Nicholas White
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Re: If Mark pulls out of Wimbledon 2007.......
If Mark pulls out of Wimbledon 2007 he will inevitably push himself further and further towards his inevitable retirement.
Priority one, Wimbledon should be Mark's main focus.
I am aware of his chronic knee injuries and complications. Much more should have been done since January, 2007 to rehabilitate his knee on deformable surfaces such as grass or sand.
I mentioned this back in January, 2007 in a post on this website. it is common sense to realise how hard compound surfaces do not provide progressive loading or proprioceptive feedback. How important and relevant my earlier comments in January now seem....who was listening ?
What is the point of preparing for Newport ? What is Newport compared to Wimbledon ?
Mark, if you are listening, find the courage and strength to play Wimbledon. Mark Wimbledon on the calendar as the ONLY tournament you should die preparing for.
Whatever it takes, consult Niki Pilic, Boris Becker or Michael Stich. Get some European mentorship.
You simply have to return to Wimbledon to win. Win Wimbledon and you can have any woman in the world !
NW
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1/Jun/07, 2:41
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Lyndus
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Re: If Mark pulls out of Wimbledon 2007.......
Hello, Nicholas you sound like you know what you're talking about, however being a regular participator in intense sports (Tennis & Ice Hockey), I know how badly knee injuries in particular can harm your body, they're incredibly painful not too mention they require constant rehab and you have to be so careful as to how you move on it whilst the injury is still healing, and seeing as Mark is 30 and has spent his life running on hardcourts I wouldn't expect anyone under the age of 20 to come back much quicker if quicker at all, and another very important factor you left out was that Mark is a massive man especially for a tennis player, how he times the ball so well astonishes me, seeing how big his whole body is. His weight is a major factor especially in rehab, the old saying "The bigger they're the harder they fall" is what is going on here, he's not a little road runner.
The world of professional tennis is so intense that in my oppinion even 98% fit wouldn't realy cut it out there, unless your last name is Federer, Hewitt or Nadal.
Nicholas don't take this personally as this isn't a personal attack, but I don't agree at all with asumption about Mark contesting Newport, it is a good tournament which offers substantial ranking points and good money and it's on Marks preferred surface, not too mention the fact that Mark has the Maximum ammount of points to defend at that tournament, if he didn't play there god only knows how low his ranking would fall too, if his body was ready to go I think he would play the Holy-Grail of tournaments (Wimbledon), you also said "Mark, if you are listening, find the courage and strength to play Wimbledon. Mark Wimbledon on the calendar as the ONLY tournament you should die preparing for." I think if he realy was listening too you than he would come after you with a racquet in hand (or maybe not), professionals know what they're doing they've based their lives around their profession for decades, and seeing as Mark has suffered horrific injuries in the past, not too mention very similar injuries to the one hes plagued by as we speak, I'm pretty sure he knows what hes doing, risking not being able to walk properly again by playing and losing in a 1st round at Wimbledon just isn't worth it.
I did read your blod earlier in the year, it was very similar to the one you've recently posted, I wasn't too impressed by it, as I'm sure the bulk of the other scudders wern't either. I understand your scepticism involving Mark's future, I've questioned it myself however from what I've read about him in recent years, hes doing everything he can too maximise his career and honestly thats good enough for me.
Sorry everyone for dragging on with this, however one of your final comments was that Mark needs a European mentor, I'm not saying that you're wrong however I think with people like Darren Cahill, Andre Agassi and Gil in his life helping guide him, I think that puts him in pretty good company, seeing as they're not only brilliant mentors but also gentleman away from the court.
Lucus.
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1/Jun/07, 15:49
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Nicholas White
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Re: An Evidence-Based Approach to Conservative Mx of Chronic Meniscus Injuries
lucas,
Are you suggesting that Boris Becker and Michael Stich are not gentlemen ???
Are you also questioning the competency of Niki Pilic. If I were to ask you who he was, you would probably tell me that he was a soccer player. You obviously dont even know who he is and what he has accomplished in the world of tennis ! Former coach of our Great Boris Becker, Michael Stich, Goran Ivanisevic....the list goes on....
Darren Cahill, although being a nice guy like Wally Masur, does not have the experience of Niki Pilic. As for the man with the feathered hat, he does'nt coach or mentor anymore....He is not exactly a picture of health....
As for Mark's knee, I am far more qualified to talk about knee injuries as this is one of my specialties. I have successfully diagnosed and treated a number of grade III ant/post horn, bucket-handle and flap medial meniscal tears, most with a complete menisectomy. Two in particular are middle-aged patients that have successfully returned to playing professional basketball. Non-surgical physical therapeutic management and treatment is multifactorial. This involves the use of electrotherapies, deep-cross friction techniques in conjunction with physical adjustive procedures for the lumbar spine, SI joints, knee, surrounding proximal and distal tibio-fibular joints. The ankle, subtalar and midtarsal joints are also routinely adjusted to address and correct issues of pronation control which inevitably reduce internal tibial rotation and abnormal foot flare. The use of PIR, PNF and MRT release techniques to re-establish muscle balance, proprioception and deep tendon reflex responses for the adductor, biceps femoris, plantarflexor leg musculature is crucial. VMO release, strengthening and proprioceptive positional feedback techniques, tibialis anterior/ peroneal MRT releases and proprioceptive training is vital.
Gradual resumption of ballistic, moderate-high impact, directional changes, twisting on DEFORMABLE surfaces is essential. This should be combined with nutritional intervention, consumption of an organic diet, which should include certified organic walnuts, almonds, olives, olive oil, fatty fish, game meats. Rich sources of bioflavinoids and vit. C (e.g. certified organic grape juice (Shiraz)), natural sources of glucosamine sulfate (e.g. organic fascia/ cartilaginous tissue derived from game stock - i.e. hare/ pheasant/ guinea fowl) to encourage intrinsic collagen production. The whole objective is to increase local cell population, increase local neurogenic vascularity, increase synovial fluid quality and to decrease local adhesion to surrounding tissues. Just ask my compatriot the Great THOMAS MUSTER. He will tell you all about how his 'Tyrolian' Austrian organic diet which included heavy consumption of natural sources of game cartilaginous/ fasial conective tissue (including venison) contributed to his speedy recovery to become NO.1 in the world once again...You would also be interested to know that part of his rehab. Tx plan included light running on beach sand whilst receiving manipulative therapy.
Mark should minimise repetitive sustained weight-training in the gym, deep knee bends, asynchronous motion, combined compression rotation or repetitive rotational stress. I have watched Mark stretching before matches in person. Some of the active stretch-techniques, probably administered and recommended by physiotherapists are aberrant and contra-indicated for his degenerative/ traumatic knee.
As for Mark's weight issue, he seems to be looking quite good from recent photos. As for your reference to Mark's body weight, if you bothered to take the wax out of your ears and the cotton wool out of your eyelids, you would realise that I have previously recommended that Mark should engage in a weight-loss program. A total body weight of 79-80 kg would be optimal. This would essentailly eliminate slow sustained mictrotrauma and asynchronous motion at the knee and promote a more efficient means of bearing compressive weight-bearing load, particularly through his Lx, S.I., Hip, Knee and Ankle joints.
As with everything, best results require extreme discipline, dedication and extensive (EVIDENCE-BASED) rehabilitation protocols, such as those adopted and recommended by 'The Orthopedic Clinics of North America'.
As for you lucas, go back to anatomy for beginners 101...
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1/Jun/07, 17:45
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Lyndus
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Re: If Mark pulls out of Wimbledon 2007.......
Nicholas for a man who sounds like a professional at what you do for a living, you don't seem to take it home with you when you're done for the day. If you took the wax out of your ears and cotton wool out from under your eye lids, you would have noticed that in previous comments I've made in this forum, I've stated that not only he needs to lose weight, even though from recent pictures that I've seen he seems to have seriously trimmed down his body fat, so all he can do is work on his lean muscle mass, which you make sound easy, I train and work out rigorously everyday and no matter how fit you're a body can only go so far, and for Mark he would have to lose around 10 kgs, which just isn't even possible in my oppinion, especially before he retires, but he is working hard to do the best with what he's got. Also when I mentioned that hes been working with Team Agassi, I said clearly that I didn't say that you were wrong about Mark hiring one of the European greats, I just said that he has a very good thing going, and I could be wrong however I think he'd be better off staying where he is, being around talented professionals such as Team Agassi in my oppinion is perfect for him, especially seeing as he respects them so much. One of the ultimate tennis players in my oppinion is Ivan Lendl, his competetiveness and his training ethic was absolutely unbelievable, so going on that you would think that he would be the ultimate mentor for the scud, but in reality he probably isn't, if you don't fully respect, understand and appreciate the knowledge and talent that your coach or mentor is offering you, than you're with the wrong person, no matter how talented they're and as I've said Mark seems to have all of those things for Team Agassi.
Now onto the middle aged patients going back to playing basketball, yes basketball is very intense, and yes the pressure on the knees is quite intense, however when you weigh 100+ kgs and you're twisting constantly on your knees from covering singles sidelines and when you're quickly taking off to cover the net after a heavy kick-serve there is always going to be problems after a while, and unfortunately in Marks case very serious injuries, and one of my friends I play Ice hockey with has worked with the physician that Mark sought help from after damaging his knee at the Hopman Cup, from wht he told me about him he is one of the most well respected sports physicians in the country and in your blog you mentioned that Marks rehab isn't right for him, so if you're right than you should be down here proclaiming to everyone that you're one of the very people in your profession.
When I replied to your blog earlier, I was slightly tempted to say somthing immature to you, instead I made it clear that my comments were not to be construed as a personal attack, from the way you've treated this situation you've shown that you have no respect for anyone elses oppinions, you would make a great politician, I'm only 19 years old, from what I can gather you're significantly older than me, and you've obviously had substantial ammounts of training in the field you're involved in, yet even with all that training and experience with dealing with patients you still come across as arrogant, rude and self centred, not often will you here of a 19 year old coming off as the good guy when compared to an elder. And no I will not be wasting my time with studdying anatomy, if that means I'll turn out like the person you're. You're more than welcome to keep trying to deconstruct me with your blogging, this site is for Mark Philippoussis fans and I'm going to try and stick to just talking about out wonderfuly idol, I suggest you do the same, everyones entitled to their oppinions, however I'd doubt too many other scudders appreciate your blogs.
Lucus.
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1/Jun/07, 19:09
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flipfanatic
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Re: If Mark pulls out of Wimbledon 2007.......
Please stop the insults.
You do not need to post or respond in this manner.
Discuss these issues rationally and politely.
Val
In my opinion, Mark is working with a great group of people and has found himself a strong support base.
Let's hope we see a fit and firing Mark soon and that he finishes 2007 in a big way and has an even better year in 2008 that he did in 2003 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Last edited by flipfanatic, 4/Jun/07, 11:48
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“It’s in my heart to give it one more go” - Mark
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4/Jun/07, 11:39
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