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NFL Network's Jeffri Chadiha, who was covering the event, reported the 6-foot-4, 250-pounder fell to the ground clutching his left leg and had to be helped off the field. 19. Simply put, the research conducted during the 2000s is dated at this point, and while it does help us to understand at a basic level that this is a serious injury and one that shouldnt be taken for granted, the data isnt as relevant as it once was. Thanks for the article! The question arises as to whether we should be more aggressive in treating a prodromal period in an attempt to avoid a subsequent rupture. Presented at American Academy of Orthopaedic Surgeons 73rd Annual Meeting, Chicago, March 2006. NFL Commissioner Roger Goodell's job is in part to "protect the shield.'' But did he also "protect'' Washington Commanders owner Daniel Snyder in a scandalous manner? 25. MD Odds & lines subject to change. Thanks Betz! Im now 9 months post-surgery for an achilles rupture and I was treated conservatively (cast for 6 weeks, walking boot for another 6 weeks). It helps to maintain the proper length of the tendon, thereby helping the tendon heal at an appropriate length, leading to better strength and power output. I do, however, fully expect Akers to hit the ground running this summer as he enters training camp. As for the team's report card, players were generally positive in most other categories. I ruptured my Achilles tendon about 8 weeks ago and it is still in a calf. Six weeks after surgery, use of the orthosis was discontinued, full weight bearing was allowed, and progressive resistance exercises were initiated.6 This protocol is in comparison to patients with Achilles tendon ruptures treated nonoperatively, with mean casting time of 8.3 weeks prior to beginning rehabilitation.7 However, higher rates of complications do occur with surgical treatment of acute Achilles tendon ruptures.7 The most common complications from surgery include wound complications, adhesions, altered sensation, and infection. Gardner Minshew has a new backup QB. Top 150 Available Players. We lose muscle faster than we put it on, and in the rehab world, that can lead to a delayed return to the field and performance when returning to the field. Am J Sports Med 1990;18(3):292-299. It's the same question facing a trio of current NFL linebackers who have been felled by an Achilles injury NaVorro Bowman (49ers), Manti Te'o (Saints) and Junior Galette (Redskins). This study showed that 31 acute Achilles tendon ruptures occurred in NFL players between 1997 and 2002. Parekh et al3 also reported a decline in power ratings for certain skill players, specifically running backs and receivers, in the three seasons prior to their acute Achilles tendon rupture. A week where draft prospects display . 2023 NFL Free Agency: 1 Potential Cap Casualty for Each Team This functional weakness could lead to more subtle loss of playing ability in high-demand athletes. If we assume that all the NFL players were treated operatively, as would be the standard for young athletes, the return to play rate of 64% is slightly lower than the 71% reported in the meta-analysis. Influence of Preseason Versus In-Season Play on Achilles Tendon The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment. I was trying to get an idea how long Id be on the DL. was a death sentence for the NFL's speed-reliant skill-position players. Unfortunately, this is difficult to assess because there is no objective way to predict the actual resting tension of the tendon. No doubt, this procedure leads to a much slower return to prior activity levels, even in day-to-day patients. Or can we learn from this situation and make adjustments to how we view this injury in the future? Great article! . Just because NFL teams aren't required to put out preseason injury reports doesn't mean there aren't injuries worth mentioning. The Time Dave Stieb Lost Two No-Hitters With One Out Remaining - In a Single Week, The Time That Don Hutson Scored 29 Points - In One Quarter, "Automatic Otto": The Legend of Otto Graham And His 10 Straight Championship Appearances, The "Funding Rule" and Why NFL Owners Don't Like Fully Guaranteed Contracts. Background: A ruptured Achilles tendon (AT) can sideline a player for 6 to 12 months and reduce their power rankings by more than 50%. "Much has changed in 8 years. Of those 15, only one Baltimore Ravens cornerback Jimmy Smith is not on injured reserve. For reference, in 2020, Akers carried the ball 191 times for an average of 4.43 yards per attempt. What happened to the Giants after Round 1? Typically, return to sports is allowed at six months. Yes, Cam Akers is back on the field, but it seems extremely unlikely that hes actually back to 100% just six months removed from surgery, even with this accelerated protocol. 6. By choosing I Accept, you consent to our use of cookies and other tracking technologies. Based on the literature, the best treatment for athletes would consist of surgical repair, with an open, mini-open, or percutaneous technique, focused on tendon apposition and proper musculotendinous unit tensioning followed by a functional rehabilitation program involving a progression of increasing motion, weight-bearing, and strengthening exercises. With this internal bracing procedure, athletes are able to start strengthening sooner, so they dont lose muscle as quickly as patients did even 10 years ago. An MRI today confirmed that RB Tarik Cohen, who hasn't played in the NFL since he tore his ACL in Week 3 of the 2020 season, ruptured his Achilles while live streaming a training session on Instagram Live, per source. Rehabilitation after surgical repair is trending over the past decade toward earlier motion and weight bearing. Age: At the time of injury, Akers was just 22 years old. J Bone Joint Surg Am 2004;86(5):916-922. Players were included if 2 or more sources confirmed the tear. Mller M, Movin T, Granhed H, et al. Soldatis JJ, Goodfellow DB, Wilber JH. In a retrospective review, Shelbourne16 showed a reduction in loss of knee motion and strength after an accelerated rehabilitation program following ACL reconstructive surgery; however, in a more recent prospective randomized analysis, Beynnon et al17 showed no difference in functional performance between the studys two groups. Terrell Suggs even made it back to game action less than six months after surgery. FULL STORY. I had the boot on for 9 weeks and started Physio 4 weeks after rupture. We use cookies and other tracking technologies to improve your browsing experience on our site, show personalized content and targeted ads, analyze site traffic, and understand where our audiences come from. Knee Surg Sports Traumatol Arthrosc 2003;11(6):409-414. Brown was waived or released nearly a dozen times before finding a small window of success in 2012, only to go down with a season-ending broken fibula. Is this just a flash in the pan? Treatment of acute Achilles tendon ruptures: a systematic overview and metaanalysis. The authors reported return to function rates of 63% for patients treated nonoperatively and 71% for those treated operatively. J Bone Joint Surg Br 2006;88(1):69-77. When you are talking about really bad injuries that a NFL player can suffer, a ruptured Achilles tendon is near the top of the list. Less invasive surgical methods have been developed to minimize these complications. Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis. 7. 16 months post surgery now and I can run and do whatever I want. This was super interesting, and loved the analysis. Terrell Suggs even made it back to game action less than six months after surgery. Cam Akers and the History of Achilles Injuries For NFL Running Backs The strength phase has begun. For Akers, the quick turnaround time after the injury is crucial. 2017 Study: Impact of Achilles injury on NFL career This treatment would be initiated by pain and symptoms experienced by the athlete. When you factor in the year that they have to take off for rehab, that means that they didnt try to return from the injury until they were 31; injury or no, many players retire by then anyway. The Ravens had a record of 8-5 when Jackson went down with a bone bruise in mid-December and never won again, despite some impressive performances by backup Tyler Huntley. The percentage of players returning to play at the NFL level is consistent with a meta-analysis performed by Bhandari4 in 2002. The next test case is San Francisco 49ers backup Kendall Hunter, who started training camp on the active/physically unable to perform list. Lets dive into Akers recovery, the details of the surgery, and the recovery and examine what criteria we should look for when trying to identify other players who might have success after an Achilles injury in the future. Theres a reason to be excited about Akers for fantasy football in 2022, but assuming every player who has an Achilles injury is now good to go moving forward is probably fools gold. Greetings, And finally, age is a major factor in performance after the injury and surgery. ???? If tendinopathy is not present and a prodromal period is suspected, then initial treatment should consist of activity modification, nonsteroidal anti-inflammatory drugs (NSAIDs), a heel lift, and physical therapy concentrating on eccentric strengthening of the gastroc-soleus complex. Does anyone else feel the same? Think about that. The football injuries most likely to take down an NFL player's career Post-injury success remains elusive for one position, however. Great article. Gerdes MH, Brown TD, Bell AL, et al. Younger athletes recover faster. However, one thing we can do is use Akers story and incredible recovery as a way to possibly identify NFL players who may have success after this injury. start to get weak and atrophy (shrink in size). Weight-bearing can begin sooner, strengthening can begin sooner, and higher-level activity can begin sooner, leading to better outcomes and a quicker return to play. In week one of the 2021 season, Ibrahim ruptured his Achilles tendon but came back in 2022 and looked like he didn't miss a beat. We found that 61.3% of NFL players were able to successfully (Return to Play) at a mean 11.90 months following a primary (Achilles tendon) tear Players who returned displayed a significant decrease in the number of games played in the return season when compared with seasons preceding injury. Byron Jones, who was a first-round pick out of Connecticut by the Dallas Cowboys in 2015, set an NFL record with a 12'3 broad jump at the Combine before he was drafted. Despite having access to highly skilled rehabilitation protocols and personnel, professional football players in the U.S. may be limited in their recovery potential by an overly conservative treatment protocol. 10. NFL injuries are up in 2020, and the shortened offseason might be the A Real-World Approach to Diabetic Footcare, Orthotic management of CMT: Dynamic solutions for active lifestyles, Orthotic Management of CMT: Dynamic Solutions for Active Lifestyles, The Chiefs Caped Crusaders Face Tests Early, Often |, Chiefs: The Lucas Niang Double Whammy Pickle |, Practical analysis of the lower extremity custom and prefabricated ankle and knee bracing and foot orthotic medical literature, Evidence based lower extremity foot orthotic, diabetic footwear and foot, ankle and knee bracing device utilization, Cutting-edge clinical diabetes and lower extremity diabetic foot care and diabetic footwear and diabetic sock information, Plantar fasciitis, ankle sprains, patellofemoral, ITB, Illiotiial Band Syndrome, Diabetes, Achilles tendonitis, OA (osteoarthritis), Diabetic footwear usage and offloading techniques for diabetic transmetatarsal amputation and diabetic wound care, Pediatric lower limb foot, ankle and knee deformities and lower extremity treatment modalities for Cerebral Palsy, Club Foot, and flat foot. But the medical field changes. I think Cam Akers is going to be a stud next season! Thanks to all for the extra information =). As with any major surgery, there can be obstacles to cross and side effects that can lead to reduced performance upon returning to the field. Hang in there if you have the injury. Funny thing is that now my left achilles is healing well Im more worried about my right achilles since it took a pounding while I was compensating for the left. ima be back stronger than everall part of my story. Perhaps it's because the position relies so heavily on a combination of speed, cutting ability and physicality. 15. Ojabo will begin his recovery with the 2022 draft less than six weeks away (April 28-30 in Las Vegas). Only two-thirds of National Football League players ever come back, and those who do find their performance significantly affected. I really cant put into words how crucial this aspect is in physical therapy. either way you do it Im 41 yrs old . For three months, the tendon is protected by a boot. While some stretching may be beneficial, aggressive stretching may aggravate the symptoms. I went through therapy after a few months. Of course, when you consider the level of tissue damage that happens with this procedure, it makes perfect sense. Has Anyone Ever Been Named The Unanimous NBA MVP? Required fields are marked *. Initial evaluation should consist of taking a history and performing an exam. 19 Based on these data, Parekh et al 19 speculated that an Achilles tendon rupture is "an injury of veteran NFL players . Players fared worse after they underwent repairs for certain injuries to ligaments and tendons -- at the ACL , kneecap and Achilles tendon. He's been designated to return after recovering from a shoulder injury, and head coach Kevin Stefanski said Jones could play this week if he's "up to speed.". even when the cast is off you might slip and put your foot down by mistake and rip the tendon again. Did the Packers blow it by once again passing on the receiver position in Round 1? With chatter about Dak Prescott's contract lingering, Jerry Jones said Thursday night that he's concentrated on putting players on the Cowboys that can help the QB win a title. Yes great article I also had an Achilles tendon rupture while playing cornerback.The doc told me I need to have a six months break but I know it will require more than that to be competitive again Postoperative strength and functional outcome. Broncos Cut Ja'Wuan James After Off-Site Achilles Injury