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OFFSEASON INJURY UPDATES

Watt worked out on the side and has made steady progress in his recuperation from the procedure.

Meanwhile, Pro Bowl alternate left tackle Duane Brown remains sidelined as he recuperates from a torn quadriceps tendon that required surgery. Brown has said he expects to be back for the opening game of the season against the Chicago Bears.

Several other players weren't practicing, including cornerbacks Johnathan Joseph (arthroscopic knee surgery), Kevin Johnson (foot surgery, wrist surgery), Charles James (foot surgery), safety Lonnie Ballentine (knee surgery), center-guard Greg Mancz (knee surgery), linebacker Max Bullough, tight end Ryan Griffin, running back Tyler Ervin and offensive lineman Jeff Adams (knee surgery).

Offensive lineman David Quessenberry also didn't practice. He has missed the past two seasons on the non-football illness list while dealing with non-Hodgkins lymphoma.
link
 
I am concerned that Ballantine will be like Joseph with some type injury each season. Not sure he has skill set to be as good as Joseph.
 
Tania Ganguli ‏@taniaganguli 5h5 hours ago


Jadeveon Clowney had a Lisfranc injury that prematurely ended his 2015 season. Says he did not need surgery and is 100%. #Texans

When his mid-foot sprain was first reported, I posted it was most likely a Lisfranc injury. Healed or not healed, it is just another in an expanding history of core (sports hernia/back) and lower limb (knee/hip/ankle/foot) injuries. I hope I'm wrong, but I fear that compensatory injuries will continue to plague Clowney.
 
@CloakNNNdagger care to give an opinion on this?



Apparently his was "just" a strain. Can't help but cringe when you see Lisfranc injury after Schaub's fracture.

Not all Lisfranc injuries are the same. Therapy is dictated by the severity of the condition. To oversimplify, when a Lisfranc is of a "minor" variety, nonsurgical conservative treatment is appropriate. When is is "severe," it is treated surgically. The problem is when the Lisfranc severity in the "middle," where there is controversy as to whether conservative vs surgical is the best approach. When a "minor" Lisfranc is treated conservatively, studies have reported return to play in ~90% of players with performance level returning well. However, Clowney had a Lisfranc injury that fell in the "middle".............and the decision was made to pursue the nonsurgical route. Studies have not been able to define solid numbers in these cases as far as outcomes with this approach. Reports of these moderate Lisfranc injury in the literature are relatively sparse and offer no clear-cut guidelines for management, with results of conservative management reported throughout a range of excellent to poor. The key factor in making a decision between conservative or surgical management of a moderate Lisfranc injury appears to rely on determining the degree of instability present in the Lisfranc complex......and this can be somewhat difficult in some of these moderate cases.

As I emphasized in a previous post above, even if Clowney has fully recovered from his Lisfranc, the implications of this recent injury must be considered in the context of all of his previous injuries.
 
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Mercilus did not practice today...........worked out on the side............injury not characterized but said "not to be serious." That means that he should be able to walk again someday...........

JJ did not practice as he is still rehabbing his groin surgeries (very long rehab).

Her is a list of other wounded warriors that did not practice.:

offensive tackle Duane Brown (quadriceps surgery), cornerbacks Johnathan Joseph (arthroscopic knee surgery), Kevin Johnson (foot, wrist surgeries), Charles James (foot surgery), safety Lonnie Ballentine (knee surgery), center-guard Greg Mancz (knee surgery), linebacker Max Bullough, tight end Ryan Griffin, running back Tyler Ervin and offensive lineman Jeff Adams (knee surgery).
 
Ryan Griffin's injury was not noted above. At the end of last year, he was having Achilles tendon problems. Evidently, the conservative approach has been taken to his problem and he is still trying to rehab the injury. I would be somewhat concerned about his injury recurring during the season or extending to a complete rupture.
 
Bill O'Brien said Ryan Griffin is rehabilitating his Achilles, will be ready for training camp, maybe even at some point this spring.
 
Correct. And bone spurs of the foot can be associated with LisFranc sprains.

Well, that is certainly interesting. Any reason you can surmise that they haven't corrected the bone spurs? Maybe it would have been corrected had the Lisfranc been surgically treated?
 
Well, that is certainly interesting. Any reason you can surmise that they haven't corrected the bone spurs? Maybe it would have been corrected had the Lisfranc been surgically treated?
It's been difficult for me to totally understand this approach in a player who since HS has had problems with foot bone spurs to the point that in college he almost underwent the surgery.......then decided to avoid it. He has been reported to have not just one, but multiple bone spurs of the foot. I understand this even less in the context of already suffering lower limb, core and hip injuries with their effects on body mechanics. That said, with a Lisfranc sprain, the Texans may not have wanted to hinder their non-surgical approach rehab, especially if the bone spurs are at one of the Lisfranc complex joints. Furthermore, most patients following foot bone spur removals are able to resume their usual lifestyle within a few weeks, although certain high intensity activities will not be possible right away. Residual pain and swelling can be expected to limit some activities or even work for about three months post-operatively. Return to the demanding physical situations involved in the intensive sport of football is usually possible by six months. Each players recovery will depend on a number of factors so these timelines are estimates only. Factors would include the number of bone spurs, their location and their size. In final thought, probably the last thing that the Texans would want at this time is to have Clowney lose important gelling time in team practices (OTAs), and jeopardize another preseason/regular season.............which because of his injury/surgical history is not unlikely to happen anyway.
 
Injured as rookie,LB has no lack of motivation
By Aaron Wilson
June 3, 2016 Updated: June 3, 2016 7:40pm

Texans linebacker Reshard Cliett learned long ago to trust his instincts, relying on his knowledge to react and strike by deducing the framework of an offensive play.

The movement of the guards, how they tilt their weight in one direction, and the activity in the backfield typically reveal what's unfolding.

Now, Cliett, 24, is learning to trust his surgically repaired right knee again after missing his rookie season with a torn anterior cruciate ligament and a torn lateral meniscus.

Cliett has been putting his skills to the test during the Texans' organized team activities, shedding the rust he accumulated on injured reserve last season after tearing up his knee during the start of camp.

"The instincts are coming back right now," Cliett said. "I've been trying to focus on staying up to speed with those guys. After I get that down pat, I can look for the cues and tips the offense gives me to play faster. The first week I was kind of hesitant.

"Now, I'm getting more reps and getting more and more confident. I love the game. You have to learn how to walk again. You go through so much. I'm just happy I was able to get through it."


Cliett endured a lot of pain as a rookie after being drafted in the sixth round out of South Florida. After making a quick impression on the coaching staff and personnel department with his speed and aggressiveness as a reserve defender and potential special-teams contributor, Cliett suffered an injury that derailed a promising start to his NFL career.

Cliett also underwent shoulder surgery to address an old college injury during his convalescence from the knee injury. Initially, Cliett didn't think his knee was hurt that badly.

"I got up and I started walking," Cliett said. "I thought it was kind of a tweak. I got inside and the doctor told me it was my ACL."

The rehabilitation from his injuries was grueling, time-consuming and tested his patience and resolve. Cliett spent countless hours in the training room with Texans trainers Geoff Kaplan and Roland Rodriguez strengthening his knee and regaining his range of motion.

Daily grind of rehab

"The hardest part is really the time you have to put in, hours and hours go into it every day," Cliett said. "You basically have to do the same thing every day. It's very repetitive. Confidence in the knee is the biggest thing."

Listed at 6-2, 222 pounds, the former high school safety says he actually weighs nearly 240 pounds after spending the past year working out with strength and conditioning coach Craig Fitzgerald. Cliett weighed roughly 225 pounds when he arrived last year. Cliett has maintained his speed, running the 40-yard dash in the 4.5-second range.

"He's a guy who can run," general manager Rick Smith said of Cliett last season. "The more athleticism and speed you have on the field, the better your football team will be.

Cliett also emphasizes plyometrics, speed work, pushing weighted sleds and running on a specialized treadmill.

"I've got my speed back," Cliett said. "I'm chasing around some quick, fast running backs. I think it helps me a lot because these are some of the quickest guys I've played against. It's good to adjust and play against those guys."

Familiar alignment

Cliett lines up at the inside linebacker position, where Benardrick McKinney is the returning starter. Cliett has the benefit of learning from linebackers coach Mike Vrabel, a former Pro Bowl linebacker with New England.

"I like it because it's what I played in college my junior year," Cliett said. "I feel more comfortable there. I can see everything and I can just run to the ball.

"Mike Vrabel is one of the greatest coaches I've been around. I'm blessed because he played so many years in the league and is an excellent coach. He's been teaching me how to learn different positions and how to play them."

The Texans are eager to see Cliett get to the point where he can bolster their defense and special teams. He is a work in progress, but the outlook is positive.

"He spent a lot of time rehabbing," Texans coach Bill O"Brien said. "He's been diligent in being in the training room and rehabbing. I'd say he's a little rusty right now when it comes to playing football, but that's to be expected when you've been out that long with a knee injury.

"I think it was better (Tuesday). He's a great kid. He was the captain of his college football team. Football means a lot to him, so I think he'll continue to get better and better."

Long layoff

Cliett wants to contribute this season at inside linebacker and covering kicks. He hasn't played in a game since January 2016 in the Medal of Honor all-star game.

"It's been a pretty long road, but I'm excited to come back," Cliett said. "I've got to get adjusted to game speed. It's different from rehabbing.

"I'm getting a lot of good feedback from the coaches. They're coaching me as if I'm fully healthy, which I really appreciate. They're staying on me and making sure I do the right things at the right time. I have to knock the rust off, but I'm pretty confident about it."
 
JJ was out their in shorts for the first time yesterday. Apparently, the Texans are revealing that on Jan 12, he underwent at least repair of five fully or partially torn core-area muscles: three adductors and two abdominal muscles. Five months is an awfully long time for rehab of these injuries.
 
Thanks for posting about Cliett, doc. I think he's going to be the dark horse who will surprise everyone this season. He was doing great in camp last season until he went down.
 
JJ was out their in shorts for the first time yesterday. Apparently, the Texans are revealing that on Jan 12, he underwent at least repair of five fully or partially torn core-area muscles: three adductors and two abdominal muscles. Five months is an awfully long time for rehab of these injuries.
so if team being honest and that was all that impacted health, he should be good to go? or are you hinting more may be wrong?
 
so if team being honest and that was all that impacted health, he should be good to go? or are you hinting more may be wrong?

I've posted several times my concern of Watt having extensive bilateral sports hernia related surgeries implies by studies that he has ~86% risk of associated hip joint problems ( I first brought this up in detail when Clowney suffered his single sports hernia injury..................http://www.texanstalk.com/posts/2352737/).

Begin with this link and read the next 6 or 7 posts that refer to the hip concerns. OFFSEASON INJURY UPDATES

Watt's rehab has been very long (~ twice that expected for the identified injuries.........especially for having him avoid in shorts, non-contact activities. This could even also mean that he underwent a hip procedure at the same time of his sports hernia repairs.
 
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I've posted several times my concern of Watt having extensive bilateral sports hernia related surgeries implies by studies that he has ~86% risk of associated hip joint problems ( I first brought this up in detail when Clowney suffered his single sports hernia injury..................http://www.texanstalk.com/posts/2352737/).

Begin with this link and read the next 6 or 7 posts that refer to the hip concerns. OFFSEASON INJURY UPDATES

Watt's rehab has been very long (~ twice that expected for the identified injuries.........especially for having him avoid in shorts, non-contact activities. This could even also mean that he underwent a hip procedure at the same time of his sports hernia repairs.

If JJ didn't have a "hip procedure" but team doctors are concerned about the associated hip joint problems that may develop, would that be reason for them to keep him out of OTA's and give him extended rest?
 
If JJ didn't have a "hip procedure" but team doctors are concerned about the associated hip joint problems that may develop, would that be reason for them to keep him out of OTA's and give him extended rest?
It definitely could be, but if this is the case, his core will continue to be progressively affected.
 
It definitely could be, but if this is the case, his core will continue to be progressively affected.
Doc, I'm thinking we may be running out of career for Watt and Clowney, Duane Brown and Derek Newton, Cushing and Joseph. Importantly, not sure if we have anyone behind to step up and secondly each is in a very important position.
 
Doc, I'm thinking we may be running out of career for Watt and Clowney, Duane Brown and Derek Newton, Cushing and Joseph. Importantly, not sure if we have anyone behind to step up and secondly each is in a very important position.
I'm much more concerned with the former more than the latter. The Texans have depth at ILB and CB. Much moreso at CB than ILB, but there is no depth at OL and DL/OLB.
 
Interesting. I wish I felt better about LBs behind Cushing and McKinney..some potential in Dent (18 tackles in 12 games last year), Bullough (30 in 13 games) and Brian Peters (17 in 12 games).r

Corner back we have starters Kevin Johnson, Kareem Jackson and Johnathan Joseph. Bouye we have had two seasons with him at 2014 : 52 tackles 3 INTs in 14 games and then last year ... not so assuring with 16 tackles in 15 games with 2 INTs. Then again potential with the remainder and not even a mid round pick among them.

So we hope for no injuries with starters and/or a breakout season for one or more at each position. Let me clarify, I do like some of these low contract high ceilings players but is it a glass half full or half empty..we just don't have much to go on. Regardless, I am looking at a draft pick at corner and ILB in 2017 as well as OT and DT.
 
Doc, I'm thinking we may be running out of career for Watt and Clowney, Duane Brown and Derek Newton, Cushing and Joseph. Importantly, not sure if we have anyone behind to step up and secondly each is in a very important position.
These are the players that I have tried to keep people realistic about what effect their injury history implications will have on their performance and future.
 
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These are the players that I have tried to keep people realistic about their injury history implications will have on their performance and future.
From purely a football fan's POV, I am hoping to get from all of these guys two seasons of reasonable health that would take us deeper into playoffs but also allow team to strengthen depth. This off season not only brought us QB, RB, WR, center and depth with lower rounds of draft + some UDFAs. Hopefully, 2017 off season will address the positions in concern.
 
I almost hate to click on this thread when I see a new post, thinking I will read that someone important has torn, ruptured, broken something and will be out for the season.
 
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Does it matter really what depth is behind Watt?

Watt is irreplaceable. We aren't the same team without Watt.

If he can no longer be JJ Watt..... :(
 
Does it matter really what depth is behind Watt?

Watt is irreplaceable. We aren't the same team without Watt.

If he can no longer be JJ Watt..... :(
I hear what you're saying. But how far have we gone with Watt as great as he is? Some very good teams have made it to the Big Game without superstars........just gathering some very good players that can consistently work effectively together. We would be better off to construct a team that has a better balance of somewhat lesser talent than Watt, than rely so heavily the way we have on one superstar player, run him into the ground while his and the team's future predictably follows the same course.
 
I hear what you're saying. But how far have we gone with Watt as great as he is? Some very good teams have made it to the Big Game without superstars........just gathering some very good players that can consistently work effectively together. We would be better off to construct a team that has a better balance of somewhat lesser talent than Watt, than rely so heavily the way we have on one superstar player, run him into the ground while his and the team's future predictably follows the same course.

You mean like they did with Arian/AJ?

It's a McNair tradition. Gotta keep those $$$$ flowing.
 
I hear what you're saying. But how far have we gone with Watt as great as he is? Some very good teams have made it to the Big Game without superstars........just gathering some very good players that can consistently work effectively together. We would be better off to construct a team that has a better balance of somewhat lesser talent than Watt, than rely so heavily the way we have on one superstar player, run him into the ground while his and the team's future predictably follows the same course.

Isn't this the reason they went out and got Osweiler instead of drafting a QB? They know the window is short for some of their star players and to bring in a Rookie QB would mean taking a step back and losing a year or 2 while he developed. So they rolled the dice with Osweiler, L. Miller, J. Allen, and speedy Rookie WR's to fix the Offense while giving Watt, Cush, J.Jo, and others a better chance to win now, and maybe get that :trophy:.
 
Isn't this the reason they went out and got Osweiler instead of drafting a QB? They know the window is short for some of their star players and to bring in a Rookie QB would mean taking a step back and losing a year or 2 while he developed. So they rolled the dice with Osweiler, L. Miller, J. Allen, and speedy Rookie WR's to fix the Offense while giving Watt, Cush, J.Jo, and others a better chance to win now, and maybe get that :trophy:.
The reason the team went out and got Os is because the price to get either Goff or Wentz was too high and that price would hurt the team as it tries to add the complimentary players to the roster. If they had traded up, the Texans wouldn't have those shiny new toys on O.
 
The reason the team went out and got Os is because the price to get either Goff or Wentz was too high and that price would hurt the team as it tries to add the complimentary players to the roster. If they had traded up, the Texans wouldn't have those shiny new toys on O.

I agree that's part of the reason, and where they were picking (#22) they had no chance to move up that far, but they could have gone the Denver route and picked Lynch if they wanted too. I'm sure they realized Lynch would probably still be there but they chose to forgo any Rookie QB and go after Osweiler before the Draft. If you sit back and look at the total landscape (your team, the Draft, FA's, etc..) with the Draft's "most Pro-ready" QB being out of range and the rest probably better off sitting for awhile, and your Defense in it's prime, it only makes sense to go for someone like Osweiler who was a young, but slightly seasoned QB FA. I'm just hoping it was the right choice. I know I'm looking forward to the season almost like a kid with a bunch of "shiny new toys!"
 
It's been difficult for me to totally understand this approach in a player who since HS has had problems with foot bone spurs to the point that in college he almost underwent the surgery.......then decided to avoid it. He has been reported to have not just one, but multiple bone spurs of the foot. I understand this even less in the context of already suffering lower limb, core and hip injuries with their effects on body mechanics. That said, with a Lisfranc sprain, the Texans may not have wanted to hinder their non-surgical approach rehab, especially if the bone spurs are at one of the Lisfranc complex joints. Furthermore, most patients following foot bone spur removals are able to resume their usual lifestyle within a few weeks, although certain high intensity activities will not be possible right away. Residual pain and swelling can be expected to limit some activities or even work for about three months post-operatively. Return to the demanding physical situations involved in the intensive sport of football is usually possible by six months. Each players recovery will depend on a number of factors so these timelines are estimates only. Factors would include the number of bone spurs, their location and their size. In final thought, probably the last thing that the Texans would want at this time is to have Clowney lose important gelling time in team practices (OTAs), and jeopardize another preseason/regular season.............which because of his injury/surgical history is not unlikely to happen anyway.

Thanks for the response, Doc. It sounds like the foot bone spurs could be a more complicated situation than I imagined.

Also, in relation to gellin', maybe he just needs to rock some Dr. Scholls. :spin:
 
I agree that's part of the reason, and where they were picking (#22) they had no chance to move up that far, but they could have gone the Denver route and picked Lynch if they wanted too. I'm sure they realized Lynch would probably still be there but they chose to forgo any Rookie QB and go after Osweiler before the Draft. If you sit back and look at the total landscape (your team, the Draft, FA's, etc..) with the Draft's "most Pro-ready" QB being out of range and the rest probably better off sitting for awhile, and your Defense in it's prime, it only makes sense to go for someone like Osweiler who was a young, but slightly seasoned QB FA. I'm just hoping it was the right choice. I know I'm looking forward to the season almost like a kid with a bunch of "shiny new toys!"
Os has a higher floor and every bit as high a ceiling, not to mention NFL experience, as Lynch. Lynch is very much a project.
QB is one of my least concerns with the Texans. If Os craters or gets injured, I'm very confident that Savage can step up and get the job done. I'm much more concerned with the OL, DL and ILB positions.
 
Rookie CB Leonard has torn his hamstring. He required surgery yesterday. I don't know exactly when it occurred, because there is sometime a lag from the time of injury to the time of repair...............for swelling to go down. This is most likely a complete tear of his proximal hamstring tendon. Tears of the muscle proper are not surgically repaired.
 
Texans rookie Richard Leonard tears hamstring, has surgery
By Aaron Wilson

June 9, 2016

Texans rookie cornerback Richard Leonard suffered a torn hamstring and had surgery Thursday to repair the damage, according to sources not authorized to speak publicly.

Leonard is expected to eventually make a full recovery, but the severity of the injury is expected to sideline him indefinitely.

Leonard worked out privately for the Texans and Arizona Cardinals prior to the draft. He went undrafted and signed a three-year, $1.622 million contract that includes a $2,000 signing bonus.
The former Florida International standout played in the NFLPA Collegiate Bowl all-star game.


Leonard was a first-team All-Conference USA selection at cornerback and punt returner.

The 5-foot-9, 189-pounder had 62 tackles last season with 42 solos to rank second on the team with one interception. He had eight pass breakups and led the conference with a 10.7 punt return average.

He finished with 37 career punt returns for 577 yards, 86 kickoff returns for 2,158 yards.

Leonard's injury was evidently NOT A HAMSTRING MUSCLE TEAR. Surgery is not performed in such cases even in cases of complete tear. This must have been a COMPLETE TEAR OF THE PROXIMAL HAMSTRING TENDON.




knee_hamstring_symptom011.jpg


We don't really know when it occurred in that commonly there is a delay up to 10 days for the swelling to recede before performing the reattachment. This injury, rather than being a career "impeder" as seen with hamstring muscle tears, could unfortunately turn out to be a career "ender." From a 2013 study published in the American Journal of Orthopedics:

******************

National Football League athletes' return to play after surgical reattachment of complete proximal hamstring ruptures.
Mansour AA 3rd1, Genuario JW, Young JP, Murphy TP, Boublik M, Schlegel TF.

Although hamstring strains are common among professional football players, proximal tendon avulsions are relatively rare. Surgical repair is recommended, but there is no evidence on professional football players return to play (RTP). We hypothesized that surgical reattachment of complete proximal hamstring ruptures in these athletes would enable successful RTP. Ten proximal hamstring avulsions were identified in 10 National Football League (NFL) players between 1990 and 2008. Participating team physicians retrospectively reviewed each player's training room and clinical records, operative notes, and imaging studies. The ruptures were identified and confirmed with magnetic resonance imaging. Of the 10 injuries, 9 had palpable defects. Each of the ruptures was managed with surgical fixation within 10 days of injury. All of the players reported full return of strength and attempted to resume play at the beginning of the following season, with 9 of the 10 actually returning to play. However, despite having no limitations related to the surgical repair, only 5 of the 10 athletes played in more than 1 game. Most NFL players who undergo acute surgical repair of complete proximal hamstring ruptures are able to RTP, but results are mixed regarding long-term participation. This finding may indicate that this injury is a marker for elite-level physical deterioration.

*************

Will be pulling for the young man to end up on the favorable side of the potential outcomes.
 
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The following players did not practice: Some new names added to the injury list.

Tyler Ervin (quad), Wendall Williams (injury not listed), Lonnie Ballentine (knee), Duane Brown (quad), Richard Leonard (hamstring surgery), C.J. Fiedorowicz (hamstring), Ryan Griffin (Achilles), Jeff Adams (knee), Greg Mancz (knee), Whitney Mercilus (hamstring), Johnathan Joseph (knee), Kevin Johnson (wrist, foot), Charles James (foot), Max Bullough (injury not listed)
 
With Charles James still out 5 months after Jones fracture surgery, he must have had a second surgery for refracture or nonunion (ala., Dez Bryant and several others).......or will be having a second surgery.........

Fiedorowics sustaining a hamstring last week (an injury that can easily become chronic) and Griffin nursing an Achilles strain (as I've posted previously, a very tough and unpredictable injury to get over), not a great start at TE.
 
If I could only find what I was looking for, I'd have it. Then I wouldn't have to worry about not having whatever it was I was worried about being without.
 
Has JJ shown you anything that he doesn't do with full intensity? I haven't seen it.
On the football field or weight room? No. But just fooling around like when hanging with friends out at some movie premier or courtside at a game? Yes.
Are you saying that J.J. isn't smart enough to dial it back when it doesn't matter and recuperating from an injury??
 
On the football field or weight room? No. But just fooling around like when hanging with friends out at some movie premier or courtside at a game? Yes.
Are you saying that J.J. isn't smart enough to dial it back when it doesn't matter and recuperating from an injury??
Even if you look past his still coming back from major core injuries/surgeries, intensity may have little to do with getting injured on the basketball court. A casual pick up basketball game almost cost Chad Pennington his career.
 
On the football field or weight room? No. But just fooling around like when hanging with friends out at some movie premier or courtside at a game? Yes.
Are you saying that J.J. isn't smart enough to dial it back when it doesn't matter and recuperating from an injury??
I'm saying that JJ is very competitive and that, in the moment, he can forget that he's very liable to forget that he's recovering from 5 individual surgeries to core muscles.
 
Even if you look past his still coming back from major core injuries/surgeries, intensity may have little to do with getting injured on the basketball court. A casual pick up basketball game almost cost Chad Pennington his career.
Wasn't that just another in a long list of injuries Pennington had suffered over his career? Are you saying Watt is as injury-prone as Chad Pennington??
 
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