October 25, 2024 • 8 mins
Dr. Nick Gates from OrthoCincy joined us to talk about the injury situations involving Orlando Brown and Geno Stone of the Bengals, as well as two other NFL-related injuries.
Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Speaking of Orthos sincey we typically do this on Wednesdays,
but because of my scheduling issues, we've had to move
this to Thursdays. Each of the last couple of weeks,
we talk injuries once a week with one of the
experts from Orthos since. The great thing about Orthosinc. Is
they have specialists on locations across the Tri State offering
walk in orthopedic urgent care weekdays nine a m. To
(00:20):
nine pm and on Saturday from nine am to one pm.
Learn more at orthosinc dot com. That's ortho ci ncy
dot com. Doctor Nick Gates from Orthosincia is with us.
Let's start by talking about Orlando Brown, and it feels
like it feels like we got reasonably good news because
he came out of that game on Sunday in Cleveland.
(00:41):
We all feared the worst and it was initially thought
that maybe he was dealing with a calf strain or
what they call tennis leg, which is something I've never
heard of. He has officially been diagnosed with a knee strain.
Let's start with tennis leg. I had never heard of that.
Speaker 2 (00:57):
What is it tennis leg? I'm not surprised you haven't
heard that term. It's not utilized a whole lot, but
tennis lag refers to a strain or partial tear of
one of the muscles in your calf, So that bulky
muscle in your calf just below the back of your knee,
but well above your achilles tendon, so you can strain
or pull that muscle.
Speaker 1 (01:18):
All right, Well, I had never heard that before. Now
I'm wondering if I've had tennis leg before. Let's talk
about what he's actually dealing with here, what the diagnosis is,
and maybe you could walk us through the determining factors
that decide whether a player with this type of strain
can actually go out there and play well.
Speaker 2 (01:35):
I agree with you. I think it's good news that
it's been kind of modified a bit to a knee
strain in the back of his knee, which sounds like
they're referring to kind of a slight hyper extension of
his knee, and that area in the back of your
knee is not far from the calf muscles. I think
a knee strain in the back of the knee is
actually probably has a better prognosis for him for a
quicker return compared to tennis leg. Or a calf strain.
(01:58):
The calf strains can be really a new since and
linger more. But I think that they've modified to that
to the back of his knee. And when they called
a strain, it indicates that everything stable. It indicates that
they're not mentioning any kind of torn ligament or any
instability in his knee. So that is a good prognostic
sign for him.
Speaker 1 (02:17):
Should this be as much about pain management as anything else.
Speaker 2 (02:22):
I think it is. I think it's the pain management,
and some people refer to it as pain threshold. It's
he's got to have the confidence in that knee. Obviously
what he's doing, not on the field. He needs to
feel like he has the strength. He needs to not
be thinking about his knee while he's doing his job.
So once that he feels like he has that strength
and stability, even if it's a little sore, that generally
(02:42):
kind of puts an athlete over to be willing and
ready to play, all right.
Speaker 1 (02:45):
I really feared the worst when Gino Stone was carted
off and he was wearing an air cast, and as
it's turned out, the news is relatively good. He's dealing
with a tibia contusion, which sounds painful. But when I
saw him carted off in an air cast, I I
felt like, we're dealing with a fracture here. Is doing
something like that? Is it just precautionary, Put the air
cast on him, get him off the field, and figure
(03:07):
it out later.
Speaker 2 (03:09):
That would be my impression. He probably was hurting badly
enough right there in as tibia. Whatever he banged it on,
whether I didn't see the video, whether he hits someone
else in another player's leg or a helmet, that's gonna
be precautionary to get that imobilized before they get a
better look at him. It's a great sign that the
next day or soon thereafter, he seems to be up
and about. That indicate to me they've done their better exam,
(03:32):
they've done their studies, the X rays, or whether or
not they've done anything more significant, and now they can
kind of diagnose him as a tibial contusion, which hurts,
but it's not a tibial fracture. I think I remember
was the last week or two weeks ago we did
see a pretty nasty tibia fracture in the NFL. That
would be a much more significant amount of force, as
you can imagine, So it is a good sign. I
(03:54):
think they were just doing that as precautionary when they
get that's points on him.
Speaker 1 (03:57):
So I don't know that there's anything more painful than
being kicked in the Unfortunately it's been years since that's
happened to me. Is is that? Is that kind of
what this feels like? What is it? Tibby A contusion?
Speaker 2 (04:06):
Absolutely, you can. I might bump my shin on the
table edge when I walk out of this room today,
and that's gonna hurt a little bit. I might have
you kick me in the shin, and that's gonna hurt
even more. But if an NFL player's helmet strikes me
in the shin or their shin hits me, that's going
to be even more. So that's definitely a pain threshold thing.
(04:27):
We'll see that a fair amount, and depending upon the
amount of swelling and discomfort, that'll definitely be a pain
threshold thing for him. But I do think the next
indications that we've seen come out seem to be positive
about that. So once he's comfortable, the good news. It's
not a muscle, it's not a ligament. So once you've
got that comfort, I think there's it's likely he'll be back.
Speaker 1 (04:48):
So the next time I bang my shin on my
coffee table, I know what Gino is going through.
Speaker 2 (04:53):
Let's let's think what Gino went through is times ten.
Speaker 1 (04:56):
Then yeah, exactly, Deshaun. We also left the game with
an achilles injury. And what was interesting about it is
I think like watching it in a real time and
a replayer to everybody sort of knew it's an achilles injury.
I also feel like we talked about the achilles, and
we really don't focus too much on what the achilles
actually does. So let's start there. What's the Achilles tendon
(05:17):
and what does it do?
Speaker 2 (05:19):
Well, it's pretty easy for anyone to see in field
or an achilles tendon. What it does is attach that
calf muscle that we mentioned earlier in our conversation, that
gastruck or calf muscle that comes down and turns into
your Achilles ten in, which then attaches to your heelbo.
That Achilles tenon is what gives you all of your
push off power from your calf muscle. Without your Achilles tenon,
(05:39):
you have no calf muscle function, so you lose a
tremendous amount of push off power. Even every day, Joe
is going to feel that loss of push off power.
You're certainly going to feel that loss if you're trying
to be athletic. So it's a tendon or a rope
that attaches muscle to the back of that Heelboe, can.
Speaker 1 (05:57):
You tell that an athlete to suffered this sort of
injury just by why? If not in real time, maybe
just looking at a replay.
Speaker 2 (06:04):
I not only can I, but I'm starting to notice
that my friends can. We've seen enough of them. And
with the advent of video and social media, as soon
as someone ruptures or achilles tenant, we can get any
ten different views with slow mo. So as I watched
the game, not only can I notice that they did it,
but my buddies are getting pretty good at that diagnosis
(06:25):
as well.
Speaker 1 (06:26):
So I guess he and the team are exploring the
speedbridge technique, which is what the Jets, what Aaron Rodgers
of the Jets had done when he tore his achilles
week one last year and he was able to practice
within eleven weeks. What's the speed bridge technique?
Speaker 2 (06:43):
Speedbridge? I think you and I may have had a
conversation about this some time ago. It's a I guess
relatively new but not brand new, minimally invasive repair of
the achilles tendon rupture prior to that. For me to
repair that, it's a fairly lengthy incision to suture, get
a strong enough repair of the two ends of that tendon,
and pull them back together so they heal correctly. This
(07:04):
speedbridge technique gives us the ability to make a smaller incision,
pass those sutures in a minimally invasive way, and still
obtain that strong repair. The whole goal being we still
need a strong repair to allow us to do that
early rehab that you saw and Rodgers go through, but
do that with a smaller incision. Smaller incision is less
post operative pain. Smaller incision leaves better blood supply to
(07:28):
the injured tendon to theoretically facilitate perhaps earlier healing. That
is true. So the speedbridge technique has actually been around.
It's got a lot of publicity the last couple of years,
but it's really been around for a good six or
seven years. We've been performing that for quite some time,
not just in your it's not just your NFL athletes
getting that done, but your everyday Joe, our pickleball players
(07:51):
and our college athletes are getting that done right.
Speaker 1 (07:53):
There you go, Doctor Nick Gates from Orthos since the
awesome stuff. I say this every week. The great thing
about the people that are so since they've got specialists
and locations across the Tri State including walk in Orthopedic
urgent care weekdays nine am to nine pm, Saturdays nine
am to one pm, and Edgewood and Anderson. It's easier
than going to an er, and it's definitely cheaper than
(08:15):
going to an er. Whenever you have an urgent orthopedic injury,
check out Orthosinc dot com. You never need an appointment,
by the way, that's Orthos c I n c Y
dot com.
Speaking of Orthos sincey we typically do this on Wednesdays,
but because of my scheduling issues, we've had to move
this to Thursdays. Each of the last couple of weeks,
we talk injuries once a week with one of the
experts from Orthos since. The great thing about Orthosinc. Is
they have specialists on locations across the Tri State offering
walk in orthopedic urgent care weekdays nine a m. To
(00:20):
nine pm and on Saturday from nine am to one pm.
Learn more at orthosinc dot com. That's ortho ci ncy
dot com. Doctor Nick Gates from Orthosincia is with us.
Let's start by talking about Orlando Brown, and it feels
like it feels like we got reasonably good news because
he came out of that game on Sunday in Cleveland.
(00:41):
We all feared the worst and it was initially thought
that maybe he was dealing with a calf strain or
what they call tennis leg, which is something I've never
heard of. He has officially been diagnosed with a knee strain.
Let's start with tennis leg. I had never heard of that.
Speaker 2 (00:57):
What is it tennis leg? I'm not surprised you haven't
heard that term. It's not utilized a whole lot, but
tennis lag refers to a strain or partial tear of
one of the muscles in your calf, So that bulky
muscle in your calf just below the back of your knee,
but well above your achilles tendon, so you can strain
or pull that muscle.
Speaker 1 (01:18):
All right, Well, I had never heard that before. Now
I'm wondering if I've had tennis leg before. Let's talk
about what he's actually dealing with here, what the diagnosis is,
and maybe you could walk us through the determining factors
that decide whether a player with this type of strain
can actually go out there and play well.
Speaker 2 (01:35):
I agree with you. I think it's good news that
it's been kind of modified a bit to a knee
strain in the back of his knee, which sounds like
they're referring to kind of a slight hyper extension of
his knee, and that area in the back of your
knee is not far from the calf muscles. I think
a knee strain in the back of the knee is
actually probably has a better prognosis for him for a
quicker return compared to tennis leg. Or a calf strain.
(01:58):
The calf strains can be really a new since and
linger more. But I think that they've modified to that
to the back of his knee. And when they called
a strain, it indicates that everything stable. It indicates that
they're not mentioning any kind of torn ligament or any
instability in his knee. So that is a good prognostic
sign for him.
Speaker 1 (02:17):
Should this be as much about pain management as anything else.
Speaker 2 (02:22):
I think it is. I think it's the pain management,
and some people refer to it as pain threshold. It's
he's got to have the confidence in that knee. Obviously
what he's doing, not on the field. He needs to
feel like he has the strength. He needs to not
be thinking about his knee while he's doing his job.
So once that he feels like he has that strength
and stability, even if it's a little sore, that generally
(02:42):
kind of puts an athlete over to be willing and
ready to play, all right.
Speaker 1 (02:45):
I really feared the worst when Gino Stone was carted
off and he was wearing an air cast, and as
it's turned out, the news is relatively good. He's dealing
with a tibia contusion, which sounds painful. But when I
saw him carted off in an air cast, I I
felt like, we're dealing with a fracture here. Is doing
something like that? Is it just precautionary, Put the air
cast on him, get him off the field, and figure
(03:07):
it out later.
Speaker 2 (03:09):
That would be my impression. He probably was hurting badly
enough right there in as tibia. Whatever he banged it on,
whether I didn't see the video, whether he hits someone
else in another player's leg or a helmet, that's gonna
be precautionary to get that imobilized before they get a
better look at him. It's a great sign that the
next day or soon thereafter, he seems to be up
and about. That indicate to me they've done their better exam,
(03:32):
they've done their studies, the X rays, or whether or
not they've done anything more significant, and now they can
kind of diagnose him as a tibial contusion, which hurts,
but it's not a tibial fracture. I think I remember
was the last week or two weeks ago we did
see a pretty nasty tibia fracture in the NFL. That
would be a much more significant amount of force, as
you can imagine, So it is a good sign. I
(03:54):
think they were just doing that as precautionary when they
get that's points on him.
Speaker 1 (03:57):
So I don't know that there's anything more painful than
being kicked in the Unfortunately it's been years since that's
happened to me. Is is that? Is that kind of
what this feels like? What is it? Tibby A contusion?
Speaker 2 (04:06):
Absolutely, you can. I might bump my shin on the
table edge when I walk out of this room today,
and that's gonna hurt a little bit. I might have
you kick me in the shin, and that's gonna hurt
even more. But if an NFL player's helmet strikes me
in the shin or their shin hits me, that's going
to be even more. So that's definitely a pain threshold thing.
(04:27):
We'll see that a fair amount, and depending upon the
amount of swelling and discomfort, that'll definitely be a pain
threshold thing for him. But I do think the next
indications that we've seen come out seem to be positive
about that. So once he's comfortable, the good news. It's
not a muscle, it's not a ligament. So once you've
got that comfort, I think there's it's likely he'll be back.
Speaker 1 (04:48):
So the next time I bang my shin on my
coffee table, I know what Gino is going through.
Speaker 2 (04:53):
Let's let's think what Gino went through is times ten.
Speaker 1 (04:56):
Then yeah, exactly, Deshaun. We also left the game with
an achilles injury. And what was interesting about it is
I think like watching it in a real time and
a replayer to everybody sort of knew it's an achilles injury.
I also feel like we talked about the achilles, and
we really don't focus too much on what the achilles
actually does. So let's start there. What's the Achilles tendon
(05:17):
and what does it do?
Speaker 2 (05:19):
Well, it's pretty easy for anyone to see in field
or an achilles tendon. What it does is attach that
calf muscle that we mentioned earlier in our conversation, that
gastruck or calf muscle that comes down and turns into
your Achilles ten in, which then attaches to your heelbo.
That Achilles tenon is what gives you all of your
push off power from your calf muscle. Without your Achilles tenon,
(05:39):
you have no calf muscle function, so you lose a
tremendous amount of push off power. Even every day, Joe
is going to feel that loss of push off power.
You're certainly going to feel that loss if you're trying
to be athletic. So it's a tendon or a rope
that attaches muscle to the back of that Heelboe, can.
Speaker 1 (05:57):
You tell that an athlete to suffered this sort of
injury just by why? If not in real time, maybe
just looking at a replay.
Speaker 2 (06:04):
I not only can I, but I'm starting to notice
that my friends can. We've seen enough of them. And
with the advent of video and social media, as soon
as someone ruptures or achilles tenant, we can get any
ten different views with slow mo. So as I watched
the game, not only can I notice that they did it,
but my buddies are getting pretty good at that diagnosis
(06:25):
as well.
Speaker 1 (06:26):
So I guess he and the team are exploring the
speedbridge technique, which is what the Jets, what Aaron Rodgers
of the Jets had done when he tore his achilles
week one last year and he was able to practice
within eleven weeks. What's the speed bridge technique?
Speaker 2 (06:43):
Speedbridge? I think you and I may have had a
conversation about this some time ago. It's a I guess
relatively new but not brand new, minimally invasive repair of
the achilles tendon rupture prior to that. For me to
repair that, it's a fairly lengthy incision to suture, get
a strong enough repair of the two ends of that tendon,
and pull them back together so they heal correctly. This
(07:04):
speedbridge technique gives us the ability to make a smaller incision,
pass those sutures in a minimally invasive way, and still
obtain that strong repair. The whole goal being we still
need a strong repair to allow us to do that
early rehab that you saw and Rodgers go through, but
do that with a smaller incision. Smaller incision is less
post operative pain. Smaller incision leaves better blood supply to
(07:28):
the injured tendon to theoretically facilitate perhaps earlier healing. That
is true. So the speedbridge technique has actually been around.
It's got a lot of publicity the last couple of years,
but it's really been around for a good six or
seven years. We've been performing that for quite some time,
not just in your it's not just your NFL athletes
getting that done, but your everyday Joe, our pickleball players
(07:51):
and our college athletes are getting that done right.
Speaker 1 (07:53):
There you go, Doctor Nick Gates from Orthos since the
awesome stuff. I say this every week. The great thing
about the people that are so since they've got specialists
and locations across the Tri State including walk in Orthopedic
urgent care weekdays nine am to nine pm, Saturdays nine
am to one pm, and Edgewood and Anderson. It's easier
than going to an er, and it's definitely cheaper than
(08:15):
going to an er. Whenever you have an urgent orthopedic injury,
check out Orthosinc dot com. You never need an appointment,
by the way, that's Orthos c I n c Y
dot com.
Mo Egger News
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