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A bowler cleared to play is not the same as a bowler ready to play, and the gap between those two is measured in overs rather than weeks.
Rebuilding the loads
A return is built backwards from a target match. Bowling loads increase week by week, and the last thing to be tested is the fifth over of a second spell, which is where the old injury lives.
Trusting the action again
The hardest part is not physical. It is the moment in a match when the bowler has to run in flat out without thinking about the thing that broke.
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