Mary
Pro Tour Champion
- Joined
- Jun 19, 2016
- Messages
- 361
- Reactions
- 219
- Points
- 43
Hi Denis, long time no see.
What is exactly No1e's injury? He seems have more than one, both shoulders, both arms, ...?
I would bet a lot of money if I had any that its damage to the rotator cuff - a set of 4 tendons that give the shoulder and arms their movement.
If I am right the pain goes down the arm and it's not unusual for both shoulders to be affected. If he's had it for some time he will have been using the arm differently trying to protect the injury and that can put strain on other joints, even on the neck and back. Rotator cuff injuries typically affect tendons which can be irritated, inflamed and tear or snap. Often caused by wear and tear or the development of bone spurs which snag the tendon so that it doesn't slide freely. The way Nole struggled with his serve at 4/2 final set indicated severe pain and weakness - the arm was just not doing what he was telling it to do. That is typical of damaged tendon. I so hope they can patch it up for the final.
Usually its cured by physio to release trapped tendons and strengthen muscle to stabilise the shoulder but Nole's muscles are probably the strongest in the world! Otherwise long period of rest or surgery to repair tendon, file down bone and hoover out inflammation. Surgery is routine arthroscopy but the shoulder takes ages to recover - they immobilise it for weeks and all the muscle strength goes and for a normally fit person it takes a year to get full strength back. I had such surgery 18 months ago and was not allowed to lift anything heavier than a half cup of liquid for over 3 months and had my shoulder totally immobilised for ages, couldn't dress or wash without help!
I have massive admiration for Nole for finishing the match and winning, totally in his corner for the final but worried! I bet he starts out on pain relief but that will wear off so he needs to keep it tight and short.