December 12, 2024 • 11 mins
Dr. Angel Velazquez from OrthoCincy joined us to discuss the injuries to Orlando Brown, Logan Wilson, and Evan McPherson.
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
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
We do this on Wednesdays. We talked with one of
the experts from Orthos since the orthopedics and sports medicine.
The awesome thing about Orthos since he is They've got
specialists in locations and services all over the Tri State.
This includes walk in orthopedic urgent care at five different
locations with extended evening and weekend hours in Edgewood and Anderson.
(00:20):
You can learn more at Orthosinc dot com. That's Orthos
ci NCY dot com. Doctor Angel Velaska is from Orthos
since he is with us, Let's start by talking about
Orlando Brown, who we have been talking about now for
a while. So nearly two months ago, he suffers an
injury against the Browns. We heard it was a calf
strain or a tennis leg. Aggravates it against the Eagles
(00:43):
and then the injury is listed as a knee injury.
He scratched right before the game against the Chargers, which
means he missed three games and now he has been
listed with a fibula injury. He played every snap week thirteen,
and then he didn't practice any didn't play on Monday night.
So I guess we have to ask you to run
(01:06):
through the range of possibilities we're dealing with when talking
about a phibular injury.
Speaker 2 (01:12):
Well, you know, I can tell why you're seeing that
you're talking about him every week because it's being actually
seven weeks. You know, we talk about from you know,
you know, October twentieth, seventh week until the fourteenth, So
this is a long time, you know with this injury.
Speaker 3 (01:28):
You know, if you.
Speaker 2 (01:29):
Look back when somebody is talking to me about a
calf strain or tennis leg, what that means is number one,
that there's an injury that believed to be in the calf.
Also where the caf molso and the achilla stand and
get together.
Speaker 3 (01:42):
That's the first thing.
Speaker 2 (01:44):
And if you truly have a tennis leg, what that
means is that the tendon junction or or the teasue
that connect them together is where the injury is. And
this can be something that can linger for weeks and
weeks if it's not that those appropriately least is the beginning, right,
So you know, first thing is you got a tennis leg.
Speaker 3 (02:02):
I assume that.
Speaker 2 (02:03):
With the length of this injury, you already have an MRI,
you already.
Speaker 3 (02:07):
Have X rays. And if it's truly a tennis leg.
You know that that can take most of the time
around six weeks.
Speaker 2 (02:14):
But if you're trying to come in and out, you know,
coming practicing, then resting, then trying to play, that can
linger through the whole season. You know, my patience. First,
if there's a significant s one in there, we drain
it and then we sometimes do even PRP that can
cut down twenty five percent the heating process. So that
is if Tennis leg is there, so is the appropriate diagnosis.
Speaker 3 (02:36):
Now phiebile are injury.
Speaker 2 (02:38):
That's that's is a lot of different things to answer
your questions. You know, you could have a stress thrash
or the fibula.
Speaker 3 (02:45):
You could have a thrasher from you know, for somebody
landing on his on his leg.
Speaker 2 (02:51):
So it's really hard to tell you when we don't
have the you know, the definity dinosis. But any of
those dinoses could be lingering if you're trying to come
back without the appropriate treatment right away.
Speaker 1 (03:03):
So we're talking about the possibility of maybe the fibular
injury being caused by him compensating for the original knee injury.
Speaker 3 (03:11):
Well, depends on what it is.
Speaker 2 (03:12):
Right, if it's the muscles running the fibula, you know,
there's two different muscles right there and the turn two
tendos that runs that you're trying to compensate.
Speaker 3 (03:19):
You walk different and you can stress it more.
Speaker 2 (03:22):
Or even you know stress now now the fibula and
trying you know, getting a little bit of a bomb
bruise or you know, a frasure through it. You know,
when I when I hear the word fibula injury, I'm
thinking that it's the bond.
Speaker 3 (03:36):
What is the problem. And the bond could have a
thrasher that wasn't shown.
Speaker 2 (03:41):
On an extra before now we see it, or the
bond could be just a stress or a bonb bruise
or a contusion or something like that.
Speaker 1 (03:48):
All right, I want to ask you about Logan Wilson,
So Bengals linebacker didn't play last week, and we're not
exactly sure with the specifics of his knee injury, but
it's being reported that he had a quote surgical cleanup.
What okay, what my dad involved.
Speaker 2 (04:07):
Well, when you have obviously a knee injury that there's
not an acute injuries or something that may be lingering
for a little bit, doesn't bother him too much and
then suddenly.
Speaker 3 (04:17):
His knee probably swallowing.
Speaker 2 (04:18):
He's maybe feeling some locking or some some something getting
on the way on the knee. So you get an
m ry and you look at it, and the clean
up a lot of the time is from the breed,
a little bit of college damage into the joint sometimes
what we call a little bit of loose body, so
a piece of corlage floating around that get on the
way and you go there and clean it out, getting
(04:39):
out and rehab it.
Speaker 3 (04:41):
You could have a small and he's stare.
Speaker 2 (04:43):
That is an era that is not going to cause
that much trouble or it doesn't need to be repaired,
and you clean it up and your back if you remember,
you know I always mentioned baseball right when I give
you an example of what remember Jerry Bruce when he.
Speaker 3 (04:57):
Has his knee injury. You got an hisscous injury.
Speaker 2 (04:59):
He was back in six weeks, but you know he
hit eighteen homers in the first half of the season
or sixteen, and see he finished with eighteen at the end.
Speaker 3 (05:07):
So he didn't hit that many.
Speaker 2 (05:08):
Homer after coming from surgery because you know the recovery.
Speaker 3 (05:12):
He came back and he may not have the power
or you know, to get the ball far, so same
thing with this. He can come back and not be
on the person.
Speaker 2 (05:21):
So maybe that's why they decide kind of, you know,
take him out for the season, you know, because he's
not gonna have enough time to get strong enough to
play on the National Football League.
Speaker 1 (05:30):
So every player is different, every situation is different. The
Bengals are five and eight. Obviously they're mathematically still alive.
But are we talking about something here that if the
team's record were better and they were a likely playoff team,
that maybe he would they would do something beyond have
him rule him out for the season.
Speaker 3 (05:48):
Absolutely.
Speaker 2 (05:49):
I think that when you look first, you need to
take care of the player. You need to be sure
that the injury that he has is safe for him
to come back or not. And then even if he's safe,
how much time he needs be to be able to
be back and it's worth or not rushing him through it? Right,
So when you look at it, you know, you look
at the record, you say, you know what, maybe it's
(06:09):
not the same for him to try to push and
bring him back. The other thing is the true nature
of the injury, what exactly is that injury? Maybe sounds
simple for us with a circa clean up.
Speaker 3 (06:21):
You know, you know.
Speaker 2 (06:25):
Mentioned that they say that they tell us what he has,
but maybe something a little bit more right that he
may need.
Speaker 3 (06:30):
A little bit more time.
Speaker 2 (06:31):
But those surgica clean up most of the time take
around six weeks.
Speaker 3 (06:35):
But the pair the person would come back.
Speaker 2 (06:38):
And maybe it's not going to be as a strong
I should be to play in the National Football League
or the position that he played. You know, there's some
position that you may be willing to do more. There's
some sport that you may be willing to do more,
but probably for his best care is better just resting
for the season.
Speaker 1 (06:57):
All right, let me ask you about Evan McPherson, Doctor
Angel Alaska is from or those since he is with
this he has been sidelined with a groin issue. Walk
me through the range of possibilities with this particular injury.
Speaker 2 (07:08):
Well, those those that can be tricky. You know, obviously
he's a kicker. He depends on his legs. When you're
talking about growing is the most that is on the
inside of the legs, so you know, getting stable when
you are walking so or moving your leg that led
to the other side in the kicky motion. Obviously he's
(07:31):
going to be affecting him. He's gonna change the way
that he cack and affect his accuracy. But number one
is what exactly it is. It's a muscle injury, it's
a tendon injury. Sometimes even those grow injury could be
a sports hernia, So those things are being treated different. Obviously,
he had the testing that need to be done for
the propriate diagnosis. There's not a surgery, you know scale,
(07:55):
so most likely it's not gonna be a sports hernia.
So most like is gonna be a ten or a
muscle strength.
Speaker 3 (08:01):
And those don't require surgery.
Speaker 2 (08:03):
So it is depending you know what exactly he has.
But there's a lot of different possibilities, and they are tricky.
They are tricky, They takes time and and you know,
hopefully you can come back pretty quick.
Speaker 1 (08:15):
I want to ask you about a player who got
injured in that game on Monday night for the Dallas Cowboys.
Demarvian Overshown, a linebacker who has suffered tears to his
right knee. The ACL, the mc L, and the PCL.
Now we often hear about ACL tears or MCL tears
(08:36):
or PCL tears. It's rare that it's all three, how
complex is going to be his surgery, his rehab, and
his recovery.
Speaker 2 (08:45):
Well, you know, if you get a multi multiple you
know ligam and injury, that that means that that there's
a significant force for that injury to happen. Right, The
a c L, mc L A lot of time they
come together. The the p c O is an injury
that some people may have for a long time and
unless you have a previous memory that didn't show it,
(09:08):
you know now this, you know this MRII could show
that it's everything is acute. Right, But typically you fix
that a c L, you fix that m c L,
and you know the p CL typically doesn't need to
be repaired unless there's some type of inexability of the knee.
But recovery from multiple ligament injury is a little bit
more tricky because the recovery and the immoization for an
(09:32):
isolated or directly ACA injury is different than when you
add the m c L and then you add the
pc L. You know, the PCO get a stress on
a way that the mc the m c L doesn't
or the a c L doesn't. So you need to
range your motion of your knee with the bracing at
the beginning with limiting the stress of those ligaments so
(09:54):
they can fuse together. Right, So that's the parts of
the beginning that in issue. Recovery on surgery is a
little bit tricky because the racial motion is not going
to be as free as an isolated ACL. We know
that with the MCL extending the knee, the MCL with
a stretch, so you avoid the extension. But with ACL
tears most of the time you place people on our
(10:17):
brace with full extension. So now you decrease the motion,
so recover is slower and take a little bit longer
than the initial part. So it is more about the
initial part to let those ligam infuse together, that is
an important part, and have more limitations so the racial
motion come back normal later in the process, not earlier,
(10:40):
and that's the difficult part.
Speaker 1 (10:43):
Awesome stuff, Doctor angel Alaskaz, Thank you so much. Doctor
angel Alaska is from Orthos since I say this every single.
Speaker 3 (10:50):
Week because it's true. The great thing.
Speaker 1 (10:52):
About Orthosincy is they have specialists and locations all over
the Tri State. This includes walk in orthopedic urgent care,
which means no appoint needed weekdays nine to nine nine
a to nine p. Saturday's nine a to one p.
Both Edgewood and Anderson. It's easy because you never need
an appointment, and it's definitely cheaper than going to an er.
Whenever you have an urgent orthopedic injury. Good orthosinc. Dot com.
(11:16):
That's Orthos c I n c Y dot com
We do this on Wednesdays. We talked with one of
the experts from Orthos since the orthopedics and sports medicine.
The awesome thing about Orthos since he is They've got
specialists in locations and services all over the Tri State.
This includes walk in orthopedic urgent care at five different
locations with extended evening and weekend hours in Edgewood and Anderson.
(00:20):
You can learn more at Orthosinc dot com. That's Orthos
ci NCY dot com. Doctor Angel Velaska is from Orthos
since he is with us, Let's start by talking about
Orlando Brown, who we have been talking about now for
a while. So nearly two months ago, he suffers an
injury against the Browns. We heard it was a calf
strain or a tennis leg. Aggravates it against the Eagles
(00:43):
and then the injury is listed as a knee injury.
He scratched right before the game against the Chargers, which
means he missed three games and now he has been
listed with a fibula injury. He played every snap week thirteen,
and then he didn't practice any didn't play on Monday night.
So I guess we have to ask you to run
(01:06):
through the range of possibilities we're dealing with when talking
about a phibular injury.
Speaker 2 (01:12):
Well, you know, I can tell why you're seeing that
you're talking about him every week because it's being actually
seven weeks. You know, we talk about from you know,
you know, October twentieth, seventh week until the fourteenth, So
this is a long time, you know with this injury.
Speaker 3 (01:28):
You know, if you.
Speaker 2 (01:29):
Look back when somebody is talking to me about a
calf strain or tennis leg, what that means is number one,
that there's an injury that believed to be in the calf.
Also where the caf molso and the achilla stand and
get together.
Speaker 3 (01:42):
That's the first thing.
Speaker 2 (01:44):
And if you truly have a tennis leg, what that
means is that the tendon junction or or the teasue
that connect them together is where the injury is. And
this can be something that can linger for weeks and
weeks if it's not that those appropriately least is the beginning, right,
So you know, first thing is you got a tennis leg.
Speaker 3 (02:02):
I assume that.
Speaker 2 (02:03):
With the length of this injury, you already have an MRI,
you already.
Speaker 3 (02:07):
Have X rays. And if it's truly a tennis leg.
You know that that can take most of the time
around six weeks.
Speaker 2 (02:14):
But if you're trying to come in and out, you know,
coming practicing, then resting, then trying to play, that can
linger through the whole season. You know, my patience. First,
if there's a significant s one in there, we drain
it and then we sometimes do even PRP that can
cut down twenty five percent the heating process. So that
is if Tennis leg is there, so is the appropriate diagnosis.
Speaker 3 (02:36):
Now phiebile are injury.
Speaker 2 (02:38):
That's that's is a lot of different things to answer
your questions. You know, you could have a stress thrash
or the fibula.
Speaker 3 (02:45):
You could have a thrasher from you know, for somebody
landing on his on his leg.
Speaker 2 (02:51):
So it's really hard to tell you when we don't
have the you know, the definity dinosis. But any of
those dinoses could be lingering if you're trying to come
back without the appropriate treatment right away.
Speaker 1 (03:03):
So we're talking about the possibility of maybe the fibular
injury being caused by him compensating for the original knee injury.
Speaker 3 (03:11):
Well, depends on what it is.
Speaker 2 (03:12):
Right, if it's the muscles running the fibula, you know,
there's two different muscles right there and the turn two
tendos that runs that you're trying to compensate.
Speaker 3 (03:19):
You walk different and you can stress it more.
Speaker 2 (03:22):
Or even you know stress now now the fibula and
trying you know, getting a little bit of a bomb
bruise or you know, a frasure through it. You know,
when I when I hear the word fibula injury, I'm
thinking that it's the bond.
Speaker 3 (03:36):
What is the problem. And the bond could have a
thrasher that wasn't shown.
Speaker 2 (03:41):
On an extra before now we see it, or the
bond could be just a stress or a bonb bruise
or a contusion or something like that.
Speaker 1 (03:48):
All right, I want to ask you about Logan Wilson,
So Bengals linebacker didn't play last week, and we're not
exactly sure with the specifics of his knee injury, but
it's being reported that he had a quote surgical cleanup.
What okay, what my dad involved.
Speaker 2 (04:07):
Well, when you have obviously a knee injury that there's
not an acute injuries or something that may be lingering
for a little bit, doesn't bother him too much and
then suddenly.
Speaker 3 (04:17):
His knee probably swallowing.
Speaker 2 (04:18):
He's maybe feeling some locking or some some something getting
on the way on the knee. So you get an
m ry and you look at it, and the clean
up a lot of the time is from the breed,
a little bit of college damage into the joint sometimes
what we call a little bit of loose body, so
a piece of corlage floating around that get on the
way and you go there and clean it out, getting
(04:39):
out and rehab it.
Speaker 3 (04:41):
You could have a small and he's stare.
Speaker 2 (04:43):
That is an era that is not going to cause
that much trouble or it doesn't need to be repaired,
and you clean it up and your back if you remember,
you know I always mentioned baseball right when I give
you an example of what remember Jerry Bruce when he.
Speaker 3 (04:57):
Has his knee injury. You got an hisscous injury.
Speaker 2 (04:59):
He was back in six weeks, but you know he
hit eighteen homers in the first half of the season
or sixteen, and see he finished with eighteen at the end.
Speaker 3 (05:07):
So he didn't hit that many.
Speaker 2 (05:08):
Homer after coming from surgery because you know the recovery.
Speaker 3 (05:12):
He came back and he may not have the power
or you know, to get the ball far, so same
thing with this. He can come back and not be
on the person.
Speaker 2 (05:21):
So maybe that's why they decide kind of, you know,
take him out for the season, you know, because he's
not gonna have enough time to get strong enough to
play on the National Football League.
Speaker 1 (05:30):
So every player is different, every situation is different. The
Bengals are five and eight. Obviously they're mathematically still alive.
But are we talking about something here that if the
team's record were better and they were a likely playoff team,
that maybe he would they would do something beyond have
him rule him out for the season.
Speaker 3 (05:48):
Absolutely.
Speaker 2 (05:49):
I think that when you look first, you need to
take care of the player. You need to be sure
that the injury that he has is safe for him
to come back or not. And then even if he's safe,
how much time he needs be to be able to
be back and it's worth or not rushing him through it? Right,
So when you look at it, you know, you look
at the record, you say, you know what, maybe it's
(06:09):
not the same for him to try to push and
bring him back. The other thing is the true nature
of the injury, what exactly is that injury? Maybe sounds
simple for us with a circa clean up.
Speaker 3 (06:21):
You know, you know.
Speaker 2 (06:25):
Mentioned that they say that they tell us what he has,
but maybe something a little bit more right that he
may need.
Speaker 3 (06:30):
A little bit more time.
Speaker 2 (06:31):
But those surgica clean up most of the time take
around six weeks.
Speaker 3 (06:35):
But the pair the person would come back.
Speaker 2 (06:38):
And maybe it's not going to be as a strong
I should be to play in the National Football League
or the position that he played. You know, there's some
position that you may be willing to do more. There's
some sport that you may be willing to do more,
but probably for his best care is better just resting
for the season.
Speaker 1 (06:57):
All right, let me ask you about Evan McPherson, Doctor
Angel Alaska is from or those since he is with
this he has been sidelined with a groin issue. Walk
me through the range of possibilities with this particular injury.
Speaker 2 (07:08):
Well, those those that can be tricky. You know, obviously
he's a kicker. He depends on his legs. When you're
talking about growing is the most that is on the
inside of the legs, so you know, getting stable when
you are walking so or moving your leg that led
to the other side in the kicky motion. Obviously he's
(07:31):
going to be affecting him. He's gonna change the way
that he cack and affect his accuracy. But number one
is what exactly it is. It's a muscle injury, it's
a tendon injury. Sometimes even those grow injury could be
a sports hernia, So those things are being treated different. Obviously,
he had the testing that need to be done for
the propriate diagnosis. There's not a surgery, you know scale,
(07:55):
so most likely it's not gonna be a sports hernia.
So most like is gonna be a ten or a
muscle strength.
Speaker 3 (08:01):
And those don't require surgery.
Speaker 2 (08:03):
So it is depending you know what exactly he has.
But there's a lot of different possibilities, and they are tricky.
They are tricky, They takes time and and you know,
hopefully you can come back pretty quick.
Speaker 1 (08:15):
I want to ask you about a player who got
injured in that game on Monday night for the Dallas Cowboys.
Demarvian Overshown, a linebacker who has suffered tears to his
right knee. The ACL, the mc L, and the PCL.
Now we often hear about ACL tears or MCL tears
(08:36):
or PCL tears. It's rare that it's all three, how
complex is going to be his surgery, his rehab, and
his recovery.
Speaker 2 (08:45):
Well, you know, if you get a multi multiple you
know ligam and injury, that that means that that there's
a significant force for that injury to happen. Right, The
a c L, mc L A lot of time they
come together. The the p c O is an injury
that some people may have for a long time and
unless you have a previous memory that didn't show it,
(09:08):
you know now this, you know this MRII could show
that it's everything is acute. Right, But typically you fix
that a c L, you fix that m c L,
and you know the p CL typically doesn't need to
be repaired unless there's some type of inexability of the knee.
But recovery from multiple ligament injury is a little bit
more tricky because the recovery and the immoization for an
(09:32):
isolated or directly ACA injury is different than when you
add the m c L and then you add the
pc L. You know, the PCO get a stress on
a way that the mc the m c L doesn't
or the a c L doesn't. So you need to
range your motion of your knee with the bracing at
the beginning with limiting the stress of those ligaments so
(09:54):
they can fuse together. Right, So that's the parts of
the beginning that in issue. Recovery on surgery is a
little bit tricky because the racial motion is not going
to be as free as an isolated ACL. We know
that with the MCL extending the knee, the MCL with
a stretch, so you avoid the extension. But with ACL
tears most of the time you place people on our
(10:17):
brace with full extension. So now you decrease the motion,
so recover is slower and take a little bit longer
than the initial part. So it is more about the
initial part to let those ligam infuse together, that is
an important part, and have more limitations so the racial
motion come back normal later in the process, not earlier,
(10:40):
and that's the difficult part.
Speaker 1 (10:43):
Awesome stuff, Doctor angel Alaskaz, Thank you so much. Doctor
angel Alaska is from Orthos since I say this every single.
Speaker 3 (10:50):
Week because it's true. The great thing.
Speaker 1 (10:52):
About Orthosincy is they have specialists and locations all over
the Tri State. This includes walk in orthopedic urgent care,
which means no appoint needed weekdays nine to nine nine
a to nine p. Saturday's nine a to one p.
Both Edgewood and Anderson. It's easy because you never need
an appointment, and it's definitely cheaper than going to an er.
Whenever you have an urgent orthopedic injury. Good orthosinc. Dot com.
(11:16):
That's Orthos c I n c Y dot com
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