July 7, 2025 • 17 mins
Doc shares his knowledge on golf and the othro that goes with it.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The host of this program is an interesting guy.
Speaker 2 (00:03):
He wants a twenty hot dogs in an hour.
Speaker 1 (00:06):
You're listening to the Rob Dibble Show.
Speaker 3 (00:13):
Hi Lore.
Speaker 1 (00:14):
Earlier, we ran into doctor Robert Waskowitz. He's running around,
he's keeping these guys healthy. There's a bunch of orthos
here to make sure everybody's healthy and doing well. So
from the Orthetic Associates of Harford, this is how it
went with doctor Robert Waskowitz. All right, Robert, let's just
start with what we were just talking about with younger
kids and overloading, you know, especially let's just say specializing.
Speaker 4 (00:38):
In baseball year round.
Speaker 1 (00:39):
How are you seeing more injuries on these younger players
because of specializing.
Speaker 5 (00:45):
Kids are drawn to a sport, whether it's their own pressure, parents, pressure,
or friends, they're drawn to a sport. And what I'm
seeing is a younger and younger clientele who wants to
take their game further. So for them to specialize in
a sport at a very young age is risk versus
reward really, because they're putting their future on the line
(01:09):
just to be at a high performance level at a
very young age.
Speaker 1 (01:12):
But explain, they're growing, their bones are growing, their muscles
are growing, and we're pushing all this weak training and
all this other stuff on top of the playing year
round on one sport.
Speaker 5 (01:24):
The body is going to develop at its own pace
and you can't push that. You can't force your body
into what you think you want to be. Respecting your growth,
respecting a good, healthy, nutritious approach to your day is important.
But these kids are growing and the stress and strain
that we see as sports medicine specialists are muscles that
(01:45):
are plugging into growth plates and that kid is going
to experience an early overload to that growth center and
that translates not only into pain, but into their future.
Is the bone going to grow correctly? Are they going
to be able to perform at their level? Not negative
to start at a young age, but that individual has
to be guided to be able to perform and carry
(02:08):
their career not just for a season, but for the
next fifteen twenty years.
Speaker 3 (02:12):
Doctor Wasskowitz Orthopedics Associates of Hartford one of our favorite
docs to have on because you cover the gamut in
sports medicine and orthopedic surgery. What about this phrase? My
kids already had his Tommy John, what about that phrase?
I love that one, especially a kid's not even in
college yet, so I'll do.
Speaker 5 (02:32):
A flip side to that. I'm at the grocery store
last week. Two gentlemen behind me, clearly weekend Warriors. We're
having their discussion about their softball league, and one of
them turns together and says, you know, I think I'm
gonna give me that Tommy John Oh gosh, yeah, no, Joe.
Speaker 4 (02:47):
Slow pitch softball bros.
Speaker 2 (02:49):
So that is a challenge to understand. Yeah, but that
that we're doing that. Now, we're doing that.
Speaker 4 (02:58):
Now, oh man.
Speaker 3 (02:59):
We're doing and that's not good right, Like I mean,
I'm sure it's going to help your elbow and feel
a little bit better, but come on.
Speaker 5 (03:05):
So it's my responsibility to look at patient outcomes what
can we expect, But a really important.
Speaker 2 (03:12):
Thing is patient expectations.
Speaker 5 (03:13):
What do they want right and how can I help
guide them along that path because clearly not everything is
a surgical issue.
Speaker 2 (03:20):
A ton of it goes into.
Speaker 5 (03:21):
Managing an injury and being able to perform, So counseling
is just as important as a sport.
Speaker 1 (03:27):
We were just talking to rich Bean and he'll be
probably joining us tomorrow on the show. A former PGA
championship winner, and you know he's I think he's about
fifty five ish and he was complaining of different maladies,
you know, hips and arms and stuff like that. As
we get older. I'm sixty one and we want to
get out there. I mean, you talk about some of
the things necessary, stretching, good nutrition, not just going out
(03:50):
there and thinking I'm going to whack them all around
and like for me, I'm going to hit it one
hundred and ten times. These guys might hit seventy times.
You know, explain that to our listeners. Hey, you got
to prepare yourself.
Speaker 4 (04:00):
Well there on the weekend.
Speaker 5 (04:01):
Yeah, my three pillars of performance stretch, strengthen, and cardio.
And if you're not doing that, you're allowing risk to
enter the equation. So you got to stretch, you got
to strengthen, and you got to do some form of cardio.
The other keystone to that is your mental health. And again,
what do you expect? Why are you doing it? What's
(04:22):
the enjoyment that that brings. We all know that you
get your endorphin kick, you're able to perform and you
feel like you're getting better what you choose, But you
also have to nourish that mental health site.
Speaker 3 (04:33):
I'm bringing stretch into the club, my man first tea box,
Like I'm getting people to circle up, like spread them
down the right, spread them down the hip stuff too.
That's the one thing I've been doing a lot lately,
hip circles, little hip thrust. It may look a little awkward,
especially those country club folks, but I do it all
the time because I'm watching these little guys out here,
(04:53):
doc like, come work.
Speaker 4 (04:54):
How is he banging.
Speaker 3 (04:56):
Out three point fifty like we saw Luke Clinton's twenty
one years old. That is like, yeah, maybe about fifty,
but he's hitting it out there three bills plus Like
that has got to be serious torque and stress on
your hips, and I try to emulate it. And man
if I don't do those stretches after around, I am feeling.
Speaker 4 (05:15):
It for like a week or two.
Speaker 5 (05:17):
So you may not look cute when you do it,
but you're doing the right thing good because you're.
Speaker 2 (05:22):
Trying to maintain.
Speaker 5 (05:23):
And that concept of maintenance is really important for all
of us at any age. The one counseling point that
we always talk about is if you're stretching just before
you're going to enter a t box, you're a little
late to the game, so you need to dedicate that
warm up time and you have to balance that with
(05:44):
your cool down phase. So after you run an engine hot,
it's got to shut down a little bit. So do
your stretching initially, get out there and challenge your system.
Speaker 2 (05:53):
Warm it up.
Speaker 5 (05:55):
You bring up a really important point as far as
the pyramid of who you are are and what's your
most important bass aside from your mental health, it's your
core right, so all the ground for us starts from
your foot to your knee, to your ankle, all the
way up your hipping into your back. Stretching your hips
really really important. Core stability is a key in terms
(06:17):
of being able to maintain a healthy approach. It may
not help your long game, but it's going to protect
your body.
Speaker 1 (06:24):
Talking to doctor Robert Wasskowitz, Sport the Insurgeons, Sports Medicine Specialists,
Orthopedic Associates of Hartford, I'm not gonna mention his name,
but he was basically grounding his club, hurt his shoulder,
had to withdraw.
Speaker 4 (06:38):
By It's no secret it, man. I don't want to
put him in a situation.
Speaker 1 (06:44):
But for other golfers though, you know, not just his shoulder.
It can be a wrist injury. It could be a
hand injury.
Speaker 4 (06:52):
You know some of the things.
Speaker 1 (06:53):
You know, Ben and I were talking about this the
other day.
Speaker 4 (06:55):
But hit a root. You know you're near a cart path.
Speaker 1 (06:58):
I know somebody landed on a great somebody might be
dumb enough to try to hit the grate, hit the
ball of talk about what that could possibly do to
you physically.
Speaker 5 (07:07):
So take a paper clip and bend it until it fails.
And all of these tissue structures have a failure point.
And if you're hitting down into a ball and you're
you're taking a big divot out of the ground.
Speaker 2 (07:22):
If the ground is like it is.
Speaker 5 (07:24):
Here, which is superb, but the majority of us are
playing on concrete, and that's just going to overload that tissue.
Driving into that surface that's not going to be forgiving,
is going to make that muscle contract beyond what it
normally can and that's where it's going to lead to
a tendonitis. And if it continues to be a problem
(07:45):
you don't give it the respect to recover, that eventually
can fail. And an individual who's going to have a
rotator cuff tear is at risk for not just recovering
from an injury.
Speaker 2 (07:56):
But that's a lifelong problem that they're going to have
to deal with.
Speaker 3 (07:59):
We'll speakers though, because like he is withdrawing on a Thursday,
and what is a risk playing with something messed up.
Speaker 4 (08:05):
A little bit, just like a tweak and a shoulder.
Speaker 3 (08:07):
I don't think people realize the violence that goes through
on a seventy two swing eighteen whole course at a
PGA level, at the kind of club headspeed that they're generating.
Speaker 4 (08:17):
Speak on that how it's probably for the best because
this guy's got a lot of golf ahead of them.
Speaker 5 (08:22):
So let's go back about fifty years when it was
the Nicholas era, Arnold Palmer Watson, when they had that
beautiful swing what I like to call the traditional golf swing.
And now our players are aggressive with their swing, and
that athletic swing increases the amount of force. And for
(08:43):
these individuals to be able to drive three hundred plus
and put it where they want because of their power,
that risk reward as far as keeping fit is important.
So when I'm on site here and I'm with my
PGA trainers and they have a fantastic facility for their trailers,
A rehab center, a treatment center, and a recovery center.
Speaker 2 (09:06):
Super important.
Speaker 5 (09:07):
These athletes are not just out here to play. They
know what they have. They're managing injuries, not just at
the travelers. It's being an Oakmont, it's coming up here,
it's going to the next level. So they're going to
manage this injury. And if they don't give it the respect,
maybe they have to withdraw. To your point, and great
concept to think about. If they're thinking about their shoulder
(09:29):
and they're going to change their swing pattern to protect
their shoulder, it's obvious their swing is not going to
be normal and they're going to have the potential for
a different injury.
Speaker 1 (09:39):
All right, NBA Finals, we'll mention the guy, but he
hurt his cat.
Speaker 4 (09:43):
Who knows who this is?
Speaker 2 (09:44):
I have no idea.
Speaker 1 (09:44):
It did look great in Game five, but in just
like three days, whatever that injury was, they were able
to rehab it. Now, most people don't get that kind
of specialized attention. Obviously this NBA player did. Like at
your office and things like that, I'm sure you you
see a lot of muscle pulls, a lot of muscle tears.
What's the difference between like a strained cap and a
(10:05):
torn muscle, say like a torn hamstring.
Speaker 5 (10:08):
The the anatomy is important to try and understand. So a
muscle group has that the muscle fibers that plug into
a tendon, and the tenon plugs into the bone. So
that's the simplistic approach to an injury. When you injure
like a hamstring, and you guys have seen it, I
would assume that every listener, just a case.
Speaker 1 (10:27):
Has had at the savanna bananas needed surgery.
Speaker 2 (10:31):
Yep, it's location.
Speaker 5 (10:33):
It's where it's it's where it's torn, if it's within.
Speaker 4 (10:37):
If it's with.
Speaker 5 (10:39):
That, well, if it's within the muscle, and this is
why quote unquote hammies, dog and athlete, they never really
go away. So if it's within the muscle, it doesn't
heal with normal tissue. Here's with with some scar tissue.
Scar tissue is not normal muscle tissue, and that tissue
has always at risk for a recurrent injury.
Speaker 2 (10:56):
Now fast forward.
Speaker 5 (10:57):
If it goes to where it plugs into the bone,
think of a safety belt or a rubber band to
stretch it out.
Speaker 2 (11:02):
You let go of one side and it pulls away.
Speaker 5 (11:04):
If it's pulled off of its insertion, that potentially opens
up a door to a surgical option which can essentially
plug it back into where it needs to go. In
an injury that's within that muscle tendon unit, that's a
grey zone because again that's a tough one to try
and treat. But for an athlete who has a soft
(11:25):
tissue injury not a full rupture, if you are given
the appropriate rehab and the right people who understand the
mechanism of injury and can rehab that that individual may
be able to return at an accelerated pace.
Speaker 4 (11:39):
Yeah, he hates that, I know, I just hate so
what I don't know. He looked really good last night.
He looked at that.
Speaker 3 (11:49):
And I was just thinking, like, okay, if you even
if you shoot that up, like it doesn't matter, Like
the pain is not gonna it's still gonna be inabilitating
if it's still affecting its cat right.
Speaker 5 (11:59):
So the another point to kind of focus on injection therapy.
There are different injections that we can consider.
Speaker 4 (12:07):
We like so old.
Speaker 3 (12:08):
School thinking that like a needle is going into skin
with cortisone is that like back in our day, and
we don't even do that stuff anymore.
Speaker 4 (12:15):
No, we do that.
Speaker 5 (12:15):
Stuff it's a tool in a toolbox and chosen appropriately
for the right reason. It can be not just therapeutic
minimize the pain, but can help.
Speaker 2 (12:26):
Tissues heal a little bit quicker the issue.
Speaker 5 (12:29):
And we all know this courtisoon's not good for you
over time, it's not healthy for tissue. So our mindset
has shifted a little bit in terms of what's an
appropriate setting. Me personally, I do not inject an athlete
to get them back on the field. If I'm going
to do an injection is to allow that muscle tendon
unit to rehab. They're not playing until they're able to
(12:50):
pass our sports specific tests.
Speaker 1 (12:52):
Okay, thirty years ago though you would have.
Speaker 4 (12:56):
To him.
Speaker 1 (12:56):
So it was my non throwing arm and I had
a partially torn labor and it's like a long needle
to get into the joint. He's got to get in there,
and you're now going through the range of motion to figure.
Speaker 4 (13:08):
Is that it?
Speaker 2 (13:09):
Yeah, that's it?
Speaker 1 (13:09):
And then they stick you what Yeah, sure, so lovely
and Osley is like the greatest thing ever when it
when they finally get it in there.
Speaker 2 (13:17):
How long did it last?
Speaker 4 (13:19):
A couple of weeks, A.
Speaker 1 (13:19):
Couple I had unch of them yeah, I shouldn't have.
That's why I never did at my throwing Showdren. But
I had to. I had to to get back out there,
and usually they wanted you to wait forty eight hours.
I went out there that night because you know your
team needs you.
Speaker 5 (13:34):
Well, it's not that it's old school, but I would
say that we've gotten a little bit smarter over time, right.
I come from a three generations of physicians. My dad
was an ortho, my grandfather was a general practitioner. So
I've heard it over sixty seventy years of practice, what's
appropriate to do for.
Speaker 2 (13:53):
The right reasons.
Speaker 5 (13:54):
And yes, back in the day, quote unquote, there were
decisions that were made right in order to return to play.
Speaker 4 (14:02):
Man. That's why I love you, because you've seen a
big game a sports sixties. What were they doing back then?
Speaker 1 (14:09):
I mean, like like Tommy John Frank Job and all
of his guys they started that in the mid seventies.
I mean, what were they doing, Like I know, Jim
Palmer got hurt before that and he wasn't good for
a year, but then he came back, you know, I mean,
what were they doing Like fifties sixties when a guy
blew out his knet like Gail.
Speaker 2 (14:30):
Sayers l Sayers super.
Speaker 4 (14:32):
Yeah.
Speaker 5 (14:33):
They were making good decisions absolutely, That's why they were
good at what they did.
Speaker 2 (14:39):
But the technology was not there.
Speaker 5 (14:41):
So back fifty years ago, sixty years ago, we didn't
have the current technology that we have now. And the
point is diagnosing an injury has become very specific.
Speaker 2 (14:53):
These days were snipers.
Speaker 5 (14:54):
It's not a shotgun approach, and that decision going into
it with open eyes, understand what the injury is fifty
years ago versus current. We're being thoughtful number one. Number two,
we're looking at those results fifty years later. So what
are those individuals who were treated fifty years ago with
a cortisone injection, how's their knee now? Well, it's pretty
(15:15):
obvious there are a lot of individuals who are limping
because of degenerative arthritis, and we have to look backwards
to say, did we do the right thing with that
given the time set that they were in. Those decisions
were made for their health, not necessarily to get them
back on the field. Now we're going to kick that
around a little bit, but I'll always fall back and
(15:38):
decision was done for the right reason.
Speaker 3 (15:40):
Doctor Wasskowitz Orthopedic Associates of Hartford. I also love your
insight here at the Travelis Championship because you do get
to go into these.
Speaker 4 (15:47):
PGA trainer trailers.
Speaker 3 (15:49):
We did see Scotti Scheffler walk out of one on Wednesday.
It look like he was feeling great and he's been
playing great. But take our listeners through that, like, what
do they do pre and do all of them post round?
Speaker 4 (16:02):
Show up to that traveler or that training trailer.
Speaker 5 (16:04):
Yeah, the trainers here on site are phenomenal and they care.
Let's let's just start with that foundation.
Speaker 4 (16:09):
They care and they're working for everybody. It's not like
a team every.
Speaker 2 (16:15):
Right, everybody that walks in the doors treated equally.
Speaker 5 (16:18):
I would say that the majority of the professional athletes
do come in and they do their warm up first.
The trailers open early and then closes late, so they
will come in and do a pre set workout, get
some treatment, some therapy by the trainers, and that can
include what we call modalities, whether it's ultrasound treatments or
(16:38):
massage treatments or dry needling, and they can get prepped
for that round. They go through their discipline, they play
their round, and then the majority of those individuals come
back to the trainers afterwards to have that post workout
workout to keep.
Speaker 2 (16:55):
Them at maintenance.
Speaker 5 (16:55):
Maintenance is the key with this because they're going to
carry that injury from tournaments to tournament.
Speaker 1 (17:00):
Robert, fascinating to have you on. You are the best
orthopedic associates of Harper. Doctor Robert Waskawizzi is one of
the best. Thank you so much for your time.
Speaker 2 (17:08):
Privileged to be with you guys again, Thank you
The host of this program is an interesting guy.
Speaker 2 (00:03):
He wants a twenty hot dogs in an hour.
Speaker 1 (00:06):
You're listening to the Rob Dibble Show.
Speaker 3 (00:13):
Hi Lore.
Speaker 1 (00:14):
Earlier, we ran into doctor Robert Waskowitz. He's running around,
he's keeping these guys healthy. There's a bunch of orthos
here to make sure everybody's healthy and doing well. So
from the Orthetic Associates of Harford, this is how it
went with doctor Robert Waskowitz. All right, Robert, let's just
start with what we were just talking about with younger
kids and overloading, you know, especially let's just say specializing.
Speaker 4 (00:38):
In baseball year round.
Speaker 1 (00:39):
How are you seeing more injuries on these younger players
because of specializing.
Speaker 5 (00:45):
Kids are drawn to a sport, whether it's their own pressure, parents, pressure,
or friends, they're drawn to a sport. And what I'm
seeing is a younger and younger clientele who wants to
take their game further. So for them to specialize in
a sport at a very young age is risk versus
reward really, because they're putting their future on the line
(01:09):
just to be at a high performance level at a
very young age.
Speaker 1 (01:12):
But explain, they're growing, their bones are growing, their muscles
are growing, and we're pushing all this weak training and
all this other stuff on top of the playing year
round on one sport.
Speaker 5 (01:24):
The body is going to develop at its own pace
and you can't push that. You can't force your body
into what you think you want to be. Respecting your growth,
respecting a good, healthy, nutritious approach to your day is important.
But these kids are growing and the stress and strain
that we see as sports medicine specialists are muscles that
(01:45):
are plugging into growth plates and that kid is going
to experience an early overload to that growth center and
that translates not only into pain, but into their future.
Is the bone going to grow correctly? Are they going
to be able to perform at their level? Not negative
to start at a young age, but that individual has
to be guided to be able to perform and carry
(02:08):
their career not just for a season, but for the
next fifteen twenty years.
Speaker 3 (02:12):
Doctor Wasskowitz Orthopedics Associates of Hartford one of our favorite
docs to have on because you cover the gamut in
sports medicine and orthopedic surgery. What about this phrase? My
kids already had his Tommy John, what about that phrase?
I love that one, especially a kid's not even in
college yet, so I'll do.
Speaker 5 (02:32):
A flip side to that. I'm at the grocery store
last week. Two gentlemen behind me, clearly weekend Warriors. We're
having their discussion about their softball league, and one of
them turns together and says, you know, I think I'm
gonna give me that Tommy John Oh gosh, yeah, no, Joe.
Speaker 4 (02:47):
Slow pitch softball bros.
Speaker 2 (02:49):
So that is a challenge to understand. Yeah, but that
that we're doing that. Now, we're doing that.
Speaker 4 (02:58):
Now, oh man.
Speaker 3 (02:59):
We're doing and that's not good right, Like I mean,
I'm sure it's going to help your elbow and feel
a little bit better, but come on.
Speaker 5 (03:05):
So it's my responsibility to look at patient outcomes what
can we expect, But a really important.
Speaker 2 (03:12):
Thing is patient expectations.
Speaker 5 (03:13):
What do they want right and how can I help
guide them along that path because clearly not everything is
a surgical issue.
Speaker 2 (03:20):
A ton of it goes into.
Speaker 5 (03:21):
Managing an injury and being able to perform, So counseling
is just as important as a sport.
Speaker 1 (03:27):
We were just talking to rich Bean and he'll be
probably joining us tomorrow on the show. A former PGA
championship winner, and you know he's I think he's about
fifty five ish and he was complaining of different maladies,
you know, hips and arms and stuff like that. As
we get older. I'm sixty one and we want to
get out there. I mean, you talk about some of
the things necessary, stretching, good nutrition, not just going out
(03:50):
there and thinking I'm going to whack them all around
and like for me, I'm going to hit it one
hundred and ten times. These guys might hit seventy times.
You know, explain that to our listeners. Hey, you got
to prepare yourself.
Speaker 4 (04:00):
Well there on the weekend.
Speaker 5 (04:01):
Yeah, my three pillars of performance stretch, strengthen, and cardio.
And if you're not doing that, you're allowing risk to
enter the equation. So you got to stretch, you got
to strengthen, and you got to do some form of cardio.
The other keystone to that is your mental health. And again,
what do you expect? Why are you doing it? What's
(04:22):
the enjoyment that that brings. We all know that you
get your endorphin kick, you're able to perform and you
feel like you're getting better what you choose, But you
also have to nourish that mental health site.
Speaker 3 (04:33):
I'm bringing stretch into the club, my man first tea box,
Like I'm getting people to circle up, like spread them
down the right, spread them down the hip stuff too.
That's the one thing I've been doing a lot lately,
hip circles, little hip thrust. It may look a little awkward,
especially those country club folks, but I do it all
the time because I'm watching these little guys out here,
(04:53):
doc like, come work.
Speaker 4 (04:54):
How is he banging.
Speaker 3 (04:56):
Out three point fifty like we saw Luke Clinton's twenty
one years old. That is like, yeah, maybe about fifty,
but he's hitting it out there three bills plus Like
that has got to be serious torque and stress on
your hips, and I try to emulate it. And man
if I don't do those stretches after around, I am feeling.
Speaker 4 (05:15):
It for like a week or two.
Speaker 5 (05:17):
So you may not look cute when you do it,
but you're doing the right thing good because you're.
Speaker 2 (05:22):
Trying to maintain.
Speaker 5 (05:23):
And that concept of maintenance is really important for all
of us at any age. The one counseling point that
we always talk about is if you're stretching just before
you're going to enter a t box, you're a little
late to the game, so you need to dedicate that
warm up time and you have to balance that with
(05:44):
your cool down phase. So after you run an engine hot,
it's got to shut down a little bit. So do
your stretching initially, get out there and challenge your system.
Speaker 2 (05:53):
Warm it up.
Speaker 5 (05:55):
You bring up a really important point as far as
the pyramid of who you are are and what's your
most important bass aside from your mental health, it's your
core right, so all the ground for us starts from
your foot to your knee, to your ankle, all the
way up your hipping into your back. Stretching your hips
really really important. Core stability is a key in terms
(06:17):
of being able to maintain a healthy approach. It may
not help your long game, but it's going to protect
your body.
Speaker 1 (06:24):
Talking to doctor Robert Wasskowitz, Sport the Insurgeons, Sports Medicine Specialists,
Orthopedic Associates of Hartford, I'm not gonna mention his name,
but he was basically grounding his club, hurt his shoulder,
had to withdraw.
Speaker 4 (06:38):
By It's no secret it, man. I don't want to
put him in a situation.
Speaker 1 (06:44):
But for other golfers though, you know, not just his shoulder.
It can be a wrist injury. It could be a
hand injury.
Speaker 4 (06:52):
You know some of the things.
Speaker 1 (06:53):
You know, Ben and I were talking about this the
other day.
Speaker 4 (06:55):
But hit a root. You know you're near a cart path.
Speaker 1 (06:58):
I know somebody landed on a great somebody might be
dumb enough to try to hit the grate, hit the
ball of talk about what that could possibly do to
you physically.
Speaker 5 (07:07):
So take a paper clip and bend it until it fails.
And all of these tissue structures have a failure point.
And if you're hitting down into a ball and you're
you're taking a big divot out of the ground.
Speaker 2 (07:22):
If the ground is like it is.
Speaker 5 (07:24):
Here, which is superb, but the majority of us are
playing on concrete, and that's just going to overload that tissue.
Driving into that surface that's not going to be forgiving,
is going to make that muscle contract beyond what it
normally can and that's where it's going to lead to
a tendonitis. And if it continues to be a problem
(07:45):
you don't give it the respect to recover, that eventually
can fail. And an individual who's going to have a
rotator cuff tear is at risk for not just recovering
from an injury.
Speaker 2 (07:56):
But that's a lifelong problem that they're going to have
to deal with.
Speaker 3 (07:59):
We'll speakers though, because like he is withdrawing on a Thursday,
and what is a risk playing with something messed up.
Speaker 4 (08:05):
A little bit, just like a tweak and a shoulder.
Speaker 3 (08:07):
I don't think people realize the violence that goes through
on a seventy two swing eighteen whole course at a
PGA level, at the kind of club headspeed that they're generating.
Speaker 4 (08:17):
Speak on that how it's probably for the best because
this guy's got a lot of golf ahead of them.
Speaker 5 (08:22):
So let's go back about fifty years when it was
the Nicholas era, Arnold Palmer Watson, when they had that
beautiful swing what I like to call the traditional golf swing.
And now our players are aggressive with their swing, and
that athletic swing increases the amount of force. And for
(08:43):
these individuals to be able to drive three hundred plus
and put it where they want because of their power,
that risk reward as far as keeping fit is important.
So when I'm on site here and I'm with my
PGA trainers and they have a fantastic facility for their trailers,
A rehab center, a treatment center, and a recovery center.
Speaker 2 (09:06):
Super important.
Speaker 5 (09:07):
These athletes are not just out here to play. They
know what they have. They're managing injuries, not just at
the travelers. It's being an Oakmont, it's coming up here,
it's going to the next level. So they're going to
manage this injury. And if they don't give it the respect,
maybe they have to withdraw. To your point, and great
concept to think about. If they're thinking about their shoulder
(09:29):
and they're going to change their swing pattern to protect
their shoulder, it's obvious their swing is not going to
be normal and they're going to have the potential for
a different injury.
Speaker 1 (09:39):
All right, NBA Finals, we'll mention the guy, but he
hurt his cat.
Speaker 4 (09:43):
Who knows who this is?
Speaker 2 (09:44):
I have no idea.
Speaker 1 (09:44):
It did look great in Game five, but in just
like three days, whatever that injury was, they were able
to rehab it. Now, most people don't get that kind
of specialized attention. Obviously this NBA player did. Like at
your office and things like that, I'm sure you you
see a lot of muscle pulls, a lot of muscle tears.
What's the difference between like a strained cap and a
(10:05):
torn muscle, say like a torn hamstring.
Speaker 5 (10:08):
The the anatomy is important to try and understand. So a
muscle group has that the muscle fibers that plug into
a tendon, and the tenon plugs into the bone. So
that's the simplistic approach to an injury. When you injure
like a hamstring, and you guys have seen it, I
would assume that every listener, just a case.
Speaker 1 (10:27):
Has had at the savanna bananas needed surgery.
Speaker 2 (10:31):
Yep, it's location.
Speaker 5 (10:33):
It's where it's it's where it's torn, if it's within.
Speaker 4 (10:37):
If it's with.
Speaker 5 (10:39):
That, well, if it's within the muscle, and this is
why quote unquote hammies, dog and athlete, they never really
go away. So if it's within the muscle, it doesn't
heal with normal tissue. Here's with with some scar tissue.
Scar tissue is not normal muscle tissue, and that tissue
has always at risk for a recurrent injury.
Speaker 2 (10:56):
Now fast forward.
Speaker 5 (10:57):
If it goes to where it plugs into the bone,
think of a safety belt or a rubber band to
stretch it out.
Speaker 2 (11:02):
You let go of one side and it pulls away.
Speaker 5 (11:04):
If it's pulled off of its insertion, that potentially opens
up a door to a surgical option which can essentially
plug it back into where it needs to go. In
an injury that's within that muscle tendon unit, that's a
grey zone because again that's a tough one to try
and treat. But for an athlete who has a soft
(11:25):
tissue injury not a full rupture, if you are given
the appropriate rehab and the right people who understand the
mechanism of injury and can rehab that that individual may
be able to return at an accelerated pace.
Speaker 4 (11:39):
Yeah, he hates that, I know, I just hate so
what I don't know. He looked really good last night.
He looked at that.
Speaker 3 (11:49):
And I was just thinking, like, okay, if you even
if you shoot that up, like it doesn't matter, Like
the pain is not gonna it's still gonna be inabilitating
if it's still affecting its cat right.
Speaker 5 (11:59):
So the another point to kind of focus on injection therapy.
There are different injections that we can consider.
Speaker 4 (12:07):
We like so old.
Speaker 3 (12:08):
School thinking that like a needle is going into skin
with cortisone is that like back in our day, and
we don't even do that stuff anymore.
Speaker 4 (12:15):
No, we do that.
Speaker 5 (12:15):
Stuff it's a tool in a toolbox and chosen appropriately
for the right reason. It can be not just therapeutic
minimize the pain, but can help.
Speaker 2 (12:26):
Tissues heal a little bit quicker the issue.
Speaker 5 (12:29):
And we all know this courtisoon's not good for you
over time, it's not healthy for tissue. So our mindset
has shifted a little bit in terms of what's an
appropriate setting. Me personally, I do not inject an athlete
to get them back on the field. If I'm going
to do an injection is to allow that muscle tendon
unit to rehab. They're not playing until they're able to
(12:50):
pass our sports specific tests.
Speaker 1 (12:52):
Okay, thirty years ago though you would have.
Speaker 4 (12:56):
To him.
Speaker 1 (12:56):
So it was my non throwing arm and I had
a partially torn labor and it's like a long needle
to get into the joint. He's got to get in there,
and you're now going through the range of motion to figure.
Speaker 4 (13:08):
Is that it?
Speaker 2 (13:09):
Yeah, that's it?
Speaker 1 (13:09):
And then they stick you what Yeah, sure, so lovely
and Osley is like the greatest thing ever when it
when they finally get it in there.
Speaker 2 (13:17):
How long did it last?
Speaker 4 (13:19):
A couple of weeks, A.
Speaker 1 (13:19):
Couple I had unch of them yeah, I shouldn't have.
That's why I never did at my throwing Showdren. But
I had to. I had to to get back out there,
and usually they wanted you to wait forty eight hours.
I went out there that night because you know your
team needs you.
Speaker 5 (13:34):
Well, it's not that it's old school, but I would
say that we've gotten a little bit smarter over time, right.
I come from a three generations of physicians. My dad
was an ortho, my grandfather was a general practitioner. So
I've heard it over sixty seventy years of practice, what's
appropriate to do for.
Speaker 2 (13:53):
The right reasons.
Speaker 5 (13:54):
And yes, back in the day, quote unquote, there were
decisions that were made right in order to return to play.
Speaker 4 (14:02):
Man. That's why I love you, because you've seen a
big game a sports sixties. What were they doing back then?
Speaker 1 (14:09):
I mean, like like Tommy John Frank Job and all
of his guys they started that in the mid seventies.
I mean, what were they doing, Like I know, Jim
Palmer got hurt before that and he wasn't good for
a year, but then he came back, you know, I mean,
what were they doing Like fifties sixties when a guy
blew out his knet like Gail.
Speaker 2 (14:30):
Sayers l Sayers super.
Speaker 4 (14:32):
Yeah.
Speaker 5 (14:33):
They were making good decisions absolutely, That's why they were
good at what they did.
Speaker 2 (14:39):
But the technology was not there.
Speaker 5 (14:41):
So back fifty years ago, sixty years ago, we didn't
have the current technology that we have now. And the
point is diagnosing an injury has become very specific.
Speaker 2 (14:53):
These days were snipers.
Speaker 5 (14:54):
It's not a shotgun approach, and that decision going into
it with open eyes, understand what the injury is fifty
years ago versus current. We're being thoughtful number one. Number two,
we're looking at those results fifty years later. So what
are those individuals who were treated fifty years ago with
a cortisone injection, how's their knee now? Well, it's pretty
(15:15):
obvious there are a lot of individuals who are limping
because of degenerative arthritis, and we have to look backwards
to say, did we do the right thing with that
given the time set that they were in. Those decisions
were made for their health, not necessarily to get them
back on the field. Now we're going to kick that
around a little bit, but I'll always fall back and
(15:38):
decision was done for the right reason.
Speaker 3 (15:40):
Doctor Wasskowitz Orthopedic Associates of Hartford. I also love your
insight here at the Travelis Championship because you do get
to go into these.
Speaker 4 (15:47):
PGA trainer trailers.
Speaker 3 (15:49):
We did see Scotti Scheffler walk out of one on Wednesday.
It look like he was feeling great and he's been
playing great. But take our listeners through that, like, what
do they do pre and do all of them post round?
Speaker 4 (16:02):
Show up to that traveler or that training trailer.
Speaker 5 (16:04):
Yeah, the trainers here on site are phenomenal and they care.
Let's let's just start with that foundation.
Speaker 4 (16:09):
They care and they're working for everybody. It's not like
a team every.
Speaker 2 (16:15):
Right, everybody that walks in the doors treated equally.
Speaker 5 (16:18):
I would say that the majority of the professional athletes
do come in and they do their warm up first.
The trailers open early and then closes late, so they
will come in and do a pre set workout, get
some treatment, some therapy by the trainers, and that can
include what we call modalities, whether it's ultrasound treatments or
(16:38):
massage treatments or dry needling, and they can get prepped
for that round. They go through their discipline, they play
their round, and then the majority of those individuals come
back to the trainers afterwards to have that post workout
workout to keep.
Speaker 2 (16:55):
Them at maintenance.
Speaker 5 (16:55):
Maintenance is the key with this because they're going to
carry that injury from tournaments to tournament.
Speaker 1 (17:00):
Robert, fascinating to have you on. You are the best
orthopedic associates of Harper. Doctor Robert Waskawizzi is one of
the best. Thank you so much for your time.
Speaker 2 (17:08):
Privileged to be with you guys again, Thank you
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