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Sounds like a very recent occurrence/re-occurrence.Why so late in the offseason? I don't get it.
#Texans DL JJ Watt’s surgery was for a herniated disc, source said. He had symptoms while working out on his own. 8 week return is best-case
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Confirmed to be herniated disc. Surgery recovery is quick but rehab is extended. Unlikely to be 100% until midseason
Clowney. Time to Step Up Brother.
Thank you very much. This is gonna hurt...need Clowney and Merci to turn it on.so until CnD shows up there is this;
David J. Chao, MD @ProFootballDoc 11h11 hours ago
:Lumbar spine health is vital for D Linemen. Would not be surprised if @JJWatt misses some game time.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Even if @JJWatt plays week 1, difficult to be 100%.early on. See #DontariPoe @Chiefs, similar situation last year.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
And a difference between return to play & 100%. Even if @JJWatt plays early, may take time to be himself again.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
I don't want to doubt @JJWatt but that is my point. Back surgery harder recovery for DL with their weight & duties.
Paulie D. @pdesantis25
@ProFootballDoc @JJWatt @Chiefs @RapSheet Dontari wasn't really himself till about week 6 or 7...
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Never doubt @JJWatt but it could take till mid-season to be himself after back surgery.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Back surgery recovery is not just pain tolerance. Need the core muscles to return 100% to be effective.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Confirmed to be herniated disc. Surgery recovery is quick but rehab is extended. Unlikely to be 100% until midseason
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Probably smart of @HoustonTexans to do @JJWatt surgery now. Even if he misses some time, better to have him 100% for second half of season.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Key for @JJWatt to only be Active/PUP (training camp) & avoid Reserve/PUP which would mean minimum of 6 games missed
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Usually is either L5-S1 or L4-5 disc which are next to each other low in back, so minimal difference.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Undoubtedly something was a aggravated or new happened.
David J. Chao, MD @ProFootballDoc 10m10 minutes ago
LIVE on #Periscope: JJ Watt back surgery
WATCH THE VIDEO OF DR CHAO EXPLAINING THE INJURY:
https://www.periscope.tv/w/1nAKEbwOwqVGL
He'll get injured in pre-season. Honestly, I think our trust should be in Convington.
I'll try to remember this 'ye of little faith' when Clowney goes monster this year and you're sucking down crow.
You may be right, but as of now, his past history dictates that it will be you feasting on Crow
so until CnD shows up there is this;
David J. Chao, MD @ProFootballDoc 11h11 hours ago
:Lumbar spine health is vital for D Linemen. Would not be surprised if @JJWatt misses some game time.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Even if @JJWatt plays week 1, difficult to be 100%.early on. See #DontariPoe @Chiefs, similar situation last year.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
And a difference between return to play & 100%. Even if @JJWatt plays early, may take time to be himself again.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
I don't want to doubt @JJWatt but that is my point. Back surgery harder recovery for DL with their weight & duties.
Paulie D. @pdesantis25
@ProFootballDoc @JJWatt @Chiefs @RapSheet Dontari wasn't really himself till about week 6 or 7...
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Never doubt @JJWatt but it could take till mid-season to be himself after back surgery.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Back surgery recovery is not just pain tolerance. Need the core muscles to return 100% to be effective.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Confirmed to be herniated disc. Surgery recovery is quick but rehab is extended. Unlikely to be 100% until midseason
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Probably smart of @HoustonTexans to do @JJWatt surgery now. Even if he misses some time, better to have him 100% for second half of season.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Key for @JJWatt to only be Active/PUP (training camp) & avoid Reserve/PUP which would mean minimum of 6 games missed
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Usually is either L5-S1 or L4-5 disc which are next to each other low in back, so minimal difference.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Undoubtedly something was a aggravated or new happened.
David J. Chao, MD @ProFootballDoc 10m10 minutes ago
LIVE on #Periscope: JJ Watt back surgery
WATCH THE VIDEO OF DR CHAO EXPLAINING THE INJURY:
https://www.periscope.tv/w/1nAKEbwOwqVGL
We should all be cheering for Clowney. No one here needs to eat crow on his account.
I don't think anyone here is hoping he will get hurt again, or hoping anything but the best for him
so until CnD shows up there is this;
David J. Chao, MD @ProFootballDoc 11h11 hours ago
:Lumbar spine health is vital for D Linemen. Would not be surprised if @JJWatt misses some game time.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Even if @JJWatt plays week 1, difficult to be 100%.early on. See #DontariPoe @Chiefs, similar situation last year.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
And a difference between return to play & 100%. Even if @JJWatt plays early, may take time to be himself again.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
I don't want to doubt @JJWatt but that is my point. Back surgery harder recovery for DL with their weight & duties.
Paulie D. @pdesantis25
@ProFootballDoc @JJWatt @Chiefs @RapSheet Dontari wasn't really himself till about week 6 or 7...
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Never doubt @JJWatt but it could take till mid-season to be himself after back surgery.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Back surgery recovery is not just pain tolerance. Need the core muscles to return 100% to be effective.
David J. Chao, MD @ProFootballDoc 11h11 hours ago
Confirmed to be herniated disc. Surgery recovery is quick but rehab is extended. Unlikely to be 100% until midseason
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Probably smart of @HoustonTexans to do @JJWatt surgery now. Even if he misses some time, better to have him 100% for second half of season.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Key for @JJWatt to only be Active/PUP (training camp) & avoid Reserve/PUP which would mean minimum of 6 games missed
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Usually is either L5-S1 or L4-5 disc which are next to each other low in back, so minimal difference.
David J. Chao, MD @ProFootballDoc 10h10 hours ago
Undoubtedly something was a aggravated or new happened.
David J. Chao, MD @ProFootballDoc 10m10 minutes ago
LIVE on #Periscope: JJ Watt back surgery
WATCH THE VIDEO OF DR CHAO EXPLAINING THE INJURY:
https://www.periscope.tv/w/1nAKEbwOwqVGL
The late time for the surgery having been performed was not because of a de novo re-injury sustained in the spring. It was because, the attempt to overcome his back issue through intense rehab alone in order to avoid surgery failed. Going back to the end of October last year, Watt found himself on the Injury Report for a "back." Shortly thereafter, he reportedly sustained a groin injury. When I noted this combination, I detailed that Watt was apparently developing core problems which were not good for any player, but especially for a big man playing the type of position he is assigned. He under the supposed oversight of the coaching and medical staff still continued to play with these significant core issues, continuing to extend the severity of his injuries.........and we all know the results of this ill-advised course.
His surgery was performed on 7/20/16. From what I can gather, he has undergone a microscopic lumbar discectomy. Despite what is being reported (a recovery of 6-8 weeks), I will tell you that he will not be ready for the beginning of the 2016 season. A November 2012 study published in the American Journal of Sports Medicine of 78 professional athletes undergoing this procedure, 89.3% returned to sport. The average time it took operative patients to return to their sport (return time) was 5.8 months. Progressive return data for surgically treated patients showed the percentage of athletes who returned increased from 50% at 3 months to 72% at 6 months to 77% at 9 months and 84% at 12 months.
You may remember Shaun Cody (6'4" 302 lbs) who underwent a similar procedure in 2012, I predicted a poor prognosis for return and/or performance level.............where is he now.........in fact, where was he in 2013? What gives me more angst is that Watt's case is complicated by his other core issues which required extensive bilateral groin/sports hernia surgeries.
When the subject first came up out of the clear blue about Watt talking about retirement, and then him back tracking that he was only talking about years in the future, I wrote that I was very suspicious concerning why the subject would even come up at this time. I suspected at that time like I do at this time that this was a sign of Watt's own self-reflection that his series of injuries could very well have a significant impact on his career.
Thanks for your insight, Dr., as always.
It sounds like we might face the real possibility that Watt will not play a lot this season, and maybe not at all. Rushing him back too soon is stupid. I think it would be better for him to fully rehab, even if that means missing a season. I'd rather have a 100% Watt in 2017 than a cobbled Watt in 2016 that could lead to lingering problems in future seasons.
Thanks for your insight, Dr., as always.
It sounds like we might face the real possibility that Watt will not play a lot this season, and maybe not at all. Rushing him back too soon is stupid. I think it would be better for him to fully rehab, even if that means missing a season. I'd rather have a 100% Watt in 2017 than a cobbled Watt in 2016 that could lead to lingering problems in future seasons.
Thing is, knowing Watt as we do, and as JB alluded to, they may have to chain Watt in the locker room to keep him off the field.Unfortunately, the Texans medical staff has given us little reason to be optimistic in this regard and JJ seems to think of himself as something of a superman
Pretty sure there's something in the CBA prohibiting that.Thing is, knowing Watt as we do, and as JB alluded to, they may have to chain Watt in the locker room to keep him off the field.
Will the Texans go to a 4-3 while JJ is out? Assuming he misses time... Phil Savage thinks it might be a possibility, and it would work better for Clowney
You may be right, but as of now, his past history dictates that it will be you feasting on Crow
The late time for the surgery having been performed was not because of a de novo re-injury sustained in the spring. It was because, the attempt to overcome his back issue through intense rehab alone in order to avoid surgery failed. Going back to the end of October last year, Watt found himself on the Injury Report for a "back." Shortly thereafter, he reportedly sustained a groin injury. When I noted this combination, I detailed that Watt was apparently developing core problems which were not good for any player, but especially for a big man playing the type of position he is assigned. He under the supposed oversight of the coaching and medical staff still continued to play with these significant core issues, continuing to extend the severity of his injuries.........and we all know the results of this ill-advised course.
His surgery was performed on 7/20/16. From what I can gather, he has undergone a microscopic lumbar discectomy. Despite what is being reported (a recovery of 6-8 weeks), I will tell you that he will not be ready for the beginning of the 2016 season. A November 2012 study published in the American Journal of Sports Medicine of 78 professional athletes undergoing this procedure, 89.3% returned to sport. The average time it took operative patients to return to their sport (return time) was 5.8 months. Progressive return data for surgically treated patients showed the percentage of athletes who returned increased from 50% at 3 months to 72% at 6 months to 77% at 9 months and 84% at 12 months.
You may remember Shaun Cody (6'4" 302 lbs) who underwent a similar procedure in 2012, I predicted a poor prognosis for return and/or performance level.............where is he now?.........in fact, where was he in 2013? What gives me more angst concerning his long term prognosis is that Watt's case is complicated by his other core issues which required extensive bilateral groin/sports hernia surgeries.
When the subject first came up out of the clear blue about Watt talking about retirement, and then him back tracking that he was only talking about years in the future, I wrote that I was very suspicious concerning why the subject would even come up at this time. I suspected at that time like I do at this time that this was a sign of Watt's own self-reflection that his series of injuries could very well have a significant impact on his career.
There needs to be a "Grudgingly accept that what this poster is saying is true and appreciate the insight" button because I so rarely "Like" what you have to say.
I do appreciate that you're here and willing to fill us in on specifics we wouldn't get elsewhere. I like that part.
CnD questions for you;
At first we were led to believe that JJ's back surgery was done now because of very very recent developments. Spin? As you so aptly pointed out, JJ was on the injury report a couple of times for his back late last year.
Question 1 (maybe I didn't fully grasp or understand) are you suggesting that his other "core" injuries (groin and hernia) may be a result from his painful back?
And question 2, you pointed out the Texans first decision was a non surgical complete rehab for his back injury. So is the reality of this situation that JJ's back was in same condition in January as it is today and the surgery could've been performed the first of the year?
Actually, his back issues were evident by the last week of October (week 8)..........not "late" last year.
The vertebrae (back) are balanced by forces applied by back muscles with forces applied by the abdominal muscles...........part of core strength. When either of these groups of muscles are markedly weakened or discoordinated by pain (compensatory), the natural core balance is disrupted and injuries (especially tears) can readily occur.
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It is traditional for a conservative route to be taken first to rehab back injuries. Although every case is different, 7 months without seeing resolution of the problem, especially in an elite athlete, certainly seems like an inordinately long period of time before considering this approach a failure. Surgery is not performed for back pains/aches per se, they are done for problems (like discs bulging/ruptured) that significantly impinge on the spinal nerves. Actually, waiting too long can also have its adverse side in that if the nerve is compressed long enough, muscle weakness of the supplied muscle group which it may cause could result in atrophy of the involved muscle groups. We saw just such a problem with Peyton Manning where the affected muscle caused by cervical spinal nerves being impinged took for ever to return to a semblance of normal function (with some residual permanent loss anywaty when it was all said and done).
I wonder if activities like this have contributed to the development of his injury:
http://www.nfl.com/videos/houston-texans/0ap2000000330836/Watt-lifts-1-000-pound-tire-during-workout
If you watch the video you'll see a slight rounding of his lower back when he initially lifts the tire- you don't want to lift heavy things this way, and you don't want to do it repeatedly ( I believe he did this 30 times). Repeatedly lifting heavy loads with a rounded lumbar curve will start to tax the posterior aspects of the vertebrae, leading to bulges and herniations. The spine should be in it's normal/neutral curve when lifting heavy weights. For anyone wanting more info on the spine, injuries and proper training for spinal health you should check out Stuart McGill and his site backfitpro.com He's a PhD in biomechanics and all he does is study the spine.
I respect the hell out of Watt's work ethic, and if anyone can return to form, I think he can ( though how long it will take is an issue). I don't understand working with 100 million dollar athletes and doing exercises that place unnecessary risks on their bodies, especially when you consider how taxing football itself is to the body. Im all for training intensely but you have to be smart. One of McGill's saying is tax the muscles, spare the joints. When you watch a 6'6" bend over that far to get his hand under that tire, I can almost guarantee his back is under tremendous load
I mean JJ Watt is a grown man who has really had no issues health wise until recently. He has been as good as he has been in part to his work outs, same with Cushing. That dude has tore 2 ACLs and now look at him, considering a lot of people said he was done after the 2nd.
On that note I will leave it up to JJ to trust his own body and do what's best for it. I mean the guy hasn't done to bad thus far.....