Tag Archives: inflammation

John Terry says Chelsea return is only a matter of time

Terry hands Rafa Chelsea boost as skipper insists his return is imminent

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UPDATED:

14:30 GMT, 23 December 2012

John Terry claims it's 'only a matter of time' before he returns to the Chelsea team.

In his programme notes for Chelsea's clash with Aston Villa Terry said: 'I'm doing well and just waiting for the swelling and bruising to calm down and then I can step things up.

'I'm outside doing ball work already and I can't wait to get back involved – it's just a matter of time to let things settle.'

Blow: John Terry suffered a setback in training during the week

Blow: John Terry suffered a setback in training during the week

The Blues captain has been out for several weeks with a knee injury.

He was originally aiming to be fit to feature in the Club World Cup but setbacks mean he is still unable to play.

On Friday Chelsea boss Rafa Benitez said: ‘He was training today and running on the pitch but he is not available yet. He was not training with the ball, just warming up.

‘Today was fine in the warm-up but then he gets a problem, it is one step forward, one step back.

'Hopefully it will be easier in the next few weeks. The problem is the inflammation and the knee is so complicated.

‘I hope he will be available at Christmas but I can’t guarantee anything. You can’t predict when he will be available.’

Benitez was confident Terry would not require further surgery and would not be drawn on reports the 32-year-old was close to opening talks on a new contract to replace the one that expires in 18 months.

Pressed on Terry's importance to Chelsea – there is a huge difference in their win-loss record with and without their skipper – Benitez said: 'If he's the captain, it's because he's a player that can be a leader.

'I have seen he has a great character.'

Hopeful: Rafael Benitez believes Terry will not need any further surgery

Hopeful: Rafael Benitez believes Terry will not need any further surgery

John Terry could miss Chelsea"s Christmas games

Terry set to miss Chelsea's crucial festive fixtures after breaking down in training

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UPDATED:

15:55 GMT, 21 December 2012

Chelsea captain John Terry is in danger of missing Chelsea’s packed Christmas schedule after he broke down in training this morning.

Terry’s recovery from serious knee surgery is proving to be more complicated than expected.

He came through a warm-up unscathed at the Cobham training ground but then felt pain in his knee.

Blow: John Terry is struggling to recover from a serious knee injury and will likely miss the Christmas schedule

Blow: John Terry is struggling to recover from a serious knee injury and will likely miss the Christmas schedule

He will definitely miss Sunday’s
Barclays Premier League game against Aston Villa and is a major doubt
for the fixtures against Norwich, Everton and QPR as well.

Chelsea manager Rafa Benitez said: ‘He was training today and running on the pitch but he is not available yet. He was not training with the ball, just warming up.

‘Today was fine in the warm-up but then he gets a problem, it is one step forward, one step back.

'Hopefully it will be easier in the next few weeks. The problem is the inflammation and the knee is so complicated.

‘I hope he will be available at Christmas but I can’t guarantee anything. You can’t predict when he will be available.’

Benitez was confident Terry would not
require further surgery and would not be drawn on reports the
32-year-old was close to opening talks on a new contract to replace the
one that expires in 18 months.

Pressed on Terry's importance to
Chelsea – there is a huge difference in their win-loss record with and
without their skipper – Benitez said: 'If he's the captain, it's because
he's a player that can be a leader.

'I have seen he has a great character.'

Up and running: Fernando Torres (right) in training ahead of Sunday's clash with Aston Villa

Up and running: Fernando Torres (right) in training ahead of Sunday's clash with Aston Villa

At least Chelsea have cover for Terry in defence.

The same cannot be said for their attack if they choose to sell Daniel Sturridge to Liverpool when the transfer window reopens.

A fee has reportedly been agreed for the England striker, with talks said to have reached an impasse over agents' fees.

Benitez would only discuss
Sturridge's fitness today, confirming the 23-year-old was ready to
return from the hamstring problem that has kept him out for more than a
month.

'The situation with Sturridge is the same,' Benitez said.

'Now he's training, he's had another training session.

'He's a player that is available.

'I have to decide if he will be in the squad or in the team.'

Benitez was similarly coy about
Chelsea's own January transfer targets, although he admitted he had held
talks with the club's board over new players.

Don't worry, David: Chelsea boss Rafa Benitez tells Luiz he still needs him after his poor showing against Leeds

Don't worry, David: Chelsea boss Rafa Benitez tells Luiz he still needs him after his poor showing against Leeds

'Everybody knows more or less what we are looking for or what we'll try to find,' said Benitez, who will try to sign at least a striker and possibly a midfielder next month.

The Spaniard must also decide whether to recall any of Chelsea's on-loan players, principally Romelu Lukaku from West Brom.

Asked if that was an option, he said: 'I cannot say no but I cannot say yes.

'It's something that we have to analyse in January.'

He added: 'I am talking with the people in the club about how they were doing and we have some information, but no more.'

With Victor Moses and John Obi Mikel expected to depart for African Nations Cup duty early next month, Benitez admitted it was important Chelsea got their transfer business done sooner rather than later.

Tight lipped: Benitez would not be drawn on whether Chelsea will be active during the transfer window

Tight lipped: Benitez would not be drawn on whether Chelsea will be active during the transfer window

He also conceded it was vital they produced a successful festive programme as they eye the daunting task of eating into the 13-point gap to Premier League leaders Manchester United.

'Always, it's time where you will see where you are,' Benitez said. 'Because you play so many games, it's a crucial time.'

It could also prove important in Benitez's attempts to further quell the fan revolt against his appointment.

Four wins from five games have certainly not done him any harm and he said: 'At the end of the day, you have to judge the manager for the things that you can see on the pitch.

'The last games, we were doing well. Hopefully, we can be consistent and – always I say the same – it will easier.

'I will be working hard as always and I will continue working as hard as I can.'

Neil Lennon prepares to use Scott Brown

Brown in agony after Benfica defeat but Lennon prepares to use skipper for push in Europe

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UPDATED:

00:07 GMT, 24 November 2012

It might well have been a medical bulletin on the victim of an industrial accident. For Neil Lennon, there is no disguising the often hideous pain Scott Brown is having to endure in order to wear the captain’s armband.

'He can’t get up out of bed some mornings,’ said the Celtic manager. 'He can’t drive. He’ll probably just make it down the stairs and lie on the couch for three or four hours before he can actually get up and start walking about.

'That’s because of pain and cramps. It’s caused by inflammation of the stomach and pelvic area.'

Walking wounded: Scott Brown (left) was in pain after the 2-1 defeat against Benfica

Walking wounded: Scott Brown (left) was in pain after the 2-1 defeat against Benfica

The price of success can come in many forms.

Brown’s current physical plight is a direct consequence of a brutal fixture schedule that’s been unrelenting four almost four months, Champions League qualifiers and group games interspersed with domestic and international commitments.

Even supreme athletes like him have their breaking point. That ability to charge at opponents at breakneck speed only for the breaks to screech comes at a cost.

After he limped out of the defeat to Benfica on Tuesday, his manager felt his injury had 'run its course' and in short order it will be given the medical attention it requires in the form of an operation.

But having received an absolute assurance from medics that pushing that date with the knife back two weeks will in no way further harm the player, Lennon will ask Brown to go to the well once again.

It’s not every day that the last 16 of the Champions League is on the line, after all.

'We’re not doing any more damage to him. It’s just not getting any better,' Lennon added.

'With the lack of training obviously his condition deteriorates a little bit but he’s such a good athlete that he’s coped as well as he has done so far.

'What I don’t want is for him to be maybe 60 to 70 per cent fit and I take a gamble with him. I’d rather just put somebody in who’s fit and ready to play (against Spartak).

Back in the fray: Brown will be used again in Celtic's bid to progress to the last 16

Back in the fray: Brown will be used again in Celtic's bid to progress to the last 16

'He has been working really hard with the medical team and we are devising a programme for him for the next couple of weeks where he’ll get some game time and maybe have him really ready for Moscow.

'With the way the situation is, I’d imagine if we didn’t have Champions League football then we wouldn’t be going through this with him.

'We’d have rested him a lot more because we wouldn’t have such a build up of games.

'But it’s manageable. I mean, he’s out there training today.

'He doesn’t moan about it but that’s the problem sometimes. He’ll keep it to himself when I’d rather he told me. Then he’ll come to me and say “I was in bits yesterday” or “I can’t train today”.

'It was originally a stomach injury but it’s referring down to the hip and groin area so it needs sorting out. Joe Ledley is starting to show symptoms of it as well but obviously not as severe as Scott's.

'It’s just wear and tear from the demands of travelling. The physical and mental fatigue makes competing in four competitions a big ask but they are coping with it pretty well.'

Hard though it now seems to fathom, there was a time when the prospect of Brown being posted missing for such a mammoth match would not exactly have been met with a day of national mourning by the Celtic support.

These days, the understanding of Lennon’s desire to do all he can to ensure his skipper plays against Spartak is absolute.

Ready: Neil Lennon was in training ahead of Celtic's match against Inverness

Ready: Neil Lennon was in training ahead of Celtic's match against Inverness

Even if Victor Wanyama were not suspended for the Group G decider, Brown’s presence would be a matter of high importance to the manager.

Asked if he’d have been tempted to rest Brown if Wanyama had been available, Lennon replied: ‘No, because I’d like him to play anyway. We need players and, as close to his best condition as possible, he’s been brilliant for us.

'Certainly in the opening three games he had three brilliant games and he was fantastic for us and he‘s been playing the best football of his career – but this has really hampered him.

'I don’t think anyone now has any doubts that he is capable of being the captain. He has proved that over the last couple of years and I think he has won the support over.

'There were a few doubts about him for a while but I think now people see what a really good player he is. He has tidied up all the confrontational side of him on the pitch and the ill-discipline – he has matured a lot and has just been playing really well.'

Brown won’t be the only player who will be used sparingly against Inverness on Saturday, at Tynecastle on Wednesday then when Arbroath come visiting in the Scottish Cup next Saturday.

With four plates in the air, Lennon will mix and match his squad in the run-up to the Spartak game.

The deep-seated desire to progress in all competitions must be tempered with pragmatism and a sense of priority.

'They’re all important but ultimately the short-term aim would be the Spartak Moscow game,' Lennon conceded.

'First of all we have to get a team in our mind and then see how we go about balancing getting them ready for that.

Out: Victor Wanyama is suspended for the final Champions League match in Group G

Out: Victor Wanyama is suspended for the final Champions League match in Group G

'I would probably say that the majority of those who will play against Moscow – or who will be in contention for Moscow – wouldn’t play the weekend before against Arbroath.

'As regards these other two games, I want to be strong because they’re going to be difficult games for us.

‘If we can beat Arbroath in the Cup and regardless of what happens against Moscow we will be in the Europa League, so they’ve done very well so far.’

While the defeat in Lisbon was a marked improvement on many a European away day for Celtic over the past decade, the performance paled in significance with the overwhelming majority they’ve produced in Europe this season.

But with a home game against an already eliminated side to come, one in which a win would, in all probability, clinch qualification, there is no question of public castigation.

'I had a chat with them today about it,' Lennon continued.

All smiles: Lennon is ready to mix and match his squad before the Spartak Moscow match at Parkhead

All smiles: Lennon is ready to mix and match his squad before the Spartak Moscow match at Parkhead

'Sometimes it’s best to leave them to it and let them digest it themselves first. They know they weren’t at their best but they are punching well above their weight and still have a real fighting chance of qualifying.

'I know they can play better and I know they will play better at home. They know what’s at stake so it should be another great European night for us hopefully.

'We are delighted to be in Europe beyond Christmas but obviously we would like to take it further in the Champions league. Their efforts deserved but sometimes you don’t get what you deserve in football.

'We’ll have to play strong and well against Moscow because they are a very dangerous team who play really good football. But with us at home and knowing what’s at stake they’ll have to play really well to beat us.'

Jack Rodwell put through Everton tests to resolve injury problems

Everton taking no chances with Rodwell after fourth hamstring injury in FOUR months

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UPDATED:

07:47 GMT, 21 March 2012

Everton will run extensive tests on Jack Rodwell’s nervous system after the England midfielder suffered his fourth hamstring injury in the space of four months.

Rodwell will miss tonight’s Barclays Premier League clash with Arsenal at Goodison Park, having been forced to sit out last weekend’s FA Cup quarter-final against Sunderland due to a minor tear.

He is expected to return to light training on Thursday to see if he can feature at Swansea on Saturday but there is a mounting unease over why Rodwell, 21, cannot shake off a problem he first sustained in December.

Injury hit: Everton midfielder Jack Rodwell

Injury hit: Everton midfielder Jack Rodwell

Since winning his first England caps against Spain and Sweden last November, Rodwell – who is expected to be a prominent member of the Great Britain squad at the Olympics this summer – has made just five appearances and only completed 90 minutes once.

Steve Round, Everton’s assistant manager, said: ‘It is a concern. We think it is something to do with the nervous system and are exploring that avenue. The injuries he is sustaining are not always in the same spot.

‘We owe it to Jack to make sure that we are doing the right thing. Maybe just giving him an extra week (to recover) at this stage is the smart thing to do.

‘It maybe that a summer’s rest or an injection in to a nerve to get the inflammation down helps him. We won’t finish him for the season. We have got to keep him going and make sure that he is doing all the right things to prevent it reoccurring.’

No rush: Everton are prepared to bide their time with Rodwell's recovery

No rush: Everton are prepared to bide their time with Rodwell's recovery

Such is the depth of research Everton’s medical team have undertaken, they have even looked into whether the injury is related to the Audi car he drives – Manchester United winger Ryan Giggs suffered chronic hamstring problems in his youth when owning a Ferrari.

‘The medical team are looking into everything,’ said Round.

‘Jack is at the stage where he needs to be a regular. This has set him back a little bit but I have got confidence he is going to be a top player.’

Darren Fletcher boosted by Steve Redgrave

Redgrave boosts Fletcher as United midfielder comes to terms with bowel condition

Facing a fight: Darren Fletcher

Facing a fight: Darren Fletcher

Sir Steve Redgrave has spoken to Darren Fletcher about his debilitating bowel illness and assured him his career can soon be back on track.

Manchester United announced last week that the 27-year-old midfielder was suffering from the disease and would take a break from football.

The five-time Olympic champion also suffered from ulcerative colitis during his career and was contacted by United’s doctor to help reassure Fletcher.

Redgrave said: ‘I spoke to Darren last week and I think it comforted him to be talking to somebody who’d come through a similar situation.

‘Itold him that I’m living proof that however bad it seems there is potential to come out the other side. I hope he doesn’t feel so isolatedas he may have felt before.’

Ulcerativecolitis is a lifelong condition with often debilitating symptoms, distressing for anyone but particularly hard when allied to the workloadof an athlete.

It is classed as an inflammatory bowel disease (IBD) and causes inflammation and ulceration in the colon (lower intestine) and rectum, which can produce symptoms of urgency, bleeding, diarrhoea, pain, profound fatigueand anaemia, as well as vomiting.

An estimated 240,000 Britons suffer from IBD; around half of them have ulcerative colitis.

‘I remember when it suddenly began,’ says Sir Steve. ‘I’d gone to South Africa in January 1992 to train and gone down with food poisoning.

Success: Sir Steve Redgrave famously won five Olympic gold medals

Success: Sir Steve Redgrave famously won five Olympic gold medals

‘That was the start of it. It seemed to clear up after taking medication, but then it came back as badly. We assumed it was just a vicious dose of salmonella. But eventually, after 17 weeks of diarrhoea, it was finally diagnosed as ulcerative colitis.

‘Perhaps I was one of the luckier ones. I wasn’t usually vomiting and I didn’t have uncontrollable diarrhoea, which some people suffer from. That would have been a bit inconvenient in a boat. But I was going to the toilet about six or seven times a day and my athletic performance was severely affected.

‘When the doctors explained why, it made sense. Basically, they told me that my lower intestine was inflamed and oozing with blood. So I was losing blood, not absorbing nutrients, and in pain — sometimes doubled up with pain.’

The reason it took more than four months to diagnose was the fact that Sir Steve kept on training, despite his symptoms. One specialist had ulcerative colitis as the last thing on his list because he couldn’t believe anyone with the disease could do strenuous Olympic training.

‘I think he was a bit shocked when it turned out to be the case,’ says Sir Steve.

Happier times: Fletcher (right) celebrates Manchester United

Happier times: Fletcher (right) celebrates Manchester United”s title success

Ulcerative colitis is thought to be caused by the immune system attacking the body — with food poisoning a recognised trigger. As Dr Peter McIntyre, a leading specialist in Irritable Bowel Disease, based at Queen Elizabeth Hospital in Welwyn, explains: ‘We don’t know the exact cause, but the immune system kicks in to fight the infection and for some reason doesn’t shut down again. The inflammation that occurs as a result of the infection remains and, over time, the intestine is damaged.

‘In the majority of people there is no clear trigger.

‘At the furthest end of the spectrum it is debilitating, even life-threatening, and in a minority of cases surgery is required to remove the colon altogether.’

Typically, symptoms include an urgent need to go to the loo and, as Dr McIntyre explains: ‘A footballer or someone stuck in a boat could find this tricky, not to say mentally disconcerting and wearing.’

Never one to cave in, Sir Steve refused to miss a single training session.

But his performances suffered. When Redgrave and Pinsent, already an iconic duo, lost in the national trialsfor the Olympics in Barcelona, it was an event of pretty seismic proportions.

Legends: Redgrave (left) won gold in 1992 with Matthew Pinsent

Legends: Redgrave (left) won gold in 1992 with Matthew Pinsent

Hushed discussions began. The path of British Olympic history would have been entirely altered had the plans to drop Sir Steve from the team gone ahead.

In the event he was given another two weeks grace. It was during those two weeks (less than three months before the Olympics) that the diagnosis was finally made.

Medication (anti-inflammatory drug dipentum) was prescribed and almost miraculously Sir Steve made a recovery of sufficient speed to not only compete in Barcelona but give one of the best performances of his 20-year career.

‘I don’t really know why I was well for those essential few weeks when I had been pretty sick before and afterwards. People have asked me if it’s possible my willpower had something to do with it. But if your mind was that strong, you’d never be ill, would you

‘My attitude was just to get on with it. As a sportsman I was always having to overcome obstacles that seemed designed to slow me down. This was just another one. ’

In Sir Steve’s case, his condition has been pretty well contained but for a flare up after the Atlanta Olympics in 1996. He now takes the immunosuppressive drug azathioprine on a daily basis to help control the condition.

Hugs: Pinsent, Redgrave (centre) and James Cracknell celebrate in 2000

Hugs: Pinsent, Redgrave (centre) and James Cracknell celebrate in 2000

Interestingly, Sir Steve has been advised that the various medications he took to control his colitis may have had some influence on the development of type 2 diabetes five years later in 1997. While the science has yet to confirm this, many of his doctors agree. It makes it all the more remarkable that he rowed to his fifth gold medal at the Sydney Olympics in 2000.

Not many people would have put money on a 38-year-old colitis-suffering diabetic with a packet of sugar sellotaped to the bottom of the boat just in case he felt himself falling into a glycaemic coma.

‘He is exceptional,’ says Dr McIntyre. ‘The majority of people don’t have anything like his mental toughness. But Olympic guys don’t get there without being way off the scale in terms of mental and physical capacity. More typically, we recommend people with ulcerative colitis stop work and, if necessary, come in to hospital.

‘That would make sense in the case of Darren Fletcher. He doesn’t need to be running up and down the football pitch at the moment.’
Sir Steve’s attitude was, and remains, the definition of stoicism.

‘Everyone is different in how they respond to the treatment,’ he says. ‘I took the view — as I always did — that whatever the difficulty, someone has got to win the gold medal. Why shouldn’t it be me’