So what are the theories for the uptick in Achilles/ACL tears in NBA sports? Too many games? Playing AAU from an early age?
So what are the theories for the uptick in Achilles/ACL tears in NBA sports? Too many games? Playing AAU from an early age?
not enough practice, more games
Returning too soon from calf strains? Too much reliance on pain relievers masking minor injuries?
In the cases of the three hoops dudes, it’s the playoffs and they came back from calf strains weeks before they normally would. Strains are partial tears. I’m sure it was explained to them that they were taking big risks.
New research showing concussion directly related to ACL injury - not sure about Achilles
Too much overall. Too much practice, too many games
I found this graphic to be genuinely illuminating, because I've wondered the same thing
Interesting. This article, asking the same question about why there are so many injuries in top flight soccer in Europe found that while the minutes and distance are about the same the intensity of sprints and power have spiked. www.ft.com/content/36eb...
Yep. The players get stronger and faster, so the forces on the body are stronger and harder. The international soccer calendar also grows each year with new tournaments.
Well Kobe didn’t get his Achilles tear until he was old in basketball years considering how many games and years he played. The elite athletes spend a ton of $ to stay healthy. Like LeBron. For young players to get an Achilles tear my guess is not enough or proper stretching and recovery.
Poor training and not wearing the proper footwear
It’s got to be long term wear and tear. Same phenomenon in pitcher elbows
my theory with elbows is that it used to be if you had a bad one, you blew it out early and never made it to the majors. but now with surgery so successful you get multiple chances and the “weak” arms manage to make it to the show only to blow it out again. used to have to be nolan ryan to get there
This is extremely true in baseball. Baseball history is littered with guys like Smoky Joe Wood who dominated until they blew their arms out at 23.
Every team has that one guy who looked like an ace in the making who blew out their arms after one or two good years. For the Phils it was Tommy Greene
The NBA in-season tournament aka the Emirates NBA Cup.
Steroids Get shot enough times and it’s tissue damage All for the game and the $$$
The kid’s bodies are already used up by the time they go pro. Strength and Conditioning coaches where complaining about that on powerlifting forums way back when forums were still a thing.
Pace of play + Too many games
Players are trying to hard, they need to take some possessions off. Maybe stand in the corner halfheartedly
Also, with pro hoops, I sometimes wonder about how the floors are now constructed and changed out so often for special occasions. It’s unique to basketball vs other major pro sports.
IMHO: Pro sports has evolved to such a level now that athletes are thoroughbreds They’ve trained since 8U for one particular sport, their bodies develop more narrowly instead of broadly Playing 120+ games/yr in AAU (or any single sport) leads to eventual injury Bring back the three-sport letters!
Micro plastics
Playing through strains to be tough and year round playing from the time they’re 11. Burn out.
This is the answer. Most stars of yesteryear didn't start playing ball until they were in high school, and only played school seasons instead of year-round, and played four years of college ball where you play much less than in the NBA, so when they got to the show they'd played maybe half as much.
bsky.app/profile/tomm...
The last one is my guess.
Besides stretching or bad shoes, probably not good form when trying to jump in training.
Covid
AAU ball tearing their muscles down, the faster pace of game requiring more tension, and an overuse of modern workout techniques to get to "peak form"
The distance players travel on the court is the most ever I think? That plus the overuse early on during development. I think we gotta look for patterns in training too, maybe they’re doing something wrong there.
By no means the sole reason, but could the trend of moving away from high-tops to non-traditional low/mid level basketball shoes have anything to do with it? I know when HTs became like tanks, we had knees blow out; wondering if there is a reverse swing back? 🤷♂️
I assumed Jalen Rose’s muscles could take him places his tendons and ligaments couldn’t handle.
Bad shoes. Lot of slipping last night
The number zero
Steph Curry's fault. (only partly kidding) The pace and space era forces more long-range close outs, which are much tougher on the body, especially the load on the lower legs from all of the change of direction. (Counterpoint - the injuries happen on offense!)
Is it an uptick? Or is it that it coincidentally happened to three of the biggest names in the NBA? I really don't know.
i dont know either! could be just more media coverage
If there is an uptick, it could be all sorts of things. Early specialization in only one sport, increased pace of the game today, the different movements required in today's positionless (or position-fluid) style. Hell, it could be shoe construction for all we know.
Microplastics
too much protein
A year round season.
Sneakers have more grip than ever before. Blown rubber outsoles stick to polyurethane-covered wooden floors.
My guess would be the same reason there are more Tommy John surgeries in baseball: the rise in video analysis has allowed players to optimize minute aspects of physical motion to maximize results, and as players get closer to the limits of human physical capability they're more injury prone.
I think there’s more Tommy John’s because there can be more. Used to be if you were throwing 99 in HS and you blew your arm out you were done. Now you get it fixed and get a chance to do it all over again at a higher level with the same terrible mechanics that caused the issue in the first place
This is true, but there also didn't use to be this many kids who could throw 99. There are people like Aroldis Chapman (or, going back, Nolan Ryan or Bob Feller) who can just naturally throw 100, but those are few and far between, and now everybody is pushing.
Isn’t a going theory that pitch counts incentivize pitchers to go harder than if they had to stretch for more innings/pitches?
We're gonna need a histogram.
Condensed offseason has to play a part too, guys aren’t getting much time off before they’re back in camp or Olympic practice or skills training or any number of intense things to get those minute improvements for that 1% edge
Too many games, especially back to back
Haliburton just played 96 games in 228 days. A game every 2.375 days. That’s stupid.
Lack of Popovich style minute/game management (aka lack of DNP “Old Age”)
Shoes. Players should really consider wearing high top shoes.
Back to back events and poorer show design that is not forgiving to the foot. Poor medical management
Prolong periods of time in improper conditions such as shoes and flooring.
The Pacers ended up playing over 100 games this season/post season. That's WAY too many.
Too many games. Especially if last season you did a deep or decent playoff run.
AAU & specializing in one sport at a young age
These guys are big and moving so fast, then stopping on a dime.
Complex had a post blaming these lower-cut sneakers
Players are cutting and running more complex offensive and defensive scheme's. I think it's that simple plus the pressure to play when injured of course.
Probably a combination of factors but specializing from a young age could be a factor.
Shoe traction is getting so good there is no slip so the lower had to do more work.
Couple of theories I’ve heard: too many games and the style of play in the modern game (spacing, a lot of deep shots) requires players to move a lot more than they used to, which leads to added stress on the body.
My husband used to say that it's overtraining and you see it with football teams.
I don’t think it’s too many games. Jordan played 82 games for 10 straight years in a much tougher era
Lack of defensive capabilities for the vast majority of players
More rest & less travel is best. “Of all the sports we work in, basketball is, by far, the one where the demands on the athlete are the closest to what they can survive.” - Dr Marcus Elliot of Peak Performance Project. The convo starts around 25’. Quote from 37’. youtu.be/T9IRDagUchM?...
These guys are pushing the boundaries of what human ligaments can handle. We simply cannot be this big and fast and explosive without straining the body.
Do they still tape their ankles? Nobody wears high-tops anymore. The lack of playing multiple sports thru high school.
Too many games. Also the speed of the players now. Sort of like how in tennis McEnroe and Borg never really got hurt but they do often now.
Yeah speed is important, especially at the youth level where kids with natural talent are playing against their best peers at an earlier age
Wokeness. Obvs.
More the latter, I think — year-round organized games, plus they've all got trainers from an early age.
These kids need to play other sports. I wouldn't have wrestled in college if I only played 1 sport. You burn out and you get wear and tear injuries from doing the same thing
like both guys who just did it, didn’t have an offseason
Caitlin Clark skipped her graduation to start playing with the Fever. That cannot be healthy.
Because people treat their bodies like machines. They think they can run at peak efficiency and “overclock” them like a computer and get maximum efficiency out of them forever and ever and just get another off the shelf to replace it. They forget that we are human beings. We are fragile.
A lot of men (I’ve noticed it’s usually men, sorry but it’s true…) tend to want to disregard the fact that they’re actually human beings and aren’t made of metal. They are limited by tendons, ligaments, muscles and bone. They think they’re super human. I think this the AI and “we need robots”
In everything is also part of this. That’s just my take as a lover of sports and video games. And having been married to a guy who worked in the tech field for many years. I think there’s a denial of their fragility as a human being at play. But I could be wrong. 🤷🏻♀️
Seems to be happening at younger ages which should be concerning, most NBA players before started worrying about possibility only after age of 32 or so. Also need to look at footwear, they are changing shoes every game it seems, & not “broken in” enough.
Low Tops sneaks according to babasoul?
Covid. I don’t think they’ve found a link to the virus itself but there are studies that show the effect of a Covid infection on training (or lack there of).
I think starting younger
Wait until you get older...
The number of games hasn’t increased so, while that does contribute to wear and tear, what’s changed is playing time at an early age. I don’t think it’s realistic to expect the league shorten seasons so probably better to look at better load management before they even get a chance to make money.
Cortisone shots.
The owners are working hard on a solution. How many blown AT’s can they absorb before it affects their bottom line?
Either they’re being worn out sooner or the stress those tendons get today are exponentially more forceful than they were 30 years ago.
I blame AI
Sport specialization + increased competition and training at younger ages Specialization causes too many repetitive movements, leading to muscle imbalance and putting additional stress on tendons and ligaments. Multiply that times the number of intense practices and games… Kids need more rec time.
My current theory is the faster pace more athletic style is causing more calf/leg injuries, modern medicine is helping players play fast and athletic even with those injuries, and those injuries are leading to more severe Achilles injuries.
Not stretching enough.
I think the biggest issue is the lack of diversity in their training. Kids used to play different sports, which in turn worked different muscle groups. At too early an age now, PARENTS have (or allow) kids (to) fixate on one sport. The potential payday in most sports is too great to ignore.
I think it’s your last point. These guys are playing too much ball and by the time they get to the league their bodies are breaking down. It’s insane how many kids play all sports year round now.
I think in the NBA, people overestimate what the body can do and underestimate what the body can do.
Covid is bad for connective tissue, among other things...
new floor wax or shoe rubber
tore mind in a new set of kyries the good grip and good floor I think factored in ngl
ouch. i can’t even imagine
Everyone knows it's too many games. Owners know. Pundits know. Adam Silver knows. But instead of making changes to better the league they'll vilify players load managing to try and make it through the season. Players should take off a quarter of the season and just make it to the playoffs.
Not eating an apple a day
Just like with other sports, players play too much of one sport.
Hubris?
Low tops
I assume someone is studying the correlation between the 3 point evolution and injury
Wearing number 0
It really puts a target on their back
That affects other players as well
Tires underinflated
KD, Tate, now Hali. All had calf injuries they were trying to play through before the achilles blew out. That's more than a pattern
Do NOT play with a calf injury. What part of the body will have compensate if you have a calf injury?
Really tall skinny guys. I’ll show myself out.
The current style of play. Too much stopping and starting on a dime. Also, most possessions are 94' now, as opposed to the mostly half court offense that used to be played.
The broad stroke is “it’s more competitive than ever to make it” — that encompasses more intense youth sports on developing bodies, more wear and tear, a more athletic game, more pressure to play thru injury, previously debilitating injuries getting rehabbed back to reinjured, etc.
bad luck
There was a good thread on this this morning. bsky.app/profile/zack...
Quite opposite. Poor shoe designs these days ( pretty much ended Balls career) ,load management ( sounds crazy but you are out of game ‘shape’ off&on),starting as early pro (skipping 3-4 college play)-even in this shit non physical Silvers NBA compared to 90s/00s it leads to wear&tear.
Can’t remember where I saw this reply, but players are stronger & faster than previous years, and do more fancy moves (lateral movement). This plus too many games = higher risk
Same reason there's been an uptick in Tommy John surgeries. Pro athletes in any sport are using their bodies harder than in the past. Maybe it's coaches asking for more. Maybe it's statisticians. Maybe it's fans. But regardless, there is pressure coming from somewhere.
Yeah sure ‘stronger’ than Oak,Mason,Davis ‘brothers’,Big Ben, Shaq, Ewing,Zo ,Buck Williams,Karl Malone,Barkley and i can go on and on🤣🤣🤣🤣🤣🤣
Those guys never had to chase shooters around the perimeter like they would in today’s game
Yeah sure thats why MJ and Hakeem would score 100 in today’s joke of a game. While Curry would be a little better version of his dad in 90s…
A sports therapist was saying that modern athletes are just ungodly strong. There are players whose weight + jump height = landing force so massive that it would sever the spine of we normal folks. I can't find the episode of the Gist where Mike talks to the people.
Fascinating bsky.app/profile/badi...
I think AAU has a big part. Also the nature of the way the game is played (more spread out) is having players cover more distance overall. A CBS sports injury analyst says that the avg team covers 200 more miles a season than they did in 2012. Drastic uptick.
Traveling.
vax
#TornSuddenly
or you know cellular dysfunction because of multiple covid infections
This. We know Covid causes tendon/ joint weakness and arthritis. So I can see playing without proper rest after an infection would cause weakness.
youtu.be/ZjJ-41NaASw
Not funny.
Maybe not relevant, but antibiotics called quinolones have achilles tears listed as a potential side effect.
I think AAU is definitely affecting their young bodies & we’re due for a major overhaul to treatment of young athletes. I think in the next 6yrs we’ll see massage therapy regularly used for YA’s to offset their intense schedules
Badly fitting shoes?
It’s gotta be vaccines
Too many games and playing on existing leg injuries, which strain other parts of the leg.
Probably playing too much when he was young. Kid athletes get beat up so much these days when their bodies are still growing.
There was a statistic about how players are averaging the same amount of total minutes but their total productivity/energy used has gone up 14-17%.
Too many games and trying to play through injuries. The thing is that players today and stronger and faster. It’s the same for soccer injuries
Players probably not taking care of their bodies off the court. Factor in the games they play and it only compounds the risk. But not every player (e.g Bron) suffers from it so I have to wonder what they’re doing off court.
www.mdpi.com/2036-7449/15... Increased injury risk after infection from SARS combined with increased miles run per game
ding ding ding
Can I blame my pulled hammy on COVID, too? Seems to explain everything for some of y’all …
I mean only of you want to listen to...the SCIENTIFIC JOURNAL ARTICLE linked in the skeet you're responding to
Prefer to listen to the HUNDREDS OF SCIENTIFIC JOURNALS not to mention common sense that indicate that though almost all of the world had COVID, soft tissue issues have not statistically increased at all. Neither have most of the conditions blamed on COVID.
I will answer in good faith. If you look at the source I linked, then yes, your injury risk is up 5x after infection. “Therefore, SARS-CoV-2 infection should be judged as a real injury requiring specific assessment and training programs”
My Achilles tear was associated with too much practice
It has to be the schedule. The NBA has a lot of back to back games that has been extremely hard on players. The new rule where players have to play over 65 games or they don’t qualify for certain awards is also a factor. Players WILL play with injuries if it can affect their checks. Just a theory
Probably won't be able to satisfactorily pin it to a single thing. Things that prolly contribute: early specialization, overuse. Dunno if any good data, but wonder about emphasis on performance gains in weight training i.e. muscles creating too much force that ligaments and tendons can't handle.
Obviously it's because woke, or DEI, or some other BS... /s Seriously though, it's likely pushing through/not enough rest between games...
The shoes
Probably a combination of all those things. Additionally these guys are by far more athletic than any generation of NBA players before. As they get closer and closer to pushing the limits of their bodies, they get closer to breaking their bodies.
Yes and yes
I believe there was a similar situation in football ⚽️ after many players started to use bladed studs. Too much grip while twisting and changing direction.
Definitely playing too much from a young age/playing through strains.
The age of optimization strikes again. You can’t optimize human performance without bumping into anatomical weaknesses you didn’t know about and couldn’t avoid if you tried. Like Achilles tendons.
It’s because they stopped wearing high tops.
Your question is a great GPT prompt with very interesting insight. Thx for insight 😎
More strain, More load, more games, repetitive strain on the tendon time and time again. Also, footwear. This is a good insight on why its happening more. www.youtube.com/watch?v=tDmh...
They’re running more distances in a game than before.
Discussed it here in this episode of our fun little medical podcast (special guest: Rick Barry) podcasts.apple.com/us/podcast/t...
Prob playing on calf strains mostly but strong/quick players doing a step back/lunge…often from farther out so they can cover ground they wouldn’t have to cover from midrange in. Kobe durant haliburton at least
Unknown Covid after effects.
Maybe something to do with the point-forward playing style
The newer, high tech soles are too sticky now, so when the body pivots, that foot stays put, creating more twisting/torque injuries and tears.
Their not stretching enough, certain moves their doing, not enough rest/recovery time and shitty shoes
I'm not an orthopedic doctor.... I just play one on the internet. No recovery time.. I think cortisone shot was mentioned and makes sense. Ty was injured before game 6. Probably gave him pain killers, and he didn't feel the strain getting worse. Until it snapped. Hope he has a speedy recovery.
Durant's injury was similar. Out a few games with a calf strain, came back and ruptured the tendon in less than 2 quarters of game time
This is crazy but I wonder if athletes (not just NBA) are seeing an uptick due to how athletic they’ve become. Westbrook runs faster than Bird sure, but eventually I wonder if certain parts of their bodies are being “asked” to do things that they can’t barring some totally new type of training.
Basketball shoes aren't designed for the amount of running the modern game requires.
Games are more physically demanding than they used to be. No more isolation plays
I won't be able to find it now, but a good article made the rounds a while back about this being a long term impact of AAU/focusing on a single sport.
Playing too many game at early age and still continuing as they age in the offseason.
stickier sneakers meet enhanced floor coatings. because reasons.