May 10, 2025 • 11 mins
Dr. Trevor Wilkes from OrthoCincy joined us to discuss the injury issues involving Hunter Greene, Tyler Callihan, Noelvi Marte, and more.
We also discussed Emilio Pagan's recurring lat problems, and an NBA injury that reads like word salad.
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
We also discussed Emilio Pagan's recurring lat problems, and an NBA injury that reads like word salad.
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 talk injuries once a week with one of the
experts from Ortho Sinsey Orthopedics and Sports Medicine. And among
the many great things about Ortho Sincy is they have specialists,
locations and services across the tri state Orthos since he
fixed my neck and they've got walkin orthopedic urgent care
at five locations with extended evening and weekend hours in
Edgewood and Anderson. Learn more at Orthosinc dot com. That's
(00:23):
orthoci Ncy dot com. All right, let's start with Hunter
Green grade one groinstrain. The worst site ever for a
Reds fan is watching him walk off the mound with
the trainer, which was the case on Wednesday night. It
does feel, though, doctor like grade one groinstrain means that
(00:44):
he and the Reds and we as fans have dodged
the proverbial bullet.
Speaker 2 (00:49):
Yeah, great point. I know all of us were sorry
to see that, but yeah, you make it. Probably is
the best case scenario. So we grade muscle strains on
a one to three scale, so obviously lead one is
the best, three is the worst. Essentially, you're looking at
at injuries occurring on a spectrum of injury, so you're
looking at, you know, the least third of that spectrum,
(01:10):
so the more minor of an injury. And usually these
injuries occur where the muscle kind of turns into a
tendon to attached to bones. So that's that's why it's
kind of up in your groin and it just takes
a little bit of it's not an area with a
great blood supply and takes a little bit of time
to heal.
Speaker 3 (01:26):
So he's on a ten day injured list.
Speaker 1 (01:28):
I'm guessing here he's going to miss two starts. Obviously,
that's the hope. Is that realistic?
Speaker 2 (01:35):
Yeah, that is. I think that's that's maybe best case scenario, MO,
but that is realistic. So yes, uh, seven to ten
days is not unreasonable. He's going to be, you know,
working really hard in the training room on his rehab,
and the big thing is going to be if he
can get the kind of explosive push off to pitch
and as long as that doesn't aggravate him. You know,
(01:58):
the in the pitching most and the power really comes
from the legs, and you really want to make sure
that he gets that power back because we actually have
some interesting research and data that shows that if pitchers
shorten their stride and don't produce as much power with
their legs. They're at higher risk for shoulder and elbow injuries.
And you don't want to see.
Speaker 3 (02:17):
That, No, not at all.
Speaker 1 (02:19):
The week started for the Reds in Atlanta in the
game where we all saw what happened to Tyler Callahan,
who's a young guy that just got to the big
leagues and he has dealt with a lot of injuries
during his baseball journey. Running into a wall down the
left field line, he breaks the radius and alna in
his arm. Now, I guess for me, I just hear
(02:39):
four arm. But let's be a little bit more clinical.
What are the radius and ulna?
Speaker 3 (02:43):
Yeah?
Speaker 2 (02:43):
Sure, so if everybody just touches your own form, you
have two bones in your forum. The one on the
thumb side is called the radius. The one on your
pinky side is called your alna. The reason you have
two bones in your form whereas you have one in
your upper arm, is that lets you turn your hand
paul up and down, so it lets you have that
extra motion where it's not just up and down, you
(03:05):
go plumb up and down. So that's the difference in
the bones.
Speaker 3 (03:08):
So they did surgery the very next day.
Speaker 1 (03:10):
Explain for me why it's so crucial for Tyler to
have had the surgery almost immediately.
Speaker 2 (03:15):
Yeah. So, well, obviously, the sooner you get to surgery, oftentimes,
the easier it is to like to physiologically put the
parts back together. So think about like a puzzle piece.
It's fresher, it's easier to find where things go. And
then the second big thing is that you shorten the
recovery time. We get you into the healing process and
rehabbing fast there in the wrist or the end of
(03:39):
your form. The bones really have to be perfect. We
don't tolerate a lot of things being out of place.
So it seems like a pretty clear cut to have
been the right choice for him.
Speaker 1 (03:50):
So he's gonna miss six to eight weeks, which is
basically two months he's had surgery. Number one, is that
a realistic timeline? And number two, if there are no setbacks,
what do the next six to eight weeks look like
for him?
Speaker 2 (04:05):
Yeah, so I think it's potentially. I thought eight weeks
could be realistic. I think mo that that is pretty fast.
Usually we like to say that the bones themselves, that's
going to take at least six weeks to heal. But
then you've got to be working on all the different
you know, grip strengthening and mobility of your wrist and form,
which which would be a challenge for him. But you know,
(04:28):
he's got a great PT team and I'm sure he's
working hard for that. So you just worry that during
that time that he's getting out of condition for some
of his other parts. So making sure he's working his
you know, entire his hips and his legs and his cores.
We'll be working on all of that during the rehab process.
Doctor Trevor wilkeson Orthos.
Speaker 1 (04:46):
Since he is with us all right, now, we have
to talk about Noel ve Marte, who is dealing with
a left oblique strain.
Speaker 3 (04:52):
He is on the injured list.
Speaker 1 (04:54):
Was scratch from the lineup on Wednesday and something that
I guess he started to feel this when he was
in Louisville and uh tried to play throw it and
then felt a little bit of a grab or making
a throw earlier this week in Atlanta. Can you explain
for me the oblique strained scale?
Speaker 2 (05:10):
Yeah, yes, so what your oblique muscles, So this is
part of your core muscle complex. So everybody knows about
like your your six pack, you know, like like your
six pack mo for the for the winner here, but
these are these are the ones that go kind of
trans they go across, and these are the muscles that
are gonna help you twist. So if you can think
(05:31):
about as you're throwing a baseball or swinging to hit,
these are these muscles in your core that are helping
you twist and generate that rotational power that that you
need for explosive throwing and hitting. And so it makes sense,
right if you're a right handed batter or thrower, you're
going to strain your left obliques if you just think
(05:53):
about that motion on yourself, and then the strain scale
is going to be really analogous to what we talked
about with Hunter Green one to three scale based on
the grade of the injury. We typically do that with MRIs.
So that's kind of the background for Nelviy.
Speaker 1 (06:08):
Does is there a likelihood that the injury kind of
got worse because he didn't tell anyone and tried to
play through it?
Speaker 2 (06:16):
Yeah? Yeah, I mean the answers, yes, yes, these muscle
strains are Yeah, they're tough, right because and it's difficult
because it can be challenging as an athlete to know
when there's something that you can ignore and work through
and when there's something you really got to pay attention to.
But yeah, in an explosive athlete, these muscle strains are
really problematic. But it's tough when you put yourself in
(06:37):
an athlete like that. Haven't had some experience working with
minor league baseball players when they get these windows of opportunity,
they really are a career making windows, and they're willing
to work through some things to try to make the
best of that. So it probably it was something he
crossed his fingers and it just didn't work out for him.
Speaker 1 (06:55):
Why when it comes to oblique injuries is it sometimes
hard to get a gate for what the timeline is.
Speaker 3 (07:00):
Going to be.
Speaker 2 (07:02):
I think it's because of kind of what I said.
They're so dependent on those obliques to generate their rotational power,
and you know, they're hard to rest. There's almost nothing
you're doing during the day where you're not engaging in
those core muscles and then letting it. It's one of
those injuries no where no one wants to wait long
(07:23):
enough to let it heal well enough and then they
continually to reaggravate it. So you see tons of these
guys that they think they're better and then they reaggravate it,
and then they think they're better and they reaggravate it,
and it becomes a frustrating injury that really kind of
hampers your season.
Speaker 3 (07:39):
All right, one more, actually two more.
Speaker 1 (07:41):
I want to ask you about Austin Hayes, who is
hopefully set to come back this weekend. Has been on
the intere list twice with a left calf issue and
then recently here with a hamstring problem, and he has
had a lot of lower body injuries. Why are some
athletes maybe more susceptible to caf and hamstring injuries than others.
Speaker 2 (08:00):
Yeah, that's a good question, and obviously I think the
answers are numerous, and it's hard to pinpoint one thing.
You know, I think, you know, genetically there we definitely
see some athletes that just they're more susceptible at their
muscle tend injunctions, and you see the same athletes that
have had a calf, a hammy, a groin, et cetera. Now,
I do think there are some things that certain athletes
(08:21):
can work on. Obviously, joint flexibility is a big one.
If you don't have the range of movement and your
hip or your ankle, you'd be more prone to some
of these injuries to Austin's had. And then there's the
part about you know what preventative work. We do have
some good research that working in the gym on what
we call ecentric strengthening exercises, So it's like the negative
(08:43):
phase of lifting, lower lowering something that those can be preventative.
So you know the combination of have you been doing
your joint mobility, your preventative exercises, But some people are disusceptible.
Speaker 1 (08:56):
One more, and I don't think we've ever had one
of these conversations where we've talked about five different athletes.
Jam Or Candelario is on the inter list with a
lumbar spine strain. So the initial diagnosis we heard the
rather non clinical you know, it's a back injury. Well,
this is a little bit more detailed. What is a
lumbar spine string.
Speaker 2 (09:14):
And can relate to low back pain and how incapacitating
and frustrating it is. It's a little bit nebulous, mo
and that when we say that the pain that that
that that candelera could be experiencing, could be coming from
the discs in his back, it could be coming from
(09:36):
the small joints to set joints that stabilize your back,
and it can also be coming from the muscles that
that join the spinal column back together. So it's hard
to know for sure. I heard he was considering getting
an injection. Have you heard that moment?
Speaker 3 (09:52):
I have, Yeah, I've heard that.
Speaker 1 (09:53):
I know they've been talking about the epidural and then
further injections.
Speaker 2 (09:58):
Yeah, so that would suggest to me that it was
probably a more structural issue with his with the discs
in his back, because that epidural injection, what that does
is it goes into the fluid around your spine to
decrease the inflammation and pain generation there, so it doesn't
irritate the nerves. Sometimes it can help actually a disc
(10:20):
settle down and not be so inflamed. And so yeah,
his process it is going to be frustrating again, kind
of like the oblique. You can imagine there's almost nothing
you do where you don't need that range of movement
and stability in your lumbar spine. So I think it'll
be a hard rehab horse for him from.
Speaker 1 (10:39):
That, Yeah, stings for him wasn't also a good start
to begin with a lot of injuries unfortunately, but I
always appreciate it when you come on and shed some
light on them. Doctor Trevor Welke's Ortho Sincy, thanks.
Speaker 2 (10:49):
So much, thanks for having me appreciate it.
Speaker 1 (10:52):
You got it, Doctor Trevor Welkes from Ortho Sincy. I
say it every week because it's true. At Ortho Sincy
they're awesome because they have specialists locations across the tri State,
which includes walkin orthopedic urgent care during the week from
nine am to nine pm and Saturdays from nine am
to one pm at both the Edgewood and Anderson locations.
(11:13):
It's easy because you do not need an appointment and
it's definitely cheaper than going to an er. Whenever you
have an urgent orthopedic injury. Good Orthosincy dot com. That's
Ortho c I n c Y dot com.
We talk injuries once a week with one of the
experts from Ortho Sinsey Orthopedics and Sports Medicine. And among
the many great things about Ortho Sincy is they have specialists,
locations and services across the tri state Orthos since he
fixed my neck and they've got walkin orthopedic urgent care
at five locations with extended evening and weekend hours in
Edgewood and Anderson. Learn more at Orthosinc dot com. That's
(00:23):
orthoci Ncy dot com. All right, let's start with Hunter
Green grade one groinstrain. The worst site ever for a
Reds fan is watching him walk off the mound with
the trainer, which was the case on Wednesday night. It
does feel, though, doctor like grade one groinstrain means that
(00:44):
he and the Reds and we as fans have dodged
the proverbial bullet.
Speaker 2 (00:49):
Yeah, great point. I know all of us were sorry
to see that, but yeah, you make it. Probably is
the best case scenario. So we grade muscle strains on
a one to three scale, so obviously lead one is
the best, three is the worst. Essentially, you're looking at
at injuries occurring on a spectrum of injury, so you're
looking at, you know, the least third of that spectrum,
(01:10):
so the more minor of an injury. And usually these
injuries occur where the muscle kind of turns into a
tendon to attached to bones. So that's that's why it's
kind of up in your groin and it just takes
a little bit of it's not an area with a
great blood supply and takes a little bit of time
to heal.
Speaker 3 (01:26):
So he's on a ten day injured list.
Speaker 1 (01:28):
I'm guessing here he's going to miss two starts. Obviously,
that's the hope. Is that realistic?
Speaker 2 (01:35):
Yeah, that is. I think that's that's maybe best case scenario, MO,
but that is realistic. So yes, uh, seven to ten
days is not unreasonable. He's going to be, you know,
working really hard in the training room on his rehab,
and the big thing is going to be if he
can get the kind of explosive push off to pitch
and as long as that doesn't aggravate him. You know,
(01:58):
the in the pitching most and the power really comes
from the legs, and you really want to make sure
that he gets that power back because we actually have
some interesting research and data that shows that if pitchers
shorten their stride and don't produce as much power with
their legs. They're at higher risk for shoulder and elbow injuries.
And you don't want to see.
Speaker 3 (02:17):
That, No, not at all.
Speaker 1 (02:19):
The week started for the Reds in Atlanta in the
game where we all saw what happened to Tyler Callahan,
who's a young guy that just got to the big
leagues and he has dealt with a lot of injuries
during his baseball journey. Running into a wall down the
left field line, he breaks the radius and alna in
his arm. Now, I guess for me, I just hear
(02:39):
four arm. But let's be a little bit more clinical.
What are the radius and ulna?
Speaker 3 (02:43):
Yeah?
Speaker 2 (02:43):
Sure, so if everybody just touches your own form, you
have two bones in your forum. The one on the
thumb side is called the radius. The one on your
pinky side is called your alna. The reason you have
two bones in your form whereas you have one in
your upper arm, is that lets you turn your hand
paul up and down, so it lets you have that
extra motion where it's not just up and down, you
(03:05):
go plumb up and down. So that's the difference in
the bones.
Speaker 3 (03:08):
So they did surgery the very next day.
Speaker 1 (03:10):
Explain for me why it's so crucial for Tyler to
have had the surgery almost immediately.
Speaker 2 (03:15):
Yeah. So, well, obviously, the sooner you get to surgery, oftentimes,
the easier it is to like to physiologically put the
parts back together. So think about like a puzzle piece.
It's fresher, it's easier to find where things go. And
then the second big thing is that you shorten the
recovery time. We get you into the healing process and
rehabbing fast there in the wrist or the end of
(03:39):
your form. The bones really have to be perfect. We
don't tolerate a lot of things being out of place.
So it seems like a pretty clear cut to have
been the right choice for him.
Speaker 1 (03:50):
So he's gonna miss six to eight weeks, which is
basically two months he's had surgery. Number one, is that
a realistic timeline? And number two, if there are no setbacks,
what do the next six to eight weeks look like
for him?
Speaker 2 (04:05):
Yeah, so I think it's potentially. I thought eight weeks
could be realistic. I think mo that that is pretty fast.
Usually we like to say that the bones themselves, that's
going to take at least six weeks to heal. But
then you've got to be working on all the different
you know, grip strengthening and mobility of your wrist and form,
which which would be a challenge for him. But you know,
(04:28):
he's got a great PT team and I'm sure he's
working hard for that. So you just worry that during
that time that he's getting out of condition for some
of his other parts. So making sure he's working his
you know, entire his hips and his legs and his cores.
We'll be working on all of that during the rehab process.
Doctor Trevor wilkeson Orthos.
Speaker 1 (04:46):
Since he is with us all right, now, we have
to talk about Noel ve Marte, who is dealing with
a left oblique strain.
Speaker 3 (04:52):
He is on the injured list.
Speaker 1 (04:54):
Was scratch from the lineup on Wednesday and something that
I guess he started to feel this when he was
in Louisville and uh tried to play throw it and
then felt a little bit of a grab or making
a throw earlier this week in Atlanta. Can you explain
for me the oblique strained scale?
Speaker 2 (05:10):
Yeah, yes, so what your oblique muscles, So this is
part of your core muscle complex. So everybody knows about
like your your six pack, you know, like like your
six pack mo for the for the winner here, but
these are these are the ones that go kind of
trans they go across, and these are the muscles that
are gonna help you twist. So if you can think
(05:31):
about as you're throwing a baseball or swinging to hit,
these are these muscles in your core that are helping
you twist and generate that rotational power that that you
need for explosive throwing and hitting. And so it makes sense,
right if you're a right handed batter or thrower, you're
going to strain your left obliques if you just think
(05:53):
about that motion on yourself, and then the strain scale
is going to be really analogous to what we talked
about with Hunter Green one to three scale based on
the grade of the injury. We typically do that with MRIs.
So that's kind of the background for Nelviy.
Speaker 1 (06:08):
Does is there a likelihood that the injury kind of
got worse because he didn't tell anyone and tried to
play through it?
Speaker 2 (06:16):
Yeah? Yeah, I mean the answers, yes, yes, these muscle
strains are Yeah, they're tough, right because and it's difficult
because it can be challenging as an athlete to know
when there's something that you can ignore and work through
and when there's something you really got to pay attention to.
But yeah, in an explosive athlete, these muscle strains are
really problematic. But it's tough when you put yourself in
(06:37):
an athlete like that. Haven't had some experience working with
minor league baseball players when they get these windows of opportunity,
they really are a career making windows, and they're willing
to work through some things to try to make the
best of that. So it probably it was something he
crossed his fingers and it just didn't work out for him.
Speaker 1 (06:55):
Why when it comes to oblique injuries is it sometimes
hard to get a gate for what the timeline is.
Speaker 3 (07:00):
Going to be.
Speaker 2 (07:02):
I think it's because of kind of what I said.
They're so dependent on those obliques to generate their rotational power,
and you know, they're hard to rest. There's almost nothing
you're doing during the day where you're not engaging in
those core muscles and then letting it. It's one of
those injuries no where no one wants to wait long
(07:23):
enough to let it heal well enough and then they
continually to reaggravate it. So you see tons of these
guys that they think they're better and then they reaggravate it,
and then they think they're better and they reaggravate it,
and it becomes a frustrating injury that really kind of
hampers your season.
Speaker 3 (07:39):
All right, one more, actually two more.
Speaker 1 (07:41):
I want to ask you about Austin Hayes, who is
hopefully set to come back this weekend. Has been on
the intere list twice with a left calf issue and
then recently here with a hamstring problem, and he has
had a lot of lower body injuries. Why are some
athletes maybe more susceptible to caf and hamstring injuries than others.
Speaker 2 (08:00):
Yeah, that's a good question, and obviously I think the
answers are numerous, and it's hard to pinpoint one thing.
You know, I think, you know, genetically there we definitely
see some athletes that just they're more susceptible at their
muscle tend injunctions, and you see the same athletes that
have had a calf, a hammy, a groin, et cetera. Now,
I do think there are some things that certain athletes
(08:21):
can work on. Obviously, joint flexibility is a big one.
If you don't have the range of movement and your
hip or your ankle, you'd be more prone to some
of these injuries to Austin's had. And then there's the
part about you know what preventative work. We do have
some good research that working in the gym on what
we call ecentric strengthening exercises, So it's like the negative
(08:43):
phase of lifting, lower lowering something that those can be preventative.
So you know the combination of have you been doing
your joint mobility, your preventative exercises, But some people are disusceptible.
Speaker 1 (08:56):
One more, and I don't think we've ever had one
of these conversations where we've talked about five different athletes.
Jam Or Candelario is on the inter list with a
lumbar spine strain. So the initial diagnosis we heard the
rather non clinical you know, it's a back injury. Well,
this is a little bit more detailed. What is a
lumbar spine string.
Speaker 2 (09:14):
And can relate to low back pain and how incapacitating
and frustrating it is. It's a little bit nebulous, mo
and that when we say that the pain that that
that that candelera could be experiencing, could be coming from
the discs in his back, it could be coming from
(09:36):
the small joints to set joints that stabilize your back,
and it can also be coming from the muscles that
that join the spinal column back together. So it's hard
to know for sure. I heard he was considering getting
an injection. Have you heard that moment?
Speaker 3 (09:52):
I have, Yeah, I've heard that.
Speaker 1 (09:53):
I know they've been talking about the epidural and then
further injections.
Speaker 2 (09:58):
Yeah, so that would suggest to me that it was
probably a more structural issue with his with the discs
in his back, because that epidural injection, what that does
is it goes into the fluid around your spine to
decrease the inflammation and pain generation there, so it doesn't
irritate the nerves. Sometimes it can help actually a disc
(10:20):
settle down and not be so inflamed. And so yeah,
his process it is going to be frustrating again, kind
of like the oblique. You can imagine there's almost nothing
you do where you don't need that range of movement
and stability in your lumbar spine. So I think it'll
be a hard rehab horse for him from.
Speaker 1 (10:39):
That, Yeah, stings for him wasn't also a good start
to begin with a lot of injuries unfortunately, but I
always appreciate it when you come on and shed some
light on them. Doctor Trevor Welke's Ortho Sincy, thanks.
Speaker 2 (10:49):
So much, thanks for having me appreciate it.
Speaker 1 (10:52):
You got it, Doctor Trevor Welkes from Ortho Sincy. I
say it every week because it's true. At Ortho Sincy
they're awesome because they have specialists locations across the tri State,
which includes walkin orthopedic urgent care during the week from
nine am to nine pm and Saturdays from nine am
to one pm at both the Edgewood and Anderson locations.
(11:13):
It's easy because you do not need an appointment and
it's definitely cheaper than going to an er. Whenever you
have an urgent orthopedic injury. Good Orthosincy dot com. That's
Ortho c I n c Y dot com.
Mo Egger News
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