From the Physio – Gameweek 8 – Part Two
Filed under: From The Physio, Injury News - Posted by: facer
Fantasy managers were put on high alert on Tuesday night as news filtered through of an injury to David Silva. Early reports were sketchy implying a range of ailments from soft-tissues to knees and ankles. Having now perused the footage and undertaken a physiotherapy observational assessment, we at the Scout injury nerve centre, can be confident in confirming that David Silva sustained an injury to the outer portion of the Hamstring group of muscles.
Silva starts the match showing no signs of movement inhibition, indeed, he appears sharp, fluid and full of running. Then, in the ninth minute, if you look very closely you can observe a very slight hitch in his stride as the hamstring appears to tighten, inhibiting extension at the right knee. He immediately stops and with no other player in the vicinity signals to the bench to be substituted. This is a positive sign. Hamstrings usually injure by either a forceful contraction or a direct blow and at no point did I witness any incidents that would give me cause for concern, additionally, Silva acknowledged the injury very early before any damage could be compounded offering further re-assurance of a minor injury.
He then leans over with knees flexed and upper body almost parallel to the floor, intuitively stretching the hamstring muscles via flexion at the Lumber spine without having to straighten the affected leg. He stays like this for about 25 seconds before pressing his fingers against the outer portion (medial aspect) of the hamstring group of muscles (Semi-Membranosus and Semi-Tendinosus), offering us a further clue to severity. If a significant injury had occurred the player’s hand would instinctively grab the affected part of the body and would remain around the area rendering any attempt at a stretch extremely painful.
At this point, still standing, he moves his hand to his ankle to accentuate the stretch further, feeling pain, he immediately and instinctively returns his hand to his affected, right hamstring. He then promptly looks for relief from weight bearing by falling backwards in a manner that further infers hamstring involvement, indeed, a movement almost identical to Samir Nasri’s backwards, statically flexed knee topple when injuring his hamstring against real Madrid. This indicates that an injury is present but only at the end of range, when the tissues are stretched. An injury of this severity could potentially resolve with a positive reaction to treatment in seven to ten days.
Whilst on the floor Silva can be witnessed leaning forward to touch his ankle, again, attempting to relieve the injury with stretching. A further indication of mild injury.
Helped to his feet by the physio, Silva now walks a little then stops momentarily and bends over to touch his ankle to stretch his hamstring further. He then walks to the side of the pitch of his own volition, and although exhibiting a slight antalgic gait, weight bearing doesn’t appear to create too much discomfort, indeed, he appears to have benefited from the bout of stretching, and walks off the pitch with a little more fluidity. This gives us further cause for optimism, particularly when we witness Silva, at the side of the pitch, twisting and turning on the spot, movements that would elicit pain and inhibition if an injury of any significance had occurred.
With Hamstring injuries the best indicators of time-scales are how long, post injury, it takes to walk without pain and if the player has a history of hamstring strains. I couldn’t find any documented accounts of previous hamstring injuries and therefore, taking the observed evidence in isolation, I feel the injury isn’t significant and barring complications, Silva could well be in contention within two weeks.
It is also worth mentioning Silva’s long standing and well documented problems with ankle in-stability, for which he underwent an operation in 2008, an injury that still flairs up intermittently. This, however, was an injury to his left ankle and Tuesday’s strain affected Silva’s right leg, but the chronic nature of his ankle injury may well see Roberto Mancini fostering patience and nurturing Silva back into the fold with caution. Reports suggest that Silva had precautionary scans on the ankle earlier this week.
Silva is reportedly due to have scans in Manchester later today. It remains to be seen if City reveal the extent of the injury shortly after, of if we’ll be forced to wait on Roberto Mancini’s conference on Friday.
Commenting is now closed for this post.
Recent Comments
-
Michu. » -
You've got 3. and no, it isn't really important at all. » -
Good stats.. In the last 4 matches, both registered same amount of goal attempts while Sturridge had more shot in… » -
I don't like you, so NO. » -
A » -
C'mon guys it's important. Need more replies » -
Who is the best replacement for Hazard? It would be for a -4. Currently considering Michu, Lampard, and Mata. The rest… »
-
Bench Jagielka. »
-
chica » -
your striker .... ok, if you want to play nasri, Tevez -> Carroll midfielder ..... maybe nasri -> michu… »
“I am happy with the way I’ve started, but on the other hand, I should have scored four or five more, so that’s something for me to work on.”
Robin Van Persie talks about his early form at United ahead of his first Manchester derby
-
Mark @FFScout_Mark
-
Paul @ffscout_paul
-
greek fan @FFScout_Greekf
-
Andy @ffscout_andy
-
G-G-Granville @FFScout_Granny
-
Akers @FFScout_Akers
-
Big Dunc @FFScout_Dunc
October 18 at 11:28 am
Kerrazy says:
Michu>Nolan ? 1 ft.
Michu santi hazard benarfa(guthrie)
RVP Fletcher Suarez
October 18 at 11:29 am
FORCA INTER says:
why would you get rid of Michu ? he got easy fixure
save FT for next gw
October 18 at 11:34 am
Kerrazy says:
Wigan is not really an easy game imo, but michu’s playing at home so gotta partially agree with you tho.
October 18 at 11:30 am
colonel shoe says:
gotta keep michu for this gw shirley
October 18 at 11:35 am
Kerrazy says:
What do you think about my team then? Good to go? 1ft
Mignolet(mccarthy)
Baines Fonte ridgewell (Demel Barnett)
Michu santi hazard benarfa(guthrie)
Rvp(c) suarez fletcher
October 18 at 11:39 am
Hutton dressed as Lahm AKA Yaya Banana says:
Defence looks ropey
Use the FT there
Definitely play Demel
October 18 at 11:40 am
colonel shoe says:
def looks tad weak, also could do with some city perhaps….
October 18 at 11:29 am
phy5tij says:
Anyone watch the debate the other night? This version was far more entertaining……
http://m.youtube.com/watch?v=QlwilbVYvUg
October 18 at 11:41 am
roscola says:
Superb
October 18 at 11:29 am
Krisbee says:
Hope you can help guys, who would you bench from:
Jussi/Begovic
Baines/Gibbs/Demel/Saylor/Ridgewell
Carzola/Hazard/Bale/Nolan/Kaca
Berba/Jelly/Saurez
October 18 at 11:33 am
Andrew says:
Kaca
October 18 at 11:33 am
phy5tij says:
Kaca, even though he played well midweek. Tough one there tho, sign of a good team methinks
October 18 at 11:34 am
Andrew says:
Bego, and your defence is riddled with injury
October 18 at 11:37 am
Hobo says:
Begovic, Gibbs, Ridgewell, Kaca
I say bench Gibbs because I think he is injured, if not play him over Demel or make Demel your first sub
October 18 at 11:38 am
Krisbee says:
Ok thanks guys, so do you all think I should play Saylor over Demel/Ridgewell?
October 18 at 11:40 am
Andrew says:
I thought Saylor Gibbs and Demel were all injured?
October 18 at 1:03 pm
!Bazinga! - Manager Valenciennes FC says:
What HOBO said
October 18 at 11:41 am
Hutton dressed as Lahm AKA Yaya Banana says:
I answered you about 3 posts ago!!
October 18 at 11:42 am
Kerrazy says:
What are you doing with Ridgewell?
October 18 at 11:44 am
Krisbee says:
probably benching but may to play if I have too many injuries!
October 18 at 11:35 am
Optimus says:
carroll/noble usain bolt-esque
http://www.london24.com/sport/....._1_1660790
October 18 at 11:35 am
Po! says:
I have Michu and Hal Robson Kanu as my 4th and 5th midfielders…
I rarely play 5 midfielders..
Loves to have a good rotation for the 4th midfielder..lest I end up playing Michu all the time…
With money in bank i have 4.3+7+1.2 = 12.5….
Can some one suggest me a good 4th and 5th midfielder combo based on upcoming fixtures?!?!
Jon Walters + Morrison is what I am considering….or even Nolan…
October 18 at 11:36 am
FORCA INTER says:
Oscar or HBA for long run?
-note – i consider Oscar as good as Hazard/Mata
October 18 at 11:43 am
Limpar says:
Sounds like you’ve made your mind up already there.
For me – HBA until December, then Oscar.
October 18 at 12:23 pm
Kosteevo says:
Oscar is as good if not better then them, i agree. But he is still getting used to the premiership and playing with those players. HBA for the fixtures for the mo, keeping an eye on Oscar.
October 18 at 1:40 pm
Kendog says:
Oscar is and will always be a more natural goal scorer. You cannot ignore hazards stats from past season and winning French player of the year 2yrs running. But Oscar may rival him if he gets going
October 18 at 11:38 am
lfc123 says:
My WILDCARD TEAM…
Foster
Baines – Wilson – Rafael
Bale – Cazorla – Pienaar – Mata
Berb – Suarez – Ba
Subs- Begovic, McCartney, Clyne, Sterling
1. Who would you captian?
2. Who would you bench?
3. What do you think?
Cheers ppl!
October 18 at 11:39 am
Andrew says:
1. Berb
2. Your bench is correct
3. Nice team, only obvious thing is lack of Man City coverage but I am having the same problem
October 18 at 11:44 am
lfc123 says:
ino mate, i’de love tevez or one of their full backs to start every game but i can’t see it happening. i could possibly do Suarez>Tevez next week.. I did have Silva in their but changed to Mata when he got injured
October 18 at 11:47 am
benzieyeah says:
Berb or Caz. Play McCartney over Wilson this week surely? Everything else good
October 18 at 11:50 am
lfc123 says:
do you not think suarez could be a good captain pick? oh yeh i meant to put McCartney starting, forgot about that
October 18 at 11:38 am
Frei in Ma ColeHole says:
A simple table for us simple types (filtered for the last 4 weeks):
http://members.fantasyfootball...../view/327/
October 18 at 11:40 am
Optimus says:
no surprises then
October 18 at 11:44 am
Frei in Ma ColeHole says:
Everything is a surprise when you’re as simple as I am!
Filtered by Shots on Target / accuracy – Kone, Fletch, Bale and Ba seem to be the winners here.
October 18 at 11:43 am
GreenWindmill says:
You need to fix the filters if you want people to automatically see the last 4 weeks…
October 18 at 11:44 am
Frei in Ma ColeHole says:
Ah, it comes up like that already when I look!
I also need to make it show Shots on target asthe default filter…
October 18 at 11:38 am
Andrew says:
Yaya or Mata this week?
October 18 at 1:42 pm
Kendog says:
Mata is against spurs but has not played intl matches an travelled like yaya
October 18 at 11:41 am
Jonty says:
Ok I probably shouldn’t do this and may have to mod myself. But as an aside to football I’m organising a night of excellent indie and alternative bands in Brighton, UK, on Oct 26 in aid of Oxfam.
Here’s some more details about it http://www.brightonnoise.co.uk/listing/?p=16842
Be great to see anyone in the Brighton area who can make it. Make yourself known as a fantasy football scout fan at the door and I’ll give you a big stat based handshake. No money off sadly as its for charity, but very cheap to get in anyway.
October 18 at 11:43 am
Gino says:
I’ve done a very brave thing!
RVP out for Rooney and Haz out for Gerrard.
Guess who will be having sleepless nights..
October 18 at 11:43 am
Andrew says:
Brave, very brave, bordering stooopid!
October 18 at 11:44 am
Jonty says:
I don’t think that’s too bad. Rooney is doing well stat wise despite his more midfield role. If RVP does well so too will Rooney I think. Haz for Gerrard is a little sideways as well…I’m presuming you already have Cazorla and Bale, who are better than Gerrard.
October 18 at 12:36 pm
Gino says:
Yeah i do, Gerrard is in some sort of form, and i have 2.2 mil in the bank thanks to that change
October 18 at 11:46 am
MartinUnreal says:
Rooney won’t start…
October 18 at 11:46 am
Ragin Cajun says:
Interesting!
October 18 at 1:45 pm
Kendog says:
I’ve had Rooney in my WC team the whole 2 weeks. Sense and wise haters have hanged my mind. Will get Rooney wk11… May still be 11.7 then also
October 18 at 11:44 am
Andrew says:
If you decide to go without RVP are there really any other credible ManUre players?
October 18 at 11:45 am
Lateriser12 - Giroud will have to wait, Christmas has come early. says:
Wayne Rooney.
October 18 at 11:49 am
thetinkerman says:
With the condition that he’s playing in a more advanced role on a regular basis. No penalties now (as far as we can tell) and playing deeper will really hurt his appeal IMO.
October 18 at 12:38 pm
JUNITED says:
Rooney Takes the free kick and PK and Left Corner. He has more chance for assist than other players. So if someone want save more money the choice is Rooney will be ahead of RVP. And im planning to do it next week or 2 more weeks
October 18 at 11:47 am
ronty says:
I see Valencia having a fruitful spell soon
October 18 at 11:48 am
Jonty says:
Are we related? I agree Valencia will surely benefit from RVP and Rooney up front. Its a risk but if anyone can squeeze and assist or two in tough games its Valencia.
October 18 at 11:48 am
Jonty says:
*an assist
October 18 at 11:44 am
Limpar says:
Early AFC line-up predo:
Giroud
Podolski Cazorla Gervinho
Arteta Ramsey
Santos Verm Mert Jenks
Mannone
October 18 at 11:44 am
Kerrazy says:
Decent attacking threat defender for 5.1 mil or less? Finding a replacement for Ridgewell.
October 18 at 11:45 am
Limpar says:
I like Davide Santon in that bracket.
October 18 at 11:46 am
Optimus says:
puncheon/sterling/kebe
October 18 at 11:47 am
Optimus says:
*fail by me
October 18 at 11:47 am
Andrew says:
Defender?
October 18 at 11:48 am
Gino says:
There’s reason behind the madness…
I went with my gut, if it doesnt pay off i can always buy them again
October 18 at 1:46 pm
Kendog says:
Attacking threat? Then Boyce and Clark lead the stats
October 18 at 11:46 am
S.A.B.G. says:
NEW POST!
http://www.fantasyfootballscou.....nt-4116261
October 18 at 11:48 am
thetinkerman says:
*sigh*
looks like I’ll repost.
October 18 at 11:48 am
thetinkerman says:
Hi folks,
It’s nearing decision time! Going away tomorrow morning for the weekend and I’ll be switching off from FPL. I’m kind of looking forward to it (we’ll see how long I last before my wife discovers me in an internet cafe checking it)!
Please rate my transfer plans! I have 2 FTs and no pressing issues.
A) RVP > Berb for GW8, Michu > anyone GW9.
B) Lambert > Berbatov & Hangeland > Hughes/Wilson in GW9, Michu > £7.5m or less player in GW9.
With A, if I get it toally wrong and RVP in fact becomes ownable again, I could always get him back for Lambert as soon as next week. It’s risky but I think it could pay off in the short-term.
With B, I’m giving RVP a chance vs Stoke and hoping he steps up his game in the short-term (assuming he gets games of course). The defensive move is a sideways one to allow me to do Lambert > Berbatov. I really want Berbatov and I can’t have all the strikers I want so Lambert has to make way.
Could be a real turning point in my season if I shift RVP at the right time. The money would allow me to get 3 big hitters in midfield should I not want him back.
October 18 at 11:58 am
RobG4 says:
To hell with Silva, what about CLYNE!?
What about DEMEL?!!11
October 18 at 1:48 pm
Kendog says:
If you’re sweating on the fitness of those two players then I feel for you and you’re team lol
October 18 at 2:35 pm
facer says:
covered Demel in the last article Rob..i forecast him fit for the next FPL game-week…not looked at Clynne in detail, but from the cursory glance i gave him the injury didn’t appear too serious
October 18 at 12:08 pm
Po! says:
I have Michu and Hal Robson Kanu as my 4th and 5th midfielders…
I rarely play 5 midfielders..
Loves to have a good rotation for the 4th midfielder..lest I end up playing Michu all the time…
With money in bank i have 4.3+7+1.2 = 12.5….
Can some one suggest me a good 4th and 5th midfielder combo based on upcoming fixtures?!?!
Jon Walters + Morrison is what I am considering….or even Nolan…
This is for next GW
October 18 at 12:15 pm
Mr Draper says:
I’m unsure on wether I should be looking to get ivanovich out for baines in the next few weeks? Are any Ivan owners also considering this?
October 18 at 1:10 pm
dileno says:
Have both Ivanovic and Baines and won’t trade either.
October 18 at 2:48 pm
hanibal2222 says:
Hi to all, i’m not new here, but this is my first post
I want to do some bold moves, because i had a bad luck in last few gw with benching some players (rafael two times grrr), so what are your thoughts please?
current team is:
Hart / Cerny
Cole / Rangel / Rafael / Baines / McAuley
Fellaini / Michu / Duff / HBA / El Ahmadi
Torres / Ba / Tevez
have 2 FT, and want to cathc up in my ML, so this are interesting transfer
Hart > Schwarzer
Fellaini > Gerhvino (i hate my self for not taking pienaar insted of Fellaini two gw ago, and now i want Walcott, but he is down, but if i buy santi, i’m out of money, and thats no good for future plans like Michu > Walters, and Rangel > Kolarov, or maybe Ivanovic or Begovic)
El Ahmadi > Nolan
Tevez > Giroud
-8 points, so what, Nolan will take care for that
Now team will look like this for gw 9
Schwarzer
Baines / Rafael / Rangel
Gervinho / Nolan / Duff / Michu
Torres / Ba / Giroud
What you think?!
October 18 at 2:55 pm
stupendous says:
That midfield is shockingly average, but your attempt at English is solid. Punts on Torres and Giroud also.
It’s your life…….
October 18 at 2:59 pm
stupendous says:
oh and you mean now your team will look like this for gw 8 or did you actually mean 9??? As far as I am aware, Nolan, Duff and Michu all play home this week, meaning they all play away next week and so on and so on. 3 average mid-range midfielders playing away every other week doesn’t entice me one bit either.
Sort that midfield out for crying out loud pal. Not to mention Nolans crap 3 months of fixtures ahead.
October 18 at 3:04 pm
hanibal2222 says:
Tnx, but if we learned something in this few gws is that mid priced players can bring more points than many other stars, and you start to wonder is it smart to invest so much money in those players, or have a mix of torres, duff etc. if you know what i mean
October 18 at 3:07 pm
hanibal2222 says:
you are right, that was team for gw 8
what are your ideas for mid?! nothing is for sure
October 18 at 4:22 pm
Samarth_A says:
RMT
Vorm
Gibbs | Baines | Ivanovic (Reid, McAuley)
Hazard | Gervinho | Nolan | Maloney (Guthrie)
Van Persie (C) | Fletcher | Ba
Any suggestions?
October 18 at 4:25 pm
Rivaldo Izback says:
Hi Guys.. need an advice please.. Should I Bench Graham (Vs WIGAN Home) or Kacaniklic (Good With Sweden but not assured 90 Min Vs VILLA)… Cheers
October 19 at 6:34 am
fijuhmon says:
Jääskeläinen
Ivan, Baines, Hughes
Bale, Mata, Pienaar, Santi
Torres, Ba, Berba
Bego, Sterling, Clyne, Nelsen
What do you say of this? Need for transfers (I’ve just wildcarded)?
October 19 at 11:56 am
Likely to be relegated says:
As a physio student, can I firstly say that I think these articles are fantastic.
One thing I didn’t quite follow was your reference to semimem and semiten, the medial hamstring muscles, as the “outer” group. I would describe biceps femoris as the outer part.
Not a criticism, just curious!
(I realise that this article is old now and probably won’t get a response)
October 19 at 12:46 pm
facer says:
No dude, your absolutely right, i wrote the article quite quickly to try to get the diagnosis out first and only did the final checks in the early hours…as a consequence that passed through my filter, sorry for the confusion…interestingly, as a student, I always remembered their position by their names…’semi-mem’…’mem’…medial.
What year are you in at the moment? totally familiar with your ‘varus and valgus?’ another easily confused
good spot, that was your test and I’ll be in touch with your ‘year head’ with my final grading
October 19 at 2:16 pm
Likely to be relegated says:
Ha no worries, I assumed it was a typo.
I’m about to finish 2nd year – assuming I pass exams starting next week! Varus and valgus I always remember for some reason but there are plenty of other facts I forget. For example, I actually had to check semiten and mem were the medial ones before I wrote this, did LL last semester and I’ve already forgotten half of it! What’s a pes anserinus again? Hahaha
Definitely like the articles as a whole. I can tell you’re using a lot of lay language which as a student is in itself really useful. I’m down in Oz so I generally read these articles in the morning on the ferry to uni – good revision!
October 19 at 3:48 pm
facer says:
hehe, yeh, i remember that catching a friend of mine out in an exam…he got marked down by saying that the Semi-Tendinosus attached to the Pes Anserine…instead of via or into the Pes Anserine to attach at the Proximal Antero-Medial aspect of the Tibia…bit pedantic but he got marked down nonetheless
here’s some memory tips…Pes Anserine translates as ‘goose foot’, which can help with mental illustration…the attachment order is: Sartorius most anterior, Gracilis in the middle and Sem-Ten most posterior…think SGS…
the best book i’d recommend for muscles is J E Muscolino The Muscular System Manual (Elsevir Mosby)…superb, the most thorough and complete analysis…attachments, palpations, actions, misc., methodology for learning,innervation, arterial supply…just very thorough…definitely my favourite for muscles…
good luck with your exams and if you ever need anything proof-reading give me a shout
October 19 at 12:48 pm
facer says:
What do you think of the articles as a whole? informative?
October 19 at 4:53 pm
Prhymeate says:
Keeping Michu for this weekend, but trying to figure out the best combo out of these two options…
a) Michu – Mata
b) Routledge – Hazard
(already have Bale and Cazorla)