I think there's a really good chance that Jaylon Smith will play this year

ConceptCoop

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EMMITTnROY said:
The interesting thing to me is that the knee shouldn't be an issue for playing this season.

It's the nerve in the ankle, which could come back at anytime. And the guess is 6 months from surgery, which was January. So I guess I don't understand-- if the nerve regenerates and comes back, which is totally possible, then why couldn't he play this season?
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I don't think this is accurate. A straight forward ACL repair can take 8+ months. His was a lot more than that.
 
Typhus

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Basically boils down to..
Optimism vs Pessimism.
Choose a side,, but I will suggest the power of positive thought, prayer if you will.
Ive seen it work miracles first hand,, and this is a large fan base, so regardless the debate, just send out some good vibes for Mr Smith, takes about 2 seconds of your day.
 
BlindFaith

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speedkilz88 said:
acl & lcl, but look at his videos. 3 1/2 months from surgery he is running, cutting, and lifting weights with that repaired knee.
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Exactly. What we don't really know is the severity.

I tore my ACL, MCL and PCL. I was no where near being able to squat and press like he is 3 1/2 months out. So either he's super human or something else is going on.
 
Denim Chicken

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Doc50 said:
Well, speculation runs rampant, as we might expect.

There is some fundamental misunderstanding expressed here, though. For one, the peroneal nerve has not died or been torn; there is just microscopic internal damage, probably at a severity of Sunderland's second degree, wherein there may be slight damage to the endoneurium but the epineurium and perineurium are intact, and the deficit can expect to resolve at a rate of 1-2 mm daily. This will be a process (not Garrett's words), not a sudden awakening or overnight resolution. Lastly, the nerve fibers are intact in their distal distribution; there is no need for regrowth and reconnection, such that we might wonder if the nerves go where they're supposed to; that's a complete misrepresentation.

Recovery from ACL repair usually takes 8-9 mos, so Smith may be on pace to be ready by September. Add another 8 wks of getting into football shape, and he just might be an appropriate PUP candidate.

Just have to be patient.
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I'm like a pediatrician, I have little patients.
 

ConceptCoop

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speedkilz88 said:
acl & lcl, but look at his videos. 3 1/2 months from surgery he is running, cutting, and lifting weights with that repaired knee.
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That's great news. It means it's safe to say he's ahead of schedule. But I don't think that means if safe to say it won't prevent him from playing next year, potentially.
 
plymkr

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tyke1doe said:
Just out of curiosity, are you a doctor by profession?
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No I just couldn't sleep the night of the draft and read tons of articles and watched videos. My profession lends a tiny bit of insight. I'm a sports therapist. I help athletes get over mental issues that hurt in their performance, recover from injury, and older athletes I help them transition to retirement life. So I am familiar with some of the wording but not all of it. If I had the opportunity to work with Jaylon my role would be to help him get over the emotional trauma of the injury and help him trust his body again. I would do this after he was medically cleared.
 
waldoputty

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Gooch said:
Just trying to see who's had similar injuries and played again.

Some players with drop foot:
Sean Spence
Mat McBriar
Robert Edwards


http://www.steelersdepot.com/2013/02/steelers-sean-spence-peroneal-nerve-damage-knee/
http://www.ndinsider.com/football/d...cle_1cf1a5d4-0e63-11e6-ba8e-b389e17353cb.html
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Great find.

At least it looks like Spence had a ~complete recovery with a similar injury?
From second article - "And today, Spence says he’s physically as well off as he ever was. He missed only the 2012 rookie season because of the knee, but he sat out the 2013 season because of a broken finger, before putting together impressive seasons on the field in 2014 and 2015."

Edwards had a more severe injury to all the knee ligaments but apparently recovered from the nerve injury to play again.
Does not sound like a complete recovery though it could be the ligaments.
 
Doc50

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waldoputty said:
Hi Doc

I described the injury to 2 researchers who worked on peripheral nerve regeneration (PhDs not MD). They said the nerve cell distal of the injury is dead, and the nerve needs to regenerate the published 6 inches to reach the target muscles at a rate of ~1mm daily. When you said resolve, are you saying the same thing?
They also said the regeneration needs to reconnect and the old fiber serves as a guide but not always a perfect guide. Sounds like this is totally contrary to your understanding?

Thanks
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Following this type of nerve injury, Wallerian degeneration takes place involving the reabsorption and removal of myelin and axons (afferent nerve fibers) distal to the injury.
Then axonal regrowth occurs along the already-established perineurium at a rate of 1-2 mm daily; the architecture of the nerve is only changed internally.

Based on the EMG's that that the Cowboy's medical team has recently seen, this regenerative process is progressing nicely; hence, their optimism.
 

tyke1doe

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plymkr said:
No I just couldn't sleep the night of the draft and read tons of articles and watched videos. My profession lends a tiny bit of insight. I'm a sports therapist. I help athletes get over mental issues that hurt in their performance, recover from injury, and older athletes I help them transition to retirement life. So I am familiar with some of the wording but not all of it. If I had the opportunity to work with Jaylon my role would be to help him get over the emotional trauma of the injury and help him trust his body again. I would do this after he was medically cleared.
Click to expand...

Thanks. :)
 
waldoputty

waldoputty

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Doc50 said:
Following this type of nerve injury, Wallerian degeneration takes place involving the reabsorption and removal of myelin and axons (afferent nerve fibers) distal to the injury.
Then axonal regrowth occurs along the already-established perineurium at a rate of 1-2 mm daily; the architecture of the nerve is only changed internally.

Based on the EMG's that that the Cowboy's medical team has recently seen, this regenerative process is progressing nicely; hence, their optimism.
Click to expand...

Sounds like you are saying the same thing with the regeneration.
I did not see the part about the EMG published anywhere, but that is probably your professional expertise.
So you expect the nerve fibers to grow within the established perineurium?
May be that is what his doctor meant by stretched but not elongated?
And thus near-zero chance for 'attaching to the wrong places'?

If so, we can celebrate...

Thanks.
 
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