Eli Manning's Season Done

New York Giants quarterback Eli Manning has taken a beating all season with a porous offensive line, and Sunday's game was no different.
Manning suffered a high ankle sprain during Sunday's 20-6 victory over the Washington Redskins. He was injured late in the first half of the game when he threw an incomplete pass under pressure and was hit by defensive end Chris Baker. It looked like Manning got his ankle rolled on as he was dragged to the turf. On the next play he was intercepted by Josh Wilson and limped off the field, going directly to the locker room.
"At this point I couldn't finish the game," Manning said. "I obviously wanted to. The doctor said it would not be a good decision, and I agreed with him. I don't think I could have been very effective playing after the injury."
Manning finished 10 of 24 for 152 yards with a touchdown and his career-high and NFL leading 27th interception. He was replaced in the game on Sunday by Curtis Painter. After the game he was seen wearing a walking boot and using crutches when he left MetLife Stadium.
"Rest for a few weeks and I'll probably be in a boot for a while, that's what they say with a high ankle sprain," Manning said. "Obviously I have time now, so I'll just rest it up and start rehabbing.
"It's serious, but you know it will heal. I have an offseason to do that. I'm not worried about it being a lasting effect."
References: The Republic and ESPN
If you are a football player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Connecticut Foot Care Centers
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Changing Running Shoes Ideal

A new study published in the Scandinavian Journal of Medicine & Science in Sports proves what you've heard and known for years: that switching out your running shoes throughout the week, between at least two pairs, lowers your risk of injury. 
Runners who rotate among different models of shoes during the 22 week study were 39% less likely to have a running injury than those who stay in the same shoes. 
Researchers in Luxemburg gathered information on training volume, injury rate, cross-training, shoe usage, and other variables from the 264 adult participants. During the 22 week study, 87 of the 264 participants

developed a running-related injury, which researchers defined as: "a physical pain or complaint located at the lower limbs or lower back region, sustained during or as a result of running practice and impeded planned running activity for at least one day."
116 of the participants were classified as single-shoe wearers; runners in this category did 91% of their total running in the same pair of shoes and ran in an average of 1.3 pairs of shoes during the study. The rest, 148 participants, were classified as multiple-shoe wearers. Those in this group tended to have a main shoe, which was worn for 58% of their mileage, but they rotated among 3.6 pairs of shoes throughout the study. 
Once the numbers were finalized, researchers found that those who were multiple-shoe wearers had a 39% decreased risk of injury. 
Researchers believe the answer to this lies in how different shoes distribute the impact forces of running differently, and therefore lessening the strain on tissues. 
"The concomitant use of different pairs of running shoes will provide alteration in the running pattern and vary external and active forces on the lower legs during running activity. Whether the reduced [injury] risk can be ascribed to alteration of different shoe characteristics, such as midsole densities, structures or geometries can be determined from those results and warrant future research," writes researchers.
Supporting this idea of reducing injury risk by changing tissue loads, researchers also found that runners who had more cross-training had a lower risk of injury. 
"Multiple shoe use and participation in other sporting activities are strategies leading to a variation of external and internal loads applied to the musculoskeletal system that could have a beneficial effect on [running injuries. Although speculative, it could be that any training paradigm that limits excess repetitions will decrease the risk of [running injuries], especially overuse injuries," the researchers wrote. 
If you are a runner with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
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Tyreke Evans Out 1-2 Weeks

UPDATE
Evans has returned early from his left ankle injury. We'll see how he does on his injured ankle, and if he has to be out again.
ORIGINAL STORY
What started out as the New Orleans Pelicans' "Big Five" is now down to three.
Tyreke Evans, a key player for the Pelicans, will be out at least two weeks with a left ankle injury. Evans

sustained the ankle sprain during the third quarter of the Pelicans' 109-95 loss to the Oklahoma City Thunder last Friday night. This is the same ankle he sprained in the preseason opener on October 5th keeping him out for three weeks and out of six exhibition games. 
Evans was injured while trying to get past Kevin Durant in the third quarter. As Evans darted to his left, he landed on the outside of his left foot, rolling his ankle. He went down to the ground on the baseline and needed help getting off the court to the locker room.
Evans joins power forward Anthony Davis, who is out four to six weeks with a broken hand. Prior to the injury Evans was averaging 11.8 points, 4.5 rebounds, 3.6 assists, and 1.3 steals in 24.9 minutes per game. 
Pelicans coach Monty Williams says his team will continue to play hard, even without two of their key players. 
"I'm no excuses, no explanations," Williams said. "I'm going to be that way while I'm the head coach. I don't believe in all that. We got enough to win games. The guys who get on the floor and have a chance to play, if you execute the game plan and you believe you can win, man that's all you need.
"We didn't have A.D. (Anthony Davis) in Chicago, and nobody thought we'd win that game. Look, this is the NBA, you got a chance to play you got to go get it. The guys who get a chance to play, they're going to be a lot better the next time we step on the floor. We can't worry about who's on the floor. I'm never going to allow that to be an excuse. And the guys will be ready to play the next time we step on the floor."
References: ESPN and NOLA
If you are a basketball player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Quincy Pondexter Out Indefinitely

Memphis Grizzlies guard/forward Quincy Pondexter will be out indefinitely with a stress fracture in his right foot. 
The team announced Monday that Pondexter had a MRI which revealed how severe his injury was. Pondexter sustained the injury to his right foot Saturday night in the 108-82 loss to the Golden State Warriors. 
The injury occurred when Pondexter was guarding Warriors guard Klay Thompson and fighting over a screen. 
"Just the way I took off, it wasn't feel right," Pondexter reflected. "That's kind of when the impact happened." He tried to play through the pain, but had to leave in the second quarter. 
The fourth year small forward walked out for Monday night's pregame availability on crutches and expressed his shock at his diagnosis. 
"It was not the news I was expecting," Pondexter said before Monday night's game against the Orlando Magic. "I was expecting maybe a week or two or a couple of weeks. I didn't think this."
He tweeted his disbelief: "But I GUARANTEE I will be back next season BETTER THAN EVER!! Joshua 1:9."
Before Monday's game Pondexter wrote, "I've been told it's going to be a while. We haven't had surgery or a timetable on what we are going to do yet. Once we get down to that in next week or two, I think I'll have a good idea of how long it is going to take. If there's an opportunity for myself to come back or whatever, I'm going to do whatever it takes." 
Previous to the injury the 25 year old was averaging 6.3 points, 1.7 rebounds, 1.3 assists, and 18 minutes per game this season after signing a four-year extension on October 31st. 
The Grizzlies are having a difficult season with injuries already. Two weeks ago the team lost Marc Gasol to a medial collateral ligament sprain in his left knee. The loss of Pondexter impacts the team's depth and puts them at risk for missing the playoffs. 
Pondexter was a key factor in the Grizzlies' playoff run last season, providing perimeter scoring on a team that had virtually none. 
References: USA Today and ESPN. 
If you are a basketball player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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K. J. Wright Has Surgery On Foot

Seattle Seahawks linebacker K. J. Wright will miss four to six weeks after having surgery on a broken bone in his foot yesterday. 
Wright sustained the injury during Sunday's 19-17 loss to the 49ers in San Francisco, leaving in the second

quarter. The linebacker has started every game this season for the Seahawks and was obviously disgusted with his injury, as he threw his helmet. It was a non-contact injury. 
Monday head coach Peter Carroll said Wright is a question mark for returning for the postseason. 
"We'll find out, I think, after they do the surgery and find out what the extent of it was, and all that," Carroll said at the Monday press conference. "Six weeks, usually, on broken bones, is what they talk about, and he's a good healer. So we'll see how it goes."
Wright's replacement, Malcolm Smith, finished the game with four tackles, with one for a loss. He has been a solid backup in the linebacker corps this season. 
"Malcolm goes to 'Will' (weakside linebacker), which is his long-time, natural position," Carroll said. "That's where he has played a lot for us over the years. He understands the position really well. He's a fantastic athlete- really good coverage guy, speed guy on the field. So he's played quite a bit for us this year. We're comfortable with him playing and he should do a good job for us."
Smith, at 6 feet, 226 pounds, has started four games this season and played in all 13 outings. Wright's injury could also mean more play time for O'Brien Schofield, a player with both linebacker and defensive end experience. 
References: Epoch Times, ESPN, and Seattle PI. 
If you are a football player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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How Can I Run Faster?

If you're a runner, you're always looking to go faster, farther, and longer. Maybe you've been able to increase your mileage, but can't seem to go any faster. Good news! There are ways to help you go faster by changing your form, your training plan, and your mind. Here's how:
*Try different speeds
"One thing people don't do enough is play around with different speeds," says Jason R. Karp, Ph. D., a San

Diego based running coach and author of 101 Developmental Concepts and Workouts for Cross Country Runners. If you're going out and running the same speed every time, you'll always go at that speed. 
But Karp says, "If you do intervals or fartleks (unstructured periods of going faster and slower) during a run, you'll learn what it feels like to run fast."
Or, you can do strides at the end of your run. Strides are 20 to 30 seconds of running faster- not exactly a sprint, but definitely faster than your normal pace.
*Don't be stressed!
"To run fast, you have to remain relaxed," says Todd Weisse, cofounder and head coach at the Williamsburg Track Club (Brooklyn and New York City) and a volunteer assistant coach at Columbia University. "When the jaw, face, arms, and limbs start to tense up, there's deceleration," Weisse says. 
So relax! If you're out running, you hopefully enjoy what you're doing, so don't be in a rush or clench up. "You can see your workout through pinched eyes and a scrunched-up face, or through a nice, relaxed face and a nice, relaxed jaw," Weisse adds. Which will make you run faster.
*Stay off those heels
"Too many people strike the ground on their heels. That engages a braking mechanism that conflicts with running fast," says Weisse, who has coached marathon runners who have completed the race in less than 3:10. "Speed starts with a forefoot strike," Weisse says. This way, you are spending less time on the ground, and more time moving faster. 
However, this is not a change that will happen overnight. Weisse recommends getting a coach, or trying to practice by jumping rope and landing on your toes. Don't expect it to happen right away. 
"There's a cost to the calf when you make that change. It's never really been used to that way and will be sore. Make the switch slowly and practice landing on the forefoot over and over again. It takes two or three months, but it's completely worth it," Weisse says. 
*Get off the ground
"A lot of new runners spend a lot of time on the ground and let their weight settle into every step," says Karp. Do drills that help you generate "pop" off the ground as soon as you make contact. One drill to try is hopping up bleacher steps on one foot.
*Push down and back
Weisse says that to run fast, "you need to apply force in a horizontal way." Going around and around a track doesn't get you to go faster, it just makes you bored. 
Here's an example: if you want an airplane to move horizontally, you wouldn't put the engines vertically. So when you run, Weisse says, "focus on pressing your forefoot down into the track and pressing back through the foot as you push off so you're moving down the track horizontally."
*Watch the pros
Who are the great runners? Sometimes just by watching legendary runners you can learn about running form and speed. "All baseball fans know who Derek Jeter is, but most runners don't know who the running pros are, like Paula Radcliffe or Shalane Flanagan," Weisse says. "We encourage our runners to watch and imitate the athletes who are the great craftsman of our sport."
*Be consistent
If your goal is to run faster, plan on running shorter times rather than one long run. The more you run in the right form, the more your muscles get used to it, and it becomes muscle memory.
Reference: Active.
If you are a runner with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Good News For Adrian Peterson

It's good news for Minnesota Vikings running back Adrian Peterson: no tear or Lisfranc injury.
Peterson sustained a mid-foot sprain in the second quarter on Sunday against the Baltimore Ravens when

linebacker Arthur Brown tackled him as he stretched for a first down. Brown caught Peterson before he went out of bounds and appeared to land on the running back's legs. Peterson immediately went on his back and rolled in pain. He was helped off the field and carted off to the locker room. 
X-rays were negative on Peterson's foot and a MRI showed no structural damage or chance of a Lisfranc injury. He is still scheduled to undergo a CT scan and the Vikings plan on sending the results of his tests to a specialist. 
After getting the results Monday evening, the Vikings determined that Peterson would have to spend time in a walking boot and prove that he can run once he is out of the boot. Peterson was confident Monday that he would be able to play on Sunday, but it's unlikely the star will see action.
If past history shows any indication of how long it will take Peterson to get back on the field, it is not looking good for the rest of the season. Dallas Cowboys running back DeMarco Murray missed six weeks last season with a mid-foot sprain and Jacksonville Jaguars running back Maurice Jones-Drew is averaging a career low 3.5 yards per carry this year after a Lisfranc injury in 2012 and spraining his foot again this year. 
ESPN injury analyst Stephania Bell says, "What is often the case is, guys will feel much better [a day or two after a sprain]. They say, 'This isn't so bad. I can walk around on it.' And then they try and run."
Peterson had been leading the NFL in rushing yards before Sunday's game, and now ranks second to Philadelphia's LeSean  McCoy by 84 yards. The reigning NFL MVP has been a quick healer in the past, returning from ACL surgery after just nine months to run 2,097 yards last season. However, with a record of 3-9-1 and being eliminated from the playoffs with their loss on Sunday, the team may not feel the need to rush him back. 
References: ESPN and CBS Sports. 
If you are a football player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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How To Get Children Interested In Running

It can be a tough challenge today as a parent to get your children interested in anything beyond a television, video game, or computer screen. With all of the stimulation of today's world, simple things like going outside and playing are overrun with organized activities. While these activities have their merit, there is also great worth in unorganized or spontaneous play. 
One of these activities can be running, which can be something the entire family can participate in. But how do get your children to run regularly? 
Here are some tips from Runner's World on how to get children of all ages to run. 

Ages 6 and under
How far? Not very. At this age, get them to play chase or racing to a destination is a great way to get them started.
Run/walk ratio: Running periods should be no longer than 10 to 20 seconds. Walk times in between should be one to two minutes.
Ages 7 to 9
How far? Start with a quarter of a mile. Every week add another minute or two to your run until you have reached a mile. If they're enjoying it, get going until you can do a 5K together- 3.5 miles.
Run/walk ratio: Jog for 10 seconds and walk for 40 seconds. Each week increase the jog portion by five seconds and decrease the walk section by five seconds, until you have a 30/30 ratio.
Ages 10 to 12
How far? Begin with a half mile, and each week add a quarter mile. Build up to whatever mileage feels comfortable. Many children at this age can run a 10K.
Run/walk ratio: Start with one minute running and one minute walking. If that is too easy, run two minutes and walk one minute. Build it up to four minutes running and one minute walking.
If you are a runner with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
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Ways To Safe Running On the Road

With winter juts around the corner and it getting darker earlier, usual routines of walking or running in the early mornings or late evenings can feel different. From the route you take, to how much traffic there is outside, to whether the traffic can even see you, there are ways to stay safe when you're on the road. Follow these tips from Runner's World:

1. Leave word. Tell someone or leave a note that you've gone out and where. That way, if they need to
   come find you, they'll know where to look.
2. Have ID. Carry your identification and your cell phone with emergency contacts with you every time you go out. 
3. Pretend you're invisible. Don't make the assumption that a drive can see you. Because they likely aren't paying attention to what you're doing- they're paying attention to what they're doing. Behave like they can't see you. 
4. Face traffic. It's easier to react and see when you're facing oncoming traffic. Drivers will also see you more clearly.
5. Make room. If traffic is heavy or the road narrows, move over to the side or on the sidewalk.
6. Wear colorful clothing. The brighter you can dress, the better. If you're running near or after sunset, be sure to wear reflective clothing, like a lightweight vest. Bring a headlamp or handheld light with you so you can see where you're going and drivers can see you as well. 
7. Forgo the iPod. We know it's tempting to bring along your favorite tunes to motivate you when you're running, but you're less likely to hear an approaching car. If you absolutely must bring your music with you, keep the volume on low. 
8. Watch for hills. As drivers come over hills, their vision can be compromised by sun glare or backdrops. 
9. Watch for high-risk drivers. Stay away from parking lots, bars, and restaurants, where there may be heavy traffic. 
10. Be aware of early birds and night owls. These types of drivers tend to be overtired and less mindful of what is on the road. 
11. Mind your manners. When at a stop light or stop sign, wait for the driver to wave through, then give a polite wave. By doing that, that driver will be more inclined to do it in the future. Use hand signals to indicate which way you're going. 

If you are a runner with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Rookie Shane Larkin Sets Goal For Returning

Rookie Shane Larkin has had a disappointing couple of weeks.
The new Mavericks player was hoping to play victoriously through two cities he's called home most of his life. 
But a broken ankle kept him from doing so on Friday in Miami and yesterday in Orlando. Larkin said Wednesday that he is not far from making his NBA debut. 
When asked if there was a target date for his NBA debut, Larkin said, "Um, my target date and their [the Mavericks'] target are probably different. We got a couple practices next week. I would like to play the 20th against Houston. That's when I'd like to play."
Larkin has only been through a couple of practices since getting the clearance to play again on his surgically

repaired right ankle, but he's already caught the attention of Dirk Nowitzki. 
Nowitzki said he can already see signs of why the Mavericks chose Larkin in the June draft, 18th overall. 
"It is only going to get better when we get Shane back," said Nowitzki. "His speed is fun to watch in practice. He's so quick off the dribble, pushing the ball. I think he's going to help us tremendously in the backcourt."
Larkin, the son of Hall of Fame shortstop Barry Larkin, grew up in Orlando and went to college at Miami, making this most recent trip a special one for him. He's had a long back since he broke his ankle in practice before summer league in July. 
He joked that he would get "a lot" of ticket requests when he was in Orlando. "It'll be cool to go home and see everybody," Larkin said. "It's not how I wanted it to be, but it'll be nice to go home."
Larkin has been pleased with how his surgically repaired ankle has held up in practice. He felt he gave it a good workout on Wednesday, too.
"I was out there guarding Monta [Ellis], so I guess it's getting better. It feels good. After the first day it was a little sore. But I just got to get used to using it again. It feels a lot better now," the rookie said.
The Mavericks' backcourt is stretched thin right now with Larkin's ankle and Devin Harris, who has been out since foot surgery. When both return, it will take pressure off the backcourt.
Reference: Dallas News
If you are a basketball player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Pau Gasol Has Muscle Strain

Well, at least it's not his plantar fascia.
Los Angeles Lakers forward Pau Gasol revealed to reporters after Tuesday's 116-95 win over the New Orleans Pelicans that he has a muscle strain in his left foot. 
"I had a muscle strain there," Gasol said. "It's feeling better now. It's feeling a little better."
Gasol missed 20 games last year after sustaining a plantar fascia tear in his right foot and believes the two

injuries could be tied. 
"Now it's the left foot, maybe compensating," Gasol speculated. "Things like that happen... Hopefully we can keep it under control."
Lakers coach Mike D'Antoni said before the game on Tuesday, "He's a big guy that takes a pounding, but he knows how to deal with it."
Gasol's foot has been bothering him since the end of training camp and the four-time All-Star was concerned there might be nerve damage in the foot. He underwent an MRI last week which showed the strain. 
He was reluctant to let on his foot was hurting him, saying, "It was sore a lot of times but I don't like to talk about things like that because they sound like an excuse. I don't like to make excuses when things go wrong."
Gasol recently recovered from a respiratory problem he had been dealing with since the beginning of the season. He had 14 points on 6-for-10 shooting, with eight rebounds, three assists, and a block against New Orleans. So far on the season he is averaging 12.1 points, 10.4 rebounds, and 2.8 assists with 38.2 percent shooting.
"I definitely physically felt better," Gasol said of his respiratory issue. "I was able to put a better effort together. I was sharper. I would like to continue to shoot over 50 percent if I can. I felt good. It was a good game overall."
Gasol knows that he needs to be his healthiest right now, as the team is without Kobe Bryant (Achilles) and Steve Nash (back, hamstring). 
"I think Pau knows that he has to lead us," D'Antoni said. "He has to be the guy that dominates the game, more or less. We got to get him into position to be able to do that. Again, it's not just one guy, but he's the most talented guy we have on the team and he'll have to be our leader." 
Reference: ESPN
If you are a basketball player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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MRI Shows No Further Damage to Manning

An MRI taken on Monday shows no further damage to Denver Broncos quarterback Peyton Manning's right ankle. Now Manning and the Broncos will wait to hear what the NFL thinks of the hit the quarterback sustained in Sunday's 28-20 win over the Chargers.
Manning suffered the initial ankle injury last month against the Jacksonville Jaguars and it was aggravated the following week against the Indianapolis Colts. This past Sunday Manning was blindsided by Chargers linebacker Tourek Williams for a sack and fumble. After the game Manning was seen limping out of

Qualcomm Stadium.
"Somebody was around my feet," Manning said. "I've got to see the play. I don't know who it was. But they were near my lower limbs."
With regards to the condition of his ankles, Manning said, "Pretty sore. They kind of got me twice in that lower area. I felt better coming into the game after the bye week, but pretty sore. I'll get an MRI tomorrow, so I'll know a little more then."
Interim coach Jack Del Rio has sent copies of the play to league offices of Corey Liuget's dive at Manning's ankles. Manning stayed down after Liuget hit him, limping through the rest of the game.
"In the rules, there are certain areas you can hit and certain areas that are supposed to be protected," Del Rio said Monday. "And we thought that got into an area that was supposed to be protected."
Manning is still scheduled to play Sunday against Kansas City.
"I certainly plan on it, yeah," Manning said. "I had (an MRI) a couple of week ago. I took a couple hits today, so just kind of an update to see what it says. I'm hoping for no change."
"But he'll definitely play this week," Del Rio said. "He's ready to roll and that's good news."
In the game against the Chargers Manning got sacked 12 times and has been hit 27 times since Chris Clark replaced Ryan Clady at left tackle. In three straight games Clark has allowed Manning to be sacked and stripped from the blind side. Not good news.
According to Del Rio, "We're definitely on high alert, wanting to protect our quarterback."
References: Boston Globe and Denver Post.
If you are a football player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Jake Locker Done For the Season With Lisfranc Injury

We hate blogging about these Lisfranc injuries. Really, we do. 
And there have been so many of this season already. The latest casualty is Tennessee Titans quarterback Jake Locker, who sustained the injury during Sunday's 29-27 loss to the Jacksonville Jaguars. He will be out the rest of the season.
The third-year quarterback was injured in the second quarter on an 8-yard option play when Jaguars linebacker Russell Allen hit him. Locker tried to run one more play after he was hit, but he couldn't put

weight on his foot and he fumbled an attempted handoff to Chris Johnson. 
"I don't know exactly how it happened, but when I got up from that run, I could feel it," Locker said. He returned to the sideline late in the third quarter on crutches, with his foot in a protective boot. 
When Locker left the game, the Titans trailed 13-0. By the end of the game they lost by just two points, 29-27. 
Locker missed two games after suffering hip and knee injuries on September 29th against the New York Jets.
"A lot of times your character is tested through adversity," Locker said. "You try to deal with it as positively as you can."
Ryan Fitzpatrick replaced Locker and led a touchdown drive on his first series. Later in the game he had a ball taken out of his grasp by Jaguars defensive back Will Blackmon, who returned it for the game winning score. Fitzpatrick will likely start tonight against the Indianapolis Colts.
Locker will go into the 2014 season not knowing for sure if he will be the Titan's starting quarterback. Unlike the previous two years, Locker has played well in his seven appearances. He was 21st in QB efficiency, an improvement on the 31st ranking he held last year. Locker's completion ranking has increased from 51.5 as a rookie to 60.7 this season.
References: USA Today and CBS Sports
If you are a football player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Jay Cutler Out With High Ankle Sprain

We feel like we've seen a lot of football players this year with high ankle sprains. The latest to this growing list is Chicago Bears star quarterback Jay Cutler.
Cutler sustained the high left ankle sprain in Sunday's loss to the Detroit Lions. This injury came just 21 days after Cutler tore a groin muscle (Ouch!) in his left leg on October 20th in a loss to the Washington Redskins. It was his first game back since that injury. Cutler insisted that he was feeling 100 percent, but it was clear as the game wore on that his groin was bothering him. After one third-quarter throw he grabbed his groin and fell to the ground. He stood up and stayed in the remainder of the game, until he was pulled.
Coach Marc Trestman said Monday, "I think you all know he's got a high ankle sprain. He got it rolled up. It

was unrelated to the groin injury. It happened in the second quarter. They taped him up. There was no indication from the trainers there would be any further injury.
"I thought offensively he had one of his best games. I asked [the trainers] if the groin was an issue at all, [and they] didn't feel that there was. They told me even today, if he hadn't rolled up the ankle, he would have been able to play today."
Depending on how severe Cutler's sprain is, he may be out four to six weeks. In the meantime, the Bears will start backup quarterback Josh McCown on Sunday. McCown played in Sunday's loss with 2:17 left in the game. He led the Bears to a 10-play, 74-yard drive capped by an 11-yard touchdown pass to Brandon Marshall.
Cutler sustained the injury with 2:56 left in the first half when he was hit by Detroit linebacker Stephen Tulloch as he completed a 12-yard completion to Alshon Jeffrey. On the next play Cutler appeared in obvious pain. Cutler was pulled after a short-hopped pass to Jeffrey in the fourth quarter.
"If you look at it closely, there was an indication that we should take Jay out," said Trestman. "It was on the last throw (of the fourth quarter as Cutler was pressured by Nick Fairley). He climbed the pocket. It was an awkward throw, and he threw the ball into the ground to Alshon."
"I just felt really restricted in the pocket in what I was able to do and it wasn't getting out as quick and some of the throws didn't have as much on them as I wanted," Cutler said. "And I knew Josh was ready to go and I just didn't want to get to a point where I was hurting us more than I was helping us."
Trestman was reluctant to pull Cutler as he was playing at a high level. He has watched the tapes from the games twice and has "no regrets" for the way he handled the situation.
"It's very tough to pull your starting quarterback out when he's throwing the ball with velocity, when he's hitting the receivers, and he's able to move in the pocket and complete a throwing motion," Trestman said. "All three of those indications confirmed with me that I should keep him in here. It's just a feeling thing. It's not percentages.
"He's our starting quarterback, he's our leader. If it's in the best interest of the football team and he can move the team and not hurt himself or the team, we want him to be in there. He wants to be in there. These things come up periodically in the course of seasons and in games with your starting quarterback, and you've got to make those decisions and they're not easy ones. But there are no regrets here."
"I thought he looked good up until a point, and I think the ankle started getting stiffer on him and decreased his mobility and- probably the series before, or the series or two before I went in, those series ended and he was trying to move and couldn't move," McCown said on "The Waddle & Silvy Show" on ESPN. "We were evaluating it, but I'll say this over and over again, Jay Cutler on one leg- his arm talent- Jay on one leg is as good as a lot of guys in the NFL just from what he can do and the throws you saw him make yesterday.
"The thought as we convened on the sideline was how we can evaluate. We got to a point where a) it was hurting him, he wasn't moving as well, and then we knew we were getting into a two-minute situation where mobility is crucial because you're throwing it every down. It's not like there's any deception. So that's when we said if it gets to this situation why don't you take it, and it just made sense to everybody. It's a tough thing what he went through yesterday, because he's a competitor and you don't ever want to take yourself off the field."
Cutler completed 12 of 18 plays for 148 yards in the first half, but hit just 3 of 12 plays for 59 yards in the second half, with the majority of that yardage on a 44-yard pass to Marshall. Cutler started the second half with incompletions on his first three passes.
References: Times Colonist and ESPN
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Patriots' Ninkovich Hopeful About Foot

New England Patriots fans should take a deep breath. It looks like defensive end Rob Ninkovich's foot injury will heal.
Ninkovich left last Sunday's 55-31 win over the Steelers with a foot injury and was looked at briefly on the sidelines before being taken back to the locker room by the medical staff. He returned not long after and

worked on pushing off in front of team doctor Thomas Gill. Ninkovich jogged back to the locker room, came back with his helmet, and gave his teammates the thumbs-up, but did not re-enter the game.
The defensive end was on the practice field Tuesday and talked to the media about his foot injury.
"In the game there, I had a little something there, just don't really want to get into the specifics of it, but it's something that with having a week off, I'm sure I'll feel even better next week and running around and doing whatever it is as far as a week of recovery," Ninkovich said.
The Patriots won't have to submit a practice participation report until Tuesday, when there will be a better feel for how Ninkovich is doing and whether he will be available for the November 18th game against the Carolina Panthers.
The bye week will give Ninkovich, the defensive captain, time to get better, but it will also provide him the opportunity to improve the team.
"There's a lot of room for improvement," Ninkovich said. "If you look at the two games we didn't win, there's a lot of things in those games that are kind of similar as far as not starting fast and not coming out in the third quarter and finishing games.
"Really just trying to have a full-four quarter victory is something that we're still trying to have and I don't think we've done it yet. So we're going to continue to work to come out and start fast [in] all three phases, then at halftime come out in all three phases, work together, all four quarters."
Reference ESPN and Boston Globe
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Quinton Patton Talks Injury

The San Francisco 49ers have had a rough season with injuries, one of the most serious being rookie

Quinton Patton's broken foot. Patton suffered the injury in the Week 4 game against the St. Louis Rams and has not played since. It was thought at the time that Patton would be out six to eight weeks. He has been kept on the 53-man active roster. 
It has been five weeks since Patton was initially injured and the rookie gave a brief update during a radio interview last Friday afternoon to promote an autograph session he was doing.
Patton said that he has been working on his upper body, while getting treatment on his foot. He did not specify what that treatment is, but only that he has not been running or doing any work on it.
The radio hosts asked Patton if fans could expect to see him on the field again this season, and Patton referred them to Coach Harbough and the trainers.
According to ESPN.com, Patton has been seen without his walking boot and coach Harbough believes the rookie will make it back.
"I anticipate he'll be playing again," Harbough said. "I think ahead of schedule for Quinton."
Patton broke a metatarsal bone in his foot against the St. Louis Rams when he caught his first pass of the season. A fourth-round pick out of Louisiana Tech, Patton had a broken finger in training camp. When he has been healthy, he has shown a lot of promise and opportunity to move up the depth chart.
References: NBC Sports, NBC Sports, and Niners Nation
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Miami Star Johnson Has Surgery

Miami star running back Duke Johnson will miss the rest of the season after breaking his ankle.  
Johnson underwent surgery Monday to repair his broken right ankle, coach Al Golden said Tuesday. Hurricanes team physician Lee Kaplan performed the operation. 
"I left him a message last night," Golden said. "Texted him this morning. When we get out of here [Tuesday] I think he'll be in a position where we can talk or go see him later.
"All indications are everything went well," Golden said. "He's got a great personality, he's resilient, and he'll be back better than ever."
Johnson was injured late in Miami's 41-14 loss to Florida State on Saturday. With the Seminoles up 35-14 in the third quarter, Johnson was hit on fourth-and-two from the Seminole's 26-yard line. He picked up the first down, but he also went down in pain. Johnson was carted off the field to the Hurricane's locker room. 
It was reported that Johnson's right leg was placed in a cast shortly after he was brought to the locker room.
Johnson was a key player in the Hurricane's starting line-up, especially after his return from a head injury against North Carolina on October 17th. In the 24-21 victory against Wake Forest he carried 30 times for 168 rushing yards and two touchdowns and had 23 carries against Florida State before he was injured. For the season Johnson has 920 rushing yards and six touchdowns.
References: Sports Illustrated and Miami Herald
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Kyle Rudolph Out With Fractured Foot

Minnesota Vikings tight end Kyle Rudolph fractured his left foot Sunday against the Dallas Cowboys and will

potentially be out for a month.
Rudolph sustained the injury on a 31-yard touchdown catch when he was hit by safeties Barry Church and Jeff Heath. After catching Christian Ponder's pass at the Cowboy's 10 yard line he broke another tackle as he ran to the end zone. Rudolph was seen grimacing as his teammates congratulated him on the touchdown. 
Rudolph had said after the game the X-ray on his left foot was negative, but a second examination yielded a different diagnosis. 
Coach Leslie Frazier said Rudolph's injury "gives some other guys a chance to step up."
"Chase Ford, who played in the ballgame and did a good job for us, he'll play. John Carlson will get more reps now. Hopefully we can get Rhett [Ellison] back [from an ankle injury]. So those guys will get more reps," he said. 
Frazier said this is not the end of Rudolph's season, however. 
Rudolph scored nine touchdowns last season and has 30 receptions for 313 yards and three touchdowns so far this season. The 31-yard catch on Sunday was the longest on the season, and now he waits to see if it's his last. 
"It's tough," he said Sunday, after the Vikings' 27-23 loss to the Cowboys. "The biggest thing for me was not being able to contribute and having to watch." At 6'6", 258 pounds, the third year man out of Notre Dame is one of Minnesota's best red-zone weapons. 
References: ESPN and Bleacher Report
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Maryland's Allen Out 8-10 Weeks

Maryland starting point guard Seth Allen will be out 8-10 weeks after fracturing his foot in practice last Tuesday. 
Allen fractured his fifth metatarsal in his left foot after landing awkwardly while driving to the hoop. He had

surgery performed by Dr. Craig Bennett at Kernan Hospital in Baltimore last Thursday to repair the break.
"We are devastated for Seth," said Maryland head coach Mark Turgeon in a press release. "He was playing at a very high level throughout the summer and fall and was poised to have an excellent start to the season. We will support Seth during his rehabilitation process and will prepare him, so he can get back on the court with his teammates."
In his absence, junior Dez Wells will get more playing time at point guard, shifting from his usual position at guard. But without a true point guard, the Terp's offensive game may suffer. Their season starts November 8th against our Uconn Huskies.
The 6-foot-1 Allen started seven games last season and averaged 7.8 points and 2.3 assists in 22 minutes.
References: CBS Sports CSN Baltimore
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Calgary Flames Lose Giordano

It's so early in the hockey season to be blogging about foot and ankle injuries, but alas, we've already blogged about two hockey players who are sidelined with injuries. 
We can add Mark Giordano of the Calgary Flames to our growing list of hockey players. Giordano will be

out six to eight weeks with a broken ankle after taking a shot to his right ankle in the second period of a road game at the Los Angeles Kings on October 21st. The Flames revealed Giordano's status last Monday. 
"It's brutal," Giordano said. "You don't want to miss any time, but if you have to you're hoping it's something not as significant as that time frame."
Giordano joins fellow teammate Lee Stempniak, whose foot was also broken by a shot. He continued to play against Dallas after the shot from teammate Dennis Wideman deflected off his skate boot. Stempniak's status is week to week, and both players had their right feet in walking casts last Tuesday.
"It's one of those things when it's not bad and your (foot) is in your skate and it feels all right and then it gets a little bit worse once you take your skate off. 
"I feel like the team is playing well and to not be a part of it is tough," Stempniak said. "The swelling is going down so hopefully it's not too long."
The Flames will miss Giordano and Stempniak, who were tied for third on the team in points and they are 1-2 since Giordano was injured. 
Giordano said an initial scan of his foot did not show the break, but when he tried to skate on it the next day in Phoenix, the pain forced him off the ice. A later scan showed the fracture. 
"One guy coming in and out of the lineup isn't going to change the way we play," Giordano said. "Guys have done a great job. I'd like to be around the guys as much as possible. Obviously being hurt you're not in as much as when you're playing.
"You almost feel it's a letdown for the team, but there's nothing I can do about it now."
Reference: Sports Illustrated
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Penguins Player Breaks Ankle

The Pittsburgh Penguins just got back defenseman Kris Letang from injury, and now they're losing another

defenseman.
Head coach Dan Bylsma announced Monday that the team will be without defenseman Rob Scuderi after he broke his ankle last Saturday against the Toronto Maple Leafs.
Scuderi was injured when he was hit by Maple Leafs forward David Clarkson. He was scheduled to have surgery last week. Bylsma said there was no timetable for his return.
Scuderi is one of the Penguin's largest offseason acquisitions, signing a four-year, $13.5 million contract to return to Pittsburgh, where he started his career, playing from 2003-09. He helped the Penguins win a Stanley Cup during that time. He played four seasons with the Los Angeles Kings and also won a Cup while in LA.
So far this season the 34 year old veteran has one assist in 11 games, averaging 19 minutes per game. Over 596 NHL games, Scuderi has seven goals and 80 assists.
The Penguins will now function with a seven-man defensive rotation while Scuderi recovers. Letang, who had been paired with Scuderi, will now play with Matt Niskanen. After a strong start to the season, the Penguins have lost three of their last four. Fans are hoping for no more problems or issues, especially this early in the season.
References: CBS Sports and Chicago Tribune
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Washington Huskies Without Williams

Junior wide receiver for the Washington Huskies, Kasen Williams, may be out the rest of the season with a broken foot. 
Williams suffered the injury in the win against Cal when he went up for a jump ball from Keith Price in the second quarter. He landed awkwardly on his foot and was taken off the field with his leg in an air cast. 

Washington Huskies head coach Steve Sarkisian addressed the media after the game, saying, "We know there's a break and dislocation in his foot. So he's going to be out quite some time. Obviously our thoughts and prayers are with Kasen. He's a great kid. He's already home. I know the guys are all headed over there to see him."
Elise Woodward, the sideline reporter for Washington's radio team, reported that Williams has a Lisfranc injury. There has been no confirmation of this by Kasen, Sarkisian, or the team. 
Even if Williams has a mild fracture, it is unlikely he will return to the Huskies before the season ends. The team has just four regular season games left- against Colorado, UCLA, Oregon State, and rival Washington State. With their record, it is also unlikely they will have a playoff run. 
Williams earned honorable mention all-conference honors in 2012 and has 29 catches for 421 yards this season. He is third on the team in both receptions (29) and receiving yards (421). 
References: CBS Sports and Fan Sided
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Buffalo Bills Spiller Has High Ankle Sprain

Buffalo Bills running back C. J. Spiller has a high ankle sprain, but will likely play Sunday against the Kansas City Chiefs.
Spiller was scheduled to be re-evaluated Monday or Tuesday, according to head coach Doug Marrone. Spiller sustained the injury more than three weeks ago, got a bye last week, and has been struggling to make it back to full strength. He has played through the injury, gaining just 11 yards on six carries in his last game on October 20th. In the previous three games Spiller has been ineffective. 
Spiller said last week that he wanted to play against the Saints, something he has said over the many weeks he's had the injury. His performance however, did not live up to anyone's expectations. 
"I wasn't ready," Spiller told the Buffalo News. "It was coach Marrone's decision. I respected that. Everybody knew I wanted to play. I wanted to help us win. But it was best for me so I can get back playing normally." 
Monday Marrone cleared the air and informed the media of Spiller's diagnosis of a high ankle sprain. 
"It's a high ankle (sprain), which is normally a little bit worse than the other ones," Marrone said. 
High ankle sprains can take anywhere from four to six weeks to recuperate, and that's when the patient is staying off the foot, not running and playing on a football field. 
The rest Spiller received on Sunday may be what the doctor ordered, however, and fans may see him with more of his usual strength and speed against the Chiefs. 
References: ESPN, NBC Sports, and Buffalo Bills
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Soccer Star Morgan Held Out Of Game

USA Women's Soccer player Alex Morgan missed Sunday's national team game at Candlestick Park

against New Zealand due to a minor left ankle injury. 
U.S. Soccer says that Morgan sustained the injury last week in practice in San Antonio and is being held from the game as a precaution. Morgan was still listed as day-to-day for Wednesday's game, also against New Zealand at the time of the writing of this post. 
This year Morgan has six goals and four assists in 11 games and is the team's third leading scorer. She won the National Women's Soccer League Championship with the Portland Thorns FC in August when she came on as a substitute in the final after missing three weeks with an unrelated left MCL sprain suffered in NWSL play. 
The U.S. team recently won 4-0 against Australia and played New Zealand in San Francisco before playing them yesterday in Columbus, Ohio. The No. 1 ranked Americans finish their 2013 season against Brazil on November 10th. 
Morgan is the author of "The Kicks" the first book in a new series on empowering young women and working as a team. She has modeled in the past and helped the U.S. women's soccer team to Olympic gold last summer. Morgan has been called the future of women's soccer. 
References: NBC Sports
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Bobcats' Jefferson Questionable For Start

Bobcats center Al Jefferson suffered a severe ankle sprain and is hopeful he will get to play in the season opener today. He's currently listed as questionable against the Houston Rockets. 
"He did some contact, some 5-on-5, but not everything," said coach Steve Clifford following practice Monday. 

"The ankle felt good," Jefferson said. "My lungs were hurting more than anything, my wind." He added that "in my head" he's ready to play today against All-Star Dwight Howard, whom he has encountered multiple times since they both turned pro right out of high school in 2004. 
Jefferson commented that he understands why Clifford and the medical staff are being cautious in deciding if he's ready to play today. His ankle may feel much better today than it did yesterday, and that will be determined before the game. 
Jefferson was injured when he landed on Chris Bosh's ankle in a preseason game on October 11th. He played in most of the Bobcat's practice on Monday. 
The Bobcats have a vested interest in Jefferson, not only because they paid him $15 million in free agency, but because he's going to be the anchor of their offense and a key player in their team mentality. Having Jefferson out any longer than he needs to be is going to be bad for the Bobcats, especially against the Rockets. 
References: CBS Sports and SB Nation If you are a basketball player with a foot or ankle problem, call our Rocky Hill or Middletown office to make an appointment.
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Peyton Manning Has TWO Ankle Sprains

When I blogged on Friday that Denver Broncos quarterback Peyton Manning had an ankle injury, I had no

idea I'd find in my e-mail alerts Monday news that the star has not just one ankle sprain but two. Holy smokes.
Manning suffered both sprains, including a high ankle sprain, against Jacksonville on October 13th. He sustained the first injury in the first offensive play against the Jaguars. The four-time MVP received the second sprain when he was hit low by Jacksonville's Jason Babin. 
The high ankle sprain was aggravated during last Sunday's loss against the Colts, when Manning was sacked by former teammate Robert Mathias. On the game tape Manning was seen grabbing his lower leg right above his right ankle. 
Podiatrist to the stars, Dr. Robert Anderson of North Carolina, reviewed the scans of the injuries, and he confirmed the high ankle sprain. He did however say that the injury was not severe. 
As we blogged on Friday, Manning missed practice on Wednesday and returned to practice Thursday. KCNC's Tom Helmer said Sunday morning on CBS Sport Network's The Other Pregame Show that Manning's "100 percent."
"It was a minor ankle injury. He's fine, he's 100 percent. When you talked to players on Thursday about how Manning's ankle responded (to treatment) when he returned to practice, they looked at you almost like you were nuts. It wasn't that big of a deal," Helmer said. 
 He took painkillers during Sunday's game against the Washington Redskins. In Sunday's game he went 30 for 44 for 354 yards with four touchdowns in the team's 45-21 come from behind victory. He also contributed three interceptions and one fumble. 
Fortunately for Manning, the team has a bye this week. 
References: ESPN and CBS Sports
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Peruvian Soccer Star Guerrero Has Surgery

Peruvian soccer star Paolo Guerrero left an upbeat and positive message on his Facebook page Thursday morning after having surgery to repair a fracture in his left foot. Guerrero, sitting on a hospital bed surrounded by doctors and medical staff wearing scrubs and giving a thumbs up, looked confident and comfortable. 

"Thank God, the operation went very well, with my family and friends to keep me company. Thanks to everyone for the messages and the good vibes at this time. Now it's back to hard work to get back to making goals," Guerrero wrote. 
The surgery took place in San Paolo, Brazil and was postponed one day because of "emotional issues" on the part of Guerrero. The surgery was to repair a fracture in the fifth metatarsal of his left foot. El Comercio reports that the recovery time for this surgery is about three months. 
The 29 year old was ruled out for the rest of the 2013 season after fracturing his fifth metatarsal during the Corinthians' 0-0 draw with Atletico Minerio on October 6th. Besides playing for the Peruvian national team, Guerrero also plays for the Brazilian club Corinthians. This injury prevented him from playing in Peru's final two World Cup qualifiers against Argentina in Buenos Aires and Bolivia in Lima. 
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Dodgers' Kemp has Foot Surgery

Los Angeles Dodgers center fielder Matt Kemp underwent a left ankle operation Monday.
His agent, Dave Stewart, said Kemp will be ready for opening day, but the procedure will limit his off-season training. 
The operation was performed by podiatrist for the stars Dr. Robert Anderson of North Carolina. Dr. Anderson removed several small spurs and a loose body, as well as doing a microfracture on the talus bone. Kemp will be in a splint for two weeks and a non-weight bearing boot for two weeks after that. 

Kemp thanked fans on Twitter who had supported him throughout the season, tweeting, "Thank u 2 all my fans showing me mad love 2day. Surgery went well 2day and I'm ready 2 start this process of getting back!"
Kemp was sidelined all of the postseason because of issues with his ankle, which he originally sprained in a home plate collision in Washington on July 21st. Dodgers team physician Neal ElAttrache was concerned that if Kemp continued to play, he could break one of the major weight-bearing bones in his foot. 
Kemp was limited to 73 games this season because of his ankle, missing 52 games over the last two months. He batted .270 with six home runs, 33 RBIs, and a .723 OPS in 2013.
This is Kemp's second consecutive winter in which he has had major surgery. Last year he had surgery on his left shoulder. Earlier this month he had a minor procedure to clean up that same shoulder. He finished his first season in his eight year, $160 million contract.
Kemp will be unable to put any weight on his foot for a month, says Stewart, and will be limited in the activities he can do in the month after that.
Stewart tried to put a positive spin on the surgery, saying Kemp would be able to do the upper-body work he couldn't do last winter, along with strengthening his core and hamstrings.
"We're anticipating he'll be ready for the season," Stewart said.
References: ESPN and Los Angeles Times
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