Justin Herbert - fractured rib cartilage, day to day

[Beck Water]

4 hours ago, GunnerBill said:

That does not strike me as a day to day injury. 

 

I don't think so either.  I think they should just IR him and let him heal.

[YoloinOhio]

My question is, whether this is a pain management thing and it can’t get worse by playing with an injection/pain killers, or is there a chance to injure it further by playing?

[Mr. WEO]

15 hours ago, Beck Water said:

 

So.....remind me, how did Justin Herbert get his first start in the NFL?

 

Wasn't that ......when the starter, one Tyrod Taylor, was getting a pain injection for a rib injury pre-game....and got his LUNG COLLAPSED by the Chargers doctor instead?

 

 

People keep exaggerating TT's injury (pneumothorax)--he easily could have resumed fully activity and been right back as practice as the starter the next dya. The reason Herbert is the starter since that day is because it took a freak incident for the Chargers to realize that you put your top 10 draft pick QB out there and let him play.

 

The Bills had a similar (and sooner--Week 1 at halftime) "realization"--not because their starter was injured, but because their starter was Nate Peterman.

 

1 hour ago, YoloinOhio said:

My question is, whether this is a pain management thing and it can’t get worse by playing with an injection/pain killers, or is there a chance to injure it further by playing?

 

Probably won't get worse, but won't get better either. 

[Big Blitz]

 

[buffaloboyinATL]

15 hours ago, Rc2catch said:

I actually thought he broke his tailbone at first glance. His butt hit hard and he clutched around his left cheek before they went to commercial. Probably best case scenario, I expected worse based on how he looked the rest of the game. 

I was thinking hammy when I saw that, but it was probably pain radiating down his sciatic nerve.  Feels like the pain is coming from everywhere, all at once.  

[stevestojan]

I had this exact same injury in college. My cause of injury was fueled by alcohol and poor judgement. For two weeks, my fear of sneezing was immense. Deep breaths hurt. Sleeping was rough. 
 

The fact that he stood up, much less continued playing, is absolutely incredible. 

[Big Turk]

Trey Wingo was on WGR yesterday and he said he talked with doctors and they said it's a 6 month injury to heal.

 

Basically Herbert is going to be dealing with it the rest of the year and it's going to come down to pain management.

[YoloinOhio]

The timing here…

 

 

 

[H2o]

29 minutes ago, YoloinOhio said:

The timing here…

 

 

 

No surprise and I don't blame Tyrod at all. There are levels of incompetence that have no business in this league or anywhere else for that matter. This is surely an example of such. 

[H2o]

If they are smart, then they'll sit Herbert for the next month. They have the Jags, Texans, Browns, and Broncos on deck. Heck, I might even sit him until after the Bye. The game after the Broncos is Seattle. Even without Herbert they should at least win 3, if not 4 of those games. That would have them at 4-3 or 5-2 heading into the Bye week. Herbert could then return at basically full health in week 9 against the Falcons. They need to think long term here and not put him in harm's way to lose him for a longer period imo.

Edited September 18, 2022 by H2o

[Beck Water]

4 hours ago, YoloinOhio said:

The timing here…

 

 

 

 

The Chargers have had questions about their medical staff since David Chao got kicked out (excuse me, resigned) as team doctor.  But he was their team doctor for years despite allegations of alcohol abuse, accusations of maiming patients during surgery, etc.

 

I think the Tyrod Taylor situation may indicate that was symptomatic of an organizational problem which didn't prioritize the highest quality of medical care for the players, and that moving to LA didn't necessarily fix it.

[Beck Water]

13 hours ago, Big Turk said:

Trey Wingo was on WGR yesterday and he said he talked with doctors and they said it's a 6 month injury to heal.

Basically Herbert is going to be dealing with it the rest of the year and it's going to come down to pain management.

 

I love all these people diagnosing at a distance.  Here we have our own @Mr. WEO, who genuinely does know his stuff when faced with live patients in his exam room, pronouncing that TT's pneumothorax could have had him out practicing the next day (maybe, but that depends upon details I don't know how he'd have access to).  Now we have Trey Wingo talking to doctors who say it's 6 months to heal, again, likely without knowing the details of exactly which rib or rib cartilage was broken and how severely (it's most likely cracked, not completely broken)

 

My friend who cracked a rib and the rib cartilage below it when he tripped and landed on a sharp rock was directed to rest and avoid lifting anything heavy for 4-6 weeks, not 6 months.    I'm sure some cracks do take longer, and probably 6 months to complete the repair process and have any lingering pain resolve but he pretty well felt better in 4-5 weeks.  I would think that players would be given treatment to promote healing that's not quite mainstream but has some evidence it helps, such as light and NIR therapy, which may speed healing, low-intensity pulsed ultrasound that some people swear by while some studies say "do little" etc etc.  so to at least have it complete the "regrowth phase", get rid of the most severe acute pain, probably 4 weeks is a reasonable guesstimate.

 

The concern is that a cracked rib bone or cartilage may break completely with repeated blows to the same area or allow adjacent ribs to more easily crack.  And let's be real: Football is not a pretty game, and if a player's injury is known, opposing players will deliberately TARGET THAT SPOT.  Did you hear the Simmons interview where he talked about how opposing defenders knew Saffold had a shoulder injury last season and would club him on the shoulder?  I would have a concern that Herbert may be less able to protect himself from other injuries while going through this.  These NFL athletes have amazing body control and reflexes, but will those still work if a sudden spasm of pain lashes through him after he's slammed in the ribs?

 

I doubt the Chargers will IR Herbert and give him 4 weeks, just as the Bills hesitated to IR Milano for a torn pec or Beasley for what is now said to have been cracked ribs.  But there's probably a "more haste, less speed" factor where they should consider it.

 

 

[Mr. WEO]

7 minutes ago, Beck Water said:

 

I love all these people diagnosing at a distance.  Here we have our own @Mr. WEO, who genuinely does know his stuff when faced with live patients in his exam room, pronouncing that TT's pneumothorax could have had him out practicing the next day (maybe, but that depends upon details I don't know how he'd have access to).  Now we have Trey Wingo talking to doctors who say it's 6 months to heal, again, likely without knowing the details of exactly which rib or rib cartilage was broken and how severely (it's most likely cracked, not completely broken)

 

My friend who cracked a rib and the rib cartilage below it when he tripped and landed on a sharp rock was directed to rest and avoid lifting anything heavy for 4-6 weeks, not 6 months.    I'm sure some cracks do take longer, and probably 6 months to complete the repair process and have any lingering pain resolve but he pretty well felt better in 4-5 weeks.  I would think that players would be given treatment to promote healing that's not quite mainstream but has some evidence it helps, such as light and NIR therapy, which may speed healing, low-intensity pulsed ultrasound that some people swear by while some studies say "do little" etc etc.  so to at least have it complete the "regrowth phase", get rid of the most severe acute pain, probably 4 weeks is a reasonable guesstimate.

 

The concern is that a cracked rib bone or cartilage may break completely with repeated blows to the same area or allow adjacent ribs to more easily crack.  And let's be real: Football is not a pretty game, and if a player's injury is known, opposing players will deliberately TARGET THAT SPOT.  Did you hear the Simmons interview where he talked about how opposing defenders knew Saffold had a shoulder injury last season and would club him on the shoulder?  I would have a concern that Herbert may be less able to protect himself from other injuries while going through this.  These NFL athletes have amazing body control and reflexes, but will those still work if a sudden spasm of pain lashes through him after he's slammed in the ribs?

 

I doubt the Chargers will IR Herbert and give him 4 weeks, just as the Bills hesitated to IR Milano for a torn pec or Beasley for what is now said to have been cracked ribs.  But there's probably a "more haste, less speed" factor where they should consider it.

 

 

 

Rib fractures and  pneumothorax are nothing alike in terms of recovery.

[Beck Water]

17 minutes ago, Mr. WEO said:

 

Rib fractures and  pneumothorax are nothing alike in terms of recovery.

 

Did I say somewhere that they were?  I do not believe I said they were alike in terms of recovery.  Yet I personally know of two young men who suffered pneumothorax, and because of differences in the details, one was OK in a week, the other took a month.  Recovery from pneumothorax does vary, and I know you know this.

 

My point isn't that they have the same prognosis or timeline, my point is physicians taking an injury which can vary in severity, required treatment, and recovery timeline and pronouncing "at a distance" as to recovery timeline.

[Big Turk]

38 minutes ago, Beck Water said:

 

I love all these people diagnosing at a distance.  Here we have our own @Mr. WEO, who genuinely does know his stuff when faced with live patients in his exam room, pronouncing that TT's pneumothorax could have had him out practicing the next day (maybe, but that depends upon details I don't know how he'd have access to).  Now we have Trey Wingo talking to doctors who say it's 6 months to heal, again, likely without knowing the details of exactly which rib or rib cartilage was broken and how severely (it's most likely cracked, not completely broken)

 

My friend who cracked a rib and the rib cartilage below it when he tripped and landed on a sharp rock was directed to rest and avoid lifting anything heavy for 4-6 weeks, not 6 months.    I'm sure some cracks do take longer, and probably 6 months to complete the repair process and have any lingering pain resolve but he pretty well felt better in 4-5 weeks.  I would think that players would be given treatment to promote healing that's not quite mainstream but has some evidence it helps, such as light and NIR therapy, which may speed healing, low-intensity pulsed ultrasound that some people swear by while some studies say "do little" etc etc.  so to at least have it complete the "regrowth phase", get rid of the most severe acute pain, probably 4 weeks is a reasonable guesstimate.

 

The concern is that a cracked rib bone or cartilage may break completely with repeated blows to the same area or allow adjacent ribs to more easily crack.  And let's be real: Football is not a pretty game, and if a player's injury is known, opposing players will deliberately TARGET THAT SPOT.  Did you hear the Simmons interview where he talked about how opposing defenders knew Saffold had a shoulder injury last season and would club him on the shoulder?  I would have a concern that Herbert may be less able to protect himself from other injuries while going through this.  These NFL athletes have amazing body control and reflexes, but will those still work if a sudden spasm of pain lashes through him after he's slammed in the ribs?

 

I doubt the Chargers will IR Herbert and give him 4 weeks, just as the Bills hesitated to IR Milano for a torn pec or Beasley for what is now said to have been cracked ribs.  But there's probably a "more haste, less speed" factor where they should consider it.

 

 

 

Pretty sure your friend was not getting hit every 7 days by guys weighing 300+ pounds many times over a 3 hour period.

[BillsShredder83]

On 9/16/2022 at 5:12 PM, Billznut said:

He probably has an actual rib fracture but they are downplaying it for the public and opponents. 

I could be mistaken but I thought I remember seeing that a broken rib is easier to deal with than cracked. I'm not sure how different or similar all these injuries are though