- May 11, 2013
- 13,995
- 5,289
- 28,180
More details from Gazzetta, in short:
Nibali: I am optimistic. Morale is good. But the risk of not taking part in the Vuelta is there and this would complicate the road to the worlds in Innsbruck.
Dr. Magni (team doctor): There are more optimistic forecasts and others a little more real. The situation will be evaluated after the intervention. It's a quite simple intervention, but there are always risks. I hope that in a couple of weeks he can start again, but with what intensity and frequency we’ll have to see. On doing the Vuelta, I would say that chances are 50 and 50 ".
On the type of operation we also asked for the opinion of Franco Carnelli, a primary orthopedist at the Sesto San Giovanni Multimedica and for almost thirty years at Pallacanestro Olimpia Milano: “I do not know the clinical situation of Nibali, mine is an explanation about this type of intervention . The injection of cement (polymethyl methacrylate, the name of the substance) into the vertebral body has the purpose of reducing the stresses within the vertebra. The indication is for severe cases of osteoporosis or for important vertebral fractures with pain. Like all interventions, it is not harmless, since it changes the vertebra substantially and permanently. The recovery times are drastically shortened; it works immediately, but at the expense of the integrity of the column, because the biologically elastic system stiffens. In summary, the athlete can return to competitive activity much earlier, but must take into account that his column is no longer the same as before.
Slongo: There are no certainties but if he did not do this surgery, the injury is expected to heal in six weeks. Thus, when cementing the vertebra, one can hope to resume in eight to ten days. If Nibali could not be ready to take part in the Vuelta, we would have to study an alternative plan, with a training camp and then the participation in other races. The best way would be in any case that of the Vuelta, even if more 'of sacrifice', since at the beginning he certainly wouldn’t be in shape. But to have a more reliable timing, it will be necessary to wait until after the intervention.
Nibali: I'm not a doctor but after so many consultations we have considered that the road to surgery is the safest, even considering the risks in case of other crashes. Doctor Magni has consulted with several colleagues including Franco Combi (formerly Inter, ed) and Professor Dino Bramanti of Messina.
Nibali: "Pain goes at times. Sometimes it hurts in the area of the hips and continues towards the ribs and the breastbone. Other times I feel very good. For example this morning (yesterday, ed) the awakening was very good, unlike the previous two days.
Nibali: I am optimistic. Morale is good. But the risk of not taking part in the Vuelta is there and this would complicate the road to the worlds in Innsbruck.
Dr. Magni (team doctor): There are more optimistic forecasts and others a little more real. The situation will be evaluated after the intervention. It's a quite simple intervention, but there are always risks. I hope that in a couple of weeks he can start again, but with what intensity and frequency we’ll have to see. On doing the Vuelta, I would say that chances are 50 and 50 ".
On the type of operation we also asked for the opinion of Franco Carnelli, a primary orthopedist at the Sesto San Giovanni Multimedica and for almost thirty years at Pallacanestro Olimpia Milano: “I do not know the clinical situation of Nibali, mine is an explanation about this type of intervention . The injection of cement (polymethyl methacrylate, the name of the substance) into the vertebral body has the purpose of reducing the stresses within the vertebra. The indication is for severe cases of osteoporosis or for important vertebral fractures with pain. Like all interventions, it is not harmless, since it changes the vertebra substantially and permanently. The recovery times are drastically shortened; it works immediately, but at the expense of the integrity of the column, because the biologically elastic system stiffens. In summary, the athlete can return to competitive activity much earlier, but must take into account that his column is no longer the same as before.
Slongo: There are no certainties but if he did not do this surgery, the injury is expected to heal in six weeks. Thus, when cementing the vertebra, one can hope to resume in eight to ten days. If Nibali could not be ready to take part in the Vuelta, we would have to study an alternative plan, with a training camp and then the participation in other races. The best way would be in any case that of the Vuelta, even if more 'of sacrifice', since at the beginning he certainly wouldn’t be in shape. But to have a more reliable timing, it will be necessary to wait until after the intervention.
Nibali: I'm not a doctor but after so many consultations we have considered that the road to surgery is the safest, even considering the risks in case of other crashes. Doctor Magni has consulted with several colleagues including Franco Combi (formerly Inter, ed) and Professor Dino Bramanti of Messina.
Nibali: "Pain goes at times. Sometimes it hurts in the area of the hips and continues towards the ribs and the breastbone. Other times I feel very good. For example this morning (yesterday, ed) the awakening was very good, unlike the previous two days.
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