But how will his Eli Manning adjust to the loss of another star wide receiver in the span of a week? The New York Giants, who recently saw Steve Smith go down with a partially torn pectoral muscle, have now lost Hakeem Nicks to a case of compartment syndrome in his right leg. Compartment syndrome is typically something that develops over time (chronic) but it can be brought on suddenly (acute), as was the case with Nicks, by trauma. Nicks reportedly was hit in the leg at some point during Sunday's game, according to ESPN New York, but was able to play into the fourth quarter. When Nicks arrived at the team facility on Monday, coach Tom Coughlin said the medical staff felt the need to "take immediate action." Nicks then went to the hospital and underwent a fasciotomy, a procedure whereby tissue is released surgically to alleviate pressure on blood vessels and nerves in the area.
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AP Photo/Rob Carr
Hakeem Nicks has scored the sixth-most fantasy points among wide receivers in ESPN standard leagues.
The lower leg is divided into regional compartments, each of which contains muscles, blood vessels and nerves and the compartments are separated by connective tissue called fascia. Each compartment functions like a container of sorts. In the presence of swelling, the contents within each compartment are subject to increased pressure, which can constrict the blood vessels and nerves and prevent normal function (picture a blood pressure cuff squeezing around the leg and cutting off circulation). The individual can feel pain and tingling as a result of the compromise to the nerves and blood vessels. More importantly, if the blood supply to muscle is compromised for any length of time, the muscle tissue will die, hence the emergency nature of the procedure. Relieving pressure on the compartment by cutting the fascia is the immediate treatment. The next steps are waiting for the wound to heal, then gradually restoring the motion and strength in the lower leg.
The Giants have indicated that Nicks will miss the next three weeks following his fasciotomy. Time to recover from such a procedure can vary from several weeks to a couple of months, depending on the extent of the procedure, how well the wound heals, and whether there are any complications along the way. It should be noted that most acute compartment syndromes are associated with significant trauma, such as fractures or crush injuries. Sometimes in sports, however, there can be a direct blow that results in a hematoma (collection of blood), which in turn creates significant localized swelling and pressure. This may be the origin of Nicks' injury. Assuming no prior history of compartment issues for Nicks, the three-week timetable would seem reasonable, assuming no setbacks. During the first week, Nicks will do very little, but as he is able to increase his activity, we should get a better idea of whether he will meet the projected timetable.