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Now maybe you understand why he didn't play in Denver.
So what's the deal GSH? This is not good then?
What does Tim need to do rest? If so, for how long?
Now maybe you understand why he didn't play in Denver.
Here's an excerpt from one site. Google is wonderful, but it didn't necessarily make me feel better.
http://www.irontrybe.com/forum/archi...p/t-30984.html
"New research has lead medical professionals to realize that in the majority of patients (about 90%)who come in with "tendonitis" the problem is no longer tendonitis, but tendonosis which is a degenerative condition of the tendon.
Tendonosis is characterized by degeneration of the collagen fibers in the tendon (the fibers that provide the tensile strength), tendon weakness, abnormal growth of unhealthy blood vessals through the tendon, and most importantly no inflammatory cells. Basically the nice straight strong fibers of collagen become a tangled mess of strings with little pockets of "jelly" and small weak blood vessals. If you look at pictures of a healthy tendon it will be white and glistening, tendons with tendonosis are dull and brownish. Keep in mind that this is not an inflammatory process, so there is no reason for anti-inflammatories or injections.
Tendonosis is a more difficult problem to heal with only an 80% chance of resolving. Typical tendonosis can take anywhere from 8 weeks to 9 months to resolve depending on how long you have had the problem. There are quite a few treatment options out there right now but the best protocol seems to be: Relative rest, ice, friction massage, and exercise. I will go over each of these steps for you... "
It's like the Spurs' medical staff is digging through books to find obscure conditions or something -- a stress reaction last week and tendonosis this week.
Better than a treatment course that requires immobilization or something like that, I guess.
Just looking for a reason to be optimistic . . . .
Um...Tim is out tonight with Chronic Kneeitisosis...and .
I just called a buddy who is in the field. He said they are doing a new treatment where they inject the damaged area with an irritant, which initiates a normal healing process. It sounds like some of the abnormal collagen gets replaced with normal cells.
One thing I didn't mention. They could manage the pain, and he could keep on playing. The biggest risks are that the weakened tissue would eventually allow the tendon to tear or rupture. Other than that, he would probably just injure the tendon more, and the area of abnormal tissue would get larger.
In other words, it's not that he can't play. It's not like tendinitis. In fact, total inactivity isn't even good, because it weakens the muscles and leaves the athlete subject to more injury. It's probably more a matter of managing minutes.
the injuries have been ridiculous this season..not just for the Spurs, but for the entire league..
rest Tim as long as he needs, nothing matters right now..as long as Tim and Manu are in rhythm and healthy for the playoffs, I could care less about seeding..
I just want him healthy enough to bring us home another trophy.
Amen to that!!
So how long do you think he'll be out for? Would the Spurs use this new treatment your friend mentioned on Tim?
This really, really, really pisses me off. A lot of us wanted the Spurs FO to get help for Tim in the off season and they didn't do it. So has Tim had tendinitis and kept playing on and it has resulted in this?
well like others have said, Duncan has had problems in his other knee before..
playing more minutes and having to carry the team might affect it more, but it isn't that surprising to see Duncan having these types of injuries IMO..
To Dex, No.....
Tendinosis is a failure of the tendons to heal properly over time. Kinda like a collection of microscopic injuries which add up. There might be inflammation initially but it's the lack of healing which keeps the tendon weak over time. Repe ive motion is a big culprit......
Without getting too technical, the ratio of Type I Collagen to Type III Collagen decreases making the tendon more fragile in general (Alpha 1/Alpha2 mismatches can cause it too). The fiber structure becomes more disorganized as well. (you tend to see more separation).
While vascularity is usually increased in the affected area, this is not akin to the inflammatory response most folks are familiar with and must be treated a bit differently. NSAIDS are actually counterproductive and can impede the healing process. PT, Ice, Rest and grandmas chicken soup are the best remedies.
Oberto did get injured, thanks to your post. He broke his thumb.
Here's a simple version:
The tendon is made out of stretchy stuff. With heavy use, some of the cells get damaged, and the body replaces them with more stretchy stuff. But the tendon needs some rest, to give the body enough time to repair the damaged area.
When the tendon doesn't get enough rest to allow proper healing, it sort of puts a "patch" on the area. The patch cells aren't as stretchy as normal tendon cells. The patched area is thicker than normal, but it isn't as strong because it isn't as stretchy.
That makes the area around the patch more likely to get injured. (Picture a rubber band with one section that is less stretchy than the rest.) And if the new injuries get "patched", the weak area on the tendon grows larger.
Eventually the tendon can tear, rupture, or pull away from the bone. The risk goes up as the "patched" area gets larger. One of the keys is to start managing the problem before it grows too large. It's one more reason why "playing through" pain is not a good long-term plan.
I jumped the gun assuming the worst. If the degenerative area is not too large, he could definitely play out the season normally. They would focus on managing minutes, and giving him as much recovery time as possible, as well as using ice, massage, etc. And he could continue to do the same in future seasons. But rest won't repair the area that is already damaged.
[For you skeptics - I have a great big knot on a tendon from tendinosis. I "played through" what I thought was tendinitis, and got the cortisone shots to reduce the pain... which let me damage it even more. Another doc showed me pictures of a ruptured tendon, and finally convinced me to make a change.]
Not the best we could hear and definitely not the worst. Hopefully Pop paces him throughout the rest of the season and he is ready for the playoffs.
a duck. I have a feeling for all intents and purposes that he is done for the season.
it could be jumpers knee, but i found nothing specific on webmd. any doctors here?
know how long this could potentially keep him out in the worst case scenario?
No way. He'd be out for the season if he had a meniscus tear.
When Pop sat out the Big 3, wasn't Duncan quoted as saying "my knee hurts every night" or some such thing.
If so, that may counsel a more benign interpretation of this whole injury story. (Or maybe, the other way around?)
I need more emoticons that display anger and dismay.
Eveyone's too tired from the last two weeks of drama... but here you go.
It was most recently mentioned in a Buck Harvey article. Whether the article is referring to Duncan's right knee, which has the trouble now, or his left, which has been troublesome longer, isn't clear.
maybe mahinmi is just so good, duncan would only get in his way so they bench him.
Pop said it was tendonitis in the pre-game show
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