underwent successful core muscle surgery last week and is now on the team¡¯s
injured reserve list. What does that
mean
https://www.thechiefsfanshop.com ,
exactly? For that, we bring in our in-house injury expert, Aaron Borgmann.We
found out last week that a player for the Kansas City Chiefs had surgery to
repair something known as a core muscle injury. Since that term is somewhat new
in the sports injury world, let¡¯s break it down a bit and describe the situation
for those who may not know much about it.When I first started my sports medicine
career, this injury was known by the terms, ¡°sports hernia,¡± ¡°goalie groin,¡± and
sometimes, ¡°athletic pubalgia.¡± These names have gone by the wayside due to
their lack of specificity and inaccuracy. At its most basic
explanation
Kansas City Chiefs
Customized Jerseys , this condition is defined by tearing or multiple
small tears of structures that attach to your pubic bone. Think of a suspension
bridge ¨C the bones are the steel or concrete girders and the muscles are the
tension cables. If one cable is fraying, the whole system is going to not
support correctly. (area of discussion is focused to yellow portion of bone
highlighted)It is important to note that due to the various structures that
attach here (groin muscles from below, as well as abdominal muscles from above)
that symptoms for this condition as well as onset can vary quite a bit. It can
be chronic or acute, sharp or dull, debilitating or something people can play
through. It really does all depend on the amount of damage that the athlete has
sustained. Since there are over a dozen variants of how this condition may
present itself, accurate diagnosis of what structures need to be repaired is
key. Specific MRI images or ¡°cuts¡± can assist with this.It should also be noted
that some athletes discover that they have this condition and elect not to have
surgery and instead rehab through it. There are many successful cases of this as
well. As with anything else, this is very athlete and specific condition
dependent.Due to the fact that we were told this athlete suffered from the groin
variant we can break that down a bit and tease out what the most likely
intervention was. With the groin (adductor) muscles being involved the most
likely intervention was either an adductor release (where the muscle is
completely cut and allowed to scar down on its own) or a full-on repair (where
it is sutured together). The release of a muscle sounds like it would be a bad
thing, but there are enough other supporting structures to help pick up the
slack and return to function and pain relief are the goals here. Rehab here is
interesting and unique. Many surgeries call for a rest period, but not here.
Within the first couple of
days
Kansas City Chiefs
T-Shirts , post operation, the first thing you do is walk a mile on the
treadmill. Doesn¡¯t matter how long it takes or how fast you go, you walk a mile.
Sounds crazy, but this is done to help the repair scar in. I have seen it take
80 minutes, I have seen people do it in 25 (again, this is very dependent upon
the patient what structures had to be repaired). Specific soft tissue work over
the repaired structures and a lot of ice assists in pain relief early on. Rehab
continues with a lot of specific sequential muscle firing and how to learn to
use your true core muscles (things like multifidus and transverse abdominus ¨C
NOT ABS) to help support your pelvis. There is additional work done including
lots of resistance in key positions to stress the supporting structures is
beneficial here. Think of lunges and squats with rubber-band resistance while
firing your pelvic floor muscles. It¡¯s not easy!Athletes generally feel pretty
good within a matter of weeks and some surgeons will tell you that they can
return to play at this point. This has not been my experience and have always
thought to avoid re-injury here that it was better to give the athlete more time
and truly get the rehab portion of this injury correct.No matter the variance,
these repairs all have good outcomes in my experience. The surgery is quick, as
well as minimally invasive. The rehab generally goes smoothly. No matter when
this athlete returns you can probably assume that he will be 100 percent when
back on the field.Aaron Borgmann is the founder of Borgmann Rehab Solutions. He
spent 12 years in the NFL as an assistant athletic trainer and physical
therapist before joining Arrowhead Pride. This is part two of a three-part
weekly film analysis on the performance of Patrick Mahomes. Part one here.This
wasn¡¯t the flashiest week we¡¯ve seen from Patrick Mahomes to date. In fact, it
might be the least exciting of all the games we¡¯ve seen from him. Regardless of
that
https://www.thechiefsfanshop.com/hats ,
this was a fantastic performance for a multitude of new and consistently
prevalent reasons. To add to that, there isn¡¯t obvious regression in any area.
It¡¯s all moving forward.Something smartThis is a savvy play for such a young
quarterback.There¡¯s less than a minute remaining in the first half and the
Chiefs are looking to add to their 14-point lead. The Chiefs run a Four
Verticals concept against 2-man coverage, a split-safety look with man coverage
underneath.Against 2-man coverage, the quarterback isn¡¯t accounted for. With
defenders blanketing all routes in man coverage, defenders don¡¯t have eyes on
the quarterback. It¡¯s a run alert for quarterbacks. On this play, Mahomes
identifies the coverage and knows he can beat it with his legs. As the routes
get down the field, Mahomes elects to break for yards. Mahomes is able to outrun
the pass rushing Sam Hubbard out of the pocket. Linebacker Vontaze Burfict, in
man coverage on running back Damien Williams, falls off to pursue Mahomes as he
races by.Mahomes is able to gain 20 yards on the
run
Kansas City Chiefs
Hoodie , but does something additionally smart to end the play. Knowing
the time situation, he runs out of bounds after a big gain to stop the clock.
The Chiefs eventually end this drive with a field goal. It was a smart play to
run based on coverage and even smarter to quit while he was ahead to conserve
time.Something specialThere weren¡¯t too many big plays downfield, but being able
to finish this one isn¡¯t normal.Receiving the ball to start the second half, the
Chiefs elect to take a shot on the first play. They have a variation of the
Mills concept (curl with a post over the top of it) with Kelce running the curl,
hoping to pull the safety down to hit the post. With inside leverage on the
cornerback running with Watkins, Mahomes elects to take the shot. As he sets up
to throw, defensive end Carlos Dunlap reaches and forces Mahomes to hitch up
further into the pocket. Dunlap actually gets a hand on Mahomes and forces
another slight step up. Some of the momentum Mahomes was trying to generate was
lost in the evasion of Dunlap. The throw won¡¯t have as much behind it as Mahomes
intended. He wanted to allow Watkins the chance to run underneath it. Lesser arm
talent would not be able to get the ball 52 yards in the air the way Mahomes was
able to on this play. Watkins does a great job adjusting his route to get to the
ball and finishes the play for a gain of 50 yards. Everything wasn¡¯t perfect and
Mahomes wasn¡¯t able to get all he wanted behind the ball, but it didn¡¯t matter.
The arm talent still shines when things don¡¯t go as planned. It¡¯s hard to beat
this kid.