Denver Broncos quarterback Peyton Manning has a partially torn plantar fascia in his right foot, according to ESPN’s Adam Schefter.
Manning, who was pulled from Sunday’s 29-13 loss to the Kansas City Chiefs in the third quarter, completed just five passes and threw four interceptions before being benched in favor of backup quarterback Brock Osweiler.
“To be honest with you, I was protecting him. I was worried about him,” Broncos head coach Gary Kubiak said after the loss. “Let me just say this: Obviously, I’m very disappointed in the football game … I’m disappointed in myself, this is on me. I probably should have made a decision not to play him in the game. I needed to make probably that tough decision there.
“He practiced Friday, you know, felt good,” Kubiak told ESPN. “[He] came out of practice Friday, Saturday, as you all know, his ribs were bothering him a little bit, and I probably should, right there, said no.”
Manning has battled plantar fasciitis for weeks, according to ESPN, and it appears that the 39-year-old signal caller re-aggravated the injury that he initially suffered in the game against the Indianapolis Colts on Nov. 8, resulting in a partial tear of his plantar fascia.
” … I thought I felt good enough to play. That’s what I thought,” Manning told ESPN. “Maybe that was the wrong — maybe that was a false feeling by me or whatever that was … I was honest with them with how I felt, thought I was good enough to play.
“Maybe looking back that was the wrong — I had the wrong indication by me. And by going out there trying to help the team, I ended up hurting the team. I’m disappointed about that.”
The plantar fascia is a ligament along the bottom of the foot that stretches from the heel to the base of the toes. If the ligament is forced to stretch beyond its limit, it may become inflamed and result in heel pain, a condition called plantar fasciitis.
A plantar fascia partial tear is not generally considered a surgically repairable injury because it usually heals well on its own and the surgical access might have more risk of scarring than the potential for improvement.
So what kind of affect could this injury have on the rest of Manning’s season?
Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, has treated countless issues related to the plantar fascia at his in Delray Beach, Fla., and believes that Manning’s pain won’t be going away any time soon.
“With a tear like that, the muscle fibers have actually torn,” said Dr. Goldbaum. “Every time you step, that muscle is activated, so it’s always pulling. This creates inflammation. The fibers have to come back down to get the inflammation out.”
As far as treatment what type of treatment Manning can expect for his injury, Dr. Goldbaum says that “anything that will help reduce inflammation” will be used to help the aging quarterback get back on the field as soon as possible, such as:
– Anti-inflammatory Medications
– Injections
– Ice and Rest
– Platelet-rich therapy treatment (PRP)
In addition to these treatments, Dr. Goldbaum notes that physical therapy will likely also play an important role in Manning’s recovery.
“A physical therapist is going to work with him on a lot of stretching to breakup any physical adhesions that are in there,” said Dr. Goldbaum. “It’s also going to take, depending on how bad the tear is, an orthotic device in his shoe to offload the plantar fascia to keep it from pulling.”
As far as a timetable for his recovery, Dr. Goldbaum admits that although these type of injuries can be played through, like when Peyton’s brother Eli played through the pain of a torn plantar fascia back in 2009, it will take sometime before the injury fully heals.
“It could take anywhere from six weeks, with additional remodeling over a year, to fully recovery” said Dr. Goldbaum. “He can get by with it if it’s not a really bad tear, but if it’s a bad tear it certainly won’t be comfortable for him.”
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