RealGM

Osteoarthritis is a type of arthritis that involves the wearing down of the cartilage (the protective covering on the ends of your bones.)

"Stress reaction" == "osteoarthritis" apparently.

sashae wrote:This is a treatment for ARTHRITIC CONDITIONS OF THE KNEE. Is anyone else bothered by this?!?

He's 22-years old. Sounds about like Wizards luck. Pretty much worst-case, just what you don't want to hear if you're a Wizards fan.

Bothered?

Ted, please sell. Move this team to Anchorage, Alaska, so I can move on.

You aren't a doctor. This is good news.

So everyone expected surgery and instead we got that he's going to ramp up his activity level, yet ppl are still pissed? What am I missing? You folks aren't doctors. If you research any injury an athlete has you'll find terminology and potential outcomes that might scare folks. The team is in no way rushing him back and I think they would absolutely shut him down if they had any serious concerns. He's instead being cleared to pick up activity and is on course to return. I blame the organization for a lot, but now you guys are reaching.

Making sense out of the lack of recent activity, it seems as thoughit coincided with the series of injections he had which would logically make you conlude he had to shut it down during the treatment. Now that the result has been positive, he's back on track for a return to the court. You obviously don't go from nothing to practice, so this makes sense....

Chocolate City Jordanaire wrote:

sashae wrote:This is a treatment for ARTHRITIC CONDITIONS OF THE KNEE. Is anyone else bothered by this?!?

He's 22-years old. Sounds about like Wizards luck. Pretty much worst-case, just what you don't want to hear if you're a Wizards fan.

Bothered?

Ted, please sell. Move this team to Anchorage, Alaska, so I can move on.

CCJ, you do realize that Blake has had multiple surgeries and still has his athleticism....Wall's injury was similar in nature, but was caught prior to the need for surgery. Acting as though this is the nail in John's career is ridiculous. Level headedness folks!!!

sashae wrote:This is a treatment for ARTHRITIC CONDITIONS OF THE KNEE. Is anyone else bothered by this?!?

I agree with you- this indicates that John has messed up cartilage on top of the stress injury. Look at what Altcheck has used hylan for in the past year- Andrew Bynum's messed up knee cartilage.

Hopefully some one in the media will pick up on this and get some straight answers- about the only good thing that has come out of this season is that the Wiz have screwed things up so much that people are finally demanding some accountability.

Randy said Wall will ramp it up. Run and shoot but no contact.

Then they will check him again.

So he's 22 and already arthritic in his knees? Anyone else wonder if him hitting the floor every time he drives to the basket has anything to do with it? From the little bit I saw of him last year, I'd guess 85% of his drives to the hoop end with him in a heap, on the floor.. If he's already arthritic, I dont see how he'll ever recover fully (and stay healthy) unless he changes his game drastically.. I guess the diagnosis doesn't sound that bad on the surface, but color me concerned none the less. (It is a DC franchise after all)

Ric Bucher tweets that they are looking at Wall coming back New Years best case and all star break worst case. They are still sticking to the patellar tendon only story. I am still thinking that he has both patellar tendon and cartilage problems until an actual authority like Altcheck explicitly says, no- John does NOT have any arthritis and the synvisc was for the patellar tendon.

Anyway, Bucher's sources were right about Nene, so this is probably a legit timetable we have now. Barring any setbacks...

If it's arthritis...that would be pretty close to worst case. It's chronic. I have osteoarthritis in one knee, and it finally forced me to give up playing. He's younger, in better shape, and SHOULD have better docs and treatment options. Reminds me of how he had chronic knee soreness his rookie year. Might have been a symptom.

Maybe he can go to Germany and get the treatment Kobe got

Interview from today with Wall and how the knee is progressing.

Read if you want to get depressed

http://twitpic.com/bjyvo3

Seems about right.

Yeah he's out for the year.

Well, looks like worst case scenario is that he has to have the cartilage under his knee scoped out.

Worst case scenario would be an arthritic condition that required microfracture surgery. The treatment he got -- injection of Synvisc -- is a treatment for osteoarthritis.

Nivek wrote:If it's arthritis...that would be pretty close to worst case. It's chronic. I have osteoarthritis in one knee, and it finally forced me to give up playing. He's younger, in better shape, and SHOULD have better docs and treatment options. Reminds me of how he had chronic knee soreness his rookie year. Might have been a symptom.

The Wizards should stop talking about it other than to say he's on the mend. The second he's well enough to play they need to put him out there and to field all trade offers.

Trade Wall before it is too late to get anything close to value. This isn't going to end well.

So his "stress reaction" was a fracture with associated arthritis. You know what my reaction to stress is? WANTING TO THROW A ROCK AT THE FRONT OFFICE OF THE WASHINGTON WIZARDS. Great. The team lies about the injury to hide it from the fans. What else can we win?

Step 1: Misdiagnose Wall’s knee pain, tell him nothing seems to be amiss
Step 2: Encourage Wall to keep practicing and working out as normal, despite the persistence of his knee pain
Step 3: At some point after Wall’s pain has become so bad that he can’t run or straighten his leg, accede to his request to get a second opinion from a non-team doctor

Nivek is right, Synvisc is a treatment for osteoarthritis. It's most common use is for that, often to buy time before replacement surgery. From Wall's interview though it sounds like he has chondromalacia patella, which is a roughening or damage to the cartilage under the kneecap, and not that uncommon in younger patients. I think Synvisc is used off label by some orthopedists to treat chondromalacia. It's basically a fluid injection of stuff similar to what's supposed to be in a healthy joint.

This is from the mechanism of action section on Synvisc in my favorite medical reference:

"Sodium hyaluronate and its derivatives form a viscoelastic solution in water (at physiological pH and ionic strength) which makes it suitable for aqueous and vitreous humor in ophthalmic surgery, and functions as a tissue and/or joint lubricant which plays an important role in modulating the interactions between adjacent tissues."