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

How altitude chambers, anti-gravity treadmills and dogged determination helped Andriy Yarmolenko recuperate from serious harm to turn into one of the Premier Leagues superstar players…
Andriy Yarmolenko is light up the Premier League and continues to be instrumental in West Hams rise.
His manager, Manuel Pellegrini, described him as aspecial player later he followed aims against Norwich and Manchester United with a classy finish against Bournemouth last weekend. He is carrying us occasionally, said team-mate Ryan Fredericks, who plays behind him on the right flank.
However, this shape has been hard fought .
As he strove to make a turn from Tottenham Just a little under 12 months before, Yarmolenko suffered a ruptured Achilles. Its a rare but severe injury for a footballer. That it was a blow. A few weeks after a movement on to West Ham and also the Premier League he had been confronting months on the sidelines.
Here, with the Support of Richard Collinge, Head of Medical in West Hamwe advise the story of Yarmolenkos long struggle back to fitness…
I believe you understand right away when someone goes down with an injury like that, that its a nasty one. After we have around the pitch we understood he had been in a great deal of distress and the player, in that situation, is at a great deal of shock
The expression on the face of his team-mates underlined the seriousness of the injury before Collinge and his staff arrived in the scene, while Yarmolenko clutched at his leg.
You dont observe a ruptured Achilles which frequently, Collinge told Sky Sports. I have been in and around soccer for 20 years now and I think I have seen two in my own career. They are rare but theyre big injuries.
Mindful of the gravity of this injury, the West Ham medical staff knew they needed to act.
His wife had been in the game, so we introduced her down into the living area and explained the significance of the harm. Andriy was shocked and disappointed. Hewanted to earn a first impression andd come to a new team in the Premier League. It was October and that opportunity was taken away from him.
We placed him into a protective bootgave him crutches and delivered him straight off to get an MRI scan, which confirmed our fears hed ruptured his Achilles. With those ruptures that you need to function as fast as possible. This was a Saturday and by first-thing Monday morning Andriy had undergone operation in London to fix the tendon.
Following the hours following the accident, Yarmolenko needed to face up to the possibility of several months of healing work.
Following the operation, Yarmolenko right leg was stored in a protective boot that only came off stretching exercises. During this frustratingly slow interval, his sanity was equally as significant as his physical recovery.
Watching the other players go out training each day was difficult for them, explained Collinge. To get him through that first 10 week period following the accident, we were attempting to be very positive . Andriy is a personality that is positive so that helped, but the manager, the gamers and the training staff were fantastic around him.
Weve got a participant care staff at the club also who assured Andriy along with his family knew we were here as a team and club to offer him every service possible, by chatting to a psychologist to attaining to staff hes used formerly in the Ukraine. Theteam-behind-the-team ethic helped to get Andriy back to where hes now.
Collinge and the coaching staff were eager to maintain Yarmolenko as active as possible to keep his affliction. There was gym work for his upper body and to increase his pulse and hydrotherapy to keep him in shape.
Yarmolenko was set a collection of goals. The most important thing I have learnt over the years is that you give the participant realistic markers of how the rehab programme will appear and set them goals within that period, said Collinge. You need to make sure the player buys that.
Purchase into it he did. There were early starts and long hours at West Hams Rush Green instruction base but Yarmolenkos attitude remained steadfast. Daily to keep his battle back into 29, even at the seasons conclusion, if his team-mates had gone on holiday, Yarmolenko still came center.
His remedy was extensive and used modern technology. In an altitude chamber, Yarmolenko rode static bicycles, worked on a cross-trainer and conducted in an anti-gravity treadmill.
Andriy has been doing work in a simulated setting of 3000m altitude, clarified Collinge. That worked his lungs and heart more challenging, therefore when he came back into the pitch his fitness wasnt depleted too much. Hed do high-intensity work on the bicycle and, from December, we gradually increased the burden his own body was posture as he ran to the treadmill.
Routine weigh-ins and body weight tests tracked Yarmolenkos illness, meetings with the team nutritionist tweaked his dietwhile massage and muscle stimulators assisted strengthen muscles.
Following a morning at the elevation room, additional work with all the strength and conditioning coaches followed in the afternoon and weekly Pilates courses helped with versatility.
Every player wants to return as rapidly 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 information and gear on the market. Were always hoping to come across these benefits to get the player back on the pitch quicker and safer and in a better method.
West Ham boss Pellegrini maintained a close eye on the process. Yarmolenko may have been ruled out for the period but, much like injured players in the club, Pellegrini insisted still being involved in team meetings and made to feel part of the team.
Mr Pellegrini likes to be kept abreast of whats happening with the injured players, explained Collinge. I meet with him each morning and speak through each player, whether they are fit or not. The supervisor also sees the players in the treatment room, hell come in and ask how theyre getting on.
He keeps communication open with players that are injured because the player needs to feel part of the club and also demanded. Mr Pellegrini and his team are great at doing that. The gamers do not feel left out or moved into the side because they are hurt
Yarmolenkos work on the treadmill raised his power during December and also come January he was ready to get back to running on grass.
The approach was slow, steady, methodical. Directly line running evolved to predominant work and from April he managed to join with his team-mates for a few non-contact sessions before, eventually, in May, contact training. But this was not the roads end.
When you place a player back into contact sessions, you have to build up his confidence, said Collinge. Theres nothing like instruction to achieve that. There is only so much we can perform in a rehabilitation setting until you unleash the participant into a full-contact session also he must be subjected to the pressures and strains which training exerts on this sidewalk.
Yarmolenko responded well and, had the Premier League season into June, he would have been back in action for West Ham. However, given the time of his recovery, Pellegrini and the medical staff agreed it would be best to go easy and ensure Yarmolenko was 100 percent for July 1, the onset of pre-season.
That meant that, together with West Hams first team heading away to their holidays after achieving a top-half finish in the league, Yarmolenko had to discover other people to train with.
We kept an U23s training team back later especially to assist Andriy, therefore that he can do extra training together, explained Collinge. He also went to Ukraine and did a little training with the national team, even though we were very much controlling that instruction to make sure that he didnt do too much too soon.
Together with his own vacations reduced to just a brief break with his family, Yarmolenkos summertime continued to concentrate on his rehabilitation.
They are the sacrifices you have to make, explained Collinge. People believe the season ends mid-May, but certainly for the medical team, the sport science group we offer a service during the summer and Andriy was in for most of the summer.
When July 1 arrived Yarmolenko was ready for activity – and now hes reaping the rewards for all his hard work.
The rehabilitation should not be taken lightly because it is a procedure that takes an awful lot of buy-in, and its testament to Andriy that he came through it well, said Collinge. It takes a massive amount of psychological robustness and positivity to get back playing at that level again.
The tough work still continues. We do not become complacent. The requirements of the Premier League are enormous nowadays, emotionally and physically, and keep him onto the 37, when a player enjoy Andriy is injured they will need to do work that helps.
But hes a good professional. He has been a sponge within the previous 12 months and carried on board the information my staff have handed him and it is incredibly satisfying to watch him playing the way he is.
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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