Replacing the Strength and Conditioning Staff

Originally posted by Jeepzilla:

Didn't Kap question his injury diagnosis also?
Their are more.

Obviously their is a disconnect somewhere.

That too...he went elsewhere for his diagnosis and subsequent surgeries.

Originally posted by NCommand:

They suck ass. From Alex's shoulder, to Foster's shoulder, Armstead's shoulder, concussions...they all f**king suck or have a team agenda. I saw Goodwin get two hits (concussions) this year in one game and he never visited the blue tent once. Pathetic.

No offense but unless you have some sort of extensive medical background, you are in no position to make that conclusion.


As fans we have limited information and limited access to what actually goes on behind the scenes so we make assumptions based on limited and often faulty iinformation. We look for simple answers to complex issues.


What we do know as a fact is that the current team physician is is incredibly well respected in his field, amongst his peers.


So the people who are the experts in the field feel that this guy is hot stuff but Joe Six Pack at home thinks he is doing badly because of injury issues that could very well be a matter of coincidence and bad luck. Who should a reasonable person believe?

This year, The NFL Physicians Society awarded San Francisco 49ers head physician Dr. Timothy McAdams with the Arthur C. Rettig Award for his academic excellence in research in advancing the health and safety of players in the NFL.

McAdams just completed his 11th season with the 49ers and his fourth as the team's medical director and head team physician. He's also a consultant team physician for the San Francisco Giants since 2012 and a team physician for the Golden State Warriors. Outside of his duties in professional sports, McAdams serves as a clinical professor and orthopaedic surgeon.

Honors & Awards
San Francisco Magazine "Top Doctors", San Francisco Magazine (2018)
Rettig Award for Academic Excellence, National Football League Physician Society (2017)
San Francisco Magazine "Top Doctors", San Francisco Magazine (2017)
Certificate of Added Qualification (CAQ), Sports Medicine (2007)
Certificate of Added Qualification (CAQ), Hand Surgery (2004)
Teacher of the Year Award, Stanford Orthopaedic Surgery (2002)
Magna Cum Laude, Georgetown University School of Medicine (1995)
Alpha Omega Alpha Medical Honor Society, Georgetown University School of Medicine (1994)

This guy is getting awards from his peers has received active employment from other professional sports teams as well as being a professor at one of the top medical schools in the country.

If you just suffered a severe injury, this is exactly the type of doctor you'd want to go see to get treated.



So yeah, I'm going to assume that Dr McAdams is a pretty good doctor considering how well respected he is by those in the best position to really know. Anything else is conjecture.

Originally posted by jcs:

Misdiagnosing Jets knee as a muscle strain...the list goes on. We also know KS did his own research with information that wasn't available or reported by the media and who knows how damning that list of blunders is.

He did have a strain. Not properly resting a strain can lead to a far more devastating injury. The doctors can make their recommendation, they can't force a player or training staff to abide by it.


A doctor can say "you ought to rest this for three weeks" and a player says after a week "I'm good to go coach!" Is that the doctor's fault if the player exacerbates his injury?


Meanwhile if the player does take the full time to heal, they risk their position on the roster and then the fans call them "soft" or a "b***h" for putting their health first. Its a sport with a high injury risk and a lot of pressure to play through injury.

Originally posted by Phoenix49ers:

Originally posted by jcs:
Misdiagnosing Jets knee as a muscle strain...the list goes on. We also know KS did his own research with information that wasn't available or reported by the media and who knows how damning that list of blunders is.

He did have a strain. Not properly resting a strain can lead to a far more devastating injury. The doctors can make their recommendation, they can't force a player or training staff to abide by it.

A doctor can say "you ought to rest this for three weeks" and a player says after a week "I'm good to go coach!" Is that the doctor's fault if the player exacerbates his injury?

Meanwhile if the player does take the full time to heal, they risk their position on the roster and then the fans call them "soft" or a "b***h" for putting their health first. Its a sport with a high injury risk and a lot of pressure to play through injury.

The 26-year-old previously gave the 49ers a scare when he suffered a knee injury late in training camp that required an MRI. Ultimately, the scans revealed a muscle strain, and he was given the all-clear to return to the field following some cautious maintenance work by the coaching and medical staffs.
https://bleacherreport.com/articles/2791028-jerick-mckinnon-reportedly-suffers-concerning-injury-at-49ers-practice

You're defense is odd considering he was just fired, this training staff was awful....

Still remember the reports of Jimmy G hopping around the locker room on one leg for the media to see "after" they diagnosed his knee injury

Originally posted by Phoenix49ers:

Originally posted by jcs:

Misdiagnosing Jets knee as a muscle strain...the list goes on. We also know KS did his own research with information that wasn't available or reported by the media and who knows how damning that list of blunders is.

He did have a strain. Not properly resting a strain can lead to a far more devastating injury. The doctors can make their recommendation, they can't force a player or training staff to abide by it.


A doctor can say "you ought to rest this for three weeks" and a player says after a week "I'm good to go coach!" Is that the doctor's fault if the player exacerbates his injury?


Meanwhile if the player does take the full time to heal, they risk their position on the roster and then the fans call them "soft" or a "b***h" for putting their health first. Its a sport with a high injury risk and a lot of pressure to play through injury.

Great info and I'm not downplaying anything your stating but misdiagnosis happens in all fields by all so called "experts"..

We just have had a lot of injured players the last 5 years and we are all hoping it gets corrected.

Originally posted by jcs:

The 26-year-old previously gave the 49ers a scare when he suffered a knee injury late in training camp that required an MRI. Ultimately, the scans revealed a muscle strain, and he was given the all-clear to return to the field following some cautious maintenance work by the coaching and medical staffs.
https://bleacherreport.com/articles/2791028-jerick-mckinnon-reportedly-suffers-concerning-injury-at-49ers-practice

You're defense is odd considering he was just fired, this training staff was awful....

Still remember the reports of Jimmy G hopping around the locker room on one leg for the media to see "after" they diagnosed his knee injury

I'm not talking about the strength and conditioning coach.

Originally posted by NinerGM:
Phoenix could it be you're conflating strength and conditioning with medical? I see the two as being very different. There's a lot we don't know as to the reason why Wright was fired. It may have been warranted given he might have been advised to team with the medical staff in some way and didn't. I'm phishing here but I'm sure Kyle/John has been discussing thinking about this for a while.

all I know is the redskins had a lot of injuries with Wright being there and then the 49ers did when he came on board

Originally posted by NinerGM:

Phoenix could it be you're conflating strength and conditioning with medical? I see the two as being very different. There's a lot we don't know as to the reason why Wright was fired. It may have been warranted given he might have been advised to team with the medical staff in some way and didn't. I'm phishing here but I'm sure Kyle/John has been discussing thinking about this for a while.

I'm saying that if the 49ers have issues, it isn't because they have "the worst doctors in the world" or that the doctors "suck ass" when objectively that isn't true.


Now if there were real issues with the strength and training staff, that could be a whole other matter and is separate from the doctor issue itself.

If your training staff is weak, that is a major issue. The firing of Wright appears to be an indicator that the team feels that there was a real issue and liability there.

But Kyle doesn't fire his friends

Meh.

Does he have any "friends" on the conditioning staff?

Clearly they needed to change something. Hopefully the staffing changes are just the start of a complete overhaul.

Originally posted by Phoenix49ers:
No offense but unless you have some sort of extensive medical background, you are in no position to make that conclusion.

As fans we have limited information and limited access to what actually goes on behind the scenes so we make assumptions based on limited and often faulty iinformation. We look for simple answers to complex issues.

What we do know as a fact is that the current team physician is is incredibly well respected in his field, amongst his peers.

So the people who are the experts in the field feel that this guy is hot stuff but Joe Six Pack at home thinks he is doing badly because of injury issues that could very well be a matter of coincidence and bad luck. Who should a reasonable person believe?

This guy is getting awards from his peers has received active employment from other professional sports teams as well as being a professor at one of the top medical schools in the country.

If you just suffered a severe injury, this is exactly the type of doctor you'd want to go see to get treated.

So yeah, I'm going to assume that Dr McAdams is a pretty good doctor considering how well respected he is by those in the best position to really know. Anything else is conjecture.

This applies to far more than the strength and conditioning situation. It applies to the draft, free agency, coaching, administration and so much more.

Originally posted by Phoenix49ers:

Originally posted by NinerGM:

Phoenix could it be you're conflating strength and conditioning with medical? I see the two as being very different. There's a lot we don't know as to the reason why Wright was fired. It may have been warranted given he might have been advised to team with the medical staff in some way and didn't. I'm phishing here but I'm sure Kyle/John has been discussing thinking about this for a while.

I'm saying that if the 49ers have issues, it isn't because they have "the worst doctors in the world" or that the doctors "suck ass" when objectively that isn't true.


Now if there were real issues with the strength and training staff, that could be a whole other matter and is separate from the doctor issue itself.

If your training staff is weak, that is a major issue. The firing of Wright appears to be an indicator that the team feels that there was a real issue and liability there.

Don't personally know any of the 9ers docs, but sure met a lot of the Lakers team docs. And what PHX says is true. If you have a sports injury and don't know who to go to , the one best place to start is with the team docs for the injury you have. In LA it was Frank Jobe, way back when, and one day after a MCL surgery , i was at Centinela Hospital downtown and in the rehab clinic of Physiotherapists. While i was using a leg machine, Jerry West was on the bike and Wilt was in the whirlpool/ ice tub. Those guys were exactly why i sought out the team doc and as it turned out, they were the best in the business. Today there is a team doc but there are then sub specialists like knee, elbow (Tommy John), ankle , wrist, shoulder and so on. This was around 1972 and there were no artificial knees, hips, shoulders and so on then. But if you wanted the best for your particular injury, seek out the team doc for your particular malady. Incidentally back then the NY Rangers, i believe , used the Lakers docs. So did the Dodgers, and Rams.

Doesn't mean any particular doc is not less than ideal. But as very good rule, you want excellence, go to the guys who do the local teams pro athletes. Later on Dr Andrews in Atlanta was used by many as a primary source but he got his reputation as the guy to see if your procedure went south.

Here if you happen to have an artificial knee that went bad, there is a terrific guy up in Salt Lake, Aaron Hofmann, who did artificial knee screw ups which also required use of radiated cadaver bone to fill in any necrotic (rotten or dead) areas in the tibia or femur, and then did the new knee. Team docs knew who to see if a sports injury surgery went south. The day i had my 4th knee replacement (right knee) Dr Hoffmann had xrays of 00, Jim Otto, and Daryle Lamonica up on the X-ray view box. They had been done in the morning, before mine.

Long story, but team sports docs are some of the best in their particular specialty. Some are hands down the very best. Frank Jobe was one of those. Dr. Andrews in ATL is another. For older athletes, needing artificial joints, team docs know exactly who to see . Some three decades later , the Jobe clinic in LA had their own joint replacement doc in house. Those guys know who is talented and who to get as partners. I am relatively certain the docs for the 9ers are no different. Can't speak for our team guys but i would seek out one of them if needed....and wouldn't think twice about it..

As noted above, S and C is an entirely different ball of wax. So far what they have done here, both the latest and the previous crew...was not impressive. Long before we had a thread about it i had serious reservations about the 9ers S and C , and as PHX has said, the firing of Wright et al, does not put them in a good light. There was plenty of just cause...just look at our last 4 yrs PUP, IRs, etc. It wasn't pretty and was not in line with doing a good job. Their exit is half the story. Now getting a great S and C team here, is crucial. Man i would sure love the gent at Stanford and his crew now, which does not just the football team but all sports at Stanford. And it is Strength and Conditioning for a reason. Both are equally important.

Here's to getting the right guys in and better health , strength and conditioning for the 9ers from here on out.

Team MD's gon' MD for the Team.