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One day after Albert Haynesworth accused Washington Redskins coach Mike Shanahan of underplaying the two-time All-Pro's medical condition in recent days, The Washington Post reported that Haynesworth has rhabdomyolysis.
The condition, which sidelined Haynesworth in practice last week, causes the rapid breakdown of skeletal muscle due to injury to muscle tissue, the paper reported Sunday, citing three sources.
A Redskins official told ESPN that the team is unaware that Haynesworth has this condition.
"You see the condition with people who aren't used to working out in the heat," Dr. Tyler Cooper of the Cooper Aerobics Center in Dallas told ESPN.com's Matt Mosley. "It can be very dangerous and it's usually caused by an isolated event."
Experts told The Washington Post that Haynesworth likely recovered from the condition since he was able to play in Saturday's 23-3 loss to the Baltimore Ravens.
"If [Haynesworth] was properly hydrated and his blood enzymes were measured at a mild level, then it would be feasible to play in a game," said Cooper, who has not treated Haynesworth.
Haynesworth stopped practicing early Tuesday at training camp and did not practice Wednesday or Thursday. Shanahan gave varying explanations for Haynesworth's idleness each day. The coach initially said Haynesworth "just was sick," then said the cause was dehydration, then finally said it was "more of a headache than anything else."
Haynesworth said Saturday night he had something more, but he didn't specify what.
"You'll have to ask them, but I guess they'll tell you 'headaches' again," said Haynesworth, emphasizing the word by holding his fingers in the air to simulate quotation marks. "It was part of it, but it wasn't all of it. They left out a whole lot of stuff."
"Rhabdomyolysis is basically a condition in which you have extensive muscle breakdown," Dr. Lynne P. Yao, chairman-elect of the National Kidney Foundation, told The Washington Post. "It doesn't happen as often in well-conditioned athletes, but if there's really extreme circumstances -- like extremely hot weather -- than that could happen. When you have large amounts of muscle breakdown."
The Redskins said Shanahan would comment on Haynesworth on Monday, when the team resumes practice, but Shanahan denied knowledge of Haynesworth's condition to AOL Fanhouse on Sunday.
Shanahan went on to reiterate a point he has made before: Haynesworth has to practice if he wants to play.
"Albert has gotten away in the past with playing without practicing," Shanahan said. "That will not happen under this regime. If he's going to play, he's going to practice, and that is the same with every player here. The days of him playing without practicing are over."
Haynesworth has been a thorn in Shanahan's side since the coach took the Redskins job in January. Haynesworth drew Shanahan's ire by staying away from the offseason program and later lobbied for a trade because he didn't want to play nose tackle in the team's new 3-4 defense. Shanahan gave Haynesworth a chance to leave -- provided Haynesworth didn't stay around to accept a $21 million contract bonus on April 1. Haynesworth took the bonus.
Haynesworth also skipped a mandatory minicamp and was fined. When he showed up for training camp, he was made to pass a conditioning test before he could practice. After several failed attempts and several days of idleness because of a sore knee, he finally passed the test on the 10th day of camp.
Then came last week's setback, when Haynesworth stood to the side over three days of practices with neither player nor coach giving a clear explanation of what was going on. During three weeks of camp, Haynesworth completed only five of 13 full practices.
Haynesworth also isn't happy that he's having to practice and play with the backups. His appearances in the two preseason games came after the starters had left. He said it's another way his offseason boycott is being held against him.
"I'm a ninth-year pro," Haynesworth said Saturday. "I don't think I should have been out there in the third quarter. But, for having 'headaches' again, that was what they wanted to do."
Shanahan said Haynesworth is "going to have to earn his way" to play with the starters.
There's no telling when that might happen, or whether the Redskins -- who are hoping to a make a fresh, positive start under a new coach -- can tolerate the Shanahan-Haynesworth feud much longer without it having a substantial impact on the team.
One thing is clear: Haynesworth isn't giving up. The offseason program will apparently be an issue again in 2011.
"Next year," he said, "I'm not coming either."
Assuming he's still with the team.
Albert Haynesworth's ongoing tiff with Redskins Coach Mike Shanahan has reached multi-syllabic proportions, as team sources say the defensive lineman was sidelined last week with a mild case of rhabdomyolysis, a condition marked by the breakdown of skeletal muscle and the release of myoglobin in the bloodstream.
Haynesworth accused Shanahan of mischaracterizing his ailment as a mere headache, and three sources said Sunday that the team believes Haynesworth's symptoms were brought about by rhabdomyolysis, which caused Haynesworth to miss nearly three full days of practice last week.
Medical experts say that Haynesworth's ability to play in Saturday's game likely means he's recovered from the condition, often caused by muscle trauma or dehydration. They also warn, though, that the fact that Haynesworth was suffering from rhabdomyolysis might also indicate that he wasn't in proper shape to practice in the summer heat.
"It doesn't happen as often in well-conditioned athletes, but if there's really extreme circumstances - like extremely hot weather - then that could happen when you have large amounts of muscle breakdown," said Lynne P. Yao, chairman-elect of the National Kidney Foundation's board of directors.
Tony Wyllie, Redskins' senior vice president, said the team would not comment on Haynesworth until Shanahan addresses the media after practice Monday. But Shanahan spoke Sunday with AOL Fanhouse and said he was unaware of Haynesworth possibly having rhabdomyolysis and stresses that Haynesworth needs to be in top shape.
"One thing for sure that is clear to me is that Albert has gotten away in the past with playing without practicing,'' Shanahan said. "That will not happen under this regime. If he's going to play, he's going to practice, and that is the same with every player here. The days of him playing without practicing are over. And that, to me, says it all.''
Rhabdomyolysis causes the rapid breakdown of skeletal muscle because of injury to muscle tissue and the release of toxic myoglobin into the bloodstream. While severe cases can be fatal, if rhabdomyolysis is detected quickly, Yao said it can be treated with "aggressive hydration to dilute the urine and flush the myoglobin from the kidneys."
"Exertion and hot conditions exacerbate the problem, but in most mild cases, people recover in a week or two," she said.
Haynesworth's symptoms, which included swelling of the hands and feet, nausea, headaches and vomiting, were not at the extreme end of the spectrum, and he recovered in time to take part in Saturday's preseason game with the Ravens. However, because he missed practice time, he didn't play until the second half of the game with the reserves.
Shanahan discussed some of Haynesworth's symptoms last week, noting last Thursday that Haynesworth was sidelined with a headache, but he hasn't revealed an exact diagnosis.
Because Haynesworth felt the coach trivialized his ailments, he lashed out following Saturday's 23-3 loss to Baltimore, contending that the team is underplaying the severity of his medical condition and is still holding his absence during the offseason conditioning program against him.
"They act like I had a headache," Haynesworth said. "It was a lot more than that. I got out of a hot tub. I was dizzy. I threw up."
In speaking with reporters after the game, Haynesworth never mentioned Shanahan by name, but multiple team sources said the two-time all-pro's anger is directed at the head coach because Shanahan has described Haynesworth's condition as being "more of a headache than anything else." Haynesworth has declined to reveal specifics about the maladies that prompted him to cut short his participation in practice.
Rhabdomyolysis is often associated with muscle trauma that hampers kidney functions. People who experience severe physical injuries, such as car crashes, are more susceptible to rhabdomyolysis, experts say. According to the National Center for Health, there are approximately 26,000 reported cases of rhabdomyolysis a year, but it's not clear how many athletes suffer from the condition. Another Redskins player is believed to have suffered from it last season, according to one team source.
One expert said the condition could be underreported in sports, especially those involving physical contact and played in the heat. Because many team doctors specialize in orthopedics and not internal medicine, the diagnosis can be a difficult one.
"This is probably a more common condition among players in the NFL than people would recognize," said Bryan Becker, president of the National Kidney Foundation, "but it's just not tested for. . . . Athletes are susceptible if they have repeated trauma in the context of their athletic pursuit, but unless they have other symptoms, we probably don't necessarily look for it as much."
While Haynesworth appears to have fully recovered, his battle with Shanahan has only escalated. In an interview late Saturday after the game, Haynesworth expressed frustration about the way things have been characterized because he "just wants people to say the truth about what's going on. That's it. A headache? That's not what's going on."
While his latest round of comments have ruffled feathers at Redskins Park, one league source indicated that Haynesworth's postgame thoughts would not be enough to warrant punishment for conduct detrimental to the team. Still, damage has been done.
Several of Haynesworth's teammates simply shook their heads in disbelief when they learned of the latest dust up between Shanahan and Haynesworth. One defensive veteran who was aware of Haynesworth's condition said he understood why Haynesworth was upset, but also sided with Shanahan, noting that the coach would never reveal details about any player's medical condition to the media.
Another defensive player tired of the conflict said he could not understand why Haynesworth seemed to be upset. Many in the locker room believe the Redskins plan to start Haynesworth at right defensive end, his desired position in the team's new 3-4 scheme, and it just doesn't make sense for Haynesworth to continue inciting Shanahan, the player said.
Haynesworth's ire is no longer tied to the Redskins' defensive change. Barely midway through the preseason, his relationship with Shanahan is front and center.
"I know what type of player I am and what I can do," Haynesworth said in an interview late Saturday night. "I just want people to tell the truth."
Shanahan needs to find a middle-ground with Haynesworth. People may not like his attitude but the guy is dominant and would dramatically improve the 'Skins DL opposite of Carriker and Orakpo. This isn't about who's right or wrong anymore... this is about using one of your best players in the best way possible and also getting as much money back from an enormous investment.
I am not looking for AH to dominate, all he needs to do is make the people around him better. The way he does that, is by commanding the double team which allows players like Orakpo or London Fletcher to make a play
Here’s what I’m thinking immediately after the Redskins beat the New York Jets, 16-11, tonight in the third preseason game.
*It was a positive night for DL Albert Haynesworth, and thus a positive night for the Redskins. Forget the win, this game was all about getting Haynesworth geared up for a starting role. He played extensively at right defensive end and did so for three quarters. Perhaps even more importantly, he said the right things after the game.
*Pass protection was the biggest positive for the first-string offense. The line appeared more prepared for the Jets’ blitzes than it did last week against Baltimore. QB Rex Grossman generally had time to throw and did so in rhythm. RG Artis Hicks’ failed block got Grossman popped on one play, but overall I thought the line did well.
*Can’t say the same for the run blocking, though. For the second straight week, the line didn’t create enough holes. Because the linemen don’t practice cut blocking, it’s gonna take them a while to get the hang of it in games. But the problem is more basic than that. Blockers are getting pushed back and aren’t winning individual battles. RB Larry Johnson last week and RB Willie Parker tonight didn’t have much room with which to showcase their abilities.
WR Joey Galloway showed up tonight, another good sign for Washington’s offense. Mike Shanahan said his plan all along was to get Galloway significant time only in the third preseason game. Galloway responded with three catches for 29 yards. He got separation on different types of routes—something we hadn’t seen frequently. Galloway also helped create a 29-yard completion from Rex Grossman to Santana Moss by running deep down the middle and clearing the safeties out. That’s the kind of help that Moss didn’t receive last season. If Galloway can do that all year, it’ll add another dimension to the passing game. Galloway’s game tonight will at least keep the doubters at bay for a bit.
Initial Thoughts: Redskins 16, Jets 11 - Redskins JournalCB DeAngelo Hall made a fantastic read to intercept Jets QB Mark Sanchez. He read Sanchez’s eyes and broke off his receiver to cover the tight end underneath. I thought he should have scored a touchdown on the return, but that doesn’t take away from the quality of his read. Side note courtesy of Redskins PR: Hall is the first Redskin with two preseason INTs since Sean Taylor had three in 2004.
The Washington Redskins are on their way to a six win season, says statistician and math wizard Paul Bessire.