October 31, 2024 • 8 mins
Dr. Nick Early from OrthoCincy joined us to discss the injuries that Orlando Brown and Tee Higgins are dealing with as well as how Shohei Ohtani managed to play through a should subluxation during the World Series.
Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
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Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Hey, we do this every Wednesday, except last week we
(00:02):
did it on Thursday, and the week before we did
it on Thursday. We talk injuries, mainly NFL injuries with
one of the experts from Orthos since Orthopedic Sports Medicine.
The great thing about Ortho Sincy is they've got specialists
on locations across the Tri State. They also offer walk
in orthopedic urgent care weekdays from nine am to nine
(00:22):
pm and on Saturdays nine am to one pm. You
never need an appointment. Learn more at orthossinc dot com.
That's Ortho ci Ncy dot com. Joining us this week
is doctor Nick Early. Let's talk about Orlando Brown. So
he suffers inn the injury in the second quarter against
the Browns, leaves the game, doesn't come back, starts the
(00:44):
game last week, leaves doesn't come back, didn't practice today.
Originally they thought it was something called tennis leg. That's
not the case. It's officially been diagnosed as a knee strain.
What things are we looking for when we make that diagnosis?
Speaker 2 (01:01):
Sure? So, yeah, First off, the most important thing is
that in a situation like this, structurally his knee is
in pretty good shape. There's certainly a lot of things
that can happen that can you know, cause an injury
to a knee that aren't going to be things that's
going to like make the knee unstable or in some
situation where it's not safe to play. But that said,
there can be situations where it can be pretty painful
(01:21):
or you just don't have the strength that you normally would.
The explosive just doesn't feel way it normally would, and
it sounds like, you know, when he came back in
he was playing, he just experienced, you know, from a
second injury, you know, increasing discomfort and just didn't really
feel like his knee was underneath him in the way
that it was. You know, he was really going to
be performed at his level where he's at. And oftentimes
(01:44):
it can be one of those things where it can
be like a day to day to a week the
week type of thing where you know, you can aggravate
it again and it kind of sets you back. It
can be a two steps forward, one step back process
sometimes with injuries like this.
Speaker 1 (01:56):
I guess my sort of overly simplistic way of looking
at this, Well, they have a game on Sunday, then
they have to turn around and play again on Thursday.
He has missed much of the last two weeks. Does
it make sense to just put him on the shelf,
hope he's hopeful, that he's more comfortable, and see if
he can go out there a week from tomorrow.
Speaker 2 (02:15):
I think that is certainly a consideration if, especially if
his performance is not going to be where it needs
to be. You know, if you're worried about, Okay, we
really want to have him for that Thursday game, and
you know he's not really one hundred percent, do we
really want to try to risk it. It really kind
of depends on, you know, how he's feeling, and it
can be something you have to make those decisions on
the fly.
Speaker 1 (02:36):
Let's talk about t Higgins, who obviously didn't play against Philadelphia,
and unfortunately that's becoming a recurring theme him missing time.
It's usually his hamstring. That's what kept him out of
action early this season. On Sunday, it was a quad
that caused him to not play. I think we have
folks who hear the word quad but don't necessarily know
what the quad is or what it does. Can you
(02:56):
explain sure?
Speaker 2 (02:58):
So there's kind of a couple of different things when
talking about hearing quad. It can mean different things. So
we say like quadriceps muscles. There's four different muscles in
your thigh that helps to extend your knee or straighten
out your knee. And there's the big muscles in the
front of your leg in that bi there and they
come down and form a tendon that then is kind
of attached to your kneecap. Okay, So you know, somebody
(03:21):
could have an injury where they actually injured their quadceps
tend in and tear that that's a terrible injury. We
see that with a few different players, you know, over
the last couple of years with the figh more often
where a quadrceps injury is actually a muscle injury. And
most of the time that's going to be like a
muscle strain or you know, kind of pulling a muscle
that happens all the time. There's varying degrees of that too.
(03:42):
It can be something like you even just get hit
and you have that petusion or that bruise neck that
quad you can kind of pull it and have a
strain injury where you know, you can have a fairly
sigific amount of pain. It could be pretty limiting if
you everything from frankly then tearing some of the muscle.
They're just kind of stretching it a little bit. So
there's a lot of variability there in terms of, you know,
what the injury could be. Once again, kind of when
(04:03):
we're finding out here, you know, it sounds like it's
probably more of like a strange who his you know,
his quadships muscle that's kind of just limiting him a
little bit. And it's you know, some of the questionable exactly
on terms of the timeline.
Speaker 1 (04:15):
So he's he's obviously got a pretty well documented history
of hamstring injuries. Is is there a chance that maybe
these two sort of things are related, You.
Speaker 2 (04:23):
No, not directly related in terms of like one has
directly led to the other. I will tell you that
in athletes who you know tend to be you know,
pretty like tight in terms of their muscles, oftentimes they'll
be more likely to have muscle strained types of injuries.
You know, there's some people that just have, especially those
fast twitch type of athletes that are just you know,
really you know, kind of tight in terms of their
(04:45):
muscled and so you know, it's one of the things
where they have to spend extra time stretching and recovering
and doing everything they can to kind of keep themselves
from having these types of injuries. So in that way,
I guess there's some relationship.
Speaker 1 (04:57):
Doctor Nick Curley from WORTHO. Since he is with us,
let's talk about show Heyo Tani. Game five of the
World Series is tonight. During game two, a guy who's
must watch TV as far as I'm concerned, he's trying
to steal second base and he suffers a shoulder injury.
He comes out of the game.
Speaker 2 (05:13):
Uh.
Speaker 1 (05:13):
They do testing and the manager of the team, Dave Roberts,
says that he is dealing with a subluxation.
Speaker 2 (05:20):
Uh.
Speaker 1 (05:21):
I don't know what that is. So let's start with that.
Is that is the same as a shoulder separation.
Speaker 2 (05:27):
So you know, there's different terminology we use. Most of
the time we're saying the word subluxation or we're saying
there is that the shoulder joint has kind of like
the ball part of the ball and socket has kind
of partially slid out of place or kind of slid
into a position where it's not supposed to be as
opposed to like a full dislocation where the like the
ball part of the ball and socket comes all the
(05:47):
way out of the socket and it's kind of, you know,
sitting down somewhere it's really not supposed to be. So
that's usually what the phrase is there a shorter separation.
Some people will use it to describe a sublexation, but
more often, well you will view that when we're talking
about the joint that's between your collar bone and your
shoulder blade called your ac joint, and that's another thing
(06:08):
that can frequently get injured. It's to kind of fall
on your shoulder, but it's actually a little bit different area.
So sometimes it's just a terminology thing. In his situation,
it seems like it was more of a shoulder subluxation
where he when he was sliding, you put that left
arm down on the ground and it kind of jammed
his shoulder and I think it kind of pushed his
shoulder partially, you know, out of place. And then you know,
(06:30):
it didn't sound like it came all the way out,
and just from looking, you know, I have to play itself.
I didn't looked like that occurred, but it was probably
more of that.
Speaker 1 (06:37):
So he still played. He came back and he played
in Game three, he played last night I was watching
the game and as he is running the bases, he
is holding his shoulder, so he is dealing with discomfort.
What are the determining factors when you decide whether or
not an athlete like this could play?
Speaker 2 (06:53):
So once again, you know, it kind of comes down to, Okay,
how much structural damage you know is there? And this situation,
I hope is you know none, They're not much, nothing
like too significant that's going to cause him to have
some you know, complete inability to perform. So think, okay,
it's safe. So then can the person perform range emotion well,
do they have good strengths? Can they you know, can
(07:13):
he swing? Can he can he do the things he
normally needs to do at you know, some level at
the tolerable amount of discomfort that's not going to actually
set him back, you know, if you do, you know,
put him through that because other considerations like, okay, do
you arrest him for a couple of games and then
you know, if you don't win, then you put him
back out there. And there's lots of different things you're
kind of making decisions based on that, but the biggest
thing is and from all reports, he's had good range
(07:35):
of motion, good strength. You know, his shoulder has been
pretty stable, and so it's really just gonna be a
matter of you know, comfort and obviously in the World
Series you're gonna do everything you can to have him
out there.
Speaker 1 (07:43):
Yeah, no question about that. Awesome insight man, Thanks so much.
Speaker 2 (07:47):
All right, thank you.
Speaker 1 (07:48):
There you go. There's our guy, doctor Nick Early from Orthos.
Since he I say this every single week because I
believe it. The great thing about the people at Orthos
since he is. They've got specialists on locations across the
Tri State, including walk in Orthopedic urgent care weekdays nine
am to nine pm and on Saturdays nine am to
one pm in Edgewood and Anderson. It's easier and cheaper
(08:10):
most definitely than going to an EER. Whenever you have
an urgent orthopedic injury, go to Orthosinc. Dot com. That's
Ortho c I n c Y dot com.
Hey, we do this every Wednesday, except last week we
(00:02):
did it on Thursday, and the week before we did
it on Thursday. We talk injuries, mainly NFL injuries with
one of the experts from Orthos since Orthopedic Sports Medicine.
The great thing about Ortho Sincy is they've got specialists
on locations across the Tri State. They also offer walk
in orthopedic urgent care weekdays from nine am to nine
(00:22):
pm and on Saturdays nine am to one pm. You
never need an appointment. Learn more at orthossinc dot com.
That's Ortho ci Ncy dot com. Joining us this week
is doctor Nick Early. Let's talk about Orlando Brown. So
he suffers inn the injury in the second quarter against
the Browns, leaves the game, doesn't come back, starts the
(00:44):
game last week, leaves doesn't come back, didn't practice today.
Originally they thought it was something called tennis leg. That's
not the case. It's officially been diagnosed as a knee strain.
What things are we looking for when we make that diagnosis?
Speaker 2 (01:01):
Sure? So, yeah, First off, the most important thing is
that in a situation like this, structurally his knee is
in pretty good shape. There's certainly a lot of things
that can happen that can you know, cause an injury
to a knee that aren't going to be things that's
going to like make the knee unstable or in some
situation where it's not safe to play. But that said,
there can be situations where it can be pretty painful
(01:21):
or you just don't have the strength that you normally would.
The explosive just doesn't feel way it normally would, and
it sounds like, you know, when he came back in
he was playing, he just experienced, you know, from a
second injury, you know, increasing discomfort and just didn't really
feel like his knee was underneath him in the way
that it was. You know, he was really going to
be performed at his level where he's at. And oftentimes
(01:44):
it can be one of those things where it can
be like a day to day to a week the
week type of thing where you know, you can aggravate
it again and it kind of sets you back. It
can be a two steps forward, one step back process
sometimes with injuries like this.
Speaker 1 (01:56):
I guess my sort of overly simplistic way of looking
at this, Well, they have a game on Sunday, then
they have to turn around and play again on Thursday.
He has missed much of the last two weeks. Does
it make sense to just put him on the shelf,
hope he's hopeful, that he's more comfortable, and see if
he can go out there a week from tomorrow.
Speaker 2 (02:15):
I think that is certainly a consideration if, especially if
his performance is not going to be where it needs
to be. You know, if you're worried about, Okay, we
really want to have him for that Thursday game, and
you know he's not really one hundred percent, do we
really want to try to risk it. It really kind
of depends on, you know, how he's feeling, and it
can be something you have to make those decisions on
the fly.
Speaker 1 (02:36):
Let's talk about t Higgins, who obviously didn't play against Philadelphia,
and unfortunately that's becoming a recurring theme him missing time.
It's usually his hamstring. That's what kept him out of
action early this season. On Sunday, it was a quad
that caused him to not play. I think we have
folks who hear the word quad but don't necessarily know
what the quad is or what it does. Can you
(02:56):
explain sure?
Speaker 2 (02:58):
So there's kind of a couple of different things when
talking about hearing quad. It can mean different things. So
we say like quadriceps muscles. There's four different muscles in
your thigh that helps to extend your knee or straighten
out your knee. And there's the big muscles in the
front of your leg in that bi there and they
come down and form a tendon that then is kind
of attached to your kneecap. Okay, So you know, somebody
(03:21):
could have an injury where they actually injured their quadceps
tend in and tear that that's a terrible injury. We
see that with a few different players, you know, over
the last couple of years with the figh more often
where a quadrceps injury is actually a muscle injury. And
most of the time that's going to be like a
muscle strain or you know, kind of pulling a muscle
that happens all the time. There's varying degrees of that too.
(03:42):
It can be something like you even just get hit
and you have that petusion or that bruise neck that
quad you can kind of pull it and have a
strain injury where you know, you can have a fairly
sigific amount of pain. It could be pretty limiting if
you everything from frankly then tearing some of the muscle.
They're just kind of stretching it a little bit. So
there's a lot of variability there in terms of, you know,
what the injury could be. Once again, kind of when
(04:03):
we're finding out here, you know, it sounds like it's
probably more of like a strange who his you know,
his quadships muscle that's kind of just limiting him a
little bit. And it's you know, some of the questionable exactly
on terms of the timeline.
Speaker 1 (04:15):
So he's he's obviously got a pretty well documented history
of hamstring injuries. Is is there a chance that maybe
these two sort of things are related, You.
Speaker 2 (04:23):
No, not directly related in terms of like one has
directly led to the other. I will tell you that
in athletes who you know tend to be you know,
pretty like tight in terms of their muscles, oftentimes they'll
be more likely to have muscle strained types of injuries.
You know, there's some people that just have, especially those
fast twitch type of athletes that are just you know,
really you know, kind of tight in terms of their
(04:45):
muscled and so you know, it's one of the things
where they have to spend extra time stretching and recovering
and doing everything they can to kind of keep themselves
from having these types of injuries. So in that way,
I guess there's some relationship.
Speaker 1 (04:57):
Doctor Nick Curley from WORTHO. Since he is with us,
let's talk about show Heyo Tani. Game five of the
World Series is tonight. During game two, a guy who's
must watch TV as far as I'm concerned, he's trying
to steal second base and he suffers a shoulder injury.
He comes out of the game.
Speaker 2 (05:13):
Uh.
Speaker 1 (05:13):
They do testing and the manager of the team, Dave Roberts,
says that he is dealing with a subluxation.
Speaker 2 (05:20):
Uh.
Speaker 1 (05:21):
I don't know what that is. So let's start with that.
Is that is the same as a shoulder separation.
Speaker 2 (05:27):
So you know, there's different terminology we use. Most of
the time we're saying the word subluxation or we're saying
there is that the shoulder joint has kind of like
the ball part of the ball and socket has kind
of partially slid out of place or kind of slid
into a position where it's not supposed to be as
opposed to like a full dislocation where the like the
ball part of the ball and socket comes all the
(05:47):
way out of the socket and it's kind of, you know,
sitting down somewhere it's really not supposed to be. So
that's usually what the phrase is there a shorter separation.
Some people will use it to describe a sublexation, but
more often, well you will view that when we're talking
about the joint that's between your collar bone and your
shoulder blade called your ac joint, and that's another thing
(06:08):
that can frequently get injured. It's to kind of fall
on your shoulder, but it's actually a little bit different area.
So sometimes it's just a terminology thing. In his situation,
it seems like it was more of a shoulder subluxation
where he when he was sliding, you put that left
arm down on the ground and it kind of jammed
his shoulder and I think it kind of pushed his
shoulder partially, you know, out of place. And then you know,
(06:30):
it didn't sound like it came all the way out,
and just from looking, you know, I have to play itself.
I didn't looked like that occurred, but it was probably
more of that.
Speaker 1 (06:37):
So he still played. He came back and he played
in Game three, he played last night I was watching
the game and as he is running the bases, he
is holding his shoulder, so he is dealing with discomfort.
What are the determining factors when you decide whether or
not an athlete like this could play?
Speaker 2 (06:53):
So once again, you know, it kind of comes down to, Okay,
how much structural damage you know is there? And this situation,
I hope is you know none, They're not much, nothing
like too significant that's going to cause him to have
some you know, complete inability to perform. So think, okay,
it's safe. So then can the person perform range emotion well,
do they have good strengths? Can they you know, can
(07:13):
he swing? Can he can he do the things he
normally needs to do at you know, some level at
the tolerable amount of discomfort that's not going to actually
set him back, you know, if you do, you know,
put him through that because other considerations like, okay, do
you arrest him for a couple of games and then
you know, if you don't win, then you put him
back out there. And there's lots of different things you're
kind of making decisions based on that, but the biggest
thing is and from all reports, he's had good range
(07:35):
of motion, good strength. You know, his shoulder has been
pretty stable, and so it's really just gonna be a
matter of you know, comfort and obviously in the World
Series you're gonna do everything you can to have him
out there.
Speaker 1 (07:43):
Yeah, no question about that. Awesome insight man, Thanks so much.
Speaker 2 (07:47):
All right, thank you.
Speaker 1 (07:48):
There you go. There's our guy, doctor Nick Early from Orthos.
Since he I say this every single week because I
believe it. The great thing about the people at Orthos
since he is. They've got specialists on locations across the
Tri State, including walk in Orthopedic urgent care weekdays nine
am to nine pm and on Saturdays nine am to
one pm in Edgewood and Anderson. It's easier and cheaper
(08:10):
most definitely than going to an EER. Whenever you have
an urgent orthopedic injury, go to Orthosinc. Dot com. That's
Ortho c I n c Y dot com.
Mo Egger News
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