Can Coles Get it Back?

backrow · 02-02-2005, 07:35 AM

I know I wouldn't have surgery! No one wants to be cut on! No surgery is really "Minor" either! And don't you just hate the fact that Doctors "Practice" medicine? If they are practicing, just when do they get it right?

Note: 90 catches without surgery or Career ending surgery? Hmmmmm?

Sheriff Gonna Getcha · 02-02-2005, 09:12 AM

No one has mentioned the possibility that this toe injury has a bigger bark than it does bite. I saw Coles bobbing, weaving, moving with tons of speed, acceleration, and agility in traffic. I must've seen the guy make at least 3 tacklers miss on a dozen occasions when he caught one of those flanker screens. Granted, he didn't get many ypc, but that's because all 11 defenders were within 10 yards of the line of scrimmage 9 of every 10 plays and 9 of every 10 balls Coles caught were between the sticks.

MTK · 02-02-2005, 09:18 AM

Quote:

Originally Posted by cpayne5

I'm no doctor, so I have no idea as to what will make him 100% again.

Well said.

Coles and his doctors understand his situation a lot more than we do, so let's sit back and trust that he's doing everything he can do get back to 100%.

ChounsMan · 02-02-2005, 10:07 AM

Coles has been gimpy now for 2 seasons & still he's playing above avg. to most WR's in the NFL.

One would have to ask a Dr. if surgery would relieve this cronic injury or cause Coles more problems later in his career...?

SmootSmack · 02-02-2005, 10:18 AM

Is there a doctor in the Warpath house?

MTK · 02-02-2005, 10:24 AM

Quote:

Originally Posted by smootsmack

Is there a doctor in the Warpath house?

There always seems to be plenty LOL

I think we could have our own ER here

BrudLee · 02-02-2005, 12:12 PM

If by "get it back" you mean be a 90 catch receiver, then no. Oh, wait...

The YardsPerCatch this year was a result of the playcalling. Coles was in pretty good shape this year.

TheMalcolmConnection · 02-02-2005, 12:26 PM

I know he wasn't at full speed, but he is still one of the best playmakers in the league. Next year people will be like, "He has a hurt toe?"

sportscurmudgeon · 02-02-2005, 12:37 PM

GoSkins!:

Yuu have just posed the MOST important question that needs an answer during this offseason for the Skins. If Coles can "get it back", the Skins need to tweak the WR corps around yhim as the #1. If he can't, they need to get a #1 and then figure out what to do with him as a VERY highly paid WR who isn't the #1 man. I wish I knew the answer to that one right now!

Cortisone shots are evvective to releave internal swelling and fluid build up threby relieveing pressure on nervs and relieving pain. It also acceleates healing of joints and connective tissue injuries. Cortisone shots are not pleasant! They hurt! This is not like getting a flu shot!

Ramseyfan:

MAYBE one of the reasons they did not throw to Coles down the field is that he could not run fast enough to get open down the field? (Or maybe the OL could not hold out the defenders long enough for him to get there?) For all that spectacular performance you saw, you only saw him in the end zone once in 16 games.

MTK · 02-02-2005, 01:22 PM

Coles especially towards the end of the season seemed to be moving and cutting pretty well. Once he had the shot he seemed much more like the Coles of old.

I agree with the notion that the playcalling was more to blame for Coles' low YPC than anything to do with Coles' toe. It seemed like he caught nothing but WR screens all year. And when he caught those screens he always seemed to be able to make the first defender miss, so his toe couldn't have been that bad.

I think we'll see much different results from Coles in '05.

MTK · 02-02-2005, 01:24 PM

Here's some info I found regarding cortisone injections:

What is cortisone?
Cortisone is a type of steroid that is produced naturally by a gland in your body called the adrenal gland. Cortisone is released from the adrenal gland when your body is under stress. Natural cortisone is released into the blood stream and is relatively short-acting.

Injectible cortisone is synthetically produced and has many different trade names (e.g. Celestone, Kenalog, etc.), but is a close derivative of your body's own product. The most significant differences are that synthetic cortisone is not injected into the blood stream, but into a particular area of inflammation. Also, the synthetic cortisone is designed to act more potently and for a longer period of time (days instead of minutes).

How does the cortisone injection help?
Cortisone is a powerful anti-inflammatory medication. Cortisone is not a pain relieving medication, it only treats the inflammation. When pain is decreased from cortisone it is because the inflammation is diminished. By injecting the cortisone into a particular area of inflammation, very high concentrations of the medication can be given while keeping potential side-effects to a minimum.

What are some common reasons for a cortisone injection?
Many conditions where inflammation is an underlying problem are amenable to cortisone shots. These include, but are certainly not limited to

Shoulder Bursitis
Arthritis
Trigger Finger
Tennis Elbow
Carpal Tunnel Syndrome

Does the cortisone injection hurt?
The shot can be slightly painful, especially when given into a joint, but in skilled hands it usually is well tolerated. Often the cortisone injection can be performed with a very small needle that causes little discomfort. However, sometimes a slightly larger needle must be used, especially if your physician is attempting to removed fluid through the needle prior to injecting the cortisone. Numbing medication, such as Lidocaine or Marcaine, is often injected with the cortisone to provide temporary relief of the affected area. Also, topical anesthetics can help numb the skin in an area being injected.

Are there side effects?
Yes. Probably the most common side-effect is a 'cortisone flare,' a condition where the injected cortisone crystalizes and can cause a breif period of pain worse than before the shot. This usually lasts a day or two and is best treated by icing the injected area. Another common side-effect is whitening of the skin where the injection is given. This is only a concern in people with darker skin, and is not harmful, but patients should be aware of this.

Other side-effects of cortisone injections, although rare, can be quite serious. The most concerning is infection, especially if the injection is given into a joint. The best prevention is careful injection technique, with sterilization of the skin using iodine and/or alcohol. Also, patients with diabetes may have a transient increase in their blood sugar which they should watch for closely.

Because cortisone is a naturally occuring substance, true allergic respones to the injected substance do not occur. However, it is possible to be allergic to other aspects of the injection, most commonly the betadine many physicians use to sterilize the skin.

Can I get a cortisone injection more than once?
Yes. There is no rule as to how many cortisone injections can be given. Often physicians do not want to give more than three, but there is not really a specific limit to the number of shots. However, there are some practical limitiations. If a cortisone injection wears off quickly or does not help the problem, then repeating it may not be worthwhile. Also, animal studies have shown effects of weakening of tendons and softening of cartilage with cortisone injections. Repeated cortisone injections multiply these effects and increase the risk of potential problems. This is the reason many physicians limit the number of injections they offer to a patient.

TheMalcolmConnection · 02-02-2005, 02:10 PM

Coles is a tough guy and if he and the doctors don't think he needs surgery, that's good enough for me.

GoSkins! · 02-02-2005, 07:01 PM

Quote:

Originally Posted by Mattyk72

Coles especially towards the end of the season seemed to be moving and cutting pretty well. Once he had the shot he seemed much more like the Coles of old...

Matty, I do agree with that totally. I taped the Vikings game on TIVO and have replayed it trying to break down the game a little. On the play where Ramsey beat the blitz and hit Coles crossing, Coles really exploded. The acceleration was there and the cuts were there.

I know that if Coles feels like he can play like that from here on out, we have our number one receiving threat back and surgery would seem to be a risky alternative. I freely admit that I cannot possibly answer the question I have posted. I want to be clear though that Coles "as is" is still a great receiver and a prototype Redskin.

Also, thanks for the other post on what the shot actually does.

diehardskin2982 · 02-02-2005, 07:19 PM

yes even with a hurt toe he was the best wr on the field for us last season. he justs need toe heal and possibly get surgurey to repair the problem.

Daseal · 02-03-2005, 01:05 AM

Can't cortizone shots kill the nerves where it's being given and lead to the flesh deteriorating? I'm pretty sure that there are some real nasty side effects. My step-mother, who often watches the games with us, got a nursing degree from John Hopkins and is almost dead on with the injury someone has just watching it. Last year she pronounced Ramsey dead a few times - I guess she was close enough! Either way, I'll ask, but I'm almost sure I remember bad bad things coming from cortizone. 1-2 shouldn't be bad, but multiple shots start really causing problems.

02-02-2005, 07:35 AM	#16
backrow The Starter Join Date: Feb 2004 Location: 36.28 x 76.22 Age: 73 Posts: 1,812	I know! I know I wouldn't have surgery! No one wants to be cut on! No surgery is really "Minor" either! And don't you just hate the fact that Doctors "Practice" medicine? If they are practicing, just when do they get it right? Note: 90 catches without surgery or Career ending surgery? Hmmmmm? __________________ '37, '42, '83, '88, '92. Championship!

02-02-2005, 10:07 AM	#19
ChounsMan Special Teams Join Date: Feb 2004 Location: Connecticut Age: 53 Posts: 312	Coles has been gimpy now for 2 seasons & still he's playing above avg. to most WR's in the NFL. One would have to ask a Dr. if surgery would relieve this cronic injury or cause Coles more problems later in his career...? __________________ Throwing on 4th and inches..!

02-02-2005, 10:18 AM	#20
SmootSmack Uncle Phil Join Date: Feb 2004 Posts: 45,256	Is there a doctor in the Warpath house? __________________ You're So Vain...You Probably Think This Sig Is About You

02-02-2005, 12:12 PM	#22
BrudLee Playmaker Join Date: Feb 2004 Location: Rehoboth Beach, DE Posts: 3,494	If by "get it back" you mean be a 90 catch receiver, then no. Oh, wait... The YardsPerCatch this year was a result of the playcalling. Coles was in pretty good shape this year. __________________ There's nowhere to go but up. Or down. I guess we could stay where we are, too.

02-02-2005, 12:26 PM	#23
TheMalcolmConnection I like big (_\|_)s. Join Date: Dec 2004 Location: Charlottesville, Virginia Age: 43 Posts: 19,233	I know he wasn't at full speed, but he is still one of the best playmakers in the league. Next year people will be like, "He has a hurt toe?" __________________ Regret nothing. At one time it was exactly what you wanted.

02-02-2005, 09:12 AM	#17
Sheriff Gonna Getcha Franchise Player Join Date: Feb 2004 Age: 45 Posts: 8,317	No one has mentioned the possibility that this toe injury has a bigger bark than it does bite. I saw Coles bobbing, weaving, moving with tons of speed, acceleration, and agility in traffic. I must've seen the guy make at least 3 tacklers miss on a dozen occasions when he caught one of those flanker screens. Granted, he didn't get many ypc, but that's because all 11 defenders were within 10 yards of the line of scrimmage 9 of every 10 plays and 9 of every 10 balls Coles caught were between the sticks.

02-02-2005, 12:37 PM	#24
sportscurmudgeon Playmaker Join Date: Feb 2004 Posts: 3,159	GoSkins!: Yuu have just posed the MOST important question that needs an answer during this offseason for the Skins. If Coles can "get it back", the Skins need to tweak the WR corps around yhim as the #1. If he can't, they need to get a #1 and then figure out what to do with him as a VERY highly paid WR who isn't the #1 man. I wish I knew the answer to that one right now! Cortisone shots are evvective to releave internal swelling and fluid build up threby relieveing pressure on nervs and relieving pain. It also acceleates healing of joints and connective tissue injuries. Cortisone shots are not pleasant! They hurt! This is not like getting a flu shot! Ramseyfan: MAYBE one of the reasons they did not throw to Coles down the field is that he could not run fast enough to get open down the field? (Or maybe the OL could not hold out the defenders long enough for him to get there?) For all that spectacular performance you saw, you only saw him in the end zone once in 16 games. __________________ The Sports Curmudgeon www.sportscurmudgeon.com But don't get me wrong, I love sports...

02-02-2005, 01:22 PM	#25
MTK \m/ Join Date: Feb 2004 Location: NY Age: 52 Posts: 99,564	Coles especially towards the end of the season seemed to be moving and cutting pretty well. Once he had the shot he seemed much more like the Coles of old. I agree with the notion that the playcalling was more to blame for Coles' low YPC than anything to do with Coles' toe. It seemed like he caught nothing but WR screens all year. And when he caught those screens he always seemed to be able to make the first defender miss, so his toe couldn't have been that bad. I think we'll see much different results from Coles in '05.

02-02-2005, 01:24 PM	#26
MTK \m/ Join Date: Feb 2004 Location: NY Age: 52 Posts: 99,564	Here's some info I found regarding cortisone injections: What is cortisone? Cortisone is a type of steroid that is produced naturally by a gland in your body called the adrenal gland. Cortisone is released from the adrenal gland when your body is under stress. Natural cortisone is released into the blood stream and is relatively short-acting. Injectible cortisone is synthetically produced and has many different trade names (e.g. Celestone, Kenalog, etc.), but is a close derivative of your body's own product. The most significant differences are that synthetic cortisone is not injected into the blood stream, but into a particular area of inflammation. Also, the synthetic cortisone is designed to act more potently and for a longer period of time (days instead of minutes). How does the cortisone injection help? Cortisone is a powerful anti-inflammatory medication. Cortisone is not a pain relieving medication, it only treats the inflammation. When pain is decreased from cortisone it is because the inflammation is diminished. By injecting the cortisone into a particular area of inflammation, very high concentrations of the medication can be given while keeping potential side-effects to a minimum. What are some common reasons for a cortisone injection? Many conditions where inflammation is an underlying problem are amenable to cortisone shots. These include, but are certainly not limited to Shoulder Bursitis Arthritis Trigger Finger Tennis Elbow Carpal Tunnel Syndrome Does the cortisone injection hurt? The shot can be slightly painful, especially when given into a joint, but in skilled hands it usually is well tolerated. Often the cortisone injection can be performed with a very small needle that causes little discomfort. However, sometimes a slightly larger needle must be used, especially if your physician is attempting to removed fluid through the needle prior to injecting the cortisone. Numbing medication, such as Lidocaine or Marcaine, is often injected with the cortisone to provide temporary relief of the affected area. Also, topical anesthetics can help numb the skin in an area being injected. Are there side effects? Yes. Probably the most common side-effect is a 'cortisone flare,' a condition where the injected cortisone crystalizes and can cause a breif period of pain worse than before the shot. This usually lasts a day or two and is best treated by icing the injected area. Another common side-effect is whitening of the skin where the injection is given. This is only a concern in people with darker skin, and is not harmful, but patients should be aware of this. Other side-effects of cortisone injections, although rare, can be quite serious. The most concerning is infection, especially if the injection is given into a joint. The best prevention is careful injection technique, with sterilization of the skin using iodine and/or alcohol. Also, patients with diabetes may have a transient increase in their blood sugar which they should watch for closely. Because cortisone is a naturally occuring substance, true allergic respones to the injected substance do not occur. However, it is possible to be allergic to other aspects of the injection, most commonly the betadine many physicians use to sterilize the skin. Can I get a cortisone injection more than once? Yes. There is no rule as to how many cortisone injections can be given. Often physicians do not want to give more than three, but there is not really a specific limit to the number of shots. However, there are some practical limitiations. If a cortisone injection wears off quickly or does not help the problem, then repeating it may not be worthwhile. Also, animal studies have shown effects of weakening of tendons and softening of cartilage with cortisone injections. Repeated cortisone injections multiply these effects and increase the risk of potential problems. This is the reason many physicians limit the number of injections they offer to a patient.

02-02-2005, 02:10 PM	#27
TheMalcolmConnection I like big (_\|_)s. Join Date: Dec 2004 Location: Charlottesville, Virginia Age: 43 Posts: 19,233	Coles is a tough guy and if he and the doctors don't think he needs surgery, that's good enough for me. __________________ Regret nothing. At one time it was exactly what you wanted.

02-02-2005, 07:19 PM	#29
diehardskin2982 Another Year, another mess. Join Date: Feb 2004 Posts: 3,581	yes even with a hurt toe he was the best wr on the field for us last season. he justs need toe heal and possibly get surgurey to repair the problem. __________________ That got ugly fast

02-03-2005, 01:05 AM	#30
Daseal Puppy Kicker Join Date: Feb 2004 Location: Arlington, Virginia Age: 41 Posts: 8,341	Can't cortizone shots kill the nerves where it's being given and lead to the flesh deteriorating? I'm pretty sure that there are some real nasty side effects. My step-mother, who often watches the games with us, got a nursing degree from John Hopkins and is almost dead on with the injury someone has just watching it. Last year she pronounced Ramsey dead a few times - I guess she was close enough! Either way, I'll ask, but I'm almost sure I remember bad bad things coming from cortizone. 1-2 shouldn't be bad, but multiple shots start really causing problems.

Can Coles Get it Back?

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