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DocRock
LSU Fan
S. Alabama
Member since Apr 2009
266 posts

re: Cole Henry update?
quote:

quote:
Henry underwent laser treatment and dry needling to break up the scar tissue, and within minutes the nerve was firing correctly again, Jeff Henry said. He then went outside and threw without issue.


Sounds like LSU needs a new medical staff.

LSU doctors with all their resources couldnt figure this out.

Whatever Dr. he went to did this on sunday and minutes later he was throwing without issues? WTF is the training staff doing?




Let me first preface things here by saying that I do NOT have any inside information into this case. If I did, I certainly would NOT be here posting. Let me also mention here that what I'm about to say, regarding my opinion, is still based upon speculations, so I do not want things misconstrued to where people are thinking that I'm bashing LSU's sports medicine staff.

BUT... I agree with you here, in that I'm a little disappointed in how his case has been managed. I've posted on TD before regarding the difficulties at diagnosing occult UCL injuries, and if this was an UCL injury, I could see the ambiguity of the sports medicine staff in this case. But... this is a median nerve injury. These things are not necessarily that hard to diagnose, nor to find the etiology of it. You simply follow the track of the nerve. It is most commonly pinched in either the cervical spine (neck); or at the anterior aspect of the elbow/forearm (flexor bundle... pronator teres most commonly), or at the wrist (classic "carpal tunnel syndrome."

We see these injuries ALL THE TIME, and they are very easy to find the causative agent, and to treat. I'm very disappointed that it took this long for someone to find the source of the injury. BUT... again... I can't fully speculate on what was done, and what was not done by the staff. Maybe Henry had other injuries further complicating things? I don't know, but from what I can gather here from the outside, I'm disappointed.

Hopefully, at least, this will be behind Cole now and he can continue getting stronger and be fully ready for next year. Its a win for Cole for sure, if he is indeed past this injury for good!



This post was edited on 6/12 at 10:48 am


shutterspeed
Arkansas State Fan
MS Gulf Coast
Member since May 2007
47643 posts

re: Cole Henry update?
Shoulda called in Dr. Plantz.


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3rdPart Tiger
LSU Fan
Member since Oct 2007
2436 posts

re: Cole Henry update?
quote:

DocRock


Good stuff. Just curious, now how do you (the medical team) address, prevent, and/or treat this going forward? Will this flare up again after 2 or 3 starts?


LeftLanePrius
Member since Jun 2019
52 posts

re: Cole Henry update?
Is there such a thing as a baserunning X-ray?



Asking for a friend.


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91
vjp819
LSU Fan
South Sec. 414 / Alex Box Sec. 210
Member since Nov 2003
9704 posts

re: Cole Henry update?
quote:

Sounds like LSU needs a new medical staff.


quote:

LSU doctors with all their resources couldnt figure this out.


quote:

WTF is the training staff doing?


am I to take what you are saying is that LSU's training staff should have diagnosed this problem between innings? This wasn't the same elbow soreness that kept Cole off the mound for several weeks.


josh336
Chicago Cubs Fan
baton rouge
Member since Jan 2007
54197 posts

re: Cole Henry update?
I think some people owe cole an apology


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131
Hold That Tiger 10
LSU Fan
Member since Oct 2013
12688 posts

re: Cole Henry update?
quote:


BUT... I agree with you here, in that I'm a little disappointed in how his case has been managed


Isn't it possible that what caused him to miss a month is not the same thing that caused him to exit the game in the Super Regional?

Has it already been said somewhere that what was found this past weekend was the culprit all along?


Dudebro2
LSU Fan
San Diego
Member since Dec 2011
5826 posts

re: Cole Henry update?
quote:

No doubt they'll get his glass arm glued back together before next season and I'm sure he'll be good for two or so starts before another repair is needed.


Oh look, a classic jock sniffer!!!!


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slapahoe
LSU Fan
USA
Member since Sep 2009
6966 posts

re: Cole Henry update?
If the nerve giving trouble is the Ulna nerve....moving it is an option. Tingling fingers and numb hand is what typically happens when you have ulna nerve entrapment. They basically go into the elbow and move the nerve over maybe 1”-2” so it doesn’t get ‘pinched’.


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kengel2
LSU Fan
Team Gun
Member since Mar 2004
15152 posts

re: Cole Henry update?
quote:

am I to take what you are saying is that LSU's training staff should have diagnosed this problem between innings?


You really think all this scar tissue showed up in 1 inning?

quote:

This wasn't the same elbow soreness that kept Cole off the mound for several weeks.


Are you on the staff? If I offended you, well, get better at your job.


Supermoto Tiger
LSU Fan
Baton Rouge
Member since Dec 2010
7788 posts

re: Cole Henry update?
quote:

Henry won’t pitch in any summer ball this offseason, resting his arm as he recovers from a season of injuries.


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Hold That Tiger 10
LSU Fan
Member since Oct 2013
12688 posts

re: Cole Henry update?
quote:

You really think all this scar tissue showed up in 1 inning?


No, I believe his point is this...

Henry had to come out of the game in the second inning. Without having a clue what was wrong, people on this board immediately started shitting all over the kid, saying he had no chest etc. etc.

Now we know what the cause of him having to come out of the game was. You would think all of those people would learn not to just have a knee jerk reaction to every single thing, assuming the worst, without having all the information. It has to be pretty embarrassing to act that way towards a 19 year old kid on a message board.

So, we get the info, and what do these same people do? They overreact again and pretend that they know that what caused Henry to be removed after the second inning is what kept him out all along. I haven't seen this posted anywhere. So, at the very next opportunity, these same people start jumping to conclusions and find somebody to be pissed off at, without having any of the info. It's ridiculous, and people should have learned by now. I guess I give too much credit for the dumbasses on this board.


GeorgeTheGreek
Michigan State Fan
Sparta, Greece
Member since Mar 2008
54911 posts
 Online 

re: Cole Henry update?
So let me get this straight...

You’ve been here since 2013 and you’re butthurt that people overreact on this board?


Hold That Tiger 10
LSU Fan
Member since Oct 2013
12688 posts

re: Cole Henry update?
quote:


You’ve been here since 2013 and you’re butthurt that people overreact on this board?


I'm not butthurt, it just never becomes less stupid to me as it keeps happening.


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DocRock
LSU Fan
S. Alabama
Member since Apr 2009
266 posts

re: Cole Henry update?
quote:

quote:
DocRock


Good stuff. Just curious, now how do you (the medical team) address, prevent, and/or treat this going forward? Will this flare up again after 2 or 3 starts?





Without knowing exactly what is going on with Henry here; allow me to speculate a little more...

Let's assume that his injury is developing in the flexor bundle, and specifically the pronator teres. This is a fairly common problem, and we see it from time to time with pitchers. This often does not take much time to correct. We utilize a number of different soft tissue mobilization techniques which remove the fibrosis (scar tissue) out of the belly of the involved muscle(s). This can certainly give the patient the feeling that they are "healed", even sometimes after one visit.

It might be that they were successful in at least removing enough fibrosis from Henry's forearm that he felt great afterwards. It is likely that there is still more to be broken up and moved (the aforementioned soft tissue mobilization techniques), but he might have had enough removed to where the nerve entrapment is no longer. They will likely do a series of follow up treatments with him, to ensure that the muscles get back to normal, fully. These are injuries that we expect to get the athlete complete free and clean from.

Yes, it takes some time for the fibrosis to build up in muscles. Everyone is different of course, and a lot depends on the pitching motion. A pitcher that is a pronator will develop these faster than others. Although, the guys that throw with more of a supination snap are placing the torque into a more medial aspect of the forearm, usually the cubital tunnel region (ulnar nerve) and/or the ULC (yikes).

I'd MUCH rather have a pitcher struggle with fibrosis because, of course, it takes a while to pile up inside the muscle belly, and is MUCH easier fixed (needless to say).

Fibrosis (scar tissue) builds up within the belly of a muscle after repeated "mirco-tears" to that muscle. These microtears heal with fibrosis, as the body is attempting to patch the injury while also seeking to heal it slowly over time. Well, without proper rest, the athlete continues the perpetuating events of the injury, thus resulting in more mico tears and thus more fibrosis. Fibrosis starts to build up... think of a snowballing effect. These types of fibrosis will NOT show up on MRI, thus often making the diagnosis a little tricky.

Honestly, though, if you palpate and manually explore into the sight of pain of the athlete; its not hard to find the fibrosis patches. They feel much firmer and stiffer than normal tissue... sort of like a small birds nest in the line. There are also common places where these injuries manifest, so its usually easy to diagnose because of the commonality of these patterns.

It should NOT flare up after 2 or 3 starts. It usually takes a bit more time to build up. Now that his doctors are on top of this, they'll schedule regular check-ups with him for this, and they'll strip out any fibrosis that shows up, before it is allowed to accumulate again.

Now.... if the specifics of his injury are different from what I'm assuming here... well, then, this would all change. lol The only information into Henry's case that I have, was following that link posted on page 3 in this thread.

Hope this helps...

and



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DocRock
LSU Fan
S. Alabama
Member since Apr 2009
266 posts

re: Cole Henry update?
quote:

quote:

BUT... I agree with you here, in that I'm a little disappointed in how his case has been managed


Isn't it possible that what caused him to miss a month is not the same thing that caused him to exit the game in the Super Regional?

Has it already been said somewhere that what was found this past weekend was the culprit all along?




Again... just speculating here, but if his injury was indeed fibrosis (scar tissue) within the belly of a muscle or group of muscles, then no, this is likely then the same injury he has been dealing with all along. These types of injuries take a while to develop. The fibrosis piles up over time, sort of like a snowballing effect (I just made a post describing some of this, so I won't repeat it).

I hope this helps...


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