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Originally posted by genus49:
Anyone find it ironic that one of the knocks on Nick and Bosa's as a family is that they don't play unless they're 100% healthy and here we are arguing if it's smarter to sit him out while he's hoping to play less than 100%?

He played last week when he was less than 100% healthy so saying he never plays or hasn't unless 100% is crap.
  • Giedi
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Originally posted by genus49:
Originally posted by Giedi:
Originally posted by MTninerfan:
Yeah at this point all they can do is manage pain and swelling. What he needs is a good month or more of physical therapy to ease him back into it. It all starts with getting full pain free range of motion in the ankle(which usually takes a couple weeks), followed by some light resistance and balance exercises. You keep progressing difficulty as long as there is no pain or swelling. Eventually your progress through straight line running to agility drills and high level balance. In an ideal situation, he wouldn't be cleared to return until he could complete high level single leg balance exercises with great ankle control. Unfortunately, the injury came at a bad time so he will play through it. His pain may get better over the course of the season, but he will constantly re-injuring that ankle(and possibly other things from compensating) as long as he continues to play. The worst part is, the longer you go without properly treating an injury like this, the more likely it will never get back to 100% normal. This is why many athletes who have had at least 1 bad ankle injury, continue to get them.

That reminds me a bit of Patrick Willis' foot injury. He played with it for a whole year and I think it ended his career a couple of years early. I think (maybe) he could still be playing today, but for that foot injury.

I know it's not the same kind of injury as Bosa's, but the danger for Bosa and the 49ers is losing a dynasty franchise level player in the future just to play him for a couple of games. In my view I wouldn't play him until that reinjury risk is way down below what it is now.

Come on my dude...

This is not the same thing. And Willis definitely could've kept playing but decided he didn't want to play at less than 100%.

This is more of a pain management situation. If Bosa feels ok to play then play him. He could sit out, get 100% healthy then have his foot ran over by a bus crossing the street for all we know.

Sure. It's a risk reward analysis. I just disagree and think the risk is greater than the reward at this point in time. What I'd like is for him to be *relatively* pain free before they play him to reduce the risk of a torn ligament or tendon. Like NY said, everybody isnt 100% after the first game of the season, but usually they are in the 95% range. I view bosa as more in the 65% to 75% range from a risk of re-injury standpoint.

I'd like the odds of *any* injury to Bosa to be as low as possible. But Given the pain he's experienced and the fact that he hasn't practiced till today, the risk of re-injury is up there in the teens or twentysomething in percentages. Versus a fully 100% healthy bosa in perhaps the low 5% or lower range range.

Now why do I think this is so important? Well he's an impact player. The whole defense turns on that pass rush and the turnover that player can generate. The whole defense is 50% less effective in my opinion without that pass rush.
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Originally posted by Hoovtrain:
Originally posted by genus49:
Anyone find it ironic that one of the knocks on Nick and Bosa's as a family is that they don't play unless they're 100% healthy and here we are arguing if it's smarter to sit him out while he's hoping to play less than 100%?

People are arguing to sit him because they are concerned he's going to cause further damage to the ankle...which is valid

That just happened last week. I would play him but only on plays that should be 3rd down pass plays.
I heard two things, he's listed as questionable and he's a gametime decision. So are those the same thing or actually two different things.
  • Giedi
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Originally posted by Memphis9er:
Originally posted by Giedi:
Every body part is important. but the knee, is important in change of directions, for example, in a running back. Certain injuries dont affect a player as much as other injuries- depending on their position.

A rotator cuff injury on a linebacker wont affect him as much as a rotator cuff on a QBs throwing arm. Is another example.

Stand up, plant your foot like you are going to make a cut. Your ankle takes way more strain than you realize.

Well if I was a running back, I'd rather have an ankle injury than a knee injury, simply because of the nature of a knee injury vs an ankle injury. One takes a lot longer to heal and rehab from.

To a certain extent you can play on a bad ankle vs a bad knee - from a RB point of view. I think from a mechanical point of view in changing directions - a stable knee is more important than a stable ankle.
From what I'm hearing this nag him for the rest of the year because these high ankle sprains take a long time to fully heal. If he can handle the pain and get enough therapy during the week he can probably play the whole year. He'll need the off season to fully heal.
  • Giedi
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Originally posted by NYniner85:
Originally posted by Giedi:
Well maintenance days are better than no rest, that's for sure.

I think knee, Achillies, head, and ankle injuries have to be treated differently than other typical injuries.

For example, head injuries, for a QB, achillies for Wr's and RB's, Ankle injuries for pass rushers - because that's how they make their money. If Bosa was an OT and turned an ankle, it wouldn't bother me as much. But an ankle injury on a pass rusher is like a head injury or a rotator cuff injury for a QB. Those things can affect his future and the future of the entire team.

I think an ankle injury is bad for any player...everyone is moving around.

We only got 15 more games...it's not basketball where they can sit out a while and it doesn't destroy the season.

This win could literally be the difference between making or not making the playoffs. As long as he can go and be effective, he's gotta play and you know me I'm the best Bosa fan in here and want him healthy
Well apparently the coaching staff is going to agree with you. That's fine. Its thier jobs on the line not mine. Having said that, Bosa is a young guy, I'd want him to play on the 49ers for a long time. I dont want his talents diminished for the rest of his career because is ankle will never be 100%.

What I'd rather have happen is we keep him out, maybe go .500 while he's out, then when he's at 90% (vs 75% now in my opinion) you play him. But hey, I'll take the win if they play him and win because of Bosa. I'm just worried about his long term health prospects. With Jimmy *and* a healthy Bosa, that a good foundation for another 49er dynasty. Versus play him now, make the playoffs but he'll never be 100% because the ankle is permanently unstable.
  • Giedi
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Originally posted by CatchMaster80:
From what I'm hearing this nag him for the rest of the year because these high ankle sprains take a long time to fully heal. If he can handle the pain and get enough therapy during the week he can probably play the whole year. He'll need the off season to fully heal.

Hopefully it can fully heal in the offseason.
Play him strategically to impact the passing game this week and next, then a break for the bye, and hopefully ramp up from there.
  • Giedi
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Originally posted by ninerjok:
I heard two things, he's listed as questionable and he's a gametime decision. So are those the same thing or actually two different things.

I hope the medical staff gives ShanaLynch the cover they need to not play him.
  • mayo49
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I need me some Bosa.
Originally posted by WestCoastForever:
Play him strategically to impact the passing game this week and next, then a break for the bye, and hopefully ramp up from there.

This
Originally posted by ninerjok:
He played last week when he was less than 100% healthy so saying he never plays or hasn't unless 100% is crap.

ahhh that was the opinion of a lot of people in here during the draft process...
  • mayo49
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Originally posted by ninerjok:
I heard two things, he's listed as questionable and he's a gametime decision. So are those the same thing or actually two different things.

Same thing.
I always thought a high angle sprain could take 2 to 3 months to fully heal. I would not be opposed to letting him sit out the next 2 games which would give him 4 weeks to heal in addition to the 4 weeks he had before the Bucs game.
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