November 19, 2025 • 8 mins
Dr. Trevor Wilkes from OrthoCincy joined us to discuss the injury issues involving Trey Hendrickson, Cam Taylor-Britt, and Cam Sample.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
It's time to talk injuries with one of the experts
from Ortho Sincy Orthopedics and sports Medicine. The great thing
excuse me about Ortho Sincy is they have specialist locations
and services all over the Tri State. This includes walk
in orthopedic urgent care at five countum five locations with
extended evening and weekend hours in Edgewood and Anderson. You
(00:21):
can learn more at orthosinc dot com. That's Ortho ci
NCY dot com. Joining us this week is doctor Trevor
Wilkes from Ortho Sincy. Let's talk about Trey Hendrickson. So
we're reading sports hernia that is maybe going to require
surgery at the end of this season. They haven't put
them on ir they're I guess holding out hope that
(00:41):
he's going to be able to play. This was originally
a back issue, then we saw hip and now sports hernia.
Speaker 2 (00:48):
Let's start with that. What is a sports hernia?
Speaker 3 (00:51):
Yeah, yeah, great question, Melan, Thanks for having me. So
sports herneias have been something that's been in the news,
kind of rising in sort of acknowledgment over the last
fifteen twenty years. So what it really is is the
group of muscles that represent your abdominal, oblique, and core
muscles as well as your groin muscles attached to the
(01:12):
pubic bone of your pelvis. And where those muscles attach
the you can develop cares of the tendons, so the
soft tissue attachment to the bone. And that's what actually
differentiates a sports hernia from like a regular hernia that
people have heard about with their regular doctor. You see
sports hernias primarily with explosive athletes that do pivot kind
(01:36):
of twisting sports, so hockey, power hitters, soccer, and in
football kind of the classics.
Speaker 1 (01:44):
How was something like this diagnosed because the injury was
first reported as a back issue and now it's a
hip injury.
Speaker 3 (01:51):
Yeah, So that gets to the rub of why I
think it's been rising in people looking for it. But
it's really what we call medicine often a diagnosis of exclusion,
meaning you've got to make sure it's not other things.
Speaker 2 (02:02):
First.
Speaker 3 (02:04):
There's really no definitive test that tells you it's a
sports hernia, which is one of the hard things, but
so generally a constellation of symptoms. So where the athlete's
complaint of you often do some plain X rays, make
sure there's not a bone issue. MRI can definitely show
some inflammation in the area, but it's really a diagnosis
(02:24):
of making sure it's not other things first and then
coming to this diagnosis.
Speaker 1 (02:28):
So reading that surgery in the off season is a possibility.
So what determines whether or not surgery is going to.
Speaker 3 (02:34):
Be needed, yees, essentially the failure of non surgical care.
So typically we'll begin athletes with a short period of rest,
just like you would another soft tissue injury. It can
vary by severity, you know, four to six weeks. But
if an athlete proves that they cannot come back to
their exclusive, their explosive sports afterwards, then then surgery is
(02:58):
often indicated. The surgery is something that's been kind of
developed and enhanced and gotten better in the last ten
fifteen years. Recent studies have found about a ninety percent
success of return into sports after the surgery.
Speaker 1 (03:14):
So but he could still perhaps play through something like
this despite k needing surgery down the road.
Speaker 3 (03:20):
Yeah, that that that is a tough question. And then
there you get to one of the man one of
the really difficult issues sometimes with with where an athlete
is in a contract with where with where a team
is in a season. I think if an if an
athlete feels like they can perform at a at a
high level, that helps the team and their pain level
(03:42):
is acceptable.
Speaker 2 (03:42):
Yeah, you're it's right.
Speaker 3 (03:43):
Most sometimes you can play with it and have and
then have surgery in the offseason. You've actually seen that
with several hockey players recently. Now, you do have to
be careful if you let a sports hernity to get
too bad and that soft tissue injury gets too severe,
then it can lead to a complete hernia and a
more comp like a more involved surgery. So there is
(04:04):
a bit of a line that he'd be working with
the sports medicine team.
Speaker 1 (04:07):
Let's let's just say, for example, he has what we'll
call typical sports hernia surgery as soon as the off
season gets here, which frankly feels like it's going to
get here sooner rather than later. How would that impact
the next season or his offseason training, that sort of stuff.
Speaker 3 (04:22):
Yeah, so's it's a three month recovery process. Of course,
that a lot of that's gonna happen in the off season,
and then he would have kind of a hardening conditioning period.
Speaker 2 (04:33):
Agains.
Speaker 3 (04:34):
It's a reasonably good ninety success and getting back to play.
So that's that's reasonably favorable for him.
Speaker 1 (04:41):
Let's talk about Cam Taylor britt So, he came out
of the game against Pittsburgh with a foot injury.
Speaker 2 (04:45):
He was in a boot in the locker room on
Monday using.
Speaker 1 (04:49):
A scooter surgery, likely for what is being called a
Liz Frank injury. I've heard this term before, but I'm
not sure I know what it is. What is a
Liz Frank injury?
Speaker 2 (04:58):
Yeah, so that's unfortunate.
Speaker 3 (04:59):
One. Frank injuries are a really difficult injury to the
ligaments that hold the bones in the middle of your foot.
So if you think about your foot and you think
about the arch of your foot, there's there's a constellation
of little bones in there called the qneiforms, and they
help your foot kind of move and bend and twist
and do all the things that your foot can do
(05:20):
to accommodate to the ground. And when you tear those
ligaments that join those bones together, it's just a really
bad injury.
Speaker 2 (05:29):
You just these.
Speaker 3 (05:30):
Athletes put so much stress on their foot. It's it's
kind of notorious for giving people persistent problems.
Speaker 1 (05:35):
What is the timeline the likely timeline we're we're looking
at here from surgery to him being able to be
back on the field again.
Speaker 2 (05:43):
Yeah.
Speaker 3 (05:43):
So, like a lot of these injuries, they occur on
a spectrum. It basically, if the tear is bad enough
and the bones aren't lined up perfectly, surgeries indicated. Not
generally speaking, the surgery requires six weeks of not walking
on the foot, so boot and scooter, six weeks of
kind of gradually introducing weight, and then three months is
(06:06):
kind of rehab. So overall it's generally considered to be
six months for full sports clearance. So yeah, and even then,
you see ten to fifteen percent of guys have some
persistent pain in the arch of their foot, so it's
a tough one for Cam unfortunately.
Speaker 1 (06:25):
All right, one more Cam sample defensive end. He has
an oblique strain. And these injuries to me always sound
more benign than they end up being. So walk me
through the different grades and then what each one of
them may suggest in terms of the timeline for Cam. Yeah.
Speaker 3 (06:41):
Yeah, So the oblique muscles like these are the core
muscles along the side of your six pack, help you
to twist and stabilize your core. The plastic muscle grading
system that everybody does is one to three, So one
is better, three is worse, three is usually you got
more bruising, maybe in a deficit in the muscle. Now,
(07:02):
the actually really interesting data Moami's injuries from Major League Baseball.
They track the injuries really close. They found that for
grade ones, generally for hitters, it's about three weeks for
return to play. So if we kind of extrapolate some
of that for a low grade injury, you're looking at
(07:22):
three weeks for a higher grade injury at the six.
Speaker 2 (07:25):
Wow.
Speaker 1 (07:27):
You know, it feels like we talk about this with
baseball players all the time. Does this sort of injury
for a higher contact sport complicate things?
Speaker 3 (07:35):
Yeah, I think, I mean, I think it does. Yeah,
I mean I just did a little bit of research
for this. The best data I found was from baseball.
But yeah, football adds the whole other level of contact
as you said, and getting hit there and the constant
you know, potential to reinjure that muscle.
Speaker 2 (07:53):
So and I do think it's a little harder. Yeah,
certainly seems like tremendous insight.
Speaker 1 (07:58):
As always, doctor Trevor Wilkes Orthos, sincey we appreciate the time.
Speaker 2 (08:01):
We will chat soon. Thanks so much, thanks for having me.
Speaker 1 (08:04):
That's our guy, doctor Trevor Wilks from Orthos Sincy. I
say it every week because I believe it. The great
thing about Orthos Sincy is they have specialists in locations
all over the Tri States. This includes walk in orthopedic
urgent care weekdays nine am to nine pm and Saturdays
nine am to one pm at both Edgewood and Anderson
Easy because you don't need an appointment and cheaper than
(08:25):
going to an er. Whenever you have an urgent orthopedic injury,
you go to Orthosincy dot com. That's Ortho c I
ncy dot com
It's time to talk injuries with one of the experts
from Ortho Sincy Orthopedics and sports Medicine. The great thing
excuse me about Ortho Sincy is they have specialist locations
and services all over the Tri State. This includes walk
in orthopedic urgent care at five countum five locations with
extended evening and weekend hours in Edgewood and Anderson. You
(00:21):
can learn more at orthosinc dot com. That's Ortho ci
NCY dot com. Joining us this week is doctor Trevor
Wilkes from Ortho Sincy. Let's talk about Trey Hendrickson. So
we're reading sports hernia that is maybe going to require
surgery at the end of this season. They haven't put
them on ir they're I guess holding out hope that
(00:41):
he's going to be able to play. This was originally
a back issue, then we saw hip and now sports hernia.
Speaker 2 (00:48):
Let's start with that. What is a sports hernia?
Speaker 3 (00:51):
Yeah, yeah, great question, Melan, Thanks for having me. So
sports herneias have been something that's been in the news,
kind of rising in sort of acknowledgment over the last
fifteen twenty years. So what it really is is the
group of muscles that represent your abdominal, oblique, and core
muscles as well as your groin muscles attached to the
(01:12):
pubic bone of your pelvis. And where those muscles attach
the you can develop cares of the tendons, so the
soft tissue attachment to the bone. And that's what actually
differentiates a sports hernia from like a regular hernia that
people have heard about with their regular doctor. You see
sports hernias primarily with explosive athletes that do pivot kind
(01:36):
of twisting sports, so hockey, power hitters, soccer, and in
football kind of the classics.
Speaker 1 (01:44):
How was something like this diagnosed because the injury was
first reported as a back issue and now it's a
hip injury.
Speaker 3 (01:51):
Yeah, So that gets to the rub of why I
think it's been rising in people looking for it. But
it's really what we call medicine often a diagnosis of exclusion,
meaning you've got to make sure it's not other things.
Speaker 2 (02:02):
First.
Speaker 3 (02:04):
There's really no definitive test that tells you it's a
sports hernia, which is one of the hard things, but
so generally a constellation of symptoms. So where the athlete's
complaint of you often do some plain X rays, make
sure there's not a bone issue. MRI can definitely show
some inflammation in the area, but it's really a diagnosis
(02:24):
of making sure it's not other things first and then
coming to this diagnosis.
Speaker 1 (02:28):
So reading that surgery in the off season is a possibility.
So what determines whether or not surgery is going to.
Speaker 3 (02:34):
Be needed, yees, essentially the failure of non surgical care.
So typically we'll begin athletes with a short period of rest,
just like you would another soft tissue injury. It can
vary by severity, you know, four to six weeks. But
if an athlete proves that they cannot come back to
their exclusive, their explosive sports afterwards, then then surgery is
(02:58):
often indicated. The surgery is something that's been kind of
developed and enhanced and gotten better in the last ten
fifteen years. Recent studies have found about a ninety percent
success of return into sports after the surgery.
Speaker 1 (03:14):
So but he could still perhaps play through something like
this despite k needing surgery down the road.
Speaker 3 (03:20):
Yeah, that that that is a tough question. And then
there you get to one of the man one of
the really difficult issues sometimes with with where an athlete
is in a contract with where with where a team
is in a season. I think if an if an
athlete feels like they can perform at a at a
high level, that helps the team and their pain level
(03:42):
is acceptable.
Speaker 2 (03:42):
Yeah, you're it's right.
Speaker 3 (03:43):
Most sometimes you can play with it and have and
then have surgery in the offseason. You've actually seen that
with several hockey players recently. Now, you do have to
be careful if you let a sports hernity to get
too bad and that soft tissue injury gets too severe,
then it can lead to a complete hernia and a
more comp like a more involved surgery. So there is
(04:04):
a bit of a line that he'd be working with
the sports medicine team.
Speaker 1 (04:07):
Let's let's just say, for example, he has what we'll
call typical sports hernia surgery as soon as the off
season gets here, which frankly feels like it's going to
get here sooner rather than later. How would that impact
the next season or his offseason training, that sort of stuff.
Speaker 3 (04:22):
Yeah, so's it's a three month recovery process. Of course,
that a lot of that's gonna happen in the off season,
and then he would have kind of a hardening conditioning period.
Speaker 2 (04:33):
Agains.
Speaker 3 (04:34):
It's a reasonably good ninety success and getting back to play.
So that's that's reasonably favorable for him.
Speaker 1 (04:41):
Let's talk about Cam Taylor britt So, he came out
of the game against Pittsburgh with a foot injury.
Speaker 2 (04:45):
He was in a boot in the locker room on
Monday using.
Speaker 1 (04:49):
A scooter surgery, likely for what is being called a
Liz Frank injury. I've heard this term before, but I'm
not sure I know what it is. What is a
Liz Frank injury?
Speaker 2 (04:58):
Yeah, so that's unfortunate.
Speaker 3 (04:59):
One. Frank injuries are a really difficult injury to the
ligaments that hold the bones in the middle of your foot.
So if you think about your foot and you think
about the arch of your foot, there's there's a constellation
of little bones in there called the qneiforms, and they
help your foot kind of move and bend and twist
and do all the things that your foot can do
(05:20):
to accommodate to the ground. And when you tear those
ligaments that join those bones together, it's just a really
bad injury.
Speaker 2 (05:29):
You just these.
Speaker 3 (05:30):
Athletes put so much stress on their foot. It's it's
kind of notorious for giving people persistent problems.
Speaker 1 (05:35):
What is the timeline the likely timeline we're we're looking
at here from surgery to him being able to be
back on the field again.
Speaker 2 (05:43):
Yeah.
Speaker 3 (05:43):
So, like a lot of these injuries, they occur on
a spectrum. It basically, if the tear is bad enough
and the bones aren't lined up perfectly, surgeries indicated. Not
generally speaking, the surgery requires six weeks of not walking
on the foot, so boot and scooter, six weeks of
kind of gradually introducing weight, and then three months is
(06:06):
kind of rehab. So overall it's generally considered to be
six months for full sports clearance. So yeah, and even then,
you see ten to fifteen percent of guys have some
persistent pain in the arch of their foot, so it's
a tough one for Cam unfortunately.
Speaker 1 (06:25):
All right, one more Cam sample defensive end. He has
an oblique strain. And these injuries to me always sound
more benign than they end up being. So walk me
through the different grades and then what each one of
them may suggest in terms of the timeline for Cam. Yeah.
Speaker 3 (06:41):
Yeah, So the oblique muscles like these are the core
muscles along the side of your six pack, help you
to twist and stabilize your core. The plastic muscle grading
system that everybody does is one to three, So one
is better, three is worse, three is usually you got
more bruising, maybe in a deficit in the muscle. Now,
(07:02):
the actually really interesting data Moami's injuries from Major League Baseball.
They track the injuries really close. They found that for
grade ones, generally for hitters, it's about three weeks for
return to play. So if we kind of extrapolate some
of that for a low grade injury, you're looking at
(07:22):
three weeks for a higher grade injury at the six.
Speaker 2 (07:25):
Wow.
Speaker 1 (07:27):
You know, it feels like we talk about this with
baseball players all the time. Does this sort of injury
for a higher contact sport complicate things?
Speaker 3 (07:35):
Yeah, I think, I mean, I think it does. Yeah,
I mean I just did a little bit of research
for this. The best data I found was from baseball.
But yeah, football adds the whole other level of contact
as you said, and getting hit there and the constant
you know, potential to reinjure that muscle.
Speaker 2 (07:53):
So and I do think it's a little harder. Yeah,
certainly seems like tremendous insight.
Speaker 1 (07:58):
As always, doctor Trevor Wilkes Orthos, sincey we appreciate the time.
Speaker 2 (08:01):
We will chat soon. Thanks so much, thanks for having me.
Speaker 1 (08:04):
That's our guy, doctor Trevor Wilks from Orthos Sincy. I
say it every week because I believe it. The great
thing about Orthos Sincy is they have specialists in locations
all over the Tri States. This includes walk in orthopedic
urgent care weekdays nine am to nine pm and Saturdays
nine am to one pm at both Edgewood and Anderson
Easy because you don't need an appointment and cheaper than
(08:25):
going to an er. Whenever you have an urgent orthopedic injury,
you go to Orthosincy dot com. That's Ortho c I
ncy dot com
Mo Egger News
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