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49ers News: Game day! – Niners Nation


Orthopedic Surgeon says “a decrease in workload” is prescription for 49ers Christian McCaffrey

“Dr. Nirav Pandya, Professor of UCSF Orthopedic Surgery and Director of Sports Medicine at Benioff Children’s Hospital, took to social media this week and explained how an Achilles injury is related to a calf injury, which was the first injury McCaffrey was said to be dealing with. “Tendonitis is inflammation of the structures that connect muscles to bones,” Dr. Pandyasaid. “Most commonly this occurs due to repetitive overuse or injury. The goal is to prevent this from progressing to tendinosis in which the collagen in the tendon begins to break down/degenerate (becoming a chronic issue) or progressing to a complete rupture of the tendon. The calf muscles (gastrocnemius and soleus) connect to the heel via the Achilles tendon.

“It therefore is not uncommon for athletes with calf injuries to have involvement of their Achilles or have the injury progress to involving this structure. Treatment involves decreasing inflammation/pain while maintaining flexibility/strength. The cornerstone of treatment is decreasing load/usage. Return-to-play timelines are difficult to predict as the severity can vary based on the degree of inflammation and pre-existing damage to the tendon.”

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“Coach Kyle Shanahan said he will not hesitate to call on rookie Isaac Guerendo, a fourth-round draft pick from Louisville. He played three snaps from scrimmage in Week 1 but did not have any carries.”

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“Suffice it to say that during the week, when video of last year’s game was cued up in team meetings, it didn’t bring back a ton of warm and fuzzy feelings.”

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“But Mason, who had one reception, can’t replicate McCaffrey’s dual-threat abilities. Without McCaffrey, tight end George Kittle said the 49ers shrunk the game plan, which wasn’t an issue against the Jets. Purdy noted how McCaffrey’s pass-catching skills play such a large role in the 49ers’ third-down package.

“So there’s a lot of teams that can double team him and then (that) opens up some other guys within our offense,” Purdy said. “That’s a huge aspect — teams always have to account for him and have a whole plan for Christian. He’s the best in the league at it. And so when he is not out there, I think it sort of not necessarily simplifies things for defenses, but that’s a component they don’t really have to handle.”

The 49ers figure to have more to handle Sunday than they did in a season-opening win that suggested the defending NFC champions might waltz back to the Super Bowl this season.”



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