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He should take good care of his...uhm....fibula and his hmmm....osteoblasts. Anyway, goodluck and get well manu!!!
Yeah, the Spurs could have done as much wheeling and dealing as they wanted at the trade deadline but with no Manu, the season would have basically been over.
He should take good care of his...uhm....fibula and his hmmm....osteoblasts. Anyway, goodluck and get well manu!!!
Has anyone here had a "stress reaction" before? I've had a stress fracture, but this is the first time that I've heard of a stress reaction.
Sit him out until game 1 of the first round.
Here's to Manu getting healthy!!!
ummm.... the goat?
Great idea he will take 10 games to be back in shape... he will be ok then for exibition games during the offseason.
Long time, first time. Signed up eons ago. Never commented. Til now
The Manu situation as told to me from a first hand persective. Manu has a sore ankle. Feels wobbly on the ankle but limited inflammation so he continues to play. Midseason break arrives and he takes off three full days. Works outs commence. Ankle still sore and wobbly.
Docs notice ankle is tender to touch so xrays taken. Negative. MRI. Negative. CT scan. Damage to osteoblasts a few inches above the ankle. Multiple hairline fractures possible on fibula. Recovery six weeks to two months.
Three phase bone scan ordered. Diagnoses downgraded. Stress reaction requiring seven to fifteen days of air cast. During this stage electrotherapy in addition to pool based calf and foot exercises. Following stage consists of five to seven days of regular activity. If bone scan shows improvement, clearance will be given. To clear up a few matters. Manu never faced the peril of being out for the season. Worst case scenario had him returning during first set of the playoffs. If all goes well he could be rehabilitating only 12 to 13 days. Worst case about one month. Be aware that he will have to undergo testing throughout to chart the health of the fibula. If situation worsens he would have to repeat the phases. Likelihood of reoccurrence is 20 to 30 percent. Thank you and god bless.
When a stress reaction reaches the point of being tender to touch, there are microfractures. If it's a few inches above the ankle, that's better news than if the ankle mortise were involved. That's what I was worried about. He came down kind of stif-legged on that right foot a few weeks ago, and he was obviously in pain afterwards. Compression trauma (i.e. getting the ankle "jammed") can make for a really messy recovery. If it's higher up, it's probably just from repeated pounding and compensating for the other ankle.
It's a matter of resting and giving the bone a chance to recover and re-build. The biggest problem is that athletes with this particular injury are often the kind that don't want to give up their normal activity for long enough to let the bone completely heal. When the pain goes away, they decide to start training or competing right away. (And it can be difficult to impossible to see anything on a scan.) The way they find out that the bone wasn't completely healed is when it starts hurting again.
The other big problem, for Manu at least, is that recovery should involve a gradual return to training levels because the bone needs to regulate its re-building process. In other words, jumping instantly into his normal minutes would be a bad thing, and make it much more likely to flare up again.
Bottom line, if Manu is back to his normal minutes before the end of March he will probably be playing with pain in the playoffs.
I can only imagine how much Manu was beating himself up between the first and second rounds of testing. This guy is a true compe or and you can see it wear on him if he is not helping the team win.
It's a good thing that the ASB came when it did. If not, knowing Manu he probably would have kept playing (figuring it would get better) until his foot fell off.
Also, this definitely confirms why everyone looked totally out of it in the game against the Knicks. Pop had probably informed them about the first round of tests that indicated he could be out for the season.
yup. I remember in china olympics it is said Manu was crying like a child right before Bronze medal game because he could not play. Literally.
I am sure it was close to that this past weekend. Eventhough manu is a nonbeleiver he needs to thank God
Stress reaction turns into stress fracture. Basically, the bone is being stressed beyond its ability to recover. Usually it is caused from some change in activity (i.e. sudden increase in training, or type of training) or from some abnormality in the physical activity (i.e. bad technique, structural defect of the bones, or even poorly fitted shoes). One example would be a change in running tecnnique due to compensating for an injury.
The early stage is basically an inflammatory condition to the outside layer of the bone. When the bone can't recover quickly enough to compensate for the stress, micro-fractures begin to form. That is usually when it starts to become painful. Eventually the microfractures become so pronounced that a stress fracture occurs. But it is a continuum, and the difference between a severe stress reaction and a stress fracture is just a matter of degree.
The treatment is basically rest, and then a gradual return to previous training levels. But the underlying cause has to be addressed too. If the athlete is using some oddball training method (Like on the side of a hill. It happens.), they obviously need to modify their routine. Different shoes or orthotics are sometimes necessary. The "gradual" return to training levels is because the bone has to adjust its biochemical processes to accomodate more stress once again.
Hard-core, compe ive athletes often don't want to give up their sport for long enough to completely heal. Doctors warn them, and they rush back, and the whole thing starts again. Did you ever know a runner with "shin splints"? Basically stress reaction. And I've known guys who complained about shin splints for years, because they wouldn't quit running long enough to heal.
"Nose of God?"
Oh, his legs are broken? Or can he not scrimmage and workout outside of actual games?
He can simulate game running and stopping good enough if he has a trainer worth a damn.
Hmmmm that words I bold aren't good news since Manu trend to play thru pain, I hope Pop could handle Manu.
So Narigon,basketball for a while.
Cabrito this weekend? I'm there!
Bingo... we have a winner.Hmmmm that words I bold aren't good news since Manu trend to play thru pain, I hope Pop could handle Manu.
So Narigon,
Did you read Pop's comment yesterday that he was surprised that Manu could perform that well, considering how much pain he's been in? Did that not bother anyone else as much as it did me?
And, Kori, that's what makes me wonder if Manu had been keeping Pop fully informed. I had heard something to that effect a couple of days before. Was Pop surprised during those games... or when he found out about the extent of the injury?
I just read on the daily dime Pop saying the new bone is laying down already and he said that's is the first sign of healing...two to three weeks he said.
Here's what Pop actually said:
Popovich added he was surprised -- "very much so" -- at the way Ginobili had been playing on his sore leg... "It's not a stress fracture, so it makes it very different," Popovich said. "If it was a stress fracture, he probably wouldn't be playing like he'd been playing."
He did not say he was surprised at Manu's performance "considering how much pain he had been in." He was referring to the fact that if it had been a stress fracture Manu would have been in too much pain to play as well as he had.
I don't think Manu had much pain.
Seeing some of the big-picture w/Manu and w/o Manu numbers for this team convinced me of that.
Of course, some of the w/o Manu numbers are skewed by the fact that the team played a number of games without Parker as well and one without Parker AND Duncan.
Still, the point was clear.
Long time, first time. Signed up eons ago. Never commented. Til now
The Manu situation as told to me from a first hand persective. Manu has a sore ankle. Feels wobbly on the ankle but limited inflammation so he continues to play. Midseason break arrives and he takes off three full days. Works outs commence. Ankle still sore and wobbly.
Docs notice ankle is tender to touch so xrays taken. Negative. MRI. Negative. CT scan. Damage to osteoblasts a few inches above the ankle. Multiple hairline fractures possible on fibula. Recovery six weeks to two months.
Three phase bone scan ordered. Diagnoses downgraded. Stress reaction requiring seven to fifteen days of air cast. During this stage electrotherapy in addition to pool based calf and foot exercises. Following stage consists of five to seven days of regular activity. If bone scan shows improvement, clearance will be given. To clear up a few matters. Manu never faced the peril of being out for the season. Worst case scenario had him returning during first set of the playoffs. If all goes well he could be rehabilitating only 12 to 13 days. Worst case about one month. Be aware that he will have to undergo testing throughout to chart the health of the fibula. If situation worsens he would have to repeat the phases. Likelihood of reoccurrence is 20 to 30 percent. Thank you and god bless.
Makes perfect sense.
Classic compensation on the right ankle of a lefthanded.
Take no chance, rest him till mid March, play him up to 20' till the PO.
Nope.
Why would he be very surprised at the way Manu played if the leg wasn't pretty damned sore? Manu has put up those kinds of numbers before, so he can't be surprised by that part. So why do you think he found Manu's performance so remarkable?
To me it only says one thing - that Manu delivered some remarkable performances, considering the pain. But it implies that he didn't know at the time just how much pain there was. Because I don't think Pop would have put him on the court that long, if at all, if he had known. If there was no cause for concern, then there is no reason to be "very much" surprised about his performance.
The OP says that it was "tender to touch". He also said that the diagnosis was "downgraded". That means that the original diagnosis was... what? Yep. Stress fracture. I'm guessing that the doctor(s) were expecting it to be a stress fracture, based on the symptoms he presented with. Pop was saying that if it actually had been a fracture, he probably couldn't have played that well.
My point was just that some things you can't play through. And the best thing he can do for the team may be to rest and heal, rather than trying to rush back.
Thanks. That was different from my experience. One moment I was running (ok, jogging) without any pain. The next moment, it was sharp pain in the foot, showing up as a stress fracture in the x-ray. If I had micronanofractures, I wasn't getting any pain from them.
Thanks for the detailed updated Manu32. I appreciate it.
All the best to Manu, if ( when?) you speak to him.
thanks GSH. I pasted some of your posts to manu's site.
hopefully he can sees it and behave himself this time.
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