July 10, 2025 • 13 mins
Tony talks foot injuries with Bob Mangine from UC and NovaCare on ESPN 1530!
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
He is back on ESPN fifteen thirty Cincinnati Sports Station.
Speaker 2 (00:09):
Welcome back, I remember over along here sincey three sixty
on ESPN fifteen thirty Cincinnati Sports Station. Thanks to our
friends at Penn Station. You know who he is. He's
our resident Novacare and UC basketball athletic trainer expert. Bob
man Jean is joining us right now. Bob, how are you, Tony.
It's a great day.
Speaker 1 (00:29):
I'm in sunny Nashville and you know, in a big
sports menace meeting, learning all about some new innovative techniques
that's coming our way, hopefully shortly, to make athletes lives
a little bit better.
Speaker 2 (00:42):
You are well traveled as of late. We didn't get
to talk to you last week. I tried to get
in touch with you and you text me back, quote, Tony,
I'm on a mountain in Kentucky. I'm sorry, dude. I
have to ask, did you actually hike up a mountain
or did you drive up the mountain and wade down
on your lovely wife and meet her when she hiked
to the top.
Speaker 1 (01:04):
No, I actually hiked to the top. And you know,
we've always talked about going the natural bridge down there
in you know, eastern Kentucky and it was a one
mile hike that they failed to tell me was completely
uphill by the time I reached the top. By the
time I reached the top, needless to say, I was
(01:27):
not in any condition to have a conversation. What are
my age? You're just happen to make it.
Speaker 2 (01:31):
What type of shoes are you using when you hike
easy striders? You stopping them up?
Speaker 1 (01:38):
I'm wearing good quality hiking shoes or good support so
when I slip on the rocks in the sand, I
don't lose too much balance. You know, you see me
on the sideline where I lose my balance every now
and then.
Speaker 2 (01:53):
I want to take a few minutes to day to
discuss foot injuries because it feels like that's the one injury,
whether it's the ankle or part of the foot, that
can just be that nagging injury that continues to give
people fits. We see it in basketball the time, where
it feels like if someone has one or two ankle
injuries that rolls over into even more is let's just
(02:14):
start from an annoyance level with an athletic trainer. Is
that one of the more common things you're dealing with
is people with different foot injuries.
Speaker 1 (02:23):
Well, when you look at at the let's call it
the ankle foot complex, the number one injury that you
see in sports is usually the ankle itself, and those
are pretty common. I mean, if you look at basketball,
for example, it accounts for the number one injured body part.
And again, ankles are pretty you know, they're pretty common,
(02:45):
so you know, they follow a pretty common rehab routine
unless they're like a high ankle spring. The ones that
are more severe, the ones that go out in front
of the ankle or what we call foot injuries, especially
mid foot fifth minute carsal areas. So you have like
a fancy name for a midfoot sprain is called los
(03:06):
spraying spray, and it's a really odd combination. You don't
see it very often fortunately, but you know you'll see
it in football when a kid lands with his toes
down and somebody comes on the back of his foot
when they land. You'll see an in basket and actually
we had one in basketball in the last year to
(03:27):
where one of our big guys came down wrong and
landing on somebody else's foot. And midfoot sprains need to
be taken care of. They're not anything to mess with.
So if if you're playing tennis or whatever, or pickle
ball and you really get that foot caught and you
start getting pain in front of the ankle, right in there,
(03:50):
literally the mid section of foot, you have to have
that look that closely because if you've had a what
we call a sprain fracture of the foot, that is
really complicated and you know, in football, for example, liszt
Frank's brain for a shield player, a wide receiver, defensive back,
and oftentimes mean the end of their career. More commonly,
(04:14):
what you see are people who have pain on the
outside of the foot, and these are usually from a jump,
somebody that's not used to doing plometrics, or somebody who
gets caught playing basketball in the air and they come
down wrong in their foot and all of a sudden
they have pain immediately on the outside border of the foot,
(04:34):
right over the bone. And those fractures we call Jones fractures.
Let me meet a couple of players in the last
four years who have had Jones fractures, and they're pretty
easy to manage with. You know, most of the time
we will go right in. Because of the level of
athletics that my kids are playing at we're going to
put a screw in that bone pretty quickly. If you're
(04:57):
not playing at the Division one level or a high
level one high school, they're probably going to put you
in a boot for about six seven weeks and see
if it heals on its own. But if it doesn't,
they always can put a screw in it and stabilize it.
The big problem becomes two things. One is the post
injury management has to be by aficial therapist who has
(05:18):
a good good understanding of foot mechanics and make sure
that you restore normal joint mechanics or joint walking forces
and running forces. So you really need to have somebody
familiar with foot injuries. And the other thing is that
a small change in the foot causes problems up the line.
(05:40):
Meaning if I've got a right foot problem and I
changed my mechanics a lot of times, that can mean
that I start having a left hip problem. So you
have to have somebody who has that understanding of the
normal mechanics so that you know you don't compensate.
Speaker 2 (05:56):
How how difficult does it become? You know, I think
what I went through, I had upper body injuries, and
while you're reh having an upper body injury. I could
still walk, I could jog, I could do cardio. I
feel like one of the issues when you start talking
about a foot injury is you lose that ability at
points because you do have to rest, you do have
to recover. In doing so, you could lose some of
(06:17):
your conditioning. How difficult does it become when you're not
able to keep that conditioning up due to a foot
injury as opposed to maybe an upper body injury where
you can still keep that aspect going.
Speaker 1 (06:29):
Well, you look at the literature on that. Let's say
I have a FI really one of our finally tuned athletes,
and you're in great shape. We're in the middle of
the season, and all of a sudden they have a
foot injury or an ankle injury, and if I shut
them down too long, then they automatically start losing what
we call their cardiovass or output, and they're a billion
to have an aerobic capacity. So we get them in
(06:52):
the pool right away, or we get them on one
of the unloaded trendmills right away, so that we try
to continue that and maintain that cardiovass to the capability. Unfortunately,
a lot of people don't have access to a lot
of that type of equipment. And if you took somebody
and took them out of their sport for about three
(07:12):
weeks where they couldn't cardiovaster trade, they lose close to
thirty thirty five percent of their cardiovaster or capability. That
means I need six weeks to regain that. So as
soon as you can, you want to get get it moving.
You want to get going with some sort of using
your arms for cardiovaster the capability so that you keep
(07:34):
your heart rate up and you keep in shape. That
still doesn't mimic these shape you need to be in
to run or the ability to play sports, So you
still have to have that progression back. But we've become
far more aggressive in our management of ankle and foot
injuries to where we at the college level professional level,
(07:58):
you're shifting war to a surgical intervention to make sure
that we correct it right away and then get them
right back into activity as soon as their body lets
us do that.
Speaker 2 (08:12):
The foot, I feel like we always talk about the
risk of a re injured part of it is is
the foot one of the higher risk areas When you
start talking about dealing with the same thing I always
quite as I mentioned earlier to ankle injuries, but our
foot injuries do they raise that likelihood that you're gonna
gonna deal with something where you can reinjurre it along
the way or is once you're healed, you're you're moving
(08:34):
on from it.
Speaker 1 (08:36):
Oh? Absolutely In p case when you're playing sports, the
first thing that hits the ground is your foot, and
then your your loan management of how much you know
how much load you're putting on it, by how long
am I practicing? By you know how much I weigh,
by what sport am I play? All that low transitions
into the foot. So can you have a high risk
(08:58):
of re injury? Absolutely? Okay. And two is that it's
not just to reinjury, but the change in your mechanics
to where you get a problem somewhere else because you
compensate over So we really like you see these people
that walk around on scooters all the time, or they
instead of using crutches, they push themselves around on a scooter,
(09:23):
And in my athletes, I won't let them use a
stooter because it's it's not putting weight through the foot,
it's not I'd rather have them on crutches. With minimal
weight bearing, but with a normal gate pattern, so they
never develop a brain link to the leg with an
abnormal gate pattern. So I tend to make my kids
(09:47):
use crutches, and I tend to let them put weight
on it right away. Not all the weight obviously, but
enough way where they can mimic a normal gate pattern
and just unload it to the point where they're comfortable.
Speaker 2 (10:00):
I feel like so much as with injuries, can be
cut in dry regardless of when the injury happens. This
is what it looks like with foot injuries. Are you
tending to be a little bit more aggressive or maybe
push it a little bit more if you're in season
as opposed to being out of season and having more
time to rest and recover.
Speaker 1 (10:17):
Yeah, we had I mean, you really give it a shot.
You know. We had a kid one of our players
got hurt last year. We tried to treat it conservatively
at first and see if we can get him through
the season, and unfortunately we weren't able to do that
and he ended up having to have the surgery. But again,
(10:38):
we gave it a shot. He wanted because it was
his last year playing. He wanted to see if he
can get through it, and again the kin did a
great job with it, but unfortunately we ended up having
to put a screw in it.
Speaker 2 (10:54):
Bob, you are You're the absolute best, even when you
do big time to go on a drive up a
mountain and then take a picture like you just hiped.
Always always, Yeah, I believe you hike from your car
to the bridge, That's what I believe. Okay, you're the best, Bob.
Thank you so much. We'll talk soon.
Speaker 1 (11:14):
Have a good week, guys, have a good weekend.
Speaker 2 (11:17):
That is a Bob Manjean from the University of Cincinnati
and Novacare. Look, whether you're dealing with an injury or
just making your health a priority, Novacare's rehabilitation is here
for you. There's no better time than now to make
Novacares movement experts part of your healthcare team. 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 we'll roll along hour
number three next thanks to Pennstation on ESPN fifteen thirty
(11:39):
Cincinnati Sports Station.
Speaker 3 (11:40):
I'm doctor Damon Tanton for Vyome. Vyome's Full Body Intelligence
Test is the new science in anti aging in life
extending insights. Vyome analyzes your biological age to see if
your body is aging too rapidly. You'll learn how making simple,
precise changes in certain foods and supplements can get this
slow your aging, keep you looking young, and help prevent
(12:01):
future health issues. Next, Voome doctors design supplements specifically to
your body's needs. Their job is to slow down and
help reverse how fast your body is aging. And your
Viome microbiome test reveals why you have stomach issues, don't
sleep well, have low energy, even why you can't lose weight,
and more. Voome reboots your body to live longer, live healthier,
(12:22):
and look younger.
Speaker 4 (12:23):
Vyome is changing lives. Order your full Body Intelligence test
online and save fifty dollars. Vyome guarantees rapid remarkable health improvement.
Short doctor will notice. Visit voome dot com promo code thrive.
That's viome dot com promo code Thrive.
Speaker 5 (12:41):
I'm Shanola Hampton. Every day, millions of people face hunger. Today,
I will share with you some of their experiences. I'm
stuck between paying for medications or paying for food. John
for Maine. After paying my bill so I can buy groceries.
It's sad to say food comes last. Alice from Oregon.
(13:07):
I thought pantries were for less fortunate people, but anybody
could be less fortunate in a day, or even a second.
Claire from Virginia. The Feeding America network of food banks
helps provide over six billion meals to people in need
each year. No one should have to worry where their
next meal will come from. Together, we can end hunger.
(13:32):
Learn more at Feeding America dot org.
Speaker 2 (13:40):
Hey, you run a small
He is back on ESPN fifteen thirty Cincinnati Sports Station.
Speaker 2 (00:09):
Welcome back, I remember over along here sincey three sixty
on ESPN fifteen thirty Cincinnati Sports Station. Thanks to our
friends at Penn Station. You know who he is. He's
our resident Novacare and UC basketball athletic trainer expert. Bob
man Jean is joining us right now. Bob, how are you, Tony.
It's a great day.
Speaker 1 (00:29):
I'm in sunny Nashville and you know, in a big
sports menace meeting, learning all about some new innovative techniques
that's coming our way, hopefully shortly, to make athletes lives
a little bit better.
Speaker 2 (00:42):
You are well traveled as of late. We didn't get
to talk to you last week. I tried to get
in touch with you and you text me back, quote, Tony,
I'm on a mountain in Kentucky. I'm sorry, dude. I
have to ask, did you actually hike up a mountain
or did you drive up the mountain and wade down
on your lovely wife and meet her when she hiked
to the top.
Speaker 1 (01:04):
No, I actually hiked to the top. And you know,
we've always talked about going the natural bridge down there
in you know, eastern Kentucky and it was a one
mile hike that they failed to tell me was completely
uphill by the time I reached the top. By the
time I reached the top, needless to say, I was
(01:27):
not in any condition to have a conversation. What are
my age? You're just happen to make it.
Speaker 2 (01:31):
What type of shoes are you using when you hike
easy striders? You stopping them up?
Speaker 1 (01:38):
I'm wearing good quality hiking shoes or good support so
when I slip on the rocks in the sand, I
don't lose too much balance. You know, you see me
on the sideline where I lose my balance every now
and then.
Speaker 2 (01:53):
I want to take a few minutes to day to
discuss foot injuries because it feels like that's the one injury,
whether it's the ankle or part of the foot, that
can just be that nagging injury that continues to give
people fits. We see it in basketball the time, where
it feels like if someone has one or two ankle
injuries that rolls over into even more is let's just
(02:14):
start from an annoyance level with an athletic trainer. Is
that one of the more common things you're dealing with
is people with different foot injuries.
Speaker 1 (02:23):
Well, when you look at at the let's call it
the ankle foot complex, the number one injury that you
see in sports is usually the ankle itself, and those
are pretty common. I mean, if you look at basketball,
for example, it accounts for the number one injured body part.
And again, ankles are pretty you know, they're pretty common,
(02:45):
so you know, they follow a pretty common rehab routine
unless they're like a high ankle spring. The ones that
are more severe, the ones that go out in front
of the ankle or what we call foot injuries, especially
mid foot fifth minute carsal areas. So you have like
a fancy name for a midfoot sprain is called los
(03:06):
spraying spray, and it's a really odd combination. You don't
see it very often fortunately, but you know you'll see
it in football when a kid lands with his toes
down and somebody comes on the back of his foot
when they land. You'll see an in basket and actually
we had one in basketball in the last year to
(03:27):
where one of our big guys came down wrong and
landing on somebody else's foot. And midfoot sprains need to
be taken care of. They're not anything to mess with.
So if if you're playing tennis or whatever, or pickle
ball and you really get that foot caught and you
start getting pain in front of the ankle, right in there,
(03:50):
literally the mid section of foot, you have to have
that look that closely because if you've had a what
we call a sprain fracture of the foot, that is
really complicated and you know, in football, for example, liszt
Frank's brain for a shield player, a wide receiver, defensive back,
and oftentimes mean the end of their career. More commonly,
(04:14):
what you see are people who have pain on the
outside of the foot, and these are usually from a jump,
somebody that's not used to doing plometrics, or somebody who
gets caught playing basketball in the air and they come
down wrong in their foot and all of a sudden
they have pain immediately on the outside border of the foot,
(04:34):
right over the bone. And those fractures we call Jones fractures.
Let me meet a couple of players in the last
four years who have had Jones fractures, and they're pretty
easy to manage with. You know, most of the time
we will go right in. Because of the level of
athletics that my kids are playing at we're going to
put a screw in that bone pretty quickly. If you're
(04:57):
not playing at the Division one level or a high
level one high school, they're probably going to put you
in a boot for about six seven weeks and see
if it heals on its own. But if it doesn't,
they always can put a screw in it and stabilize it.
The big problem becomes two things. One is the post
injury management has to be by aficial therapist who has
(05:18):
a good good understanding of foot mechanics and make sure
that you restore normal joint mechanics or joint walking forces
and running forces. So you really need to have somebody
familiar with foot injuries. And the other thing is that
a small change in the foot causes problems up the line.
(05:40):
Meaning if I've got a right foot problem and I
changed my mechanics a lot of times, that can mean
that I start having a left hip problem. So you
have to have somebody who has that understanding of the
normal mechanics so that you know you don't compensate.
Speaker 2 (05:56):
How how difficult does it become? You know, I think
what I went through, I had upper body injuries, and
while you're reh having an upper body injury. I could
still walk, I could jog, I could do cardio. I
feel like one of the issues when you start talking
about a foot injury is you lose that ability at
points because you do have to rest, you do have
to recover. In doing so, you could lose some of
(06:17):
your conditioning. How difficult does it become when you're not
able to keep that conditioning up due to a foot
injury as opposed to maybe an upper body injury where
you can still keep that aspect going.
Speaker 1 (06:29):
Well, you look at the literature on that. Let's say
I have a FI really one of our finally tuned athletes,
and you're in great shape. We're in the middle of
the season, and all of a sudden they have a
foot injury or an ankle injury, and if I shut
them down too long, then they automatically start losing what
we call their cardiovass or output, and they're a billion
to have an aerobic capacity. So we get them in
(06:52):
the pool right away, or we get them on one
of the unloaded trendmills right away, so that we try
to continue that and maintain that cardiovass to the capability. Unfortunately,
a lot of people don't have access to a lot
of that type of equipment. And if you took somebody
and took them out of their sport for about three
(07:12):
weeks where they couldn't cardiovaster trade, they lose close to
thirty thirty five percent of their cardiovaster or capability. That
means I need six weeks to regain that. So as
soon as you can, you want to get get it moving.
You want to get going with some sort of using
your arms for cardiovaster the capability so that you keep
(07:34):
your heart rate up and you keep in shape. That
still doesn't mimic these shape you need to be in
to run or the ability to play sports, So you
still have to have that progression back. But we've become
far more aggressive in our management of ankle and foot
injuries to where we at the college level professional level,
(07:58):
you're shifting war to a surgical intervention to make sure
that we correct it right away and then get them
right back into activity as soon as their body lets
us do that.
Speaker 2 (08:12):
The foot, I feel like we always talk about the
risk of a re injured part of it is is
the foot one of the higher risk areas When you
start talking about dealing with the same thing I always
quite as I mentioned earlier to ankle injuries, but our
foot injuries do they raise that likelihood that you're gonna
gonna deal with something where you can reinjurre it along
the way or is once you're healed, you're you're moving
(08:34):
on from it.
Speaker 1 (08:36):
Oh? Absolutely In p case when you're playing sports, the
first thing that hits the ground is your foot, and
then your your loan management of how much you know
how much load you're putting on it, by how long
am I practicing? By you know how much I weigh,
by what sport am I play? All that low transitions
into the foot. So can you have a high risk
(08:58):
of re injury? Absolutely? Okay. And two is that it's
not just to reinjury, but the change in your mechanics
to where you get a problem somewhere else because you
compensate over So we really like you see these people
that walk around on scooters all the time, or they
instead of using crutches, they push themselves around on a scooter,
(09:23):
And in my athletes, I won't let them use a
stooter because it's it's not putting weight through the foot,
it's not I'd rather have them on crutches. With minimal
weight bearing, but with a normal gate pattern, so they
never develop a brain link to the leg with an
abnormal gate pattern. So I tend to make my kids
(09:47):
use crutches, and I tend to let them put weight
on it right away. Not all the weight obviously, but
enough way where they can mimic a normal gate pattern
and just unload it to the point where they're comfortable.
Speaker 2 (10:00):
I feel like so much as with injuries, can be
cut in dry regardless of when the injury happens. This
is what it looks like with foot injuries. Are you
tending to be a little bit more aggressive or maybe
push it a little bit more if you're in season
as opposed to being out of season and having more
time to rest and recover.
Speaker 1 (10:17):
Yeah, we had I mean, you really give it a shot.
You know. We had a kid one of our players
got hurt last year. We tried to treat it conservatively
at first and see if we can get him through
the season, and unfortunately we weren't able to do that
and he ended up having to have the surgery. But again,
(10:38):
we gave it a shot. He wanted because it was
his last year playing. He wanted to see if he
can get through it, and again the kin did a
great job with it, but unfortunately we ended up having
to put a screw in it.
Speaker 2 (10:54):
Bob, you are You're the absolute best, even when you
do big time to go on a drive up a
mountain and then take a picture like you just hiped.
Always always, Yeah, I believe you hike from your car
to the bridge, That's what I believe. Okay, you're the best, Bob.
Thank you so much. We'll talk soon.
Speaker 1 (11:14):
Have a good week, guys, have a good weekend.
Speaker 2 (11:17):
That is a Bob Manjean from the University of Cincinnati
and Novacare. Look, whether you're dealing with an injury or
just making your health a priority, Novacare's rehabilitation is here
for you. There's no better time than now to make
Novacares movement experts part of your healthcare team. 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 we'll roll along hour
number three next thanks to Pennstation on ESPN fifteen thirty
(11:39):
Cincinnati Sports Station.
Speaker 3 (11:40):
I'm doctor Damon Tanton for Vyome. Vyome's Full Body Intelligence
Test is the new science in anti aging in life
extending insights. Vyome analyzes your biological age to see if
your body is aging too rapidly. You'll learn how making simple,
precise changes in certain foods and supplements can get this
slow your aging, keep you looking young, and help prevent
(12:01):
future health issues. Next, Voome doctors design supplements specifically to
your body's needs. Their job is to slow down and
help reverse how fast your body is aging. And your
Viome microbiome test reveals why you have stomach issues, don't
sleep well, have low energy, even why you can't lose weight,
and more. Voome reboots your body to live longer, live healthier,
(12:22):
and look younger.
Speaker 4 (12:23):
Vyome is changing lives. Order your full Body Intelligence test
online and save fifty dollars. Vyome guarantees rapid remarkable health improvement.
Short doctor will notice. Visit voome dot com promo code thrive.
That's viome dot com promo code Thrive.
Speaker 5 (12:41):
I'm Shanola Hampton. Every day, millions of people face hunger. Today,
I will share with you some of their experiences. I'm
stuck between paying for medications or paying for food. John
for Maine. After paying my bill so I can buy groceries.
It's sad to say food comes last. Alice from Oregon.
(13:07):
I thought pantries were for less fortunate people, but anybody
could be less fortunate in a day, or even a second.
Claire from Virginia. The Feeding America network of food banks
helps provide over six billion meals to people in need
each year. No one should have to worry where their
next meal will come from. Together, we can end hunger.
(13:32):
Learn more at Feeding America dot org.
Speaker 2 (13:40):
Hey, you run a small
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