Dan Atherton:We can rebuild him Part 3

Darren Roberts from Peak Performance Fitness has just fired us the third part of his excellent series about the recovery of Dan Atherton from his shoulder injury. If you missed parts one and two you can catch them here and here. Darren is also working with Dan’s team mate Taylor Vernon after his serious back injury, you can check that out the first two parts of that story here and here.

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Dan taking it easy down at the quarry.

So here we are 10 weeks post op with Dan Atherton – and I think it’s fair to say we’ve had a ‘reasonably’ successful rehab phase! It hasn’t been easy, no injury is easy to deal with and the work that Athy has had to put in has been considerable. He had some significant tears which needed repairing – however it is extremely satisfying as a performance team to have such a positive outcome so far.

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Stitched up tears in Dan’s shoulder.

It’s worth underlining though some key points as to how we got to this point;

  • Telling Athy to put his bike down and immediately fly home for assessment as soon as it was apparent there was a problem.
  • Prompt diagnosis with clear options on how to move forward from Doug Jones and myself.
  • Once the decision had been made for surgical intervention, this was carried out within 48 hours.
  • Surgery was carried out by a top sports surgeon – Mike Walton.
  • Rehab Started within days of the operation with Doug and myself.
  • Dan was in excellent physical condition pre-op and was training hard in the gym up to the day before his operation.
  • A civilian may be in a sling for up to 3-4 weeks, we were easing Dan off the sling after the first week.
  • Rehab sessions were progressive, aggressive – but under the strictest of control.
  • The whole programme was built around what Dan ‘could’ do, not what he ‘couldn’t’ do.
  • Everyone being aligned to the same goal – Return to Sport.
  • We are roughly 6 to 8 weeks ahead of what you’d expect to see in a civilian recovering from the same operation.
  • Athy was 100% committed to the process and trusted the team in place implicitly to get him back.
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Dan training with pro skateboarder Kohran Gayle the day before his op.

Team fitness coach Alan Milway has worked alongside me every step of the way with Athy. This meant I was able to simply provide over-arching goals while Alan filled in the detailed sessions. I was able to sign Athy off for the types of movements and work he could do, Alan running with that in the detail. Having a great S&C coach like Alan delivering the weekly sessions with Athy was integral to his fast recovery.

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Team fitness coach Alan Milway pushes Athy through the next phase rehab – Return To Sport.

Dan had done all the hard yards with therabands, low resistance work and pool work – so returning to some strength work and high intensity was a welcome change in the programme. Pushing things as we do, you have to be careful that you’re not creating compensations elsewhere. His left shoulder constantly wants to ‘hitch up’, which if left unchecked turns into neck, back and even more shoulder issues – he’s had enough neck problems in his career! Whenever you work at the margins of your ability, technique and form slip, this is even more important to watch for in this rehabilitation phase. If you allow technique and form slip too much, you’ll be creating problems elsewhere.

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 Trunk strength is vital for all athletes – you can’t fire canons from a canoe!

It’s easy for the athlete to think they’re a lot further on than they actually are – so unilateral work is vital to ensure both sides are working as they should. With such a significant trauma to the shoulder not only from the dislocations but the operation itself, proprioception work is also vital to the recovery process. Proprioception refers to how well you are aware of where your body is. When you walk upstairs you don’t need to look at your feet to know where they are, you have a ‘sense’ of where your feet are in relation to the stairs. The more highly trained you are, the more developed sense of body awareness you tend to have, however injury can massively affect this – so it’s not just about fitness or strength. Training your body to ‘learn’ where a particular bodypart or parts are without looking at them is integral to not only rehabilitation but any training. In Athy’s case, if his brain isn’t 100% sure where his shoulder is when it’s being moved around by his arm when riding a bike – this causes the muscles to either overwork or not react as they should. Either way, this can lead to further injury and problems.

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Proprioception work, on both shoulders

Each injury is unique, and individual to that athlete. Athy could injure his right shoulder in exactly the same way and we could follow a very different treatment path and outcome. As I keep mentioning, this massively accelerated recovery process was under the strictest of supervision with a professional athlete who knows their own capabilities. Right now Athy is at the transition phase of being returned to sport/competition. At this point a footballer or rugby player would be looking at some time in a reserve game before playing a full reserve game. Then onto some time in a first team game before playing a full game. With action sports athletes we don’t have that facility, but we can choose certain races and events for them to test themselves out on, if available. The danger is they want to win, they only know how to go flat out – so managing their expectations and enforcing it as part of the rehab process is always difficult!

It’s obviously great to see Dan back on a bike, it’s required a huge amount of hard work and attention to detail. We’re also not finished yet, this process is not over until Dan crosses the finish line with his left shoulder intact – a race will be the ultimate test.

Below is a some amazing GoPro footage of him doing a ‘warm up’ run on his DH bike on the infamous quarry line…

Athy drops in for a ‘warm up run’ 10 weeks post op

In the final part of this story – Dan returns to racing…..

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  1. Rob Steep

    Yeah boi! Great to see Dan on the bike again hitting some “small” features.

  2. phil

    Athy for Rampage next year?

  3. Willy W

    Another informative article Darren.Thanks.

    Bigger question is though, what’s been planned for Dan in terms of injury prevention?

    He genuinely seems a very injury prone guy and his pursuit of enduro wins has lowered his overall-mass greatly (precentage muscle mass drop?) it seems, maybe I’m wrong on that. But could Dan do with a far longer final RTS phase to up his injury prevention work and maybe not have to go through an accelerated rehab again?

    Or is that pissing into the wind with a highly motivated chap like Dan?

  4. TheRealConehead

    Hey Will W

    Great question – although I wouldn’t say Dan is injury prone. Apart from his broken neck 3 years ago, this is the only other significant injury he’s had. If he were a footballer or rugby player who was constantly having ‘off the ball’ injuries and pulling up – then what you describe would make sense.

    But with all action sports – you can’t beat gravity and unfortunately when they hit the ground hard it’s largely irrelevant what rehab they’ve done as an injury can occur regardless.

    But of course you always ensure that they’re as robust as they can be to mitigate against that as much as you can. Strength is the foundation of everything.

  5. Jamazepam

    Darren, I love reading these articles and your column. Could you perhaps go into more detail as to what specific training exercises you do and what techniques to employ while doing them. I know its not very “Dirt”, but im sure there are a few out there interested. Particulary in the proprioception work. I think my circuit class, stair sprints and biking isn’t enough!

  6. TheRealConehead

    Hey Jamazepam

    There’s 2 reasons I don’t got too much into the exact exercises and how they’re delivered:

    1. You’re right in that it’s not ‘Dirt’ – I’m just telling the story which is the important thing

    2. Exactly what exercises to do, how and how often require supervision. If I were to paste up Athy’s programme and you followed it exactly – you’d likely injure yourself.

    These things need to be done under strict guidance so you know how to do them – so easiest thing is come to see me & Doug

    We see lots of weekend warriors – you don’t have to be pro to see me & the performance team

    darren@peakperformancefitness.org

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