Age: At the time of injury, Akers was just 22 years old. While this procedure did prove to be effective in the long term for allowing patients to return to their day-to-day activities without issues, it clearly has its limitations in helping the best athletes in the world return to the field as the data suggests above. Selene G. Parekh, MD, MBA, is an associate professor of surgery in the same division. Well, he got badly injured during the already mentioned reason, his off-season ankle and Achilles surgery. Cam Akers set the new standard for the recovery process following Achilles tendon repair surgery, and while his return in 5.5 months is an incredible feat, its probably still unrealistic to expect players who suffer the same injury to have the exact same recovery process moving forward. It was on May 10, 1969 that the Baltimore Colts, Cleveland Browns and Pittsburgh Steelers agreed to join the AFL to form the 13-team American Football Conference. The injury occurs most often by sudden, forceful motion that stresses the calf muscle. [ MORE: How to watch the Premier . This is still a serious injury and one that requires a lengthy rehab process. 11. God got me!! Last week, he tweeted, "I can't run or jump because of my injuries sustained playing this game." . NFL footage NFL Productions LLC. 9. 2 or More 3 Point FGs Made in the First 3 Minutes, Betting Odds Explained - A Guide to Understanding Odds, A Review of The Best Online Sports Betting Company (In Our Opinion). Am J Sports Med 1997;25(1):90-95. Its been about 5 months now I am off the crutches and can walk but with slight limp. 18. J., "Achilles Injuries on . The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment. 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 The tendon can be affected by recurrent microtrauma with a low propensity to heal or degenerative changes within the tendon. Other authors have shown no significant differences between patients treated with early functional treatment and those with immobilization with regard to pain, stiffness, subjective calf muscle weakness, footwear restrictions, range of ankle motion, calf muscle strength, or overall outcome.21,23. The Bears didn't pick up Mitch Trubisky's fifth-year option, but the team hasn't lost faith. But I can say that at 9 months I feel really good and Im back to running around 20 miles a week. I will turn 50 early next year & I suffered a complete torn Achilles tendon playing basketball with my teenage nephews. Knee Surg Sports Traumatol Arthrosc 2003;11(6):409-414. 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. On average, players experienced a greater than 50% reduction in their power ratings following such an injury. 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. If tendinosis is present, the treatment would be the same; however, further surgical options would include percutaneous longitudinal tenotomy and open debridement. Some have used an accelerated protocol with range-of-motion exercises 72 hours after surgery, a posterior splint for two weeks, and subsequent ambulation in a hinged orthosis. I was advised against surgery and told to go the conservative route. 2023 NFL Enterprises LLC. Are the Bears failing Justin Fields? I guess they say that it helps with the building blocks of tendon collegian. As discussed in the prior section of this article, Akers is likely not back to 100% yet, but with seven months of training between the end of the Super Bowl and the start of the Rams training camp in 2022, Akers will be one year removed from his procedure. And through four weeks in 2021, Hyder has started all four games with the Seattle Seahawks. Such ideas of early motion have also been popularized in anterior cruciate ligament reconstructions. Paoloni JA, Appleyard RC, Nelson J, Murrell GA. Topical glyceryl trinitrate treatment of chronic noninsertional Achilles tendinopathy. Which teams helped themselves in Las Vegas -- and which teams are trending in the wrong direction? I do, however, fully expect Akers to hit the ground running this summer as he enters training camp. Results: 78 Achilles tendon ruptures were identified in professional football players during the 2010-2015 NFL seasons. Terrell Suggs even made it back to game action less than six months after surgery. 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. Players were included if 2 or more sources confirmed the tear. Research across the board shows that players selected in the first two rounds of the NFL Draft are more likely to return to the field following an Achilles injury than those who are drafted later or are undrafted. I like how you explained the average activity player vs pro player. An Achilles tear is widely considered the worst possible injury for a running back. Am J Sports Med 1990;18(3):292-299. 4. Bucky Brooks highlights 10 perfect rookie-team fits from the 2022 NFL Draft. Good luck to you all with your recoveries. Studies have also shown that formation of adhesions and sural nerve deficits were less frequent with use of functional rehabilitation versus immobilization postoperatively.21,22 One concern in an early motion and weight-bearing protocol is the potential for increased risk of re-rupture if patients prematurely return to strenuous activity. Defensive Backs: Once you get back into some regular activity, progress really starts to pick up rapidly. Advanced surgical techniques and accelerated rehab schedules have allowed players such as Demaryius Thomas and Leon Hall to regain their pre-injury explosiveness. I cannot run yet. Did one NFC West team just accumulate more prospect talent than the rest of the division combined? Draft Capital: We know draft capital matters in the NFL, and the same is true for injuries. Although the incidence of Achilles rupture is low, 0.93% per NFL game, nearly 36% of affected players never return to playing at the NFL level.3. Okwara and Okudah may play in 2022, but may not return to form until 2023. Its time to adjust and examine whats changed in the medical field over the last 5-10 years. 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. Its crazy how this injury gets in your head. start to get weak and atrophy (shrink in size). Chad Reuter identifies 12 rookies picked on Day 3 of the NFL draft who could be in line for starter snaps in Year 1. Who will take advantage of potential opportunities? Or can we learn from this situation and make adjustments to how we view this injury in the future? New England Patriots. In the open procedure recovery, the patient is still in their walking boot. Rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 1987;15(4):308-315. 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. Achilles tears are infamous for leading to further leg injuries down the line. Three years ago, when I was writing for Lions Wire, I researched Hyders situation and examined his potential recovery time. AZ, CO, CT, IL, IN, IA, KS, LA, (select parishes), MD, MI, NH, NJ, NY, OH, OR, PA, TN, VA, WV, WY, CA-ONT only.Eligibility restrictions apply. On average, it takes most NFL players roughly nine months to get back on the field after an Achilles injury, which is one reason why it's so shocking that Akers might return so soon. I recently had an achilles tendon rupture while playing basketball and i was looking for some evidence about the return to sports rate of professional sport athletes the rate of about 2/3 gives me some hope to be able to get back to my old strength, also to know that they returned only after an average of eleven month helps me to evaluate my progress! 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. 16. This rupture happened to me just a day bfore our group league football and couple of week left for my marriage.. Aftr surgery i married on the fixed date but it was not a grand functio as we expected. 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. A 2019 study, Factors affecting Return to Play after primary Achilles tendon tear: A cohort of NFL players drew the following conclusions, which mirror Hyders recovery path. Defensive starters Jeff Okudah and Romeo Okwara each suffered season-ending Achilles injuries, in Weeks 1 and 4 respectively, and recent medical studies suggest a long road to recovery for each. Byron Jones was the 27th overall pick in the 2015 . Required fields are marked *. Tim Twentyman of the Detroit Lions' official website observed Wednesday that Mikel Leshourestill isn't the same player he was prior to tearing his Achilles two years ago. Christopher Hanewinckel / USA Today Sports Images. Well still get one more game from Akers in the 2021-22 season when he takes the field one final time in the Super Bowl in just under two weeks, so well have another data point in the sample, but the underlying metrics suggest Akers isnt himself quite yet. 28th May 2012, is the date I had a complete tear of my Achilles, it happened identically to David Beckhams injury at Milan. Following some thoughts about retirement, LeSean McCoy's quest for the right situation on the right team continues two weeks ahead of clubs reporting for training camp. Has Anyone Ever Been Named The Unanimous NBA MVP? However, when we examined >1 season following return, (Achilles tendon) tears appeared to not affect ability, as there was no significant difference in pre- and post-injury number of games played or started. 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. Diabetic Foot Injury: Can Innovative Technology Create Better Outcomes? Proposed mechanisms of loading or overloading that result in an Achilles tendon failure include a dorsiflexion force to the ankle with a strong contraction of the triceps surae muscle, pushing off of the weight-bearing foot with the knee in extension, and a strong dorsiflexion force on the plantar flexed ankle.2 Between 75% and 85 % of ruptures have been associated with athletic activities or racquet and ball sports.1, Compared to the general population, athletes in the National Football League (NFL) are at increased risk for injury because the game involves explosive acceleration and sudden changes in direction.3 Very little is known about the epidemiology of Achilles tendon ruptures in the NFL. Looks like it will be longer than I thought. 19. Khalid Shirzad, MD; John D. Hewitt, MD; and Carter Kiesau, MD, are fellows of foot and ankle surgery in the division of orthopaedic surgery at Duke University in Durham, NC. I pride myself on staying in shape at this age so reading all of stories encouraged me to take it slow on the road to recovery but I have hope I can get close to where I was pre-injury so I can play non-aggressively with my teenage daughters for their lacrosse & basketball. Is this just a flash in the pan? Hang in there if you have the injury. Thank you and a quick recovery to all. Younger athletes tend to have much better outcomes. These comparisons are simple and certainly dont tell the whole story, but from a 1,000-foot view, we can certainly tell that this new procedure allows the patient to progress at a much,much quicker rate than previously. The research in NFL athletes hasnt quite caught up to todays modern procedures. All other NFL-related trademarks are trademarks of the National Football League. Thanks and all are welcome. Our research concludes that no running back ever has recaptured sustained pre-injury form after rupturing an Achilles tendon. The running . Doc says I dont have a complete rupture, just a partial tear. Gerdes MH, Brown TD, Bell AL, et al. Terms at draftkings.com/sportsbook. Mller M, Movin T, Granhed H, et al. Only half of those treated for "patellar" injuries . Footwear Design & Smart Data, Whats Ahead? I ruptured my Achilles tendon about 8 weeks ago and it is still in a calf. So, whats new? Studies to determine maximal improvement after surgical treatment are lacking in the orthopedic literature. Can the presence of Tom Brady, a continued resurgence of Ronald Jones and the drafting of Ke'Shawn Vaughn add a rushing component long absent in Tampa? J Bone Joint Surg Am 2004;86(5):916-922. In the three seasons following their return, those 21 players saw significant decreases in games played and power ratings compared to the three seasons preceding the injury. It is possible that this observation suggests the presence of a prodromal period of Achilles tendinosis. In the late 2000s and early 2010s, the data across the board was conclusive, and several research studies agreed: While that data was helpful in the last 8-10 years, theres a major issue with these findings, and that primary issue is that this data is now largely outdated thanks to a newer procedure for the Achilles tendon (more on that soon). Schepsis AA, Leach RE. To put into context how advantageous this new procedure really is, lets compare some of what Cam Akers was doing just a few months out from surgery to what the traditional rehab plan looks like after an open procedure. It's always tough to see a teammate and close friend go down like that.". Dan Hanzus takes stock of the NFL hierarchy with his post-draft Power Rankings. There . Ojabo will begin his recovery with the 2022 draft less than six weeks away (April 28-30 in Las Vegas). I challenge you to find an NFL player, particularly a running back, that has come back from an achilles tear and played as a top tier fantasy asset for multiple seasons since the publication of either of the studies I linked. Running back Mark Ingram is excited to have rookie J.K. Dobbins joining him and believes the Ravens will have the best backfield stable around. NFL+ gives you the freedom to watch LIVE out-of-market preseason games, LIVE local and primetime regular season and postseason games on your phone or tablet, the best NFL programming on-demand, and MORE! just walking in the flat shoes.. crazy hey good luck out there. Isaiah Wynn, OT. Parekh SG, Wray WH, Brimmo O, et al. Get the latest NFL player injuries for all 32 teams heading into the Divisional Round of the Playoffs and learn when key NFL players are coming off the IR. A goal of surgical Achilles treatment is to prevent tendon elongation, which can be responsible for decreased power of the gastroc-soleus complex, by lengthening the musculotendinous unit. i had surgery on my right leg 8 months back..now i can walk as like bfore but still i cant run.. somehthing tight feeling on my tendon when i try to force on my leg. Can anyone advise me on the rehab exercises? Having said that, a year post surgery, I ran a 5k. Clin Orthop Relat Res 2002;(400):190-200. I had the complete tear happen. use your crutches. Which NFL player has earned the most money from contracts over the course of their careers? Cetti R, Christensen SE, Ejsted R, et al. Tim Krumrie. By choosing I Accept, you consent to our use of cookies and other tracking technologies. For a running back, a ruptured Achilles can permanently alter their career. With a list of injuries ranging from a ruptured achilles to the hand injury that required surgery. Players have blamed those surfaces for the club's high injury rate. Thirty-two percent (n = 10) of NFL players who sustained an Achilles tendon rupture did not . ???? However, for athletes wishing to return to pre-injury function as quickly as possible, surgical repair is the preferred option of choice. Just because NFL teams aren't required to put out preseason injury reports doesn't mean there aren't injuries worth mentioning. NFL Players Coming Back From Injury: 1. Great article. Great article! NFL free agency officially begins on March 15 at the start of a new league year. Akers is only going to get better as the 2022 calendar year progresses as his strength will further improve and his power/quickness will develop even more. But the medical field changes. By 2023, at a minimum, both are expected to be back at full capacity. 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. Cochrane Database Syst Rev 2004;(3):CD003674. Gennaro Filice provides draft grades for each NFC South team. Open thread: Which player can the Lions least afford to lose to free agency? Dan Campbell: Jared Goff has bought us time but Lions still looking at QBs. Adam Schefter (@AdamSchefter) May 18, 2022. This treatment would be initiated by pain and symptoms experienced by the athlete. Los Angeles, London, New Delhi, Singapore and Washington DC (January 12, 2010) More than a third of National Football League (NFL) players who sustained an Achilles tendon injury were never able . Chad Reuter ranks his favorite picks in each round. Am J Sports Med 1993;21(6):791-799. The 30-year-old Jones sent a warning to future players coming into . either way you do it Im 41 yrs old . The 2022 NFL Draft surprisingly saw just one QB taken in the first two rounds, but that doesn't doom the entire crop to irrelevance. 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. if it itches.. use a clothes hanger to scratch but dont cut yourself in doing so.. stay off the foot.. Will Aidan Hutchinson supercharge the Lions' pass rush? Akers recovery to this point has been nothing short of remarkable, but clearly, the underlying data shows hes a player whos not performing up to his usual standards. LER Magazine bridges the gap between lower extremity foot orthotics, custom and prefabricated ankle and knee bracing, diabetic custom foot orthotics and diabetic foot wear, shoe manufacturers and lower extremity central fabricators with lower extremity practitioners by providing: 2009-2023 Copyright Lower Extremity Review Magazine. Years ago, there was only one surgical approach to repairing the Achilles after it was torn, and this procedure was called an Open Repair. As the name implies, the doctor makes a single large incision on the back of the leg and sews the two parts of the Achilles tendon back together. Further treatment could include vasodilation with topical nitric oxide, which has been shown to reduce pain and improve outcomes in cases of chronic tendinopathy.24,25 Other investigational treatments include pulsed electromagnetic fields and extracorporeal shock-wave therapy. Nearly 80 percent of the . Id say Im 90% of where I was. 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. As recently as a decade ago, a complete Achilles tendon tear was a death sentence for the NFL's speed-reliant skill-position players. On Saturday, for the first time since that surgery, Jones took to social media to talk about his injury while reflecting upon his NFL combine broad . Typically, return to sports is allowed at six months. Numerous factors, such as injuries and a reduction in playing time saw Elliott's numbers decline sharply in more recent years. . Any thoughts would be greatly appreciated. 1. The Achilles tendon is the largest tendon in the body. However, his Tweets are now being viewed in a dangerous light, mostly by people attempting to promote anti-vaccination theories. I opted for no surgery and 5 months and 1 week later I am able to walk again with power but still limp slightly. Was this ever accounted for in analyzing the data? My hope is that we can use his case to identify which players we can project to return from this once career-ending injury, but the reality is that we should not start taking this injury lightly. Odds & lines subject to change. Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature. JAS. This factor is crucial and one that leads to better success following the procedure than a delayed surgery. Parekh et al used a players power rating as a measure of functional outcome in the evaluation of skill players in the NFL, which included defensive tackles, cornerbacks, linebackers, wide receivers, and running backs.3 The power rating is a measure of a players performance using statistics gathered during game play, such as passing and rushing yards for an offensive player and tackles and interceptions for a defensive player. Your email address will not be published. Yards per carry isnt the best metric to measure an RBs efficiency, so lets look at a few more. I probably wont be balling as hard as I once did, but I have stepped back on the court. The browser you are using is no longer supported on this site. Early Surgery After Injury: Per The Athletics Jourdan Rodrigue, Akers had surgery very quickly after his injury. Research across the board shows that players selected in the first two rounds of the NFL Draft are more likely to return to the field following an Achilles injury than those who are drafted later or are undrafted. 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? He's back on the field for the 2022 NFL playoffs. "Much has changed in 8 years. Advanced surgical techniques and accelerated rehab schedules have allowed players such as Demaryius Thomas and Leon Hall to regain their pre-injury explosiveness. 2021 hasnt been kind to the Detroit Lions, especially when it comes to injuries and their star players. In the open procedure recovery, the patient is getting stronger and starting to do some higher-level strengthening but still nowhere close to 100%. About two-thirds of injured players (64%) returned . Intuitively, this makes sense. A randomized, double-blind, placebo-controlled trial. Congratulations to Akers on his remarkable recovery. Please also read our Privacy Notice and Terms of Use, which became effective December 20, 2019. Less invasive surgical methods have been developed to minimize these complications. The following browsers are supported: Chrome, Edge (v80 and later), Firefox and Safari. I was also the same. 15. Whats next in the Achilles tendon repair procedure? Patients with a surgically repaired Achilles tendon, who are placed in a brace and allowed early motion from neutral to plantar flexion, have less tendon elongation than do patients who are treated in a cast.18 Studies looking at immediate weight bearing have shown an earlier time to normal walking and stair climbing, but not in return to sports.19 Suchak et al20 noted an improvement in outcome scores, enhanced quality of life, and activity level in the early postoperative period with a weight bearing as tolerated protocol; however, no difference was found at six months. Did you compare the data to the careers of players of similar experience who did not suffer achilles heel ruptures? I was trying to get an idea how long Id be on the DL. Gennaro Filice provides draft grades for each NFC East team. Rabs from France, Thanks alot your answer solved all my problems after several days struggnilg. 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. In the Divisional Round, he ranked 8th among eight backs, and in the Championship Round, he ranked tied for 4th among five backs. This study showed that 31 acute Achilles tendon ruptures occurred in NFL players between 1997 and 2002. Suchak AA, Bostick GP, Beaupre LA, et al. Whats even more incredible than that is the fact that Akers was designated to return off injured reserve right around Christmas then officially activated to the Rams roster, playing in Week 18 and then three subsequent playoff games. Interventions for treating acute Achilles tendon ruptures. This trend is somewhat based on knowledge of improved strength and gliding of tendon repairs following hand surgery after rehabilitation protocols with early motion and controlled loading. Marc Ross spotlights 10 rookies set up for success in the 2022 NFL season and beyond. In 2018, the season following his injury, Hyder saw limited action with the Lions, playing in just seven games that seasonthough its worth noting that the Lions hired Matt Patricia that offseason, and Hyder was not a solid fit with the scheme. Updated by the minute, our Dallas Cowboys NFL Tracker: News and views and moves inside The Star and around the league . For that reason, an Achilles tear is one of the most common career-ending . Its scar tissue and has lessened with time. Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Rehabilitation after surgical repair is trending over the past decade toward earlier motion and weight bearing. You cant strength train appropriately, cant work on cardiovascular fitness, and obviously, the thought of any sport-specific training is months and months away. Again, the baseline data is helpful. Am J Sports Med 2005 33(3):347-359. In what looks to be a weaker linebacker class, a few names took advantage and improved their stock. The former Cowboys' star, who was picked in the first round of the 2015 draft, now claims he can't "run or jump" because of his injuries from playing football. The fact that Akers is on an NFL football field getting serious run is incredible in and of itself, but the box score leaves a lot to be desired. Am J Roentgenol 2007;189(5):1169-1174. Recently, the go-to procedure for a ruptured Achilles has now become a technique called internal bracing which means adding a sutured bridge brace over the top of the repaired portion of the tendon. He was getting ready for training camp, which was set to start in just a couple of weeks, and he was set to take a huge step forward in his career as the bell cow back for a potent Rams offenseand then in the blink of an eyeits over. Thanks to a long list of key free agents on both sides of the ball, and a daunting . Part of the issue with some of the research studies is that the outcomes used often take into account the time it takes to return to play, but that does not necessarily equal return to performance at 100%. Corticosteroids and fluoroquinolone antibiotics have also been implicated in tendon pathology.1 Mechanisms leading to tendon failure involve the rapid loading of an already tensed tendon. 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). 25. 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. It provides immense function and stability to your foot, and a tendon rupture can severely impact a person's quickness, speed, jumping ability and overall athleticism, even when surgery and rehab goes as expected. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2014-2023 TheFantasyFootballers.com, Engaging Media LLC, All Rights Reserved. Achilles tendon ruptures can have dramatic career implications for the athlete. Kangas J, Pajala A, Siira P, et al. I also have a lump where the tear once was, but thats normal. A prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Our findings suggest that players may return to preinjury performance levels if given the opportunity.. Ojabo elected to enter the draft as an underclassman in January after posting 11 sacks and a Michigan single-season record five forced fumbles in his first season as a starter. The Broncos have opted to cut James from the non-football injury list, where he was sent following the Achilles injury, intending to clear more than $10 million from their 2021 salary cap, per NFL .