November 14, 2024 • 9 mins
Dr. Adam Metzler from OrthoCincy joined us to share his perspective on Erick All's second major knee injury, Charlie Jones' groin issues, and the range of possibilites for Dan Skillings and his knee issues.
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
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):
Since that time of the week.
Speaker 2 (00:00):
Again, we talked with one of the experts from Ortho
Sincy Orthopedics in sports medicine. The great thing about Ortho
Sinsey is they have specialist locations and services all over
the Tri State. This includes walk in orthopedic urgent care
at five locations with extended evening and weekend hours in
Edgewood and Anderson. Learn more at Orthosinc dot com. You
(00:22):
never need an appointment. That's Ortho ci n see why
dot com.
Speaker 3 (00:28):
All right.
Speaker 2 (00:28):
Joining us this week is doctor Adam Metzler from Ortho Sincy.
I want to start by talking about Eric Ahl, who
showed such promise before he got injured, but he got
hurt against the Raiders back on November the third non
contact injury in ACL tear, his second ACL tear within
about a year. We've got to keep in mind his
(00:49):
injury history because he's had a back issue now to
ACL tears. How much does all of that complicate his
long term prognosis.
Speaker 4 (00:59):
I'd probably think of the two separate entities, to be honest,
I think his back recovery seems to be finished lash stable,
and they're probably just two separate entities. But unfortunately having
a re injury retear of his previous ACL certainly complicates
his pathway in the NFL here, so definitely a challenge
(01:19):
for him.
Speaker 2 (01:21):
Does does the injury history complicate the rehab and recovery
following surgery?
Speaker 4 (01:28):
Well, this is the same need that he tori is
that IWS, So yes, I mean these revision cases are
more complicated. They have a longer timeframe for return to play. Typically,
when we're doing our revision acls, we have to harvest
an issue from the knee as well, So if he
had a previous papel attendon autographed issue taken, they're gonna
(01:49):
have to use a blowtendon or vice versus. So just
there's increased surgical rehabilitation from the complexity of a revision surgery.
Whether it's an NFL athlete or high school or college athlete,
there's definitely an increased time frame for return to play
due to the overall complexity of the surgery and the
post surgical recovery.
Speaker 2 (02:11):
The latest injury occurred on November the third, so we're
kind of talking about ten months before the start of
next season. Obviously, the timeline is earlier for the start
of training camp kind of walk me through how much
we could anticipate him being on the field for Week
one next season.
Speaker 4 (02:29):
Well, he had his previous A sales surgery done in
October of twenty twenty three, and unfortunately kind of time
frame was pretty darn close to one.
Speaker 3 (02:35):
Year being out retearing that ACL, So I imagine that
he is going.
Speaker 4 (02:39):
To be slow and methodical with his rehab and recovery,
as retail rates are higher after a secondary A sale
surgery than a primary A sale surgery, and my assumption
is that he would probably take close to you tend
to ten to twelve maybe closer to that twelve month
time frame before he is optimized his physical.
Speaker 3 (03:02):
Recovery to step on the field.
Speaker 4 (03:04):
But have usly with each NFL athlete, each each game
you play, there's a financial compensation for that that he's
going to try to get back as soon as possible.
But now that he's been through this journey twice, my
typical track record for this is they're going to take
every bit of time they need to to feel comfortable
and healthy. As we see that more commonly in our
(03:25):
professional athletes taking longer period of time, not necessarily because
they can't, but because they want to optimize their body
and their physical attributes that they can provide for their
team and reduce their.
Speaker 3 (03:36):
Risk of further injuries.
Speaker 4 (03:37):
So those things all play a factor into this. But
it's really unfortunate for a great young kid to doing a
fantastic job, and as an alum of Fairfield myself, it's
tough to see.
Speaker 2 (03:47):
So, yeah, no question about that. Let me ask you
about Charlie Jones. He has missed the last couple of
games with a groin injury. How do you typically treat
groin injuries?
Speaker 4 (03:57):
Yeah, just generically. You know, groinstrain is is the muscles
on the inside of the leg. They have to bring
our leg inward, and different grades they take different type
of treatment. So a lower grade strain or sprain to
that muscle can be back quicker, but the bigger sprains
are strange there can take a lot longer. But if
it's a lower grade strain, obviously we have to reduce
(04:18):
the amount of impact and running and lets.
Speaker 3 (04:20):
The muscle tend and heal.
Speaker 4 (04:22):
We're going to do that with anti inflammatory medications. You're
going to do physical therapy. They'll do topical anti inflammatory cream,
some ultrasound, physical therapy, massage, et cetera, to try to
get to heel and to relax. Initially, you're going to
ice pretty religiously, and then as you start to warm
up that muscle further in the face of heeling, you'll
start using more heat. And you progress from doing a
(04:44):
limited impact biking, ellipticals, those type of activities, and then
progress to running and then cutting our pivoting. And once
we're doing those motions with high the lossity and minimal pain,
we can start the progression of return to play. Low
grade issues, low grade growing strange. You're talking two to
three weeks. Higher grade may take a couple months, two
or three months to get back on the field.
Speaker 2 (05:05):
Want to ask you about Dak Prescott, the Dallas Cowboys quarterback,
is having surgery today, or at least it was scheduled.
He is dealing with a partial hamstring tendon evulsion. Now,
typically we hear hamstring tear, hamstring strain, that sort of thing.
I've read that the tendon came partially off the bone.
Are these sort of different and maybe extreme ways of
(05:27):
just talking about a hamstring tear.
Speaker 4 (05:31):
Yeah, I mean most of the hamstring strains and tears
that we hear about in the NFL are mostly muscle issues,
so they're within the muscle. These evulsion tears that come
off of from the bone from the pelvis where they
attached to, they are a different animal and they're treated differently.
A lower grade partial evulsion maybe one tendon is treated
(05:53):
non surgically, two tendons contemplation for surgery can be had,
and then a three tendon tear complete evuls is generally
recommended for surgery and showing to have better outcomes with
surgery than without surgery.
Speaker 3 (06:07):
The hamstrings, your.
Speaker 4 (06:08):
Quad muscles have four, those are the ones on the front,
and your hamstrings are three. They're on the back of
your leg, and so they run all the way across
your hit point, all the way down past your knee point.
And so his injury is more proximal based being towards
and off of the pelvis bone, and it sounds it's
at least severe enough that it's a high grade strained
spring slash tar injury that necessitated surgical intervention. It's hard
(06:31):
to get a read on based on the information available
how severed it is, but obviously with two second opinions
or different opinions medically, it sounds like it was bad
enough to necessitate surgical invention.
Speaker 2 (06:44):
All right, one more, let's talk college basketball. I'm a
huge UC basketball fan, and I think all of us
are kind of, I don't know, apprehensive, nervous.
Speaker 1 (06:54):
I'm not sure what the right word is.
Speaker 2 (06:55):
We're not feeling good when two games into the season
one of their best players has already gone under the knife.
So Dan Skillings after the first game the next day,
was dealing with Nie Swelling. According to his coach Wes Miller,
they have done a procedure and nobody is saying that
he is going to miss the entire season or anything
like that, but the timeline's going to be It feels
(07:17):
like a couple of weeks. Are we talking meniscus here?
What are the range of possibilities we're dealing with?
Speaker 4 (07:26):
Yeah, obviously I don't know exactly all the inside details here,
but I'm a huge Bearcat fan myself.
Speaker 3 (07:32):
I hate to see any Andrews. I feel like I
already had.
Speaker 4 (07:35):
One ACL injury on their team, as their freshman had
an ACL surgery already, so we're going to miss him
for the season, and now we have one of our
premier starters out for some period of time.
Speaker 3 (07:46):
Here.
Speaker 4 (07:46):
It sounds like it's probably a small miniscus fair based
on information it's available, and hopefully it's a small, little
kind of small flapcare. We'd like to think about those generally. Well,
I'm usually three to six weeks back playing, obviously returning
back to high level, and you know, he's a great
rebounder for the team and a great asset and a leader.
It may take a little bit longer, but hopefully in
four to six wish we can see him back on
(08:08):
the floor. And obviously the same concept for rehabbing for
any other procedures, get the swelling down, get the motion back,
get the strength back, and then increase sports specific activities
where he's comfortably out there without the nise swelling.
Speaker 3 (08:21):
And that's the to be determined. That is always the uncertainty.
Speaker 4 (08:24):
Anytime an athlete undergoes any type of procedure like this.
So hopefully we can see him back on the floor,
and I think generically the timeframe would be for the
Xavier game, and that would be great to see and
even if it's limited minutes, it's great to see a
leader out.
Speaker 1 (08:38):
There, no question about that. Awesome stuff is always doctor
metswith thanks so much.
Speaker 3 (08:43):
Yeah, I have a great day thanks to Demil.
Speaker 2 (08:45):
Most definitely there you have a doctor Adam Mettler from
Orthos Sincy. I say this every single week because it's true,
and I believe it's a great thing about Orthosincy is
they've got specialists and locations all over the Try State,
including walk in orthopedic urgent care.
Speaker 1 (08:59):
Weaked nine a m.
Speaker 2 (09:01):
To nine pm and on Saturdays nine am to one
pm at both Edgewood and Anderson, And you could take
it from me. Okay, my daughter broke her foot about
thirteen months ago and with no appointment, we took her
right to the Anderson location.
Speaker 1 (09:15):
My cousin, his little boy.
Speaker 2 (09:19):
Suffered a fall at recess just a week and a
half ago, and no prompting, went right to Edgewood. Didn't
have to come back and make an appointment. They took
him immediately and they got him taken care of. It's
easy because you don't need an appointment, and it's definitely
cheaper than going to an er. Whenever you have an
urgent orthopedic injury, go to orthosinse dot com.
Speaker 1 (09:41):
That's Orthos c I n c Y dot com.
Since that time of the week.
Speaker 2 (00:00):
Again, we talked with one of the experts from Ortho
Sincy Orthopedics in sports medicine. The great thing about Ortho
Sinsey is they have specialist locations and services all over
the Tri State. This includes walk in orthopedic urgent care
at five locations with extended evening and weekend hours in
Edgewood and Anderson. Learn more at Orthosinc dot com. You
(00:22):
never need an appointment. That's Ortho ci n see why
dot com.
Speaker 3 (00:28):
All right.
Speaker 2 (00:28):
Joining us this week is doctor Adam Metzler from Ortho Sincy.
I want to start by talking about Eric Ahl, who
showed such promise before he got injured, but he got
hurt against the Raiders back on November the third non
contact injury in ACL tear, his second ACL tear within
about a year. We've got to keep in mind his
(00:49):
injury history because he's had a back issue now to
ACL tears. How much does all of that complicate his
long term prognosis.
Speaker 4 (00:59):
I'd probably think of the two separate entities, to be honest,
I think his back recovery seems to be finished lash stable,
and they're probably just two separate entities. But unfortunately having
a re injury retear of his previous ACL certainly complicates
his pathway in the NFL here, so definitely a challenge
(01:19):
for him.
Speaker 2 (01:21):
Does does the injury history complicate the rehab and recovery
following surgery?
Speaker 4 (01:28):
Well, this is the same need that he tori is
that IWS, So yes, I mean these revision cases are
more complicated. They have a longer timeframe for return to play. Typically,
when we're doing our revision acls, we have to harvest
an issue from the knee as well, So if he
had a previous papel attendon autographed issue taken, they're gonna
(01:49):
have to use a blowtendon or vice versus. So just
there's increased surgical rehabilitation from the complexity of a revision surgery.
Whether it's an NFL athlete or high school or college athlete,
there's definitely an increased time frame for return to play
due to the overall complexity of the surgery and the
post surgical recovery.
Speaker 2 (02:11):
The latest injury occurred on November the third, so we're
kind of talking about ten months before the start of
next season. Obviously, the timeline is earlier for the start
of training camp kind of walk me through how much
we could anticipate him being on the field for Week
one next season.
Speaker 4 (02:29):
Well, he had his previous A sales surgery done in
October of twenty twenty three, and unfortunately kind of time
frame was pretty darn close to one.
Speaker 3 (02:35):
Year being out retearing that ACL, So I imagine that
he is going.
Speaker 4 (02:39):
To be slow and methodical with his rehab and recovery,
as retail rates are higher after a secondary A sale
surgery than a primary A sale surgery, and my assumption
is that he would probably take close to you tend
to ten to twelve maybe closer to that twelve month
time frame before he is optimized his physical.
Speaker 3 (03:02):
Recovery to step on the field.
Speaker 4 (03:04):
But have usly with each NFL athlete, each each game
you play, there's a financial compensation for that that he's
going to try to get back as soon as possible.
But now that he's been through this journey twice, my
typical track record for this is they're going to take
every bit of time they need to to feel comfortable
and healthy. As we see that more commonly in our
(03:25):
professional athletes taking longer period of time, not necessarily because
they can't, but because they want to optimize their body
and their physical attributes that they can provide for their
team and reduce their.
Speaker 3 (03:36):
Risk of further injuries.
Speaker 4 (03:37):
So those things all play a factor into this. But
it's really unfortunate for a great young kid to doing a
fantastic job, and as an alum of Fairfield myself, it's
tough to see.
Speaker 2 (03:47):
So, yeah, no question about that. Let me ask you
about Charlie Jones. He has missed the last couple of
games with a groin injury. How do you typically treat
groin injuries?
Speaker 4 (03:57):
Yeah, just generically. You know, groinstrain is is the muscles
on the inside of the leg. They have to bring
our leg inward, and different grades they take different type
of treatment. So a lower grade strain or sprain to
that muscle can be back quicker, but the bigger sprains
are strange there can take a lot longer. But if
it's a lower grade strain, obviously we have to reduce
(04:18):
the amount of impact and running and lets.
Speaker 3 (04:20):
The muscle tend and heal.
Speaker 4 (04:22):
We're going to do that with anti inflammatory medications. You're
going to do physical therapy. They'll do topical anti inflammatory cream,
some ultrasound, physical therapy, massage, et cetera, to try to
get to heel and to relax. Initially, you're going to
ice pretty religiously, and then as you start to warm
up that muscle further in the face of heeling, you'll
start using more heat. And you progress from doing a
(04:44):
limited impact biking, ellipticals, those type of activities, and then
progress to running and then cutting our pivoting. And once
we're doing those motions with high the lossity and minimal pain,
we can start the progression of return to play. Low
grade issues, low grade growing strange. You're talking two to
three weeks. Higher grade may take a couple months, two
or three months to get back on the field.
Speaker 2 (05:05):
Want to ask you about Dak Prescott, the Dallas Cowboys quarterback,
is having surgery today, or at least it was scheduled.
He is dealing with a partial hamstring tendon evulsion. Now,
typically we hear hamstring tear, hamstring strain, that sort of thing.
I've read that the tendon came partially off the bone.
Are these sort of different and maybe extreme ways of
(05:27):
just talking about a hamstring tear.
Speaker 4 (05:31):
Yeah, I mean most of the hamstring strains and tears
that we hear about in the NFL are mostly muscle issues,
so they're within the muscle. These evulsion tears that come
off of from the bone from the pelvis where they
attached to, they are a different animal and they're treated differently.
A lower grade partial evulsion maybe one tendon is treated
(05:53):
non surgically, two tendons contemplation for surgery can be had,
and then a three tendon tear complete evuls is generally
recommended for surgery and showing to have better outcomes with
surgery than without surgery.
Speaker 3 (06:07):
The hamstrings, your.
Speaker 4 (06:08):
Quad muscles have four, those are the ones on the front,
and your hamstrings are three. They're on the back of
your leg, and so they run all the way across
your hit point, all the way down past your knee point.
And so his injury is more proximal based being towards
and off of the pelvis bone, and it sounds it's
at least severe enough that it's a high grade strained
spring slash tar injury that necessitated surgical intervention. It's hard
(06:31):
to get a read on based on the information available
how severed it is, but obviously with two second opinions
or different opinions medically, it sounds like it was bad
enough to necessitate surgical invention.
Speaker 2 (06:44):
All right, one more, let's talk college basketball. I'm a
huge UC basketball fan, and I think all of us
are kind of, I don't know, apprehensive, nervous.
Speaker 1 (06:54):
I'm not sure what the right word is.
Speaker 2 (06:55):
We're not feeling good when two games into the season
one of their best players has already gone under the knife.
So Dan Skillings after the first game the next day,
was dealing with Nie Swelling. According to his coach Wes Miller,
they have done a procedure and nobody is saying that
he is going to miss the entire season or anything
like that, but the timeline's going to be It feels
(07:17):
like a couple of weeks. Are we talking meniscus here?
What are the range of possibilities we're dealing with?
Speaker 4 (07:26):
Yeah, obviously I don't know exactly all the inside details here,
but I'm a huge Bearcat fan myself.
Speaker 3 (07:32):
I hate to see any Andrews. I feel like I
already had.
Speaker 4 (07:35):
One ACL injury on their team, as their freshman had
an ACL surgery already, so we're going to miss him
for the season, and now we have one of our
premier starters out for some period of time.
Speaker 3 (07:46):
Here.
Speaker 4 (07:46):
It sounds like it's probably a small miniscus fair based
on information it's available, and hopefully it's a small, little
kind of small flapcare. We'd like to think about those generally. Well,
I'm usually three to six weeks back playing, obviously returning
back to high level, and you know, he's a great
rebounder for the team and a great asset and a leader.
It may take a little bit longer, but hopefully in
four to six wish we can see him back on
(08:08):
the floor. And obviously the same concept for rehabbing for
any other procedures, get the swelling down, get the motion back,
get the strength back, and then increase sports specific activities
where he's comfortably out there without the nise swelling.
Speaker 3 (08:21):
And that's the to be determined. That is always the uncertainty.
Speaker 4 (08:24):
Anytime an athlete undergoes any type of procedure like this.
So hopefully we can see him back on the floor,
and I think generically the timeframe would be for the
Xavier game, and that would be great to see and
even if it's limited minutes, it's great to see a
leader out.
Speaker 1 (08:38):
There, no question about that. Awesome stuff is always doctor
metswith thanks so much.
Speaker 3 (08:43):
Yeah, I have a great day thanks to Demil.
Speaker 2 (08:45):
Most definitely there you have a doctor Adam Mettler from
Orthos Sincy. I say this every single week because it's true,
and I believe it's a great thing about Orthosincy is
they've got specialists and locations all over the Try State,
including walk in orthopedic urgent care.
Speaker 1 (08:59):
Weaked nine a m.
Speaker 2 (09:01):
To nine pm and on Saturdays nine am to one
pm at both Edgewood and Anderson, And you could take
it from me. Okay, my daughter broke her foot about
thirteen months ago and with no appointment, we took her
right to the Anderson location.
Speaker 1 (09:15):
My cousin, his little boy.
Speaker 2 (09:19):
Suffered a fall at recess just a week and a
half ago, and no prompting, went right to Edgewood. Didn't
have to come back and make an appointment. They took
him immediately and they got him taken care of. It's
easy because you don't need an appointment, and it's definitely
cheaper than going to an er. Whenever you have an
urgent orthopedic injury, go to orthosinse dot com.
Speaker 1 (09:41):
That's Orthos c I n c Y dot com.
Mo Egger News
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Amy Robach & T.J. Holmes present: Aubrey O’Day, Covering the Diddy Trial
Introducing… Aubrey O’Day Diddy’s former protege, television personality, platinum selling music artist, Danity Kane alum Aubrey O’Day joins veteran journalists Amy Robach and TJ Holmes to provide a unique perspective on the trial that has captivated the attention of the nation. Join them throughout the trial as they discuss, debate, and dissect every detail, every aspect of the proceedings. Aubrey will offer her opinions and expertise, as only she is qualified to do given her first-hand knowledge. From her days on Making the Band, as she emerged as the breakout star, the truth of the situation would be the opposite of the glitz and glamour. Listen throughout every minute of the trial, for this exclusive coverage. Amy Robach and TJ Holmes present Aubrey O’Day, Covering the Diddy Trial, an iHeartRadio podcast.
Good Hang with Amy Poehler
Come hang with Amy Poehler. Each week on her podcast, she'll welcome celebrities and fun people to her studio. They'll share stories about their careers, mutual friends, shared enthusiasms, and most importantly, what's been making them laugh. This podcast is not about trying to make you better or giving advice. Amy just wants to have a good time.