Stretched to the limit: why hamstring fails are curse of the Premier League | Premier League

R.The scene of a player withdraws with a hamstrings has become very familiar Premier League. The exhausting muscles are extended to the maximum of the widespread calendar, but dealing with more games is not the only challenge for medical departments.

There is no sudden explosion. It can look simply this way when prominent players like Arsenal Forwards Bocao Saka And Kai Havertz are long in the long run. Using numbers up to the 26th week, which ended last Sunday, Premier says the injuries that 100 of 418 injuries this season relate to knee tendons (24 %), compared to 120 out of 457 (26 %) at the same stage last year.

However, data also shows that knee strings keep players for a longer period. Of these hundred injuries this season, nine players have been kept for up to 13 days, 40 for 14 to 30 days, and 51 to more than 30 days on the margin. 120 interview injuries last season led to 49 absences for more than 30 days.

Meanwhile, the folder is larger in the modern game. A study supervised by Professor Jean Exstrand of Linköping University in Sweden, which covers the seasons of 2001-02 to 2021-22, looked at 54 teams in 20 European countries and found that the rate of knee strings injuries doubled from 12 % to 24 %.

No one expects an imminent improvement. The slight decline in the total numbers is not a cause of joy when there is anxiety about the most serious knee tire injuries. Surgery has become more common and specialists have their hands with damage to increasingly difficult parts of the muscles.

“The degree and the two have disappeared,” says Fearghal Kerin, a physiotherapist who left Chelsea. “It was usual traditionally narrow in the knee strings. We don’t really see a return in 10 days anymore.”

The physical burden is raised on the players regularly. A space for new or extensive championships must be provided and there is little time to rest between games. “People play mainly, recovering, playing and recovering,” says Mahaita Molango, CEO of the Professional Football Association. Kirin refers to the disturbance caused by the epidemic and the 2022 World Cup in the winter. An additional additional time caused by the video system for video is another factor.

“We believe that the most important thing in the knee strings is fatigue and enemy counter,” says Kirin. “The more games we put together, the more chance of recovery.” Professor Ernest Shields, a surgeon specializing in knee strings, talks about the players, “their loads have increased significantly.”

This sport changes very quickly, with a little attention by the authorities for the welfare of the player. The muscles become cold during the long VAR delays, barely perfect when many managers prefer high defense lines and fierce pressure. Kirin talks about the intensity of the training in an attempt to meet the Premier League demands, putting the knee strings at risk.

“The muscles are likely to be the most activated during running, which is very important for high density, but it is also very important for acceleration and dispute,” he says. It is one we rely on for obedience. Most teams play a noticeable structure now – it is accelerating, contrasting in a discount, then accelerating. This has the demands of the knee strings at all times. We depend a lot on the ankle. If we have any ankle problems, this often increases requests from the muscles of the knee and hip strings. When we pick up injuries in the knee strings, the risk of infection increases again. “

Saka has not played since the surgery in December, and Heefz was excluded for this season after he was injured in a shot in training last month. Chelsea recently had seven players in Utarong. Tottenham, who carries out fast football for ange postecoglou, has suffered badly.

“Think about this high line,” says Kirin. “This means effectively that any ball in the back comes with an immediate turn and an enemy of 30 to 40 meters. Think about what will cause the knee strings or a player to capture adequate enemy meters that will increase the risks. Then combine this with the pressure pattern. Then you have a basic player and players faster, stronger and more powerful. You have the perfect scenario for repetition injuries in the knee strings.”

A large discussion point is the appearance of a new shock inside the knee strings. “We are witnessing more injuries under the strings or that involve this difficult area at the bottom of the knee strings called T-Junction,” says Kirin. “Our main strings are at the top and bottom but within our muscles are so-called muscle tendon. There is a classification scale, B, C-C-injuries, CDs, usually take longer and have a higher risk of repetition.”

Players can be stronger is the reason. The theory is that the player’s ability to produce more power is greater than his ability to absorb it. “What we are talking about is:” Can we be the strongest stronger? “There was a lot of research last year about specific exercises that could increase the size of the strings and its ability to transfer these higher forces. This research is new, but it is a major topic. “

There is an issue if the load on the tendon should be reduced or its ability to do the task. For Nick Metcalfe, the bones that work with clubs and players, the challenge is to look deeper during treatment. It is cited a study indicating that many knee strings occur due to excessive position instead of the enemy mechanism.

“Maybe not only the tendons of the knee under shock,” says Metcalf. “There may be some nerve sharing. This is a kind of effect of the sink from the sink. Ninety -one percent of the knee strings experts agrees that nerve elasticity in the back of the leg is an important consideration. But T -function T is more complicated. I got two nerve supply. Perhaps it is not just a problem with devices, and it may also be a problem with the program.”

“I would like to call her muscle nervous coordination,” says Shelrers. “When the player gets tired, he does not run the way he usually runs. The t -links are mainly accelerating injuries. It is very important to listen to the players. If they accelerate and feel a pop, you must search for a tear. There is a tear until it is proven otherwise.”

Schilders gave a lecture on T-Juncion injuries at a conference in Bologna last week. “It was a little harm to confessing,” he says. “It is not customary to send an examination that has been sent to three other people and no one picks up a T-Junction injury. It is often more severe than he thinks. There is also the fact that you have different types of T-Junction injuries.”

Professor Rina Johnson, Head of Education at the Royal College of Radiologists, works closely with Shelds and was with him in Bologna. “MRI is a fixed examination that does not give you any dynamic information,” she says. “It can reduce the severity. We are trying to improve photography to reduce this risk.”

“The only thing that is always very important with knee and professional football surgery is that you have to make sure that you keep the nerves. There are quite a few nerves that revolve around T.” Johnson reports. Johnson says that ultrasound performance on a player suffering from a frequent injury can help determine the nerves deeply inside the tissue of the scar.

“Unfortunately, many of the players we see around the homes were,” she says. It is a specialized area for its treatment. Sometimes they did not reach the bottom of what caused their symptoms and why they continued to collapse. “

The mind returns to a young Michael Owen retreating while chasing the ball through a game between Leeds and Liverpool on the ELLAND Road in 1999. Owen was about a pace. His fall was exciting. These days, it is more common to see the player feel simply Bokab while running.

It can be deceptive. Nicholas Jackson needed treatment in the knee strings during the first half of Chelsea’s last victory over West Ham But it has not been replaced until the 50th minute. Kirin says: “One of the challenges is what they feel at first not necessarily related to what you see in the examination.” Often it is worse as the player is better at the time. The pain is not bad because the tendon is not healthy. “

Kirin suggests that Owen will undergo surgery now, adding that non -operation is the most dangerous step and can lead to a longer absence. The paramedics do everything they can. It is up to the people who run sports to lift the load on it and the players.