ST: Cowboys All-Pro left tackle Tyron Smith lands on injury report

mcmvp said:
Come back? Yes. Come back the same? Sometimes. Backs injuries can linger, even after surgery. Shawn Andrews was another all pro o-lineman who had back issues that left him less effective. He was not the same post-surgery. He also had mental issues, but that's another story.
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It's very rare that a person returns to their former self after disk surgery. This is very concerning for sure. Tyron could still be a beast even not as his former self, but probably not the best in the league.

But I ask the question again, is back tightness a symptom of the bulging disk, or is this something else which can be worked around with PT/yoga/acupuncture/whatever?
 
TheHerd said:
It's very rare that a person returns to their former self after disk surgery. This is very concerning for sure. Tyron could still be a beast even not as his former self, but probably not the best in the league.

But I ask the question again, is back tightness a symptom of the bulging disk, or is this something else which can be worked around with PT/yoga/acupuncture/whatever?
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Combination of whiskey and cocaine are great short term pain killers.
 
TheHerd said:
It's very rare that a person returns to their former self after disk surgery. This is very concerning for sure. Tyron could still be a beast even not as his former self, but probably not the best in the league.

But I ask the question again, is back tightness a symptom of the bulging disk, or is this something else which can be worked around with PT/yoga/acupuncture/whatever?
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Unknown at this point. Hopefully it is something treatable and not disk related.
 
DallasDW00ds0n said:
Not many do come back the same, most doctors tell you to put off back surgery for as long as possible for that reason.
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No, it's not for that reason.

It's always prudent to use the most conservative treatments first; even in the case of an obviously herniated disc, nerve impingement may resolve due to local shift of disc material or connective tissue fragments, and surgery may become unnecessary.

So PT is always tried first and continued if improving the dysfunction.
 
erod said:
Problem is, back surgery has less than a 5% success rate if it's disc related.
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Can you show me where you got those stats from? Tons of NFL players have had disc surgery and came back to play. In general, you don't do surgery on the back unless it's disc related.
 
manster4ever said:
HECK yes....only 26 and his back is very iffy. I don't know how many more years he goes without a disk surgery. Reminds me of JJ Watt or Aikman. Scary stuff.
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Surgical outcomes on the back are no better than conservative therapy in the long term management of back pain. Usually back surgery creates more issues down the road and is avoided if possible.

I think its funny that most everyone wants him to get surgery, not realizing the severity of a procedure. Conservative Therapy first line defense, then surgery if pain doesn't resolve or if it is structurally unsound.
 
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Doc50 said:
No, it's not for that reason.

It's always prudent to use the most conservative treatments first; even in the case of an obviously herniated disc, nerve impingement may resolve due to local shift of disc material or connective tissue fragments, and surgery may become unnecessary.

So PT is always tried first and continued if improving the dysfunction.
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Why is surgery not considered a more conservative approach?
 
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