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Leave it to ESPN.com to have ``a certified orthopedic clinical specialist and a strength and conditioning specialist'' on its writing staff. It does the the writer's explanation of Sidney Crosby's injury, although a bit dense, is excellent.


By Stephania Bell, ESPN.com

Pittsburgh Penguins captain Sidney Crosby has spent more time off the ice than on it in the past year. Sidelined for the bulk of 2011 following a concussion, Crosby returned to play in November in signature fashion, scoring two goals and adding two assists as the Penguins beat the New York Islanders. But by December, Crosby was sidelined again and he hasn't played since.

Crosby has been experiencing symptoms he has described as similar to those he dealt with following last year's concussion, saying he "just didn't feel right" the day after his last game, Dec. 5 against the Boston Bruins. Crosby has been followed by his medical team in Pittsburgh and has been undergoing physical therapy, making progress along the way, since that time.

However, after Crosby sought an additional opinion last month at the recommendation of his agent, Pat Brisson, there was suddenly much public discussion about what was the actual nature of Crosby's injury. The final consensus from Crosby's medical team and a third independent party, Philadelphia-based spinal surgeon Dr. Alexander Vaccaro, is that Crosby is dealing with a soft-tissue injury in his neck and he is continuing to progress with his rehabilitation efforts.

So why is this injury, which sounds at once benign (soft tissue) and sinister (neck), so difficult to grasp? And why, if it isn't particularly serious, is it proving to be such a hurdle for Crosby to overcome? The answers are simultaneously straightforward and complex.

Read the rest of the story.

Comments (14)Add Comment
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written by estrago, February 14, 2012 - 05:45 PM
Not much new in that article then we have not heard or read recently.

Plenty of Pens items to discuss(wont happen here.

Trade Deadline coming up

Trade and put Crosby on IR..hope he returns for playoffs where it wont count against the cap.

Martin Michalek line broken up

O Reily signed...looks ok

Brent Johnson gets a W

Malkin on fire

Letang on fire (except shoot out)

wrong order on the shootout

lots of positives...not the doom and gloom of the favorite blog topic of losing misery and complaining
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written by estrago, February 14, 2012 - 05:53 PM
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written by estrago, February 14, 2012 - 05:55 PM
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written by SonnyDrysdale, February 14, 2012 - 06:48 PM
hey richie, very nice design
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written by scapper, February 14, 2012 - 06:53 PM
Glad to see you found and posted this article. Another Pittsburgh writer linked to this a few days ago, and it is a must read not only for Sid's biggest fans, but even moreso for all the doubters who have questioned his toughness or have hinted at him being -- I can hardly type the word because it's so ridiculous -- soft.

And yes, terrific writing.
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written by estrago, February 14, 2012 - 08:18 PM
a must read not only for Sid's biggest fans, but even moreso for all the doubters who have questioned his toughness

yeah, there are fools out there that question him. those types are dolts and I doubt if they read this article they could even understand it...their shallow minds would not change
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written by DB21, February 14, 2012 - 09:22 PM
I don't question his toughness. I question the need for reporters to constantly update the fact they don't know anything new, including when he will return to play.

This story has become a broken record. It is no longer news, unless something changes.
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written by craigk, February 14, 2012 - 09:46 PM
I flat out started reading this then got lost. Someone tell me in 10 words or less the 'answer'. Too deep for me.
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written by Bubby_Blister, February 14, 2012 - 11:06 PM
craig 10 words is not enough, but let me try to distill this by using the comparison of soft tissue (muscle, ligament or tendon) in an ankle sprain to the more complex joints in the neck area.

In an ankle sprain both the soft tissue and the way the joint communicates with the brain(telling it where the joint is relative to the body and external environment) are damaged. To fully recover from an ankle sprain both the soft tissue and the communication channels need to heal.

For ankle soft tissue: RICE (Rest, Ice, Compression and Elevation) for communication channel specific exercises to strengthen/rehabilitate the communication channels. Without the latter re injury is likely and symptoms (pain, swelling) can recur.
This is why if you step on a small stone on the sidewalk with a healthy ankle you are not hurt, the communication channels function and muscles react to prevent any damage. Do the same after an ankle injury and you can feel pain of the sprain shoot through the joint again and possibly re-injure the joint and have symptoms return.

The neck is more complex than an ankle (nerves/spinal cord) and Crosby's communication channels never healed and so symptoms returned and the symptoms mimic those of a brain injury (concussion).

Crosby kept "stepping on stones" before the communication channels in his neck had recovered and thus the persistence of his symptoms mistaken to be due to brain injury.

How's that?
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written by Hanover Bill, February 15, 2012 - 05:24 AM

After reading that article I'm ready to buy an exam table and hang my shingle out. Pretty involved explanation, but well written none the less. It does a good job of explaining what Sid has been going through.

Anyone who has ever had an inner ear problem, or any other equilibrium type problem can appreciate how difficult this would be for a world class athlete to deal with. Keeping ones sense of balance can be difficult enough just performing lifes hum drum chores, let alone performing in an NHL game, along with all of the movement, and physical contact involved.

Sounds like time is the only cure for this type of injury, and that appears to be the course of action that the Penguins and Sids doctors are taking.





















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written by ISIS, February 15, 2012 - 06:16 AM
@Hanover Bill,

It looks like you had much more to say, but didn't say it. smilies/wink.gif
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written by craigk, February 15, 2012 - 08:06 AM
Thanks Bubby_Blister. That does help.
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written by estrago, February 15, 2012 - 08:52 AM

In other major local news, Bruce the Duck returns to Pgh. He's turned the Ducks around and the Caps have not improved without him
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written by AHab35, February 15, 2012 - 10:59 AM
The only positive thing I can find in the Crosby story is the possibilty that this soft tissue injury might be the ultimate problem. From what I'm hearing, that sounds like an issue that can heal in time. That make's Sid's long term future in the Burgh much more tenable than if he has recurring concussion problems that will not go away.

So here is hoping the soft tissue is the issue.

Still does not change the fact that the Pens are headed down the stretch and past the trade deadline having no idea if their superstar center is going to be available or not. With a healthy Sid this is a legit cup contender. Without him, they are not...unless Shero adds another top 6 forward and a 3rd line center.

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