Episode Transcript
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Speaker 1 (00:00):
Is back on ESPN fifteen thirty Cincinnati Sports Station.
Speaker 2 (00:08):
Welcome back since he three to sixty. As we roll
along here in the third hour of the Thursday edition
of Cincy three sixty. Thanks to our friends at Penn Station,
thank you for listening. We get a chance each and
every week to talk to our guy from Novacare in
the University of Cincinnati, Bob Manjeen as it relates to injuries,
and we unfortunately have another injury to talk about as
(00:32):
it relates to the Cincinnati Reds, and that centers around
Hunter Green. Before we get to that, Bob, how are
you doing?
Speaker 1 (00:36):
Is the question, Tony. It's a great day here on campus.
You know, we're training our teams and getting ready for
the fall season, and you know, trying to keep our
kids from getting hurt. You know, we're trying to establish
a good summer routine.
Speaker 2 (00:52):
The injury bug is continued to haunt the Cincinnati Reds
this year. We talked a couple of weeks ago when
we talked with the groin strain in the right leg,
which was his push off leg. We talked about, you know,
the implications of that and what that can lead to,
and he missed a couple starts. But for the most part,
(01:14):
I think if you're looking at a health standpoint, he
got back as quick as you could hope that he did.
He made a couple starts and then unfortunately had to
leave the game earlier this week because he reinjured that
right groin, and this time Terry Francona actually talked about
a back injury that was flaring up as well. So
(01:36):
let's start with the groin. Let's start with the possibility
of re injury. When we talk about a groin, how
much does that normally happen and is that usually associated
with just not letting it heal fully?
Speaker 1 (01:49):
You know, it's really hard to say, Tony, unless you
have the MR and you actually see the level of
a demon within the injured muscle, whether it be growing hamstring,
quad or whatever. The big thing is to make sure
that it only gets back to the point where they
can comfortably perform their activity. And obviously he was or
(02:11):
you know, their sports medicine staff wouldn't.
Speaker 3 (02:14):
Allow him to come back, you know.
Speaker 1 (02:16):
And then it's a fine line how much do you train,
how much do you exercise, how much do.
Speaker 3 (02:21):
You throw.
Speaker 1 (02:23):
Without uh, maybe causing reaggravation it's a guessing game. You know.
It's like right now, I'm sitting here with Emily Johnson,
our women's soccer trainer, and a couple of her kids,
and Emily is all about trying to prevent other injuries.
So you know, you will definitely see if I heard
(02:43):
a left growing or a right growing. Now, that causes
some imbalance. So we work a tremendous amount of balance
with our kids in trying to make sure that we're
balanced strength, but also that they can function on one
leg because you absolutely will aggravate the what we call
the contraladal side or the opposite side, and you see
(03:06):
it all the time, especially in women's soccer. Just like baseball.
You know, if you injure that right knee, all of
a sudden, I start worrying about the left hip. If
you injure your left hip, I start worrying about your
right back. Because you can compensate when you're playing, and
it doesn't matter what sport, you know, and again in baseball,
when you're a pitcher and you've got that land mechanic
(03:29):
and if the push leg is hurt, you're going to
compensate at the time of impact load and potentially you know,
irritate your low back, usually on the other side. So
that's why we spend so much time working in single
leg positions and we do it with balance and in
today's world. And you've been in the trading room and
(03:50):
actually you were around. You were part of the original
study when we used to do the dinavision at camp. Well,
that's kind of evolved into actual pods and you you know,
we use a company.
Speaker 3 (04:01):
Called Blaze Pods.
Speaker 1 (04:02):
They're all over the internet and we have different printing
routines to get the kids to where their vision and
balance are intuned. And our goal is to try to
reduce that risk, you know, just like you know, maybe
what happened with Hunter.
Speaker 3 (04:17):
I don't know, it's just a guess.
Speaker 1 (04:19):
But make sure that there's balance there so when he
does land or when he does give into his his
takeoff position, that he won't excessively compensate on the other side.
We do not want our girls, especially in soccer, to
compensate to the other side because that increases a risk.
If you look at some of the data out of
(04:40):
Cincinnati Children's Hospital on high school kids, especially if you
injure your you tear your right acl you have an
increased risk within the first two years to injure the
other acl and the whole reason is they're not back
to balance. That's where you have to get into a
clinic with a pet or an athletic trainer who understands
(05:05):
compensation and balance so that they don't try to compensate
too far over to the other side, increasing the risk
on that side.
Speaker 2 (05:15):
That's obviously, I think where the the concern for Hunter
Green goes. Terry Francona said after the game that his
lower back is starting to bother him. So trying to
figure out if that's related. How how much do athletes
do this? And obviously it's not the athlete wanting to
do so, but you put so much time into rehab
for that specific injury that maybe it does weaken some
(05:37):
of those other parts of the body. So how worrisome
does it become if you see or if you read
Bob a a groin strain that all of a sudden
is causing lower back pain. How worrisome does that become
for an athlete?
Speaker 1 (05:51):
If it's me, I'm really kind of concerned because you know,
again potentially there is I want to look at the mechanics,
so you know right now in the training room, I'm
looking at three four different girls. I'm looking at their mechanics.
I'm looking at one of my basketball players who you know,
got hurt last year. I'm looking at his mechanics and
making sure that he's got that foot position correct, the
(06:14):
low back is in the right position, because if you
have some torque in the low back because you're compensating
on the right growing or the left growing, and you're
compensating that back, then the back eventually is going to
have issues. But let me say one other thing. When
you train an injury, you do not brain an injury.
(06:34):
You're training the whole body because the body has to
return to play, not just the right growing, not just
the left knee, not just the left shoulder or the
right shoulder, the whole body. And too many times young
kids when they get hurt, they look at just the injury.
So right now on our girls, who all have injuries,
(06:56):
we're working probably harder.
Speaker 3 (06:58):
On the other side.
Speaker 1 (07:00):
The other side does not become injured because there's that
increase risk. So that's again it goes back to where
you're going your reheab and is a person you're rehabing
with fully understand your sport. There's the person you're rehabbing
with fully understand. They've got to train from head to toe.
You have to train rotation, you have to train planes,
(07:22):
and you can't just say, you know, I'm going to
train the right knee or the right going or the
right shoulder. You're training the whole thing, and you've got to,
you know, you've got to really emphasize the athlete getting
back to controlling the whole body.
Speaker 2 (07:39):
When you look at lower back type of injuries, I
know we've talked about these before, but how much can
they really debilitate an athlete. Devin Lux was having a
really good season for the Reds and still is having
a good season, but there's even been comments made about
it looks like he's dealt with back spasms and it
looks like his swing has changed, looks like he's changing
(08:01):
things up where he can feel. How much does the
lower back or the back in general just kind of
dictate what these athletes were able to do, and it
feels like that becomes one of the harder areas to
manage and stop getting those flare ups when it does
get into the back.
Speaker 3 (08:18):
I hate back, Tony.
Speaker 1 (08:19):
There's so many different pieces to the puzzle to.
Speaker 3 (08:22):
The back that you really have to hone in.
Speaker 1 (08:25):
On, first of all, finding that exactly is it discogenic,
Is it just joint in the little facets, Is it
more of a muscle strain, is it more of a tear.
There's so many different pieces to the back that it's
not you know, it's not all that simple. And then
number two is it's really easy for a back issue
(08:45):
to become chronic. So good stories About five years ago,
player major League baseball player came down to me from
Chicago had had pained the towards the whole second half
of the season. They did a bunch of stuff to
get to try to get him back, and he continued
to play through it. And at the end of the day,
(09:07):
you know, when I was talking to the training room, like, hey,
do you mind if I shut him down for like
four or five six weeks and just focus on trying
to correct all his mechanics and get everything calm down.
Speaker 3 (09:18):
And we shut him down.
Speaker 1 (09:19):
And then slowly brought him back up, and you know,
he still plays today, you know, without any real discomfort.
Speaker 3 (09:29):
But he had a lot of in young kids.
Speaker 1 (09:32):
Today, young kids have tight hamstrings, They sit too much,
they have tight hip flexures. They sit too much, they
have weak lower abdominals. They don't push abdominals enough. Ding
squatts does not get your abdominals started up. You have
to focus on your core, your abdominals, your hip, avy ductors,
(09:53):
the outside of the hip. People today, it's terrible, just terrible.
I saw a kid over over the Winner who pitched
for a team down south in the MLB, and the
hips were given him in trouble and it led to
some shoulder problems. So we work and again it goes
back to we didn't just work as shoulder issue. We
(10:15):
worked as hips. We worked as core, We worked as legs.
Because you can't focus on one part. Everything is connected
and everything has to be trained.
Speaker 2 (10:27):
Bob, you're the best. That is Bob Manjean from the
University of Cincinnati from Novacare. Bob, get back to whatever
it is that you were doing, making sure these athletes
are playing at their peak abilities, and we appreciate your time.
We'll do it again next week.
Speaker 1 (10:41):
You got it, Tony, anytime, and make sure can you
get on next a little more case? You know. All
I hear is Austin and Austin about the Reds and
Austin about the Reds and Austin. But I only sent
that Will Howard thing just to lighten it up a
little bit, because you to a just two laser focused
on the Reds. Can we talk about the Bengals a
little bit or maybe the NBA a little bit, you
(11:02):
know what I mean?
Speaker 2 (11:02):
We might get a little bit of that. But you know,
if you were wondering, Will Howard had a great series
of OTA so uh, thirty one thirty eight, eighty one
percent completion rate, eleven touchdowns to zero interception. Feels like
the Pittsburgh Steelers found their quarterback, Bob.
Speaker 1 (11:19):
Yeah, I hope, because I don't want to waste the
money on an old guy.
Speaker 2 (11:22):
Yeah, zero adahasca or whatever it is that that Will
Howard takes.
Speaker 3 (11:26):
Bob, if you want to talk a little NBA who
you got tonight? Final start tonight, I don't know.
Speaker 1 (11:33):
I just uh, I like both teams, so we'll see
what happens. You know, I've got I've got a lot
of friends in the NBA, and you know, I when
when we get into it with the kids about the NBA,
I don't you know, I got to be careful. I
don't want the guys from the Mavericks of the guys
from the thunder and to know or the nuts or
anybody that I'm talking bad about their teams.
Speaker 2 (11:54):
Well, that's why often Bob's gonna eventually run for a
political spot because remain political. He won't think of that, Jean, Yep,
sitting on the fence on a Thursday.
Speaker 3 (12:07):
I can't bet on the NBA guys.
Speaker 1 (12:09):
I gotta be careful.
Speaker 3 (12:12):
Yeah, you can bet on the horses though.
Speaker 2 (12:13):
Okay, Yeah, I know that. Bob. You're the best man.
Speaker 1 (12:17):
Thank you, you're watching, telling you and have a good week.
Speaker 2 (12:20):
That is okay, Bob man Jean. Whether you're dealing with
injury or just making your health a priority, Novacare Rehabilitation
is here for you. There is no better time to
make Novacare's movement experts part of your healthcare team than now.
Starting care is easy and for some may not even
require a prescription for physical therapy from your doctor. To
learn more, go to novacare dot com today. Our three
continues next thanks to Penn Station at since he three
(12:41):
sixty on ESPN fifteen thirty.
Speaker 1 (12:44):
Are you