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If Pop would sit Duncan out in the playoffs when Tim wanted to play I don't think he's going to defer to him now in January if he thinks it can hurt him.
Why should Pop not defer to Timmy, his entire coaching career, is based on
TD, except when he was in the middle of the AJ, DR, lets get rid of Bob Hill,
and get you the job from the General.
If Pop would sit Duncan out in the playoffs when Tim wanted to play I don't think he's going to defer to him now in January if he thinks it can hurt him.
Am I the only one here freaking out over this?
I think that's the part that makes people NOT want to sit him. This is, at best, a .600 ballclub without Tim. You put him out for a period of months, you piss the division away and are at best a #4 seed, possibly worse, and he still may not be better. I think that if the docs said "Yeah, if you sit him for X amount of time, he'll be all better" that Pop would do it.Who says it's a fact? I haven't seen anyone prove that it *can't* clear up in 2-3 months, just people saying no guarantees.
On the other hand, Tim is still much better off than he was last year with the ankles. I never saw him get off the ground like he did on that one monster dunk on Parker's over penetration against Minnesota.
You manage his minutes. You finish with the #1 seed, and you go to war with what you have. Better than starting at #4 or lower with Tim STILL possibly not well.
The problem is, we aren't even doing that. He's averaging more minutes per game this year despite the Spurs having better depth and Manu and Tony out there to initiate the offense as well.You manage his minutes.
Doesn't make much sense.
He's playing the second lowest minutes of his career. I'd say the minutes are being managed. You mileage may vary.
aggy is a moron
zing.He's playing the second lowest minutes of his career
I wonder if Timmy has heard of these kind of shoes and if the NBA would allow him to wear them?
My mom has the same condition and the shoes did wonders for her.
http://www.zcoil.com/
only problem i see is most of those layman cures for pf aren't designed for a couple hours of jumping up and down and running by a 200+ lb male. it does seem weird that there has not been a cure developed since it seems to afflict more than a couple high profile athletes. or maybe there is just nothing to do about it. i am sure the spurs have looked around though...
god dammit will someone PLEASE say something optimistic about this situation
Last time we talked about this I actually had a dream that duncan's planatar fasciitis sidelined him during the playoffs
The Pistons won the NBA Championship in 2004 with Rasheed suffering from PF. I remember some games he'd be fine and then all of a sudden he'd start hobbling around as if he'd stepped on a nail.
Something optomistic is on the way, here's an article about Rasheed and his problem with PF the year we won the championship. Apparently you need to completely tear the tissue for it to heal, or at least that's one way to do it.
Rasheed no longer has plantar faciitis
Web-posted May 27, 2004
By DANA GAURUDER
Of The Daily Oakland Press
AUBURN HILLS - Fears that Rasheed Wallace's sore left foot would not hold up throughout the playoffs have subsided. There's a good reason for that. He no longer has plantar fasciitis.
Wallace has a stretched ligament on the side of his foot, but the plantar fasciitis, which he compared to having a rock in his shoe, is gone. Quite simply, that problem has literally been torn apart. The plantar fascia is a tissue that runs from the back of the heel to the toes but serves no useful purpose. Tearing it is actually the best treatment.
"It does nothing for you because you have ligaments on the inside of the foot and you have supporting tendons that actually support the arch," Pistons strength and conditioning coach Arnie Kander said. "The plantar fascia is the thing that gets in the way."
When Wallace initially suffered the injury, he was given additional support for his arch to take the pressure off the fascia. He also wore a night boot for two weeks to prevent the fascia from tightening up. Most importantly, Kander pressed his thumbs onto the area every other day to tear up the tissue.
Plantar fasciitis can no longer occur once the tissue is torn, though knots can develop if the foot is not monitored. Middle-aged official Joey Crawford tore his plantar fascia early in the playoffs and was back in action last week.
"It's like a gel that stiffens, so, technically, when you rip the gel, it's no longer intact," Kander said. "That's really how we heal it."
Once that problem subsided, Wallace was able to move more freely and play extended minutes.
http://www.theoaklandpress.com/stori...40527079.shtml
Interesting article on Rasheed.
Rick Brunson had plantar fascitis in training camp/preseason. He tore the plantar and now he's out for 4 months.
So I'm not sure how much they really know about this weird thing.
I've had it before and when it hurts, it's extremely painful. We were in Las Vegas when it was killing me and I could barely walk 30 feet without almost crying. It hurt on and off for months and it was super random -- sometimes it hurt the most when I was just laying in bed. Then one day it just went away. *shrug*
Reasons for optimism #2 and #3
2. "It bothers Tim more in back to backs". There are no back to backs in the playoffs.
3. Spurs won the 2005 Championship and Tim played on a bad ankle(s).
Alright, that's enough encouragement for one day, off to work now.
TREATMENT STRATEGIES FOR THE ATHLETE
In most cases, the goal of the athlete is to quickly return to activities to minimize loss of fitness and performance.This will put pressure on the treating prac ioner to be more aggressive than treating cases of more sedentary patients.
A survey was conducted by this author of the board members of the American Academy of Podiatric Sports Medicine two years ago to compare treatment protocols for athletes vs. standard population.The following treatment pearls were elicited:
1) Assignment to alternative activity
The athlete must be encouraged to maintain cardiovascular fitness during rest from damaging activities that may delay healing.For the runner, dancer or volleyball player, this means a complete cessation from running and jumping activities until acute symptoms subside.On the other hand, the athlete should be assigned to alternative cardiovascular fitness activities that minimize impact and loading on the plantar fascia including stationary cycling, swimming, upper body weight machines, and low resistance flat-footed stair master machines.
2)Change and modulation of footwear
Footwear analysis is critical for evaluating athletes with subcalcaneal pain.The footwear may be a contributory factor and can be utilized as a powerful treatment modality.Athletesshould be placed into shoes that have a minimal 1" heel height with a strong stable midfoot shank and relative uninhibited forefoot flexibility.The American Academy of Podiatric Sports Medicine has a list of recommended footwear for the athlete that can be obtained on their web site:www.aapsm.org.It is well recognized that recent trends in athletic footwear have actually predisposed to greater frequency of plantar fascitis due to the fact that athletic shoes have weaker midsoles with newer designs.The popular "two-piece" outsoles with an exposed midsole cause a hinge effect across the midfoot placing excessive strain on the plantar fascia in the running and jumping athlete.These shoes must be eliminated if the injured athlete is wearing them.Careful attention must be paid to having the athlete keep shoes on in the house and during all standing and walking activities.Barefoot and sandal-wearing activities are prohibited.
3)Home therapy
Athletes are accustomed to designing and participating in their own training programs.They are willing participants in their own treatment programs. Heel cord stretching is central to the rehabilitation process to decrease load on the plantar fascia and encourage healing.The use of plantar fascia night splints has been well proven to be a treatment adjunct for plantar fascitis by placing the heel cord and the plantar fascia on a sustained static stretch during sleeping hours while preventing the normal contractures that occur in the relaxed foot position during sleep.Having the athlete roll or massage their foot on a golf ball or tennis ball is helpful to improve blood flow and break down adhesions in the injury site.
4) Custom foot orthoses
Intervention with semi-rigid custom foot orthoses has been well proven in many prospective and retrospective studies showing successful outcomes in patients with plantar fascitis.In the athlete, the use of foot orthoses should be considered earlier than in the average sedentary patient because of the fact that the athlete will be subjecting their feet to greater stresses during treatment and certainly after return to activity.Athletic footwear is more amenable to semi-rigid and rigid orthotic therapy than are casual shoes worn by sedentary patients.Sports podiatrists are more likely to employ arch taping procedures as a precursor to or adjunct to orthotic therapy.Athletes respond very favorably to the immediate intervention and relief obtained by expertly applied arch taping procedures.
5) Physical therapy
Athletes are amenable to referral for physical therapy because they are willing to invest the extra time to expedite recovery.Many athletes are used to going to the training room for hands on rehabilitation.Athletes appreciate a partnership between the sports podiatrist and the physical rehabilitation specialist.
6)Anti-inflammatory medication
Sports podiatrists should be cautioned against over-aggressive use of anti-inflammatories in treating the athlete.While it is tempting to utilize corticosteroid injections to expedite healing, athletes are often skeptical of receiving this treatment and are certainly at greater risk for sequela of over-ambitious use of steroid injections.There are reports in the literature of athletes undergoing spontaneous rupture of the plantar fascia after even single injections of their plantar fascia with corticosteroid.The conservative, biomechanical interventions outlined above should be implemented before considering injection therapy.
They even have splints for this specific injury.
have him do some laps at woodlawn lake
I tried the splints and special heel inserts for my shoes for mine. Neither helped me. My Mom's fasciitis is a lot worse than mine, and she got some relief using the heel inserts (her doctor actually made them for her, it's like a Dr. Scholl's insert with a hole cut in it for the spur).They even have splints for this specific injury.
Mine will get better and be ok for months before I have another flare-up. My doctor said the bone spur will never go completely away without surgery (where they actually go in and grind off the spur); the irritation and the resulting inflammation of the fascii varies, but the spur is still there. I am not having surgery unless it gets so debilitating I can't get around. Then I'll think about it. He told me about deliberate tearing of the fascii as experimental treatment, but he didn't recommend it.
isn't there a doctor in the house (forum), who could tell us exactly of this injury?
What is happening after the surgery?
And what impact on a pro player (Duncan) can it make?
maybe he should try wearing some other sort of shoe after all this. he seems to have had foot problems of varying sorts ever since switching to adidas. anyone else agree?
heel bone spurs are SYMPTOMS of the problem, not the problem.
Tim's may not have bone spurs, but just RSI or other injury to his PF.
"Introduction and Overview
Plantar fasciitis (pronounced PLAN-tar fashee-EYE-tiss) is an inflammation of the plantar fascia. "Plantar" means the bottom of the foot, "fascia" is a type of connective tissue, and "itis" means "inflammation". Heel spurs are soft, bendable deposits of calcium that are the result of tension and inflammation in the plantar fascia attachment to the heel. Heel spurs do not cause pain. They are only evidence (not proof) that a patient may have plantar fasciitis. The plantar fascia encapsulates muscles in the sole of the foot. It supports the arch of the foot by acting as a bowstring to connect the ball of the foot to the heel. When walking and at the moment the heel of the trailing leg begins to lift off the ground, the plantar fascia endures tension that is approximately two times body weight. This moment of maximum tension is increased and "sharpened" (it increases suddenly) if there is lack of flexibility in the calf muscles. A percentage increase in body weight causes the same percentage increase in tension in the fascia. Due to the repe ive nature of walking, plantar fasciitis may be a repe ive stress disorder (RSD) similar to tennis elbow. Both conditions benefit greatly from rest, ice, and stretching. Surgery is a last resort and may result in more harm than good in up to 50% of the patients. "
http://heelspurs.com/_intro.html
I don't know, I refused to have it. My problem is severe when I have it, but it is sporadic. Even though I suffered a lot of pain and limited mobility for two years when I was first diagnosed (about 20 years ago), I only had one short flare-up last year.
The doctor told me (this was about 5 years ago) that if I had the surgery to reduce the spur, I would be out of work 4-6 weeks and would have to rehabilitate for about 6 months. I'd probably be out of work 8 weeks. The technology may have changed since then.
I don't know what the rehabilitation would be for an athlete in the physical condition Tim is in.
Timmy's usually a good judge of his own limits, but I think Pop should insist on a compromise solution - Timmy sits out back to back games. Playing when he's already injured and his injury is particularly tired is a good way to bring on a more serious injury. He did that with Manu last season, in the second half...
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