Yesterday was a strange day.<\/p>\n
First one hears that it is unlikely that Keiran Tierney will be going anywhere, largely based on Neil Lennon publicly talking about his dodgy hip, only to be followed late at night by Sky sports claiming Arsenal were ignoring the obvious pitfall of signing someone just out of surgery who has further problems and had bid \u00a325m for the left back.<\/p>\n
Oh, and in between the players had a jolly good run around which kept them on the road to full fitness in time for next weeks qualifier against Sarajevo.<\/p>\n
Where shall we start ?<\/p>\n
Oh, lets get the Tierney tittle tattle out of the way.<\/p>\n
With all sorts of stories flying around, including some from our own pish stained army of informants, it’s difficult to ascertain what is really going on.<\/p>\n
First, his fitness…Neil Lennon said on Friday..<\/p>\n
\u201cHe’s still injured and he’s rehabbing.<\/em><\/p>\n \u201cHe had a double hernia and he still has the Osteitis pubis problem so it’s a slow burner that one.\u201d\u00a0<\/em><\/p>\n The diary has mentioned this probelm in the past, but it’s important maybe to refresh ourselves on what it is, what the prognosis is, and what treatment is available.<\/p>\n This is from Washington Orthopaedics and Sports Medicine website…<\/p>\n Osteitis pubis is an overuse injury affecting the front of the pelvis at the symphysis pubis joint. The symphysis pubis joint joins two of the main bones of the pelvis and is made up of the pubic bones (portion of the pelvis), cartilage, a joint capsule and joint fluid. The ends of the pubic bones reabsorb, or slowly dissolve. The cause is unclear, but it may be a reaction to stress or a stress fracture of the end of the pelvic bones (the pubis symphysis).\u00a0<\/em><\/p>\n The cause of osteitis pubis is not fully understood, but it is believed to be due in part to excessive or repeated stress to the pubic symphysis with vigorous activities or from repeated tension of muscles that attach to the area.\u00a0<\/em><\/p>\n Does anything increase the risks ?<\/p>\n Symptons ?<\/p>\n Treatment ?<\/p>\n Initial treatment consists of medications and ice to relieve pain and reduce inflammation. Modify the activities that initially caused the problem by eliminating those activities or substituting them with other activities that do not cause symptoms. Stretching and strengthening exercises of the hip muscles are important. These can be carried out at home, although referral to an athletic trainer or physical therapist for further evaluation and treatment may be helpful. Cortisone, by injection or orally, may be used to relieve the symptoms and inflammation.<\/em><\/p>\n Surgery is rarely indicated. If symptoms persist despite at least 6 months of conservative treatment and the patient is unwilling or unable to give up provocative activities, surgery may be necessary. Surgical options include fusing the joint (removing all motion at the joint) or cleaning out the joint and removing inflamed or scarred tissue.\u00a0<\/em><\/p>\n The all important question, though this does depend on what treatment the player has had, or is receiving, and how long he’s been having it, is when will he be all better ?<\/p>\n Often, this condition resolves with rest and avoidance of the exacerbating activity. It may take 3 to 8 months or more to return to sports.\u00a0<\/em><\/p>\n Would you send \u00a325m on someone with this condition, and pay him around \u00a380,000 a week ?<\/p>\n That, of course, hasn’t stopped the specualtion, which hurled itself into a frenzy last night..<\/p>\n It all started with Sky sports, who tweeted and broadcast..<\/p>\n\n
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