Dwight Howard receives bone marrow aspirate injection in his right knee

KingCheetah · Feb 8, 2015

RESINator said: ↑

So you basically came to the conclusion that Dwight tore his ACL
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Reread his post -- you're missing key information...

We typically see bone bruises after an ACL injury. When the ACL tears the bones bang together quickly causing a bone bruise aka bone edema. What Dwight has is a slow gradual onset of the same thing.

okeezie · Feb 8, 2015

DaDakota said: ↑

Thank you for the real info.

I will only say that is nearly identical to what TMac had, so naturally some of us are very skeptical.

DD
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T Mac also went rogue. He went off on his own and made his own decisions. T Mac also came back from his injury. That he never got back to what he was had to with his work ethic and desire to play basketball. I read the Bleacher Report article on T Mac and he said his knee does not hurt anymore and he could play if he wanted to. That is in contrast to someone like Brandon Roy who can't play no matter what.

As with any injury they are not apples to apples. No 2 people have the same amount of cartilage damage so the opinions of the attending doctor who has examined the knee are the only ones that matter. Once that doctor has spoken you can take what he says to the bank. Doctors and physical therapists on the radio and ESPN are speculating. They know it's not optimal for diagnosing severity of injury but they are being asked to give a medical opinion and cannot just punt on an answer. Always defer to the team doctor if he speaks on the injury because not all players will allow that. Once again thanks guys and I hope this helps.

Sweet Lou 4 2 · Feb 8, 2015

okeezie said: ↑

This is going to be a long post so here goes

You should have stopped when you said you are not a doctor. You have no medical or sports medicine training so chill out. Dwight's injury is on the non weight bearing portion of his knee, the knee cap. This is not the same thing that lay people come to understand with cartilage damage. He has bone edema, not knee swelling. Jadeveon Clowney had knee swelling and had microfracture because it was the weight bearing portion of the knee between the thigh and shin bones.

I am a sports physical therapist who deals with this type of stuff regulary so listen closely. Dr. Lowe came out and said what Dwight had was the equivalent of a bone bruise. That means the MRI showed a hot spot in the bone. We typically see bone bruises after an ACL injury. When the ACL tears the bones bang together quickly causing a bone bruise aka bone edema. What Dwight has is a slow gradual onset of the same thing. Clowney's knee blew up like a balloon with swelling. Dwight's knee shows a hot spot. Will he eventually need surgery? Maybe. But it doesn't necessarily mean it's microfracture. If the damage is tiny there is nothing to microfracture. If there is excessive pressure on the lateral side of his knee the doctor could do a lateral release to help the knee cap track better and/or a chondroplasty to smooth out cartilage that has roughened up. A chondroplasty is part of every knee scope and is a fancy word for smoothing out cartilage where damage has occurred. If you have torn your meniscus or ACL and had surgery you had a chondroplasty.

I actually have treated patients and still treat patients of Dr. Lowe's. He is not a liar and does not sugarcoat anything. He gains no benefit by giving an interview and lying about the seriousness of an athlete's injury. We as healthcare professionals are not even allowed to discuss a patient's medical condition without consent from the patient which means the fact he is discussing Dwight's knee means Dwight has allowed him to do so. If this was a dire situation do you think Dwight would allow him to openly talk about it and torpedo his future earnings? There would be silence on the matter, not full disclosure. FYI: Team doctors are not paid by the team. The hospital system pays the team to be a sponsor. I work for Methodist and we sponsor the Astros, Texans, and Dynamo. We pay them sponsorship rights and name a team physician that works for us. Memorial Hermann has the Rockets. The only time a team doctor get any money is if he performs surgery on a player. He gets the same fee whether he operates on Clowney or Dwight or you or I and the fee is paid by Workers Comp, the same as you or I if we got hurt on the job. Their job is sports therefore they qualify for the same Workers Comp benefits that you or I get. The athletic trainers and physical therapists are team employees so take their comments with a grain of salt but the doctors are independent practitioners. Bottom line is if the team doc goes in depth on something take it to the bank. There is no agenda and he gains nothing monetarily out of it. If the hospital gives up sponsorship next year he is no longer the team doc just like that.

If you got through all of that thanks for reading. There is a lot of skepticism by fans when it comes to injury reports. Take team employes reports with a grain of salt but listen to the team doc when he speaks. Hopefully after this long post you now understand why.
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Thanks for the info. Are you saying that his knee condition is degenerative then? That is that even if he doesn't need microfracture that his ACL will continue to deteriorate and create bone on bone bruising in the future?

Zbed · Feb 8, 2015

okeezie said: ↑

This is going to be a long post so here goes

You should have stopped when you said you are not a doctor. You have no medical or sports medicine training so chill out. Dwight's injury is on the non weight bearing portion of his knee, the knee cap. This is not the same thing that lay people come to understand with cartilage damage. He has bone edema, not knee swelling. Jadeveon Clowney had knee swelling and had microfracture because it was the weight bearing portion of the knee between the thigh and shin bones.

I am a sports physical therapist who deals with this type of stuff regulary so listen closely. Dr. Lowe came out and said what Dwight had was the equivalent of a bone bruise. That means the MRI showed a hot spot in the bone. We typically see bone bruises after an ACL injury. When the ACL tears the bones bang together quickly causing a bone bruise aka bone edema. What Dwight has is a slow gradual onset of the same thing. Clowney's knee blew up like a balloon with swelling. Dwight's knee shows a hot spot. Will he eventually need surgery? Maybe. But it doesn't necessarily mean it's microfracture. If the damage is tiny there is nothing to microfracture. If there is excessive pressure on the lateral side of his knee the doctor could do a lateral release to help the knee cap track better and/or a chondroplasty to smooth out cartilage that has roughened up. A chondroplasty is part of every knee scope and is a fancy word for smoothing out cartilage where damage has occurred. If you have torn your meniscus or ACL and had surgery you had a chondroplasty.

I actually have treated patients and still treat patients of Dr. Lowe's. He is not a liar and does not sugarcoat anything. He gains no benefit by giving an interview and lying about the seriousness of an athlete's injury. We as healthcare professionals are not even allowed to discuss a patient's medical condition without consent from the patient which means the fact he is discussing Dwight's knee means Dwight has allowed him to do so. If this was a dire situation do you think Dwight would allow him to openly talk about it and torpedo his future earnings? There would be silence on the matter, not full disclosure. FYI: Team doctors are not paid by the team. The hospital system pays the team to be a sponsor. I work for Methodist and we sponsor the Astros, Texans, and Dynamo. We pay them sponsorship rights and name a team physician that works for us. Memorial Hermann has the Rockets. The only time a team doctor get any money is if he performs surgery on a player. He gets the same fee whether he operates on Clowney or Dwight or you or I and the fee is paid by Workers Comp, the same as you or I if we got hurt on the job. Their job is sports therefore they qualify for the same Workers Comp benefits that you or I get. The athletic trainers and physical therapists are team employees so take their comments with a grain of salt but the doctors are independent practitioners. Bottom line is if the team doc goes in depth on something take it to the bank. There is no agenda and he gains nothing monetarily out of it. If the hospital gives up sponsorship next year he is no longer the team doc just like that.

If you got through all of that thanks for reading. There is a lot of skepticism by fans when it comes to injury reports. Take team employes reports with a grain of salt but listen to the team doc when he speaks. Hopefully after this long post you now understand why.
Click to expand...

Thanks for the info

LosPollosHermanos · Feb 8, 2015

Regardless I think the knowledge this team has gained--that it can't completely rely on Howard is beneficial. It won't catch us by surprise like with Yao. The rockets will take the appropriate steps, that much I can trust Morey with.

peleincubus · Feb 8, 2015

okeezie said: ↑

This is going to be a long post so here goes

You should have stopped when you said you are not a doctor. You have no medical or sports medicine training so chill out. Dwight's injury is on the non weight bearing portion of his knee, the knee cap. This is not the same thing that lay people come to understand with cartilage damage. He has bone edema, not knee swelling. Jadeveon Clowney had knee swelling and had microfracture because it was the weight bearing portion of the knee between the thigh and shin bones.

I am a sports physical therapist who deals with this type of stuff regulary so listen closely. Dr. Lowe came out and said what Dwight had was the equivalent of a bone bruise. That means the MRI showed a hot spot in the bone. We typically see bone bruises after an ACL injury. When the ACL tears the bones bang together quickly causing a bone bruise aka bone edema. What Dwight has is a slow gradual onset of the same thing. Clowney's knee blew up like a balloon with swelling. Dwight's knee shows a hot spot. Will he eventually need surgery? Maybe. But it doesn't necessarily mean it's microfracture. If the damage is tiny there is nothing to microfracture. If there is excessive pressure on the lateral side of his knee the doctor could do a lateral release to help the knee cap track better and/or a chondroplasty to smooth out cartilage that has roughened up. A chondroplasty is part of every knee scope and is a fancy word for smoothing out cartilage where damage has occurred. If you have torn your meniscus or ACL and had surgery you had a chondroplasty.

I actually have treated patients and still treat patients of Dr. Lowe's. He is not a liar and does not sugarcoat anything. He gains no benefit by giving an interview and lying about the seriousness of an athlete's injury. We as healthcare professionals are not even allowed to discuss a patient's medical condition without consent from the patient which means the fact he is discussing Dwight's knee means Dwight has allowed him to do so. If this was a dire situation do you think Dwight would allow him to openly talk about it and torpedo his future earnings? There would be silence on the matter, not full disclosure. FYI: Team doctors are not paid by the team. The hospital system pays the team to be a sponsor. I work for Methodist and we sponsor the Astros, Texans, and Dynamo. We pay them sponsorship rights and name a team physician that works for us. Memorial Hermann has the Rockets. The only time a team doctor get any money is if he performs surgery on a player. He gets the same fee whether he operates on Clowney or Dwight or you or I and the fee is paid by Workers Comp, the same as you or I if we got hurt on the job. Their job is sports therefore they qualify for the same Workers Comp benefits that you or I get. The athletic trainers and physical therapists are team employees so take their comments with a grain of salt but the doctors are independent practitioners. Bottom line is if the team doc goes in depth on something take it to the bank. There is no agenda and he gains nothing monetarily out of it. If the hospital gives up sponsorship next year he is no longer the team doc just like that.

If you got through all of that thanks for reading. There is a lot of skepticism by fans when it comes to injury reports. Take team employes reports with a grain of salt but listen to the team doc when he speaks. Hopefully after this long post you now understand why.
Click to expand...

well well well. just another reason that why the rockets message board is the best for any team around. thanks for the post

NewAge · Feb 8, 2015

Things still do not add up. I've had an ACL, and it is a major impact injury, major twist to make the bones bang. DH never had that, how does he get this "hot spot" without it?

BTW, my ACL was done by Dr. Moseley, who was working with Dr. Lowe back then. I also rehabbed in at the Methodist, the Healthsouth physio that was led by Russ Payne. Dave Macha was my therapist, who then went on to work for the Rockets for awhile. Are these people still there (dr. Moseley, Russ Payne, Dave Macha)?

Thanks for the input!

Buzzlite · Feb 8, 2015

Howard met with the media today said the MRI s

Buzzlite · Feb 8, 2015

^showed no structural damage etc...Fiegan and others are tweeting about it now (accidental post before...stupid mobile haha)

HTown5933 · Feb 8, 2015

Ben DuBose : Dwight Howard, meeting with media now: "I'm working out in the pool a lot and on bike. Strengthening the leg. Right now I feel really good."

Dwight Howard said some nights felt good, others felt as if he couldn't perform. Expects to be in better shape when he returns.

Dwight just referenced a "6 to 8 weeks" recovery timetable. Unclear if that's from the procedure or the initial injury date (Jan. 23).

Dwight Howard: "I knew it wasn't anything structural [with the knee]. That right there is a blessing."

Lowe says the "6 to 8 weeks" is just an estimate. Could ramp Dwight's activity up even sooner than the 4-week checkup mark if leg is ready.

Feigen : Dwight Howard said some nights felt good, others felt as if he couldn't perform. Expects to be in better shape when returns.

Howard said knew was no structural issue before MRI showed it. Cited a timetable of six to eight weeks.

Dr. Walt Lowe said Howard could be back in four weeks. Timetable very fluid at this point.

Lowe said difference between edema on Howard's knee and basic swelling is fluid in the bone, rather than free flowing when can be drained.

bongman · Feb 8, 2015

Buzzlite said: ↑

^showed no structural damage etc...Fiegan and others are tweeting about it now (accidental post before...stupid mobile haha)
Click to expand...

Any links?

rocketblood713 · Feb 8, 2015

Howard says 6-8 weeks but Fevan says the Doc said maybe 4 weeks

Buzzlite · Feb 8, 2015

bongman said: ↑

Any links?
Click to expand...

I would, but I don't know how to do so from mobile ...I'm sure other members will do so in the coming minutes though

KingCheetah · Feb 8, 2015

Wow, this is unexpected good news.

HTown5933 · Feb 8, 2015

Feigen : Idea that Howard would be reevaluated in four weeks never really true. MRI is then. Will be evaluated throughout process, Lowe said.

Lowe said Howard's treatment, rehab, timetable to be determined by how he feels, progresses, not when they get MRI results.

https://twitter.com/Jonathan_Feigen/status/564567863063617536

HTown5933 · Feb 8, 2015

More Feigen : Worst case Howard timetable seems to be missing March. Lowe did not seem to expect that worst case. Howard already started rehab, workouts.

https://twitter.com/Jonathan_Feigen/status/564570049764397056

RocketsJumer · Feb 8, 2015

6 to 8 weeks?! That's a whole different story than the 4 weeks, originally said.

Hopefully that counts the 2 weeks he has already missed and/or the time it will take him to get back in the flow. 2 months is tough.

HTown5933 · Feb 8, 2015

RocketsJumer said: ↑

6 to 8 weeks?! That's a whole different story than the 4 weeks, originally said.

Hopefully that counts the 2 weeks he has already missed and/or the time it will take him to get back in the flow. 2 months is tough.
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No, it was originally reported he'd miss 6-8 weeks and would be reevaluated in 4 (MRI).

That's still the estimate, however the clarification is he'll be reevaluated along the way, and the MRI is what will happen in 4 weeks.

HTown5933 · Feb 8, 2015

I'm sticking to my March 11th at Portland game for his return. (knock on wood, fingers crossed, rubbing the rabbit's foot, and all that stuff)

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