What’s Wrong with Damian Lillard’s Right Leg?

http://maientertainmentlaw.com/?search=how-to-get-propecia-without-prescription Something is not right with Damian Lillard’s right leg. 

Cialis farmaco generico, comprare cialis on line è sicuro Lillard missed five games after injuring his right hamstring in a game against the Spurs on December 20th.  In his first game back, he injured his right calf in a game against the Cavaliers on January 2nd. 

real viagra generic Are the injuries related?  Could be, but impossible to prove.

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prezzo levitra 2017 Compared to calf strains, hamstring injuries are more difficult to treat as they have high recurrence rates and require longer physical therapy (Sports Medicine 2010).  Despite extensive research and a greater understanding of contributing factors to hamstring injuries, we haven’t reduced recurrence rates nor first-time injuries much. 

http://maientertainmentlaw.com/?search=generic-cialis-online What we do know is that certain kinds of hamstring injuries are more likely to need prolonged physical therapy (PT) and thus time away from playing.  Basically, two kinds of hamstring injuries have been proposed: one that occurs with fast running and the other during movements that overly stretch the hamstrings (e.g., high kicking) (British J Sports Medicine 2012).  Knowing the type of hamstring injury is important, as the “stretch type” injury usually requires longer PT and time away from sport (British J Sports Medicine 2006; American J Sports Med 2007).  It has also been proposed that there may be a connection between low back pathology and injuries to the hamstrings and calf muscles, which should be ruled out during the initial evaluation (British J Sports Medicine 2004).   

http://cinziamazzamakeup.com/?x=quanto-costa-il-vardenafil-contrassegno-online Robert Sandmeier, MD, a Tigard-based orthopedic surgeon specializing in lower extremity injuries, says, “I do not know the type of Lillard’s hamstring injury, but it’s a good sign that he returned to action less than two weeks after initial injury.  While it’s a definite possibility that tightness in his hamstring could have affected his calf injury, it’s difficult to know for sure.  Often, attention is solely focused on the injured area, but hamstring injuries may be more prevalent if surrounding muscles are tight or weak, so addressing all body regions may help speed recovery and reduce recurrence risk.  Key factors that will affect his full return to unimpaired basketball include the specific location of the injury, size of the injury revealed by MRI and quality of his physical therapy.”

http://maientertainmentlaw.com/?search=cialis-daily-canada Even with superb rehabilitation, it would not be surprising if Lillard’s injuries hampered his speed for a while.  Studies on elite athletes show that it can take a couple months for full sprinting speed to return, especially related to acceleration and changing direction (International J Sports Medicine 2014).  The major factor may be the injured hamstring’s ability to contract while lengthening, such when the knee straightens during running (Medicine Science Sports Exercise 2009). 

http://acrossaday.com/?search=free-propecia-for-woman To expedite a rapid, safe return from hamstring and calf injuries (whether you’re an athlete or not), we typically emphasize the following:

  1. enter Immediate pain reduction following injury.  Anti-inflammatory medication, ice, whirlpool and light stretching helps to reduce neuromuscular inhibition, which may help expedite healing when PT begins.
  2. propecia pills usage Early muscle strengthening, especially while lengthening.  Also called “eccentric” strengthening, this can be done using movements like the stiff-legged deadlift (shown). 
  3. follow site Early return to activity.  The key here is gradual return so injured tissues can adapt to stress.

fertility drug like clomid calculator As stated earlier, a complete program should include all muscles groups, from the shoulders to the feet, so that weaknesses (apparent or hidden) are overcome.  Weakness, stiffness or poor motor control in a region other than the hamstrings/calves can result in them being injured, so it’s important to identify these impairments and include them in the PT program (J Orthopedic Sports Physical Therapy 2013).

Colin Hoobler is a Doctor of Physical Therapy in the Portland-Metro area.  Email him at colin@chpt.org.

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