Physiotherapist Josh Birtwistle provides an update on the O's injured players...Alex Cisak
"Alex had a scan on his groin last week having failed a fitness test on the morning of the Crawley Town fixture. His injury is one that we are having to monitor closely. Once Alex's pain settles down, we will then begin to strengthen the area and get him back out on the pitch. As the time frame will depend on Alex's daily change in symptoms, we cannot put a specific date on his return at present, though it should be noted that he has made good improvements over the past week."
"Like Alex, Charlie is recovering from a groin injury, however of a different nature. Charlie strained his groin, and underwent a scan last week to discover the extent of the problem. It was revealed he will be out for at least a few weeks. Charlie is keen to return as soon as possible and the medical team are working hard to try and get him back before the end of the season."
"Yvan has seen a specialist in France for his long standing pelvic issue and he has now got to the stage where he is completing pitch based rehabilitation. We are hopeful that he will return to full training later this week."
"Myles withdrew from training on Thursday due to a back problem and he was deemed unfit for the Wycombe game on Saturday. Myles is a player that would run through a brick wall and it is understandable that he may be slightly anxious following his time on the sidelines last season with a back injury. As a precaution, he will have a scan today (Tuesday), where we will then know more with regards to the injury."
"Nigel had a scan on a groin injury prior to the Wycombe fixture on Saturday, and results have revealed a minor overuse issue of the groin, which is common at this late stage in the season. We are aiming to manage his training load and hopeful that he will be fit for this coming weekend, barring any issues."
"Unfortunately, Sammy will be out for the rest of the season due to knee tendinopathy. He is currently undergoing a series of injections to promote healing of the tendon while completing a rehabilitation programme to strengthen the knee. It's a massive shame that the end of the season comes too soon for Sammy."
"Following surgery in February to repair his ACL, Robbie has gone from strength to strength with his rehabilitation under Peter Webb. Robbie is a great professional and is continuing to progress well. Robbie has an appointment with the knee specialist at Fortius Clinic in a few weeks’ time to assess his progress."
"Gavin had been playing through the pain barrier for several weeks, with a painful knee that was being managed by the medical team. However, he then began experiencing an issue in his hamstring which took him to the point where he couldn’t continue playing. We pulled Gavin out and sent him for a scan late last week, to which the results flagged up a tear in his hamstring. At a push, Gavin will be back for the final game of the season against Blackpool."
"Paul is continuing to rehab following the knee injury he sustained against Mansfield Town. He was initially playing and pushing through the pain, however it got to the point where he had to be taken out. As it is not a common injury it is a difficult one to put an exact timescale on. Paul has been seen by a knee specialist and if his joint has healed well enough and is stable enough, we are aiming to get him back for the game against Hartlepool on April 17 at the very earliest. Paul is keen to return against Hartlepool and fingers crossed he will be back for then."
When discussing the current injuries, manager Omer Riza told leytonorient.com;
"We have had some bad injuries this year with the likes of Robbie, Paul and Liam, but to lose Gav is a massive blow at this stage of the season. He has been one of our best players so to not have him available is not very good at all. He is still a young player with an exciting career ahead of him and we have to make sure we do things properly by not rushing him back.
"Some injuries need to be managed over time, such has been the case with Paul. He had played through the pain on a number occasions but it then got to the point where the pain had become too much and he needed to let it settle down. I have had a good chat with Paul and he now feels after this rest he can aim to be involved against Hartlepool on April 17."
"Despite these injuries, we have still got a squad. At the end of the day we still have 22/23 players each training session and that is good considering you can only start each game with 11 men," he added.
"We have got options available to us, providing everyone is working hard. Each player has been doing that and as I told them last week, everyone has got a chance to play."