because it keeps him from learning the defense.
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Old 08-10-2011   #36
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Default Re: Brian Cushing not practicing due to knee issue

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Originally Posted by drs23 View Post
Doc Jean, I *thought* Cush's issue was behind his patella. Seems as though I read about him having it scaped or "cleaned up".

Is that what he had done or was it a "tear/rupture" of the actual tendon that had to be repaired?
This was based on tweets by Cushing :
Quote:
Texans SLB Brian Cushing revealed on Twitter that he recently had surgery to "get his patella cleaned up and knee scoped."
Cushing tweeted that the procedure "was about two years overdue." It's not clear what kind of timetable he'll have for recovery, but it sounds like a minor operation.
But basically the reports following his surgery did not minimize the injury:


Quote:
Cushing underwent knee surgery in January to repair his patella tendon and is still being held out of workouts. He'll play inside in new defensive coordinator Wade Phillips' 3-4 scheme, but the loss of weight signals that he'll be asked to move around some. We still think 90-100 tackles are within reach.
Source: Houston Chronicle
Aug 2, 8:14 AM

Quote:
Cushing is still trying to build up strength in his knee after undergoing patella tendon surgery in January. But he is doing heavy sled work and the Texans don't appear worried. We're still fully expecting Cushing to be in the starting lineup come Week 1.
Source: Houston Chronicle
Aug 8, 8:42 AM
Quote:
From Profootball.scout.com
Cushing's knee still bothering him
by Aaron Wilson of Scout.com, August 10, 2011 at 11:50 am ET

Brian Cushing Profile

Houston Texans linebacker Brian Cushing has made a slow recover from knee surgery to repair his patella tendon, missing several practices before returning on a limited basis Tuesday.

And finally, Nick Scurfield on the official Texans site. CLICK LINK
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Old 08-10-2011   #37
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Default Re: Brian Cushing not practicing due to knee issue

hmm i thought he had a lot of working videos during the off season, our was that after last season ???
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Old 08-10-2011   #38
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by CloakNNNdagger View Post
This was based on tweets by Cushing :


But basically the reports following his surgery did not minimize the injury:










And finally, Nick Scurfield on the official Texans site. CLICK LINK
Hmm, thanks much Doc. Kinda different from what I remember. Seems as though you're spot on again!

Dammit!
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Old 08-10-2011   #39
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Default Re: Brian Cushing not practicing due to knee issue

This sucks.
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Old 08-11-2011   #40
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Default Re: Brian Cushing not practicing due to knee issue

Quote:
Originally Posted by CloakNNNdagger View Post
Keep in mind that use of anabolic steroids can chronically weaken tendons and disproportionately strengthen muscles. A patella tendon tear/rupture is a more infrequent injury than even a quadraceps tendon rupture.

In other words, history of anabolic steroid use + very strong quad + very weak patella tendon = significant increased risk of patella tendon tear/rupture.


This is interesting for me. When I was a sophomore in high school I was playing basketball and following a normal jump from trying to block a shot, landed on the ground and snapped my patella tendon where it connects to my shin. They had to go in an screw stuff back in on top of repairing soft tissue damage.

It's weird to think that it is such an uncommon injury. But as you have medical knowledge I will say that I do have Osteogenesis Imperfecta (though my type is the kind that causes problems during puberty and then levels off).
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