Lo Wood
Jamoris Slaughter
First Lo Wood and now Jamoris Slaughter, both succumbing to
Achilles Tendon injuries, both lost for the 2012 season.
We all know our Greek mythology and the warrior Achilles
getting laid low by an arrow to the heel of his foot. Likewise we have used or heard the expression
“Achilles heel” meaning a weak spot or a vulnerability however most of us have
not experienced such an injury. It
appears that it happens more to athletes than to us sedimentary folks.
We have called upon our resident physical therapist (PT)
expert, Alex Brenner (doctorate in PT) to answer a few questions and get us
educated.
First thing though, what did you think of the whipping the
Irish put on Sparky Saturday night?
Thank you for allowing me to comment on Jamoris Slaughter’s and Lo
Wood’s injuries. I have seen these types of injuries many times in my practice.
First of all, I enjoyed thoroughly the ass whipping that we put on Sparty. I
haven’t seen a defensive domination since the Holtz years.
Q. It was reported
that Wood suffered a ruptured Achilles tendon and Slaughter a torn Achilles
tendon. Is there a difference or just
lay-person talk? If different, could
explain the injuries?
A. The Achilles tendon is the thick cord that
you can feel on the back of the ankle. It is formed from the large
calf muscle in our lower leg and is what attaches to the back of the heel bone
in our foot. A torn or ruptured Achilles tendon can mean the exact thing. To me
though, using rupture as a description implies that the tendon has been
completely torn away from the bone; obviously a more serious injury than just a
tear. It is possible to partially tear the Achilles tendon and depending on the
severity it may not require surgical correction. A completely ruptured or
completely torn Achilles would require surgery.
Q. What is the
cause? Apparently Wood was simply back
peddling in space and had no contact.
A. Almost always an Achilles injury is
non-contact meaning they are damaged without contact with another player. Back
pedaling requires a pretty high eccentric stress/load on the calf and could
lead to a tear. It is not clear why elite athletes suffer these so frequently.
Q. Is the prognosis
100% recovery? What is the
timeframe? Will they be available for
spring practice?
A. Prognosis for 100% recovery is very guarded.
It is nearly impossible to sew the tendon back together and expect it to be
100% as strong as it was before the injury. Receiving top notch ortho care will
ensure they get the best repair possible but nothing is certain. Unfortunately
the Achilles tendon is mostly avascular meaning it does not get a whole lot of
blood supply so it does not heal quickly. Following surgery, the patients are
immobilized in a walking boot (CAM-Walker) for 6-8 weeks to promote healing.
Coming out of the Walker in 6-8 weeks they are able to start physical therapy;
however, rehab and recovery is very slow. Look for him to be in rehab for 6
months at a minimum so it is possible they will be back for light drills in the
Spring.
Q. What is the
physical therapy regimentation?
A. Following immobilization, rehab focuses on
early range of motion, stretching exercises and manual therapy to maintain full
ankle range of motion. Once full range of motion is achieved the focus is
switched to strengthening and eventually on to functional and skilled
activities that mimic football movements.
Q. Once receiving
such an injury are you susceptible to injuring it again as in certain ankle
sprains?
A. After receiving this type of injury you are
susceptible to reinjuring the same area but I don’t know of any evidence that
predisposes one to ankle sprains or other lower extremity injuries.
Q. Anything else you want to add?
A. It would be good to know if the injuries suffered by Wood and Slaughter
are partial tears or complete tears because partial tears could potentially
avoid surgery and recovery would be probably cut in at least half. Do we know
this information?
Lastly, I have seen Achilles Tendon ruptures result in career ending
situation depending on the severity. It is not completely
certain that these players can recover and return to productive football
careers.
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