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Injury Thread

CloakNNNdagger said:
Mercilus sustained an "undisclosed injury" several days ago, and has not practiced since. Don't expect to see him out there Thursday. Of course, it's not considered serious.

We've heard virtually nothing about Watt during practices, except for PR statements. Don't be surprised if you don't see him out there Thursday either.
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Wonder if Mercilus had a soft tissue injury?

I think Watt being held out of practice is to manage his reps to keep him from aggravating injuries before season.
 
TheRealJoker said:
Wonder if Mercilus had a soft tissue injury?

I think Watt being held out of practice is to manage his reps to keep him from aggravating injuries before season.
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I have always questioned this approach. An important part of rehabbing an injury once fully healed and body strength is fully regained is exposing a player to real game situations, in order for the player to learn how to more safely react and handle and compensate for them when required. Going full go straight out of the pen in practice is just as poor an approach as going from maintaining a regimen of very little practice/game exposure straight to full go. In order to try to avoid re-injury, rehab back to play should be a steadily incremental process throughout. I am convinced that trying to "save" a supposedly healed player until the season begins is an ill-conceived approach and only increases the "unprepared" player's chances of sustaining injury once he does return.
 
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Sarah Barshop‏@sarahbarshop 1h1 hour ago


Tomorrow marks two weeks since the Texans began training camp, but Jadeveon Clowney has still not participated in a full practice. Bill O'Brien said Tuesday that he thinks Clowney is getting "closer and closer to being able to do more."
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Jadeveon Clowney off to slow start as contract year looms
7:00 AM CT
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CloakNNNdagger said:
I have always questioned this approach. An important part of rehabbing an injury once fully healed and body strength is fully regained is exposing a player to real game situations, in order for the player to learn how to more safely react and handle and compensate for them when required. Going full go straight out of the pen in practice is just as poor an approach as going from maintaining a regimen of very little practice/game exposure straight to full go. In order to try to avoid re-injury, rehab back to play should be a steadily incremental process throughout. I am convinced that trying to "save" a supposedly healed player until the season begins is an ill-conceived approach and only increases the "unprepared" player's chances of sustaining injury once he does return.
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And they tried this approach the last time he came back right? And he suffered the tibial plateau fracture.
 
CloakNNNdagger said:
I have always questioned this approach. An important part of rehabbing an injury once fully healed and body strength is fully regained is exposing a player to real game situations, in order for the player to learn how to more safely react and handle and compensate for them when required. Going full go straight out of the pen in practice is just as poor an approach as going from maintaining a regimen of very little practice/game exposure straight to full go. In order to try to avoid re-injury, rehab back to play should be a steadily incremental process throughout. I am convinced that trying to "save" a supposedly healed player until the season begins is an ill-conceived approach and only increases the "unprepared" player's chances of sustaining injury once he does return.
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I think he should be playing limited reps in the regular building more playing time towards the end of the season to limit reinjury or anything else. Have him ready for playoffs and by that time be full go. Similar to what San Antonio did with Duncan. I don’t think that would increase any reinjury.
 
If the Raiders start sniffing the trade waters with OLB, Khalil Mack should the Texans get interested?

Heck, if they're interested in possibly moving him.....I couldn't think of a better place than the Texans for him to don a new uniform. If everyone were healthy "all at one time" the front seven could feature:
DE, Watt, DT, Reader, DE, Clowney, OLB, Mercilus, ILB, Cunnumgham, ILB, McKinney and OLB, Mack....would a 2019 RD2 and maybe a late pick in 2020 be worth the rental with a potential signing?

That could really cover the Texans rear-ends if they decide to let Clowney walk next season and use the money to sign Mack instead.
 
OptimisticTexan said:
If the Raiders start sniffing the trade waters with OLB, Khalil Mack should the Texans get interested?

Heck, if they're interested in possibly moving him.....I couldn't think of a better place than the Texans for him to don a new uniform. If everyone were healthy "all at one time" the front seven could feature:
DE, Watt, DT, Reader, DE, Clowney, OLB, Mercilus, ILB, Cunnumgham, ILB, McKinney and OLB, Mack....would a 2019 RD2 and maybe a late pick in 2020 be worth the rental with a potential signing?

That could really cover the Texans rear-ends if they decide to let Clowney walk next season and use the money to sign Mack instead.
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responding in thread team updates.
 
zshawn10 said:
Per FB: Clowney tripped on Texans Talkstairs walking to practice today. Limped back to stadium with several trainers. I’ll keep ya updated as I know more.

Update: Ok sigh of relief, Clowney did slip, but is fine. Was told he banged his knee on the step and just had to walk it off. Did some side field stuff away from team drills.

https://www.facebook.com/HoustonTexansNewsTalk/
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That type of "bang" can easily lead to a bone contusion/bruise. For Clowney, any trauma to his knee is not good. May not demonstrate clear history of symptoms that lead to diagnosis for a day or two.
 
Doc, have you, or anybody else, heard anything on Martinas Rankin and how his recovery is going? I know he is on the PUP list but is he expected to make it back by week 1? Was hoping he would recover enough by the 4th or 5th game that he could come in on some plays and start getting a taste of the NFL. Heaven knows the Texans need the depth on the O-line and Tackle in particular. I think the choice for Swing Tackle right now is Lamm, Slade, or Roderick Johnson unless the UDFA Rookie Jaryd Jones-Smith can show something. It'll be another long season if Henderson or Davenport are lost and Rankin can't play!
 
Insideop said:
Doc, have you, or anybody else, heard anything on Martinas Rankin and how his recovery is going? I know he is on the PUP list but is he expected to make it back by week 1? Was hoping he would recover enough by the 4th or 5th game that he could come in on some plays and start getting a taste of the NFL. Heaven knows the Texans need the depth on the O-line and Tackle in particular. I think the choice for Swing Tackle right now is Lamm, Slade, or Roderick Johnson unless the UDFA Rookie Jaryd Jones-Smith can show something. It'll be another long season if Henderson or Davenport are lost and Rankin can't play!
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Looks more and more like Rankin did not undergo immediate surgery following his May 10 foot fracture........and surgery did not occur until mid June when conservative rehab did not work. That would make him 8 weeks postop. Return to play is typically considered 8-10 weeks, but I have always advocated the later return. If his course has been uncomplicated, I would expect him to come off of PUP in ~2 weeks. However, as I've posted before:

CloakNNNdagger said:
How is Rankin going to be in any way prepared to play this season if he can't play during TC and is placed on the Reserve PUP? He essentially will have had not practice experience throughout OTAs and TC. Then, for an additional 6 weeks, he will be allowed only rehab with the trainers until Week 7. At that time, he would be given his first opportunity to practice.........typically ~3 weeks of practice before being activated..........taking him already into Week 10. For a rookie missing the opportunity of all the concentrated practice of OTAs, TC........and a large part of the regular season makes for Rankin a very questionable value for 2018.
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No matter how they handle PUP, Rankin as a rookie with all his invaluable lost time will be dealing with an almost impossible uphill battle to "catch up."
 
CloakNNNdagger said:
Looks more and more like Rankin did not undergo immediate surgery following his May 10 foot fracture........and surgery did not occur until mid June when conservative rehab did not work. That would make him 8 weeks postop. Return to play is typically considered 8-10 weeks, but I have always advocated the later return. If his course has been uncomplicated, I would expect him to come off of PUP in ~2 weeks. However, as I've posted before:



No matter how they handle PUP, Rankin as a rookie with all his invaluable lost time will be dealing with an almost impossible uphill battle to "catch up."
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Looks like the Texans medical staff is in midseason form...
 
Might be best to just IR the kid and start fresh next year. Not ideal, but then doesn't take up a roster spot.
 
The reason that the Texans are working out kickers is that Fairbairn is dealing with an undisclosed injury. He was not able to participate last Thursday and supposedly may not be able to play against the 49ers (which is code for.....he will not play). The Texans are saying that this is not a long-term injury.
 
Yesterday, Henderson returned for the 49ers practice session after being relegated to conditioning drills only the day before. Whatever downplayed "undisclosed injury" he is dealing with probably has something to do with his poor performance yesterday.
 
CloakNNNdagger said:
Yesterday, Henderson returned for the 49ers practice session after being relegated to conditioning drills only the day before. Whatever downplayed "undisclosed injury" he is dealing with probably has something to do with his poor performance yesterday.
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Now is the time of yr to let all injured players take as much time as they need to get fully healthy. I know BOB wanted to see Henderson practice against the 49ers, but he needs to be prudent when dealing with injuries, especially at this time of yr.
 
CloakNNNdagger said:
Looks more and more like Rankin did not undergo immediate surgery following his May 10 foot fracture........and surgery did not occur until mid June when conservative rehab did not work. That would make him 8 weeks postop. Return to play is typically considered 8-10 weeks, but I have always advocated the later return. If his course has been uncomplicated, I would expect him to come off of PUP in ~2 weeks. However, as I've posted before:



No matter how they handle PUP, Rankin as a rookie with all his invaluable lost time will be dealing with an almost impossible uphill battle to "catch up."
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Thanks Doc!

With that time frame (10 weeks into the season) he might be available for the Redskins game. That would give him 7 total games he could get some valuable playing time and allow him to be ready for next season. 7 games is better than nothing. And who knows, if he plays well enough, he might end up getting some starts like Davenport and DQ last season in the final 2 games.
 
It looks like DocBar needs to be put on the PuP list. I had hernia surgery today to repair the rather large (to me 10cmX19cm) hernia that resulted from the ruptured appendix I suffered last September and the resultant surgeries.

Praying that I don’t have another infection.
 
DocBar said:
It looks like DocBar needs to be put on the PuP list. I had hernia surgery today to repair the rather large (to me 10cmX19cm) hernia that resulted from the ruptured appendix I suffered last September and the resultant surgeries.
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I hope you didn't take some of the MB members' advice to rub dirt on it..............
All kidding aside, buddy, hope you have an uneventful recovery.
 
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Than you, Doc. I’m about 7 hrs post op. I’ve nanaged to pee and take a decidedly less than casual stroll around my hospital floor. I’ve got three large cups of broth in me, so there’s no way I’m trusting a fart when the ask me to pass gas. Much more painful this go round. I think that’s from releasing the sides of my abdomen.
 
DocBar said:
It looks like DocBar needs to be put on the PuP list. I had hernia surgery today to repair the rather large (to me 10cmX19cm) hernia that resulted from the ruptured appendix I suffered last September and the resultant surgeries.

Praying that I don’t have another infection.
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Appendicitis is a *****...easily the most painful thing I've ever been through. I was just a kid when I got it and it popped up the same time my sister had a stomach virus (horrible timing), by the time my parents figured out it was something else a few days later and took me to the hospital the thing was so swollen, it was translucent (they showed us the pictures post-op). Doctor couldn't believe it didn't rupture, but He did give my parents a ass chewing.

I did end up developing a infection after I went home though and ended up spending over a week at Texas Children's, parents took me straight downtown. :) Guess they weren't screwing around anymore.

I hope you start feeling better and here's to a speedy recovery!
 
Carr Bombed said:
Appendicitis is a *****...easily the most painful thing I've ever been through. I was just a kid when I got it and it popped up the same time my sister had a stomach virus (horrible timing), by the time my parents figured out it was something else a few days later and took me to the hospital the thing was so swollen, it was translucent (they showed us the pictures post-op). Doctor couldn't believe it didn't rupture, but He did give my parents a ass chewing.

I did end up developing a infection after I went home though and ended up spending over a week at Texas Children's, parents took me straight downtown. :) Guess they weren't screwing around anymore.

I hope you start feeling better and here's to a speedy recovery!
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Mine was ruptured for several days then I developed an infection if my abdominal fascia that resulted in retention sutures and a large, open wound that took 3.5 months to fully close. Pretty rough for me, too.
 
DocBar said:
Mine was ruptured for several days then I developed an infection if my abdominal fascia that resulted in retention sutures and a large, open wound that took 3.5 months to fully close. Pretty rough for me, too.
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****, SO SO glad I didn't have to go through that.. Ouch! No wonder the doctor was so pissed.

Rest up and hopefully they're giving you good meds for the pain. :)
 
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DocBar said:
Than you, Doc. I’m about 7 hrs post op. I’ve nanaged to pee and take a decidedly less than casual stroll around my hospital floor. I’ve got three large cups of broth in me, so there’s no way I’m trusting a fart when the ask me to pass gas. Much more painful this go round. I think that’s from releasing the sides of my abdomen.
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Be careful, say no to farts with an attitude!!!
 
DocBar said:
Mine was ruptured for several days then I developed an infection if my abdominal fascia that resulted in retention sutures and a large, open wound that took 3.5 months to fully close. Pretty rough for me, too.
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So the infection was the result of the rupture, and you lived? :)

The reason why I’m asking is that practically every family member except me had to have appendix removed. And in each case the doctor would tell them get the thing out before it ruptures, because if it does, you’ll go septic and just might die.
 
Today's (18th) game Viking's DE Ade Aruna [knee],Cedric Lang OL [lower leg], Johnnie Stanton FB [lower leg], CB MacKensie Alexander [ankle], Center Josh Andrews [ankle], WR Jeff Badet [concussion] out. per ESPN Courtney Cronin
 
Marcus said:
So the infection was the result of the rupture, and you lived? :)

The reason why I’m asking is that practically every family member except me had to have appendix removed. And in each case the doctor would tell them get the thing out before it ruptures, because if it does, you’ll go septic and just might die.
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It was ruptured for several days before I went to the hospital. The doc's said that if I hadn't gone to the hospital when I did, I would've been luck to survive the next 2 days. I got lucky and didn't go septic. It took two operations and around 30 liters of water to flush the infection out. After that it was 6 weeks in retention sutures and a total of ~3.5 months before the wound completely closed. In my case, I never had the classic inflamed appendix pain. I just felt constipated. I chalked that up to too may Steel Blue Texan posts. :D
If I had a family history, I'd probably see if I could do a preventative procedure and get it removed. I'm sitting here 11 months later with some 40 staples in my gut and feeling like I just went 15 rounds each with Tyson and Ali.
 
For those of you who may not remember, this is not Kevin Johnson's first concussion. He also sustained a concussion on November 19th 2017.
 
Doc what term do you use for the immediate aftereffect of head trauma where the muscles lock - most notably the arms straight forward like Kevin Johnson yesterday?
 
Scooter said:
Doc what term do you use for the immediate aftereffect of head trauma where the muscles lock - most notably the arms straight forward like Kevin Johnson yesterday?
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Latin said:
Posturing
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This positioning is called the "fencing posturing" or the "fencing response." Here are a couple of pertinent posts I made on the subject following Savage's incident.:

CloakNNNdagger said:
The fencing posturing secondary to concussion (injury to the brain stem) demonstrated by Savage will be so strong as to occur whether the player is facing up or facing down.


A trained medical staff has to knowingly ignore this sign to "miss" a concussion. And this sign alone is enough to immediately pull a player..........and not allow him to return.......no matter what the sideline testing revealed.
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CloakNNNdagger said:
Something that I decided to look into because of my own personal observations.

There seems to be mounting evidence that player concussions are accompanied by significant increased risk to subsequently incurring musculo-skeletal injuries, especially lower extremity injuries. The medical literature has identified dynamic postural control deficits along with increased motor evoked potential latency (slow down of nerve responses) and decreased amplitude of nerve conduction) after concussion, suggesting that the brain may be unable to effectively coordinate movement.

A European study of 46 male elite football (soccer) teams in 10 European countries in the 2001/2002–2011/20122 seasons was published in the British Journal of Sports Medicine in July 2014. During the follow-up period, 66 players sustained concussions and 1599 players sustained other injuries. Compared with the risk following other injuries, concussion was associated with a progressively increased risk of a subsequent injury in the first year (0 to <3 months......1.56 times risk; 3 to <6 months.........2.78 times risk; 6–12 months, 4.07 times risk).

In Dec 2015, a study published in the Journal of Medical Scientific Sports Exercise, investigated collegiate athlete acute lower extremity musculoskeletal injury rates before and after concussion in athletes with concussion and their matched control. Nonconcussed college athletes were matched to individuals with concussion. Acute lower extremity musculoskeletal injury data were collected for 2 yr (±1 yr of the diagnosed concussion) using electronic medical records. Control participants' 2-yr window for exposure and musculoskeletal injury data were anchored to their match's concussion injury date. Pre- and postconcussion musculoskeletal injury rates were calculated for 90-, 180-, and 365-day periods for both study cohorts. Risk ratios were calculated to determine differences within and between groups for all periods. Within 1 yr after concussion, the group with concussion was 1.97 times more likely to have experienced an acute lower extremity musculoskeletal injury after concussion than before concussion and 1.64 times more likely to have experienced an acute lower extremity musculoskeletal injury after concussion than their matched nonconcussed cohort over the same period. Up to 180 d after concussion, the group with concussion was 2.02 times more likely to have experienced an acute lower extremity musculoskeletal injury after concussion than before concussion.

Next, a recent study published May 2017 in The Journal of Sports Medic`ine, collected injury data from 2006 to 2013 for men’s American football and for women’s basketball, soccer and lacrosse at a National Collegiate Athletic Association Division I university. Ninety cases of in-season concussion in 73 athletes (52 male, 21 female) with return to play at least 30 days prior to the end of the season were identified. A period of up to 90 days of in-season competition following return to play was reviewed for time-loss injury. The same period was studied in up to two control athletes who had no concussion within the prior year and were matched for sport, starting status and position. Lower extremity musculoskeletal injuries occurred at a higher rate in the concussed athletes (50 %) than in the non-concussed athletes (20 %). The odds of sustaining a musculoskeletal injury were 3.39 times higher in the concussed athletes.

All of these post concussion injury numbers are consistent with something neurological affecting the longer-term coordination of the concussed player leading to subsequent injuries.
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It needs to be understood that the fencer posturing is an indicator of a higher severity of concussion.

As a little side for anyone interested, this phenomenon is seen in babies. It’s called the asymmetrical tonic reflex (ATNR) and looks like this:


ATNR-2.jpg


images


The ATNR commonly disappears after about the 4th month of life but the “code” still exists in the brainstem. A concussion with enough force to the brainstem will momentarily re-activate the code and trigger that fencing response posture.
 
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CloakNNNdagger said:
Just for completeness, Sammie Coates is also in the concussion protocol.
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Yeah, after all the B.S. flags that they've been throwing this season that was a easy call to make that the Refs missed. The defender clearly targeted the helmet of a defenseless receiver and they didn't do squat about it yet later on penalize a perfect form tackle on kick coverage. These calls are going to give me migraines all season.
 
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