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Bone bruise and high ankle sprain

Posted on 10/26/16 at 9:24 pm
Posted by TigerBert
Member since Oct 2015
3018 posts
Posted on 10/26/16 at 9:24 pm
Is there a orthopedist and/or physical therapist in the house - who can provide a reader's digest education on Leonard's lingering "bone bruise" issue, and whether he can have it completely behind him by 11/5?
Posted by 7nette
Member since Nov 2015
4909 posts
Posted on 10/26/16 at 9:27 pm to
As someone who knows absolutely nothing about bone bruises, I can tell you that win or lose we're going to claim that Leonard was only at 85%.
Posted by tigerfan in bamaland
Back Home now
Member since Sep 2006
61079 posts
Posted on 10/26/16 at 9:29 pm to
quote:

I can tell you that win or lose we're going to claim that Leonard was only at 85%.
Posted by SwampBooty
Sulphur, LA
Member since Sep 2015
739 posts
Posted on 10/26/16 at 9:33 pm to
You're usually looking 6 weeks to 2.5-3 months before you feel 100% depending on how rehab progresses and history of injury on that ankle.
Posted by killercoconut
Lafayette
Member since Jun 2008
3736 posts
Posted on 10/26/16 at 9:34 pm to
Bone bruises are caused by trauma to the periosteum. Periosteum is a layer covering your bones that is highly vascularized. It's not that much different than a surface level bruise but can be more painful and last longer since the vessels are directly affected and took a larger impact to create such a deep trauma. Timetable depends on the severity of the initial injury.
Posted by killercoconut
Lafayette
Member since Jun 2008
3736 posts
Posted on 10/26/16 at 9:36 pm to
Ankle sprains are a little trickier. There is a big difference between feeling 100% and the tissues actually being 100%. Return to activity prior to fully healing is when most reinjuries happen.
Posted by TigerBert
Member since Oct 2015
3018 posts
Posted on 10/26/16 at 9:40 pm to
quote:

Bone bruises are caused by trauma to the periosteum. Periosteum is a layer covering your bones that is highly vascularized. It's not that much different than a surface level bruise but can be more painful and last longer since the vessels are directly affected and took a larger impact to create such a deep trauma. Timetable depends on the severity of the initial injury


Thanks. What are the healing techniques that are most advancing? Heat? Hot/Cold cycling? Anything not thermal?
Posted by ccomeaux
LA
Member since Jan 2010
8184 posts
Posted on 10/26/16 at 9:41 pm to
I'm recovering from a contact hyperextension of the foot. 2 tendons connecting the muscles that wrap the foot. Deep bruising also occurred. It's been a month, I spent 3 weeks on crutches and it still hurts like hell, especially pushing off just to walk.
It was very slow at first but seems to be healing faster the last week or so.
The fact that LF played like he did last week absolutely amazed me, that kid is tough as nails.
My point - 2 more weeks should do it, he should be 100% for Bama.
Posted by killercoconut
Lafayette
Member since Jun 2008
3736 posts
Posted on 10/26/16 at 9:43 pm to
Rest and ice quite frankly. You wouldn't use heat because you don't want to increase circulation to the area. Ice would keep the swelling down.
Posted by Cracking
Northshore
Member since Aug 2006
3431 posts
Posted on 10/26/16 at 9:46 pm to
Bone bruise is likely not the problem. It's the high ankle sprain or eversion sprain that can take 6 weeks to recover. Re-aggravating it with the demand from football more like 8. Lots of pressure on the syndesmosis with football. Fournette is not an average person and can play through the pain, but if his ankle is inverted or dorsiflexed forcefully it'll likely take him out of the game.

The pain is likely tolerable for him with normal stuff but gets re-aggravated easily with football. It's a pain in the arse and can be frustrating. Obviously good bracing and taping can help with normal movements, but a ball carrier is always cutting and getting hit and twisted beyond the stability provided by that brace/tape.
Posted by AlaTiger
America
Member since Aug 2006
21120 posts
Posted on 10/26/16 at 9:51 pm to
quote:

but if his ankle is inverted or dorsiflexed forcefully it'll likely take him out of the game.


What every defender has tried to do to him after he was on the ground. It has been sick to watch. No question that they are being told to do it. Dirty.
Posted by THECEO
HQ's
Member since Oct 2016
587 posts
Posted on 10/26/16 at 9:52 pm to
quote:

My point - 2 more weeks should do it, he should be 100% for Bama


That is excellent news.
Posted by FLTigah
Orlando, FL
Member since Jan 2012
31 posts
Posted on 10/26/16 at 9:53 pm to
Fill bucket with ice about 2 inches deep and add cold water. Submerge the foot past the ankle for 20 minutes then remove from cold for 20 minutes. Repeat as many times as you can stand it. Do it every day until healed and any time soreness rears its ugly head.
Posted by CharlesLSU
Member since Jan 2007
31886 posts
Posted on 10/26/16 at 9:53 pm to
Speaking as a patient does not qualify you as an orthopod......
Posted by Odinson
Asgard
Member since Apr 2014
2749 posts
Posted on 10/26/16 at 9:55 pm to
For quicker recovery, Leonard realistically needed a syndesmotic screw for his ankle injury but he rather play at 75-80 percent than to be out completely for surgery.
Posted by ccomeaux
LA
Member since Jan 2010
8184 posts
Posted on 10/26/16 at 9:55 pm to
Agreed Charles, just relaying my similar injury with similar timing and how mine is healing. I know I will be good in two weeks so I said he should be. Seemed logical, still think it is.

Or, if you're just being a dick....
Posted by Cracking
Northshore
Member since Aug 2006
3431 posts
Posted on 10/26/16 at 10:03 pm to
quote:

What every defender has tried to do to him after he was on the ground. It has been sick to watch. No question that they are being told to do it. Dirty.



watched 2 Ole Miss defenders specifically try and twist his ankle on one play. If Bama's defense is trying that shite it means he's getting to them or they're just a bunch of a-holes.
Posted by killercoconut
Lafayette
Member since Jun 2008
3736 posts
Posted on 10/26/16 at 10:03 pm to
quote:

Fill bucket with ice about 2 inches deep and add cold water. Submerge the foot past the ankle for 20 minutes then remove from cold for 20 minutes. Repeat as many times as you can stand it. Do it every day until healed and any time soreness rears its ugly head


Do not leave your foot in an ice bucket for 20 minutes. It does not take long to get the desired effects and over-icing adds risk of injury without further benefits. The 10 minute rule is a great guideline. 10 minutes on 10 minutes off and repeat every hour as necessary.

Obviously this is not meant for me recommending treatment but for a hypothetical situation.
This post was edited on 10/26/16 at 10:05 pm
Posted by Cracking
Northshore
Member since Aug 2006
3431 posts
Posted on 10/26/16 at 10:06 pm to
quote:

Do not leave your foot in an ice bucket for 20 minutes. It does not take long to get the desired effects and over-icing adds risk of injury without further benefits. The 10 minute rule is a great guideline. 10 minutes on 10 minutes off and repeat every hour as necessary.

Obviously this is not meant for me recommending treatment but for a hypothetical situation.



this is good advice. after 10-12 minutes the vasoconstriction benefits of ice are likely exceeded and some research suggests reversed. Only ice 10-12 minutes for inflammation.
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