November 1, 2024 • 17 mins
Useful information from Dr. Matt McKean from The Orthopaedic Group 11-1-24
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Episode Transcript
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Speaker 1 (00:09):
Welcome back Sports Talk nine ninety five. Randy Kennedy in
the thread at Faster Studio. Glad to have you guys
with us right now. We're going to talk about a
little bit of information that can be helpful to everybody.
All of us weekend Warriors with us now. Doctor Matt mckinn.
He is from the Orthopedic Group.
Speaker 2 (00:24):
Matt, How you doing, man, I'm good. How are you, Amy,
I'm good.
Speaker 1 (00:28):
I wanted to talk to you about so many people
now are playing pickleball, and you know it's for young people,
but it's also for you know, people who have done
other things in their life and gotten up in years
as well. Your guy that specializes in ankles and feet
and lower body, what are you see in related to pickleball?
Speaker 2 (00:47):
Well, you're right, you know, we see all ages playing
pickleball these days, you know, not just the younger folks.
So we see it in folks in their sixties and seventies.
Even so, from an injury standpoint, the majority of the time,
I would say these folks tend to come in with
lower extremity injuries and injuries to their knee and a
lot of ankle and foot injuries. Whether they're sprains or strains.
(01:10):
We see fractures the occasional you know, achilles or calf,
muscle injury, hamstring type injuries as well. You occasionally you'll
see some upper extremity problems as well, more related to
overuse or maybe a fall on your wrist or your hand.
But by far and away, the majority of the things
(01:30):
we see are in the lower extremity.
Speaker 1 (01:33):
Is there something that you can do preventative on that
or is it just you know, injuries happen when you're
doing something of that kind of activity.
Speaker 2 (01:42):
Well, you know, things happen whether you know whether you're
sixteen or whether you're seventy six. But I would say
the thing that we, in general, all ages can do
is be more diligent about stretching, loosening up, and not
creating these overuse problems. You know, when you get in
(02:03):
a situation where you've overused something and maybe you're hobbling
because of a bad knee or you're limping because of
a bad ankle, it can then precipitate other injuries, whether
it be a trauma or a fall or a sprain.
So one of the best things we can do is
one be smart about stretching loosening up and then understanding
(02:23):
our limitations. You know, when when our body when something hurts,
it's our bodies, you know, way of telling us, hey,
you know it's time to back off or give yourself
a break and a rest.
Speaker 1 (02:35):
Is there one thing you do for stretching, like below
the knee, I mean, do you get on the ground
in stretch? Is there anything particularly that you tell people?
Speaker 2 (02:43):
So the two things, I would say, the two kind
of stretches which are probably the most important specifically for pickleball,
involves a lot of cutting and quick motions back and forth.
One stretching your calf muscle. You know, so things like
stretching up against the wall or standing on the edge
of a step and letting your heel go down, and
then keeping your hamstrings loose. You know, your hamstrings can
(03:05):
not only affect you at your knee, they can also
affect at your lower back. And so the tight hamstring
pulls on your pelvis, which then can pull on your
lower back, creating more stress and strain there. So, you know,
especially for those like you said, weekend warriors, those folks
that you know they're in a nine to five job
and they're going and maybe not being as active as
a sixteen year old is during the week when they
(03:27):
get on the pick a ball cord when they go
out and they're being more active, making sure to stretch,
especially those lower extremities, spending a good bit of time
getting loose. That can help prevent a lot of the
injuries a lot of the things we see.
Speaker 1 (03:44):
Is there something you really recommend postmatch, whether you're playing
tennis or you're you know, running a marathon or playing
pick a ball or whatever. Is there is there post
match something that's important.
Speaker 2 (03:55):
Well, yeah, I mean it's the same thing stretching afterwards.
You know, the muscles get loose and as you go
through the activity and then they start to tighten up afterwards.
So stretching and then just be a you know the
other appropriate thing. Getting plenty of rest, uh, drinking plenty
of fluid, making sure we stay hydrated, especially here in
Mobile and you know in the summer months when it's
(04:17):
you know, a thousand degrees outside, so you know, just
taking care of your body. You know, having a good
diet and adequate nutrition are very important for maintenance to
help keep us to the point where we can be active.
Speaker 1 (04:32):
Okay, I don't think I've ever stretched post postmatch or
just post activity. I need to I need to be
better about that because I figure, all right, once I've
done the thing, now it's just time to collapse and
sit on the couch for a little while.
Speaker 2 (04:43):
I think, I promise you. That's a that's a very
common conversation I have every day in the office.
Speaker 1 (04:50):
So like, NOK, what more you want from me? I've
already done the workout.
Speaker 2 (04:54):
Come on, well, you know, once again we're trying to
prevent that next thing.
Speaker 1 (04:59):
Yeah, you're right, you're That's what I've got you on
here to talk about that great stuff so far here
with doctor Matt McKean. He is from the Orthopedic Group,
the actually best folks here in the region. Here's something
I see, like with quarterbacks in football, and I would
probably see it with pickleball players or tennis players or
whatever if you had, you know, fifteen cameras on every
pickleball player. But you see like a quarterback drop back
(05:21):
to pass and then they get injured without anybody hitting them.
And with an extreme close up you can see kind
of like a quiver, like you know, below the knee,
like the whatever that is. Do you know what I'm
talking about, and what is what's happening there when you
see that happen.
Speaker 2 (05:36):
Yeah, so what you're what you're talking about is either
a what we call gas stock tear or a calf
muscle tear, or that can actually be your achilles rupturing.
You know, achilles ruptures, it's almost like a recoil in
the calf muscle. And so you know, with pickleball, we
do see achilles injuries. We do see gastroc or calf
(05:57):
muscle tears. And you know, once again, a lot of
times these things can There are some of the times
that can be preventable, but a lot of times it
is a you know, the calf muscles pulling one way
in the foot's put in, the foot is pushing an
opposite direction, and that stress intention on opposing forces. Occasionally
(06:19):
you'll have something fail, whether it's the calf muscle, whether
it's the achilles, and so you know, I would say
walking into my office especially you know, with the majority
of my practice being foot in ankle problems, that probably
the underlying thing I see in the majority of patients
is a tight calf muscle. It leads to so many problems,
(06:39):
whether it's achilles problems, whether it's plantar fasciitis, whether it's
pain in the front part of their foot, pain in
the middle part of their foot, pain in the front
part of their ankle. The overwhelming majority of the time,
these folks have a tight calf muscle. And so although
all injuries can't be prevented, stretching that calf muscle and
(07:00):
trying to keep it loose is very important. As we're active,
we build muscle, and as that muscle gets bigger, it
gets tighter, and and so that's why stretching and keeping
loose can help try and prevent things. Some of the time,
it can prevent things like what you're describing with either
a tear of the muscle or a tear of the
Achilles tendon.
Speaker 1 (07:20):
It always makes my stomach queasy when you say that
picture of oh my gosh, he didn't even get hit
or anything, and you can see, like, you know, it
looks like almost like it's cramping or something, but you
know that's not what it is.
Speaker 2 (07:31):
And a lot of people will come in and with
that particular type of injury and I'll say I turned around,
I was looking because I thought somebody shot me or
somebody hit me. In the back of the leg m,
so that you know. So, yes, it is a it
can if you can hit a close up view like that,
it can. It can be a fairly traumatic appearing injury.
Speaker 1 (07:50):
Somebody walks into your office they've been playing pickleball or
tennis or whatever, and says, I think somebody shot me
in the back of the ankle. That's uh, that's probably
like you were like, that's probably not what you or
not what you want to be telling me.
Speaker 2 (08:01):
Right, Yeah, it's a pretty quick diagnosis after that. Wants
to hear that story.
Speaker 1 (08:06):
Unfortunately, Unfortunately, that's not good. How much if I come
into you and you just say, hey, look I've been
playing pickleball and now I've got this bad ankle, how
much of that can you just like look at it,
feel it before you do X rays or whatever. How
much can you really diagnose when I walk into your office?
Speaker 2 (08:22):
Yeah, I mean so, I mean, you know, location is
very important. Is this a traumatic event or is this
just a you know, my ankle just started hurting type
of event. I mean, so those things matter, and that's
why the history is very important. You know, even for
those people who have a soft tissue injury or having
chronic overuse injury. X rays are very important. We learn
(08:44):
a lot about the bones from an x you know,
from an X ray, but we may also find, hey,
this person has a little arthritis here, they have a
little calcifications in their achilles tendon, which then help us
in treatment and diagnosis and future you know, expectations. Hey,
(09:05):
these are things you need to worry about because there's
lots of people who walk around with structural problems, but
they aren't symptomatic until they start doing certain things. So
we'll see people who come in with arthritis in certain
parts who mentioned, well, this just started hurting two days ago,
knowing that arthritis has been there for some time, it
(09:25):
just wasn't symptomatic. And that's one of the big things
I tell people. You know, we don't treat X rays.
We treat people, so we learn information from X rays,
but but we treat you based on your symptoms, based
on your complaints, and that helps us to terminate, you know,
appropriate treatment plan.
Speaker 1 (09:41):
I got a wacky question for you. Anybody ever come
in and told you they were stove up?
Speaker 2 (09:46):
Yeah? Yeah, So I mean you've wrote that, we hear that,
and we hear that when people come in when they're
back in the stove up and their events over and
they can't stand up straight. Yeah, so did they teach
you that metsical not a technical medical.
Speaker 1 (10:04):
Term, but you know what it is. You know, it
still doesn't help.
Speaker 2 (10:08):
Yeah, yeah, you know exactly what it is when somebody
writes that on the paperwork.
Speaker 1 (10:14):
So up, I didn't know if that was a still
common language or whatever. But I don't think i'd tell
my doctor that. But I might just tell my friend
that I'm stove up. But I got another Google.
Speaker 2 (10:26):
With Google these days, you know, a lot of people
come in with their diagnosis in hands.
Speaker 1 (10:30):
So yes, hey, what about icing post activity, whether you're
a tennis player, pickleball player, whatever it is is that
Is that a big deal or or do you recommend that?
Or what about that?
Speaker 2 (10:44):
Yeah? So you know, in general, the way we approach
ice versus heat. You know, heat tends to help loosen
up type muscles. It helps for more muscular type injuries
or muscular type problems, whereas ice is usually used for
after event. So spraining my ankle, I've got some swelling.
(11:04):
I've had this injury. Ice tend to help control some
of the swelling, which helps control the symptoms. So we
don't just tell people to prophylactically put ice on your
ankle after you exercise. I mean, now, if you I
sprang my ankle a week ago and I still have
some residual symptoms of ankle pain and it's swelling after activities,
(11:27):
good things like ice can be very helpful for that.
Speaker 1 (11:31):
What's this phrase? I think I've talked to you about
this before, but it's just it comes up and I
want to look smart at cocktail parties. So when they
talk now about tight rope surgery, this is like, I mean,
I think five years ago, the common person never heard
that phrase before. But if now, if you're a football fan,
you've probably heard somebody say I'm getting tight rope surgery.
Educate us about that so we can sound smart with
(11:52):
our friends.
Speaker 2 (11:53):
Yeah, so it's a you know, it's a commercialization of
a particular injury. So you know, there's there's the typical
ankle sprain that ninety percent of people sustain with pickleball injuries,
football injuries, basketball running. Whatever it is is a low
ankle sprain. So it involves what we call the lower
(12:15):
ankle ligaments, the high ankle sprain or what we call
the sindesmosis is a separate part of the ankle a
little bit further up, you know, still close to the ankle,
and that mechanism of injury is different than a low
ankle sprain injury. And so the idea of this tight
(12:37):
rope procedure, the stabilization of the sindesmosis is what a
tight rope procedure is, but it's commercialized with a certain
implant from a certain company, and so we have stabilized
the sindesmosis for ankle fractures or people who've broken their
ankle or had certain injuries for thirty to forty years,
(12:57):
if not longer than that. The idea of treating patients
with high ankle sprains with this type of sendsmotic fixation
is a little bit of a newer concept in the idea,
and the hope is that it can increase or it
can help expedite return to play. And so everybody, the
(13:19):
majority of people who have a high ankle sprain do
not need an operation. That's the biggest thing to understand
that folks who have that type of injury don't need
to go see their doctor and say I need this
surgery because one, the majority of them have a low
ankle sprain and not a high ankle sprain. In two,
the majority of people, even high school athletes and a
lot of college athletes, even professional athletes, get treated non
(13:42):
surgically all the time for a high ankle sprain. Now,
there are certain instances and certain amounts of instability of
that particular joint and ligamentous complex that require and don't
necessitate surgical intervention. And that's an individual basis. That's based
on exam on X rays, is based on MRI, it's
based on associated injuries. So it is a becoming more
(14:07):
of an accepted practice. However, still by far and away,
the majority of those folks we can be treated, we
can treat non surgically.
Speaker 1 (14:15):
I don't want to ask you the most simple question
I could ever possibly ask you. This is probably like
before day one of med school, But what's a sprain?
Speaker 2 (14:23):
And so a sprain is a is an injury typically
to a ligamentous complex. So you can sprain the ligaments
in your elbow, your neck, your hip, your back. But
a sprain is centered around a joint. So you know,
you sprain your knee joint, but you truly injure, stretch, strain,
(14:44):
the ligament of structures, you know, and there's varying severities
of sprains depending on what joint we're talking about or
what ligament complex we're talking about. So I mean that's
kind of the A sprain is a is you know,
a layman's term for a ligaminous injury.
Speaker 1 (15:04):
Yeah, like and you know, just like talking to my friends,
I know what I sprang my ankle. I know what
it is. But you know, if you ask me, like
what is a springed ankle, I don't really know what
that is.
Speaker 2 (15:12):
So you injured the ligaments, right, some ligaments around your ankle.
Speaker 1 (15:15):
Yes, I know it hurts.
Speaker 2 (15:16):
I know it hurt.
Speaker 1 (15:17):
I know it's uh it's like two degrees worse than
being stove up.
Speaker 2 (15:20):
I know that exactly.
Speaker 1 (15:23):
Great stuff, Uh Matt. How often are you at the
orthopedic at the orthopedic group where you're doing surgery or
seeing patience? How does that? How does your schedule work?
Speaker 2 (15:32):
So I see patients five days a week. I'm usually
in surgery half a day and then see pasient in
the office half day. So you know, from my particular standpoint,
we see patients, you know, typically with lower extremity injuries.
But one thing I love about our practice is we
are able to cover the gamut of all aspects of
(15:55):
of orthopedic short of orthopedic oncology, you know certain two
and cancers. But other than that, we we have specialists
in hand, wrist, elbow, shoulder, back, neck, hip, knee, foot,
and ankles. So even we have a pediatric specialist. So
you know, if I can't take care of your problem,
I've got one of my partners who can.
Speaker 1 (16:16):
You guys do such a great job. I mean just
from personal experience and just the professionalism and how easy
it is. I got a finger on my tennis hand
that I need to get looked at. I got one
finger that hurts when I hit the tennis ball. You
gotta you gotta over the radio assessment of what my
ring finger on my hitting hand in tennis is.
Speaker 2 (16:34):
It's probably stove up.
Speaker 1 (16:35):
They could confed that. Well, now I don't need to
come see you. We've got the diagnosia.
Speaker 2 (16:42):
Yeah, you know, there's various with that, So I tell
you we got somebody who can handle that.
Speaker 1 (16:47):
Though, I guarantee you I'm coming out there and see
you guys. Every time I've been there, you guys have
just been unbelievably professional and just great to work with. Matt.
I appreciate your man all very informative stuff. Man, I
will see you soon.
Speaker 2 (16:57):
Okay, all right, thank you, Andy. You appreciate There you go.
Speaker 1 (17:00):
That is doctor Matt McKean. He is with the Orthopedic
Group outstanding. You can see how easy they are to
work with and it's I've been out there many times
and they do such a great, great job. Appreciate him
coming on with us and educating us a little bit there.
This is Sports Talk ninety nine five.
Welcome back Sports Talk nine ninety five. Randy Kennedy in
the thread at Faster Studio. Glad to have you guys
with us right now. We're going to talk about a
little bit of information that can be helpful to everybody.
All of us weekend Warriors with us now. Doctor Matt mckinn.
He is from the Orthopedic Group.
Speaker 2 (00:24):
Matt, How you doing, man, I'm good. How are you, Amy,
I'm good.
Speaker 1 (00:28):
I wanted to talk to you about so many people
now are playing pickleball, and you know it's for young people,
but it's also for you know, people who have done
other things in their life and gotten up in years
as well. Your guy that specializes in ankles and feet
and lower body, what are you see in related to pickleball?
Speaker 2 (00:47):
Well, you're right, you know, we see all ages playing
pickleball these days, you know, not just the younger folks.
So we see it in folks in their sixties and seventies.
Even so, from an injury standpoint, the majority of the time,
I would say these folks tend to come in with
lower extremity injuries and injuries to their knee and a
lot of ankle and foot injuries. Whether they're sprains or strains.
(01:10):
We see fractures the occasional you know, achilles or calf,
muscle injury, hamstring type injuries as well. You occasionally you'll
see some upper extremity problems as well, more related to
overuse or maybe a fall on your wrist or your hand.
But by far and away, the majority of the things
(01:30):
we see are in the lower extremity.
Speaker 1 (01:33):
Is there something that you can do preventative on that
or is it just you know, injuries happen when you're
doing something of that kind of activity.
Speaker 2 (01:42):
Well, you know, things happen whether you know whether you're
sixteen or whether you're seventy six. But I would say
the thing that we, in general, all ages can do
is be more diligent about stretching, loosening up, and not
creating these overuse problems. You know, when you get in
(02:03):
a situation where you've overused something and maybe you're hobbling
because of a bad knee or you're limping because of
a bad ankle, it can then precipitate other injuries, whether
it be a trauma or a fall or a sprain.
So one of the best things we can do is
one be smart about stretching loosening up and then understanding
(02:23):
our limitations. You know, when when our body when something hurts,
it's our bodies, you know, way of telling us, hey,
you know it's time to back off or give yourself
a break and a rest.
Speaker 1 (02:35):
Is there one thing you do for stretching, like below
the knee, I mean, do you get on the ground
in stretch? Is there anything particularly that you tell people?
Speaker 2 (02:43):
So the two things, I would say, the two kind
of stretches which are probably the most important specifically for pickleball,
involves a lot of cutting and quick motions back and forth.
One stretching your calf muscle. You know, so things like
stretching up against the wall or standing on the edge
of a step and letting your heel go down, and
then keeping your hamstrings loose. You know, your hamstrings can
(03:05):
not only affect you at your knee, they can also
affect at your lower back. And so the tight hamstring
pulls on your pelvis, which then can pull on your
lower back, creating more stress and strain there. So, you know,
especially for those like you said, weekend warriors, those folks
that you know they're in a nine to five job
and they're going and maybe not being as active as
a sixteen year old is during the week when they
(03:27):
get on the pick a ball cord when they go
out and they're being more active, making sure to stretch,
especially those lower extremities, spending a good bit of time
getting loose. That can help prevent a lot of the
injuries a lot of the things we see.
Speaker 1 (03:44):
Is there something you really recommend postmatch, whether you're playing
tennis or you're you know, running a marathon or playing
pick a ball or whatever. Is there is there post
match something that's important.
Speaker 2 (03:55):
Well, yeah, I mean it's the same thing stretching afterwards.
You know, the muscles get loose and as you go
through the activity and then they start to tighten up afterwards.
So stretching and then just be a you know the
other appropriate thing. Getting plenty of rest, uh, drinking plenty
of fluid, making sure we stay hydrated, especially here in
Mobile and you know in the summer months when it's
(04:17):
you know, a thousand degrees outside, so you know, just
taking care of your body. You know, having a good
diet and adequate nutrition are very important for maintenance to
help keep us to the point where we can be active.
Speaker 1 (04:32):
Okay, I don't think I've ever stretched post postmatch or
just post activity. I need to I need to be
better about that because I figure, all right, once I've
done the thing, now it's just time to collapse and
sit on the couch for a little while.
Speaker 2 (04:43):
I think, I promise you. That's a that's a very
common conversation I have every day in the office.
Speaker 1 (04:50):
So like, NOK, what more you want from me? I've
already done the workout.
Speaker 2 (04:54):
Come on, well, you know, once again we're trying to
prevent that next thing.
Speaker 1 (04:59):
Yeah, you're right, you're That's what I've got you on
here to talk about that great stuff so far here
with doctor Matt McKean. He is from the Orthopedic Group,
the actually best folks here in the region. Here's something
I see, like with quarterbacks in football, and I would
probably see it with pickleball players or tennis players or
whatever if you had, you know, fifteen cameras on every
pickleball player. But you see like a quarterback drop back
(05:21):
to pass and then they get injured without anybody hitting them.
And with an extreme close up you can see kind
of like a quiver, like you know, below the knee,
like the whatever that is. Do you know what I'm
talking about, and what is what's happening there when you
see that happen.
Speaker 2 (05:36):
Yeah, so what you're what you're talking about is either
a what we call gas stock tear or a calf
muscle tear, or that can actually be your achilles rupturing.
You know, achilles ruptures, it's almost like a recoil in
the calf muscle. And so you know, with pickleball, we
do see achilles injuries. We do see gastroc or calf
(05:57):
muscle tears. And you know, once again, a lot of
times these things can There are some of the times
that can be preventable, but a lot of times it
is a you know, the calf muscles pulling one way
in the foot's put in, the foot is pushing an
opposite direction, and that stress intention on opposing forces. Occasionally
(06:19):
you'll have something fail, whether it's the calf muscle, whether
it's the achilles, and so you know, I would say
walking into my office especially you know, with the majority
of my practice being foot in ankle problems, that probably
the underlying thing I see in the majority of patients
is a tight calf muscle. It leads to so many problems,
(06:39):
whether it's achilles problems, whether it's plantar fasciitis, whether it's
pain in the front part of their foot, pain in
the middle part of their foot, pain in the front
part of their ankle. The overwhelming majority of the time,
these folks have a tight calf muscle. And so although
all injuries can't be prevented, stretching that calf muscle and
(07:00):
trying to keep it loose is very important. As we're active,
we build muscle, and as that muscle gets bigger, it
gets tighter, and and so that's why stretching and keeping
loose can help try and prevent things. Some of the time,
it can prevent things like what you're describing with either
a tear of the muscle or a tear of the
Achilles tendon.
Speaker 1 (07:20):
It always makes my stomach queasy when you say that
picture of oh my gosh, he didn't even get hit
or anything, and you can see, like, you know, it
looks like almost like it's cramping or something, but you
know that's not what it is.
Speaker 2 (07:31):
And a lot of people will come in and with
that particular type of injury and I'll say I turned around,
I was looking because I thought somebody shot me or
somebody hit me. In the back of the leg m,
so that you know. So, yes, it is a it
can if you can hit a close up view like that,
it can. It can be a fairly traumatic appearing injury.
Speaker 1 (07:50):
Somebody walks into your office they've been playing pickleball or
tennis or whatever, and says, I think somebody shot me
in the back of the ankle. That's uh, that's probably
like you were like, that's probably not what you or
not what you want to be telling me.
Speaker 2 (08:01):
Right, Yeah, it's a pretty quick diagnosis after that. Wants
to hear that story.
Speaker 1 (08:06):
Unfortunately, Unfortunately, that's not good. How much if I come
into you and you just say, hey, look I've been
playing pickleball and now I've got this bad ankle, how
much of that can you just like look at it,
feel it before you do X rays or whatever. How
much can you really diagnose when I walk into your office?
Speaker 2 (08:22):
Yeah, I mean so, I mean, you know, location is
very important. Is this a traumatic event or is this
just a you know, my ankle just started hurting type
of event. I mean, so those things matter, and that's
why the history is very important. You know, even for
those people who have a soft tissue injury or having
chronic overuse injury. X rays are very important. We learn
(08:44):
a lot about the bones from an x you know,
from an X ray, but we may also find, hey,
this person has a little arthritis here, they have a
little calcifications in their achilles tendon, which then help us
in treatment and diagnosis and future you know, expectations. Hey,
(09:05):
these are things you need to worry about because there's
lots of people who walk around with structural problems, but
they aren't symptomatic until they start doing certain things. So
we'll see people who come in with arthritis in certain
parts who mentioned, well, this just started hurting two days ago,
knowing that arthritis has been there for some time, it
(09:25):
just wasn't symptomatic. And that's one of the big things
I tell people. You know, we don't treat X rays.
We treat people, so we learn information from X rays,
but but we treat you based on your symptoms, based
on your complaints, and that helps us to terminate, you know,
appropriate treatment plan.
Speaker 1 (09:41):
I got a wacky question for you. Anybody ever come
in and told you they were stove up?
Speaker 2 (09:46):
Yeah? Yeah, So I mean you've wrote that, we hear that,
and we hear that when people come in when they're
back in the stove up and their events over and
they can't stand up straight. Yeah, so did they teach
you that metsical not a technical medical.
Speaker 1 (10:04):
Term, but you know what it is. You know, it
still doesn't help.
Speaker 2 (10:08):
Yeah, yeah, you know exactly what it is when somebody
writes that on the paperwork.
Speaker 1 (10:14):
So up, I didn't know if that was a still
common language or whatever. But I don't think i'd tell
my doctor that. But I might just tell my friend
that I'm stove up. But I got another Google.
Speaker 2 (10:26):
With Google these days, you know, a lot of people
come in with their diagnosis in hands.
Speaker 1 (10:30):
So yes, hey, what about icing post activity, whether you're
a tennis player, pickleball player, whatever it is is that
Is that a big deal or or do you recommend that?
Or what about that?
Speaker 2 (10:44):
Yeah? So you know, in general, the way we approach
ice versus heat. You know, heat tends to help loosen
up type muscles. It helps for more muscular type injuries
or muscular type problems, whereas ice is usually used for
after event. So spraining my ankle, I've got some swelling.
(11:04):
I've had this injury. Ice tend to help control some
of the swelling, which helps control the symptoms. So we
don't just tell people to prophylactically put ice on your
ankle after you exercise. I mean, now, if you I
sprang my ankle a week ago and I still have
some residual symptoms of ankle pain and it's swelling after activities,
(11:27):
good things like ice can be very helpful for that.
Speaker 1 (11:31):
What's this phrase? I think I've talked to you about
this before, but it's just it comes up and I
want to look smart at cocktail parties. So when they
talk now about tight rope surgery, this is like, I mean,
I think five years ago, the common person never heard
that phrase before. But if now, if you're a football fan,
you've probably heard somebody say I'm getting tight rope surgery.
Educate us about that so we can sound smart with
(11:52):
our friends.
Speaker 2 (11:53):
Yeah, so it's a you know, it's a commercialization of
a particular injury. So you know, there's there's the typical
ankle sprain that ninety percent of people sustain with pickleball injuries,
football injuries, basketball running. Whatever it is is a low
ankle sprain. So it involves what we call the lower
(12:15):
ankle ligaments, the high ankle sprain or what we call
the sindesmosis is a separate part of the ankle a
little bit further up, you know, still close to the ankle,
and that mechanism of injury is different than a low
ankle sprain injury. And so the idea of this tight
(12:37):
rope procedure, the stabilization of the sindesmosis is what a
tight rope procedure is, but it's commercialized with a certain
implant from a certain company, and so we have stabilized
the sindesmosis for ankle fractures or people who've broken their
ankle or had certain injuries for thirty to forty years,
(12:57):
if not longer than that. The idea of treating patients
with high ankle sprains with this type of sendsmotic fixation
is a little bit of a newer concept in the idea,
and the hope is that it can increase or it
can help expedite return to play. And so everybody, the
(13:19):
majority of people who have a high ankle sprain do
not need an operation. That's the biggest thing to understand
that folks who have that type of injury don't need
to go see their doctor and say I need this
surgery because one, the majority of them have a low
ankle sprain and not a high ankle sprain. In two,
the majority of people, even high school athletes and a
lot of college athletes, even professional athletes, get treated non
(13:42):
surgically all the time for a high ankle sprain. Now,
there are certain instances and certain amounts of instability of
that particular joint and ligamentous complex that require and don't
necessitate surgical intervention. And that's an individual basis. That's based
on exam on X rays, is based on MRI, it's
based on associated injuries. So it is a becoming more
(14:07):
of an accepted practice. However, still by far and away,
the majority of those folks we can be treated, we
can treat non surgically.
Speaker 1 (14:15):
I don't want to ask you the most simple question
I could ever possibly ask you. This is probably like
before day one of med school, But what's a sprain?
Speaker 2 (14:23):
And so a sprain is a is an injury typically
to a ligamentous complex. So you can sprain the ligaments
in your elbow, your neck, your hip, your back. But
a sprain is centered around a joint. So you know,
you sprain your knee joint, but you truly injure, stretch, strain,
(14:44):
the ligament of structures, you know, and there's varying severities
of sprains depending on what joint we're talking about or
what ligament complex we're talking about. So I mean that's
kind of the A sprain is a is you know,
a layman's term for a ligaminous injury.
Speaker 1 (15:04):
Yeah, like and you know, just like talking to my friends,
I know what I sprang my ankle. I know what
it is. But you know, if you ask me, like
what is a springed ankle, I don't really know what
that is.
Speaker 2 (15:12):
So you injured the ligaments, right, some ligaments around your ankle.
Speaker 1 (15:15):
Yes, I know it hurts.
Speaker 2 (15:16):
I know it hurt.
Speaker 1 (15:17):
I know it's uh it's like two degrees worse than
being stove up.
Speaker 2 (15:20):
I know that exactly.
Speaker 1 (15:23):
Great stuff, Uh Matt. How often are you at the
orthopedic at the orthopedic group where you're doing surgery or
seeing patience? How does that? How does your schedule work?
Speaker 2 (15:32):
So I see patients five days a week. I'm usually
in surgery half a day and then see pasient in
the office half day. So you know, from my particular standpoint,
we see patients, you know, typically with lower extremity injuries.
But one thing I love about our practice is we
are able to cover the gamut of all aspects of
(15:55):
of orthopedic short of orthopedic oncology, you know certain two
and cancers. But other than that, we we have specialists
in hand, wrist, elbow, shoulder, back, neck, hip, knee, foot,
and ankles. So even we have a pediatric specialist. So
you know, if I can't take care of your problem,
I've got one of my partners who can.
Speaker 1 (16:16):
You guys do such a great job. I mean just
from personal experience and just the professionalism and how easy
it is. I got a finger on my tennis hand
that I need to get looked at. I got one
finger that hurts when I hit the tennis ball. You
gotta you gotta over the radio assessment of what my
ring finger on my hitting hand in tennis is.
Speaker 2 (16:34):
It's probably stove up.
Speaker 1 (16:35):
They could confed that. Well, now I don't need to
come see you. We've got the diagnosia.
Speaker 2 (16:42):
Yeah, you know, there's various with that, So I tell
you we got somebody who can handle that.
Speaker 1 (16:47):
Though, I guarantee you I'm coming out there and see
you guys. Every time I've been there, you guys have
just been unbelievably professional and just great to work with. Matt.
I appreciate your man all very informative stuff. Man, I
will see you soon.
Speaker 2 (16:57):
Okay, all right, thank you, Andy. You appreciate There you go.
Speaker 1 (17:00):
That is doctor Matt McKean. He is with the Orthopedic
Group outstanding. You can see how easy they are to
work with and it's I've been out there many times
and they do such a great, great job. Appreciate him
coming on with us and educating us a little bit there.
This is Sports Talk ninety nine five.
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