Andriy Yarmolenko: The inside story on his long journey back to fitness at West Ham

How elevation chambers, anti-gravity treadmills and dogged determination helped Andriy Yarmolenko recuperate from serious harm to turn into one of the Premier Leagues star players…
Andriy Yarmolenko is light up the Premier League and has been instrumental in West Hams increase.
His supervisor, Manuel Pellegrini, described him as aspecial player later he followed targets against Norwich and Manchester United with a classy finish contrary to Bournemouth last weekend. He is carrying us at times, stated team-mate Ryan Fredericks, that performs behind him on the right flank.
However, this shape has been hard fought for.
Just a little under 12 weeks past, 29, Yarmolenko, suffered a ruptured Achilles as he strove to earn a turn from Tottenham. Its an infrequent but severe injury for a footballer. For Yarmolenko it was a blow. A couple of weeks after having a movement on to the Premier League and West Ham he faced on the sidelines.
Here, with the Assistance of Richard Collinge, Head of Medical at West Hamwe tell the story of Yarmolenkos long struggle back into fitness…
I believe you know right away when someone goes down with an injury like this, that it is a nasty one. As soon as we have around the pitch we knew he was in a great deal of distress and the participant, in that situation, is at a great deal of shock
While Yarmolenko clutched at his leg, the expression on the surface of his team-mates underlined the seriousness of the injury before Collinge and his medical team arrived in the scene.
You do not observe a ruptured Achilles which frequently, Collinge told Sky Sports. I have been in and about football for 20 decades now and I believe Ive seen two in my own career. They are infrequent but they are big injuries.
Mindful of the gravity of the injury, the West Ham staff knew they had to act quickly.
His wife was in the match, so we introduced her down into the medical area and explained the importance of the harm. Andriy was shocked and disappointed. Hewanted to earn a great first impression andd come to another team from the Premier League. It was just October and opportunity was removed from him.
We put him in a protective boothe gave him crutches and sent off him for an MRI scan, which confirmed our fears hed ruptured his Achilles. With those ruptures you need to work as soon as possible. That was a Saturday and by first-thing Monday morning Andriy had undergone surgery in London to repair the tendon.
After the whirlwind hours following the accident, Yarmolenko had to face up to the prospect of many months of recovery work.
Following the surgery, Yarmolenkos wounded right leg was stored in a boot which only came off stretching exercises. During this frustratingly slow interval, his morale was equally as significant as his physical recovery.
Seeing the other players head out coaching each day was difficult for him, explained Collinge. For him through that first 10 week period after the injury, we were trying to be very positive . Andriy is a positive character anyhow, so that helped, however the training staff, the supervisor and the gamers were good around him.
Weve got a player care team at the club also who assured Andriy along with his family knew we had been here as a team and club to offer him every service possible, by chatting to some psychologist to attaining to team he is used formerly from the Ukraine. Theteam-behind-the-team ethic helped to get Andriy right back to where hes currently.
Collinge and the coaching team were eager to maintain Yarmolenko as busy as possible to maintain his condition. There was fitness work for his upper body and to raise his pulse and hydrotherapy to keep him in shape.
Yarmolenko was set a set of goals. The most important thing I have learnt over the years is that they give the participant realistic markers of how the rehab programme is going to appear and put them aims within that period, said Collinge. You need to ensure the participant purchases into that.
Purchase into it . You will find early starts and extended hours in the Rush Green training foundation of West Ham but the mindset of Yarmolenko remained loyal. When his team-mates had gone off on vacation, Yarmolenko came daily to keep his struggle back to fitnesscenter.
His treatment was wide-ranging and employed modern technology. Inside an altitude chamber, Yarmolenko rode static bikes, exercised to a cross-trainer and conducted in an anti-gravity treadmill.
Andriy has been doing work in a simulated setting of 3000m elevation, explained Collinge. That worked his heart and lungs more difficult, so when he came back into this pitch his fitness wasnt depleted too much. Hed do high-intensity job on the bicycle as well as from December, we slowly increased the weight his own body was bearing as he ran on the treadmill.
While massage and muscle stimulators assisted strengthen muscles body fat tests and regular weigh-ins monitored the condition of Yarmolenko, meetings with the team nutritionist tweaked his diet.
Following a morning at the altitude chamber, extra work with the strength and conditioning coaches followed in the afternoon and weekly Pilates courses helped with flexibility.
Every player wants to get back as quickly as possible and we want to ease that securely, said Collinge. Altitude chambers, cryotherapy chambers, muscle stimulators, shockwave machines, you can name it, there is a great deal of info and gear on the market. We are constantly trying to find these gains to get the player back to the pitch faster and more powerful and in a more effective method.
West Ham manager Pellegrini maintained a close watch on the process. Yarmolenko might have been ruled out for the period however, as with injured players at the club, Pellegrini insisted on him still being involved in staff meetings and made to feel part of this group.
Mr Pellegrini enjoys to be aware of whats happening with all the injured players, said Collinge. I meet him every morning and talk through each player, whether they are fit or not. The supervisor also sees the gamers in the treatment room, hell come in and ask how they are getting on.
He keeps communication open with players that are injured since the player still needs to feel a part of this club and concerned. Mr Pellegrini and his team are excellent at doing that. The gamers dont feel left out or moved into the side since they are hurt
Yarmolenkos work on the treadmill raised his strength through December and also come January he was prepared to get back to running on grass.
The strategy was again slow, steady, methodical. Directly line running evolved into agility work and from April he was able to join with his team-mates for some non-contact sessions eventually, in May, touch training. But this wasnt the roads end.
When you place a player back into contact sessions, you need to build up his confidence, explained Collinge. There is nothing like instruction to do that. Theres just so much we could perform in a rehab setting before you unleash the participant right into a full-contact session also he has to be exposed to the stresses and strains which coaching exerts on this tendon.
Yarmolenko responded nicely and, had the Premier League season expanded into June, hed have been back in action for West Ham. However, given the time of his recovery, Pellegrini and the medical team agreed it would be best to go easy and guarantee Yarmolenko had been 100 per cent for July 1, the start of pre-season.
That meant that, together with West Hams first team heading off to their holidays after attaining a top-half ending in the group, Yarmolenko needed to discover others to train .
We kept an U23s training group back later specifically to help Andriy, so that he could do additional training together, explained Collinge. He also went back to Ukraine and did a little practice with the national team, though we were very much commanding that training to make sure that he didnt do too much too soon.
With his own vacations reduced to just a brief break with his family, Yarmolenkos summer continued to concentrate on his rehabilitation.
They are the sacrifices you need to make, said Collinge. People believe the season finishes mid-May, but for the health staff, the sport science team that we offer a service during the summer and Andriy was responsible for most of the summer.
After July 1 arrived Yarmolenko was ready for activity – and now hes reaping the rewards for his hard work.
The rehab shouldnt be taken lightly because its a process that requires an awful bunch of buy-in, and it is testament to Andriy that he came through it well, explained Collinge. It requires a enormous amount of psychological robustness and positivity to get back playing at that level again.
The tough work still lasts. We dont become complacent. The requirements of the Premier League are enormous these days, physically and psychologically, and if a player such as Andriy is injured that they will need to do keep him.
But he is a fantastic professional. He has been a sponge over the previous 12 months and taken on board the advice that my staff have given him and its incredibly satisfying to watch him back, playing the way hes.
Watch West Ham vs Crystal Palace live on Sky Sports Premier League from 5pm on Saturday; kick-off is 5.30pm.

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