12/17/25: Mo Egger with Adam Metzler from OrthoCincy, on Trey Hendrickson, Patrick Mahomes, and More
December 18, 2025 • 9 mins
Dr. Adam Metzler from OrthoCincy joined us to talk about Trey Hendrickson's core muscle surgery, the ACL tears suffered by two NFL stars, and injury issues in extreme cold.
Learn more about OrthoCincy by going here.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
It is that time of the week again.
Speaker 2 (00:02):
We talk with one of the experts from Ortho Sincy
Orthopedics and Sports Medicine. The great thing about Orthosincy is
they've got specialists, specialist locations and services all over the
tri State. That includes walk in orthopedic urgent care at
five locations with extended evening and weekend hours in Edgewood
and Anderson. You can learn more at Orthosincy dot com.
(00:24):
That's orthos ci Ncy dot com. Doctor Adam Metzler from
orthos since he is with us, I want to start
by talking about two non bangals, Patrick Mahomes and Michael Parsons,
both with season ending ACL tears. Patrick Mahomes has already
had surgery. We're going to talk about that. But this
type of injury, how long does it take to determine
whether or not something like this is a sprain or
(00:46):
a tear.
Speaker 3 (00:47):
Well, the reality is understanding a little bit of the
difference and what that the meaning of those terms, and
they kind of can be used interchangeably, but the reality
is on the sideline. Most of the time, we can
tell whether one's ACL is completely torn or not based
on the test we call the Lockman test and at
the time of injury time zero the time they do it,
(01:08):
they're not super swollen, they're not guarding too bad. You
can get a pretty good exam, so usually we know
pretty quickly with a high probability. If you're a sports
medicine surgeon and a sideline doc, I've been on the
sidelines nineteen years now and done fifteen hundred ACL surgery.
Most of the time we can feel right away on
the sideline.
Speaker 4 (01:27):
They have a torn AHL. Now sometimes you use the.
Speaker 3 (01:29):
Word sprain, but a generically sprain is very interchangeable. So
a Grade three sprain is a complete tear. So if
it's a partial tear, you'll still feel an end points
or a firm points to their ACL. But beyond the
physical examine MRIs confirmatory for the diagnosis of an ACL tear.
Speaker 2 (01:47):
So Patrick Mahomes had his surgery within twenty four hours
of suffering the injury. Micah Parsons hasn't had his yet.
So what factors determine when to have surgery.
Speaker 3 (01:58):
That's a great question, and we evolved and gotten better
at this, and the reality is is an isolated ACL
tair without other significant maniscus or cartilage involvement or other
ligaments involved.
Speaker 4 (02:12):
We typically will put patients.
Speaker 3 (02:14):
In two to three weeks of rehab before their surgery,
called pre rehabilitation or prehab for shorts. What that does
is allow the swelling to go down, allows the range
of motion to be normalized, regain a little bit of
their native strengths back trying to get their knee to
move and look normal, and then somewhere around two to three,
(02:36):
sometimes up to four weeks, will do their definitive ACL surgery.
The purpose of that is the better their knee moves
before surgery, the better the post operative outcomes. There was
an old term, the quicker we got some of the surgery,
the quicker they got back to sports.
Speaker 4 (02:50):
We've the data proved that wrong. Where we needed patients
needs to be less slow and.
Speaker 3 (02:56):
Have better range of motion, and that helped them nine
to ten months down the road and they were getting
back to sports. So if they come into surgery stiff,
the bottom lines will come out.
Speaker 4 (03:04):
Of surgery stiff.
Speaker 3 (03:05):
So they're going to probably do to two to three
weeks of rehab in advance get their ACL surgery done.
For parsons, like many of our other patients and he'll
do great. For Patrick Mahomes, he had other associated injuries
such as the Lottle clatter ligament tear, So not only
did the injury of ACL, but his louder clatter ligament,
and those patients have to have surgery quicker. They don't
have the luxury of being in prehab. Before surgery, we
(03:26):
got to attack and repair the lout spotter ligament or
for exampit a bucket handle or flipped maniscus tear in
addition to the ACL. Those patients need to go much
sooner than they need to be put on much quicker.
So unfortunately they don't get the luxury of having the
prehab because the other associated injuries dictate quicker treatment.
Speaker 4 (03:44):
As the bottom line for him.
Speaker 2 (03:46):
Let's talk about the big picture of timeline here, because
I think a Joe Burrow suffered his knee injury in
the twenty twenty season. It was the last Sunday of
November and he was back. He played the season opener.
He had multiple tears, if my memory serves me correct.
Are we talking about something here that at least allows
for the possibility that both these guys could come back
to start the season on time?
Speaker 3 (04:08):
You know, pending nothing else else else crazy, spending nothing
else crazy.
Speaker 4 (04:11):
The reality is is that.
Speaker 3 (04:13):
A nine month window for you know, genetically gifted professional
athletes is very reasonable. The reason nine months is the
magic term though, and magic numbers because that's when you
get the ACL that we reconstruct to get a good
blood supply, and by getting good blood supply helps reduce
that risk of RETAAR. And again learned all this through data,
and so that's still be going to be a typical
(04:34):
timeline you're going to see a professional athlete or collegiate
athlete return. So if you kind of march backward in time,
that does put us kind of near that start of
the season season openers for both of them, pinning, no
step backs, no other major complications.
Speaker 2 (04:47):
Doctor Adam Metzler from Ortho CINCI is with us. Let
me ask you about Trey Hendrick said, and this has
been a saga now for weeks where you know, we've
heard back injury, we've heard pelvic injury, we've heard sports hernia.
His season is over because he has had core muscle surgery.
I don't know that I have ever heard of this procedure.
What is core muscle surgery?
Speaker 3 (05:09):
Yeah, and there's a little bit of variation to these,
but there's a lot of semantic terms that go along
with this, and so just to kind of dispel some.
Speaker 4 (05:17):
Of the myths, So core core muscle surgery is really the.
Speaker 3 (05:22):
Term that the surgeons that we like to use for
sports hernia, and that's the term more frequently used. This
is not an abdominal hernia or an enguinal hernia where
something is bulging through. Most people know are familiar with
england or hernias. These are spots hernias. But the term
(05:43):
they want us to really use and promote is core
core muscle injury or core surgery when necessary. So what
this is is essentially for high level athletes like hockey
players and basketball and football players are doing a lot
of twisting and cutting essentially get whole of their abominal muscles.
There's six pack muscles if you will, off of the
(06:06):
pelvis or off the pubis and we can get these
partial tears. And the reality is that a short period
of physical therapy is tried, but oftentimes if unsuccessful, we
go in and try to repair those directly back down
to the bone and the pubis there.
Speaker 1 (06:23):
What sort of timeline are we looking for for Trey.
Speaker 3 (06:27):
You know, if you look at what they said six weeks,
six weeks is when the initiation of you can try
to do sports specific function.
Speaker 4 (06:34):
But most of the time it's close to the three months.
Speaker 3 (06:36):
For an athlete, it's full go, full participation and can
do whatever they want. Sometimes, again, very genetically gifted athletes,
they can have a little bit increased recovery or decrease
recovery time, I should say, But you know, somewhere between
eight and twelve weeks I think is not unreasonable. So
obviously they're not going to see him this year at all,
but moving forward, whether he's with the Bengals or not,
(06:56):
he should be ready to go for you know, spring
back to.
Speaker 2 (07:00):
All right, one more, and this might be kind of
a stupid question. So the Bengals had five players have
to leave the game on Sunday with different injuries. I
don't know that any of them are being looked at
as serious. But the common denominator on Sunday was it
wasn't just cold, I mean it was it was obscenely cold.
Speaker 1 (07:16):
Right, And so again this may be a stupid question, but.
Speaker 2 (07:20):
Is there a greater risk of for lack of a
better way of putting in typical football injuries when the
temperatures are in the single digits and wind chills are
below zero.
Speaker 3 (07:32):
I think there's there's not a great study that says
that except for the skiing world.
Speaker 4 (07:35):
Because we've looked at this before.
Speaker 3 (07:37):
The professional skiers have a higher risk of even recreational
skiers have a higher risk of atl injuries associated with
colder temperatures and different snow conditions. But there is an
increased risk overall of injuries in colder weather because you
have decreased muscle elasticity and the temperature effects the joints
(07:57):
where you don't quote field a joint as well, you
harmy would. So in general, there is an increased risk
of overall injuries muscle sprain, strains, tears. You know, coldest
game and what I think was the coldest game in
Bengals history that we just had this past weekend, So
definitely see what can happen with that too, with the
(08:17):
number of injuries we had. The other caveat to that
is we're at the end of the seasons. We do
see increased injuries towards the end of seasons in professional
sports as there's a fatigue factor that plays in as well.
Speaker 1 (08:29):
Makes sense.
Speaker 2 (08:30):
Awesome insight is always Doctor Adam Mesler from Worthos Sincy.
Appreciate the time, man, thanks so much.
Speaker 4 (08:35):
Always a pleasure, Thanks for having me.
Speaker 2 (08:36):
All right, there you go, Doctor Adam Mesler from Orthos Sincy.
I say it every week because it's true. The great
thing about Ortho Sincy is they have specialists and locations
all over the Tri State. This includes walk in orthopedic
urgent care weekdays from nine a m. To nine pm
and Saturdays nine am to one pm at both Edgewood
and Anderson. It's easy because you do not need an
(08:57):
appointment and it's most definitely cheaper than going to an
r Whenever you have an urgent orthopedic injury God orthosinc.
Speaker 1 (09:03):
Dot com. That's Ortho c I n c Y dot
com
It is that time of the week again.
Speaker 2 (00:02):
We talk with one of the experts from Ortho Sincy
Orthopedics and Sports Medicine. The great thing about Orthosincy is
they've got specialists, specialist locations and services all over the
tri State. That includes walk in orthopedic urgent care at
five locations with extended evening and weekend hours in Edgewood
and Anderson. You can learn more at Orthosincy dot com.
(00:24):
That's orthos ci Ncy dot com. Doctor Adam Metzler from
orthos since he is with us, I want to start
by talking about two non bangals, Patrick Mahomes and Michael Parsons,
both with season ending ACL tears. Patrick Mahomes has already
had surgery. We're going to talk about that. But this
type of injury, how long does it take to determine
whether or not something like this is a sprain or
(00:46):
a tear.
Speaker 3 (00:47):
Well, the reality is understanding a little bit of the
difference and what that the meaning of those terms, and
they kind of can be used interchangeably, but the reality
is on the sideline. Most of the time, we can
tell whether one's ACL is completely torn or not based
on the test we call the Lockman test and at
the time of injury time zero the time they do it,
(01:08):
they're not super swollen, they're not guarding too bad. You
can get a pretty good exam, so usually we know
pretty quickly with a high probability. If you're a sports
medicine surgeon and a sideline doc, I've been on the
sidelines nineteen years now and done fifteen hundred ACL surgery.
Most of the time we can feel right away on
the sideline.
Speaker 4 (01:27):
They have a torn AHL. Now sometimes you use the.
Speaker 3 (01:29):
Word sprain, but a generically sprain is very interchangeable. So
a Grade three sprain is a complete tear. So if
it's a partial tear, you'll still feel an end points
or a firm points to their ACL. But beyond the
physical examine MRIs confirmatory for the diagnosis of an ACL tear.
Speaker 2 (01:47):
So Patrick Mahomes had his surgery within twenty four hours
of suffering the injury. Micah Parsons hasn't had his yet.
So what factors determine when to have surgery.
Speaker 3 (01:58):
That's a great question, and we evolved and gotten better
at this, and the reality is is an isolated ACL
tair without other significant maniscus or cartilage involvement or other
ligaments involved.
Speaker 4 (02:12):
We typically will put patients.
Speaker 3 (02:14):
In two to three weeks of rehab before their surgery,
called pre rehabilitation or prehab for shorts. What that does
is allow the swelling to go down, allows the range
of motion to be normalized, regain a little bit of
their native strengths back trying to get their knee to
move and look normal, and then somewhere around two to three,
(02:36):
sometimes up to four weeks, will do their definitive ACL surgery.
The purpose of that is the better their knee moves
before surgery, the better the post operative outcomes. There was
an old term, the quicker we got some of the surgery,
the quicker they got back to sports.
Speaker 4 (02:50):
We've the data proved that wrong. Where we needed patients
needs to be less slow and.
Speaker 3 (02:56):
Have better range of motion, and that helped them nine
to ten months down the road and they were getting
back to sports. So if they come into surgery stiff,
the bottom lines will come out.
Speaker 4 (03:04):
Of surgery stiff.
Speaker 3 (03:05):
So they're going to probably do to two to three
weeks of rehab in advance get their ACL surgery done.
For parsons, like many of our other patients and he'll
do great. For Patrick Mahomes, he had other associated injuries
such as the Lottle clatter ligament tear, So not only
did the injury of ACL, but his louder clatter ligament,
and those patients have to have surgery quicker. They don't
have the luxury of being in prehab. Before surgery, we
(03:26):
got to attack and repair the lout spotter ligament or
for exampit a bucket handle or flipped maniscus tear in
addition to the ACL. Those patients need to go much
sooner than they need to be put on much quicker.
So unfortunately they don't get the luxury of having the
prehab because the other associated injuries dictate quicker treatment.
Speaker 4 (03:44):
As the bottom line for him.
Speaker 2 (03:46):
Let's talk about the big picture of timeline here, because
I think a Joe Burrow suffered his knee injury in
the twenty twenty season. It was the last Sunday of
November and he was back. He played the season opener.
He had multiple tears, if my memory serves me correct.
Are we talking about something here that at least allows
for the possibility that both these guys could come back
to start the season on time?
Speaker 3 (04:08):
You know, pending nothing else else else crazy, spending nothing
else crazy.
Speaker 4 (04:11):
The reality is is that.
Speaker 3 (04:13):
A nine month window for you know, genetically gifted professional
athletes is very reasonable. The reason nine months is the
magic term though, and magic numbers because that's when you
get the ACL that we reconstruct to get a good
blood supply, and by getting good blood supply helps reduce
that risk of RETAAR. And again learned all this through data,
and so that's still be going to be a typical
(04:34):
timeline you're going to see a professional athlete or collegiate
athlete return. So if you kind of march backward in time,
that does put us kind of near that start of
the season season openers for both of them, pinning, no
step backs, no other major complications.
Speaker 2 (04:47):
Doctor Adam Metzler from Ortho CINCI is with us. Let
me ask you about Trey Hendrick said, and this has
been a saga now for weeks where you know, we've
heard back injury, we've heard pelvic injury, we've heard sports hernia.
His season is over because he has had core muscle surgery.
I don't know that I have ever heard of this procedure.
What is core muscle surgery?
Speaker 3 (05:09):
Yeah, and there's a little bit of variation to these,
but there's a lot of semantic terms that go along
with this, and so just to kind of dispel some.
Speaker 4 (05:17):
Of the myths, So core core muscle surgery is really the.
Speaker 3 (05:22):
Term that the surgeons that we like to use for
sports hernia, and that's the term more frequently used. This
is not an abdominal hernia or an enguinal hernia where
something is bulging through. Most people know are familiar with
england or hernias. These are spots hernias. But the term
(05:43):
they want us to really use and promote is core
core muscle injury or core surgery when necessary. So what
this is is essentially for high level athletes like hockey
players and basketball and football players are doing a lot
of twisting and cutting essentially get whole of their abominal muscles.
There's six pack muscles if you will, off of the
(06:06):
pelvis or off the pubis and we can get these
partial tears. And the reality is that a short period
of physical therapy is tried, but oftentimes if unsuccessful, we
go in and try to repair those directly back down
to the bone and the pubis there.
Speaker 1 (06:23):
What sort of timeline are we looking for for Trey.
Speaker 3 (06:27):
You know, if you look at what they said six weeks,
six weeks is when the initiation of you can try
to do sports specific function.
Speaker 4 (06:34):
But most of the time it's close to the three months.
Speaker 3 (06:36):
For an athlete, it's full go, full participation and can
do whatever they want. Sometimes, again, very genetically gifted athletes,
they can have a little bit increased recovery or decrease
recovery time, I should say, But you know, somewhere between
eight and twelve weeks I think is not unreasonable. So
obviously they're not going to see him this year at all,
but moving forward, whether he's with the Bengals or not,
(06:56):
he should be ready to go for you know, spring
back to.
Speaker 2 (07:00):
All right, one more, and this might be kind of
a stupid question. So the Bengals had five players have
to leave the game on Sunday with different injuries. I
don't know that any of them are being looked at
as serious. But the common denominator on Sunday was it
wasn't just cold, I mean it was it was obscenely cold.
Speaker 1 (07:16):
Right, And so again this may be a stupid question, but.
Speaker 2 (07:20):
Is there a greater risk of for lack of a
better way of putting in typical football injuries when the
temperatures are in the single digits and wind chills are
below zero.
Speaker 3 (07:32):
I think there's there's not a great study that says
that except for the skiing world.
Speaker 4 (07:35):
Because we've looked at this before.
Speaker 3 (07:37):
The professional skiers have a higher risk of even recreational
skiers have a higher risk of atl injuries associated with
colder temperatures and different snow conditions. But there is an
increased risk overall of injuries in colder weather because you
have decreased muscle elasticity and the temperature effects the joints
(07:57):
where you don't quote field a joint as well, you
harmy would. So in general, there is an increased risk
of overall injuries muscle sprain, strains, tears. You know, coldest
game and what I think was the coldest game in
Bengals history that we just had this past weekend, So
definitely see what can happen with that too, with the
(08:17):
number of injuries we had. The other caveat to that
is we're at the end of the seasons. We do
see increased injuries towards the end of seasons in professional
sports as there's a fatigue factor that plays in as well.
Speaker 1 (08:29):
Makes sense.
Speaker 2 (08:30):
Awesome insight is always Doctor Adam Mesler from Worthos Sincy.
Appreciate the time, man, thanks so much.
Speaker 4 (08:35):
Always a pleasure, Thanks for having me.
Speaker 2 (08:36):
All right, there you go, Doctor Adam Mesler from Orthos Sincy.
I say it every week because it's true. The great
thing about Ortho Sincy is they have specialists and locations
all over the Tri State. This includes walk in orthopedic
urgent care weekdays from nine a m. To nine pm
and Saturdays nine am to one pm at both Edgewood
and Anderson. It's easy because you do not need an
(08:57):
appointment and it's most definitely cheaper than going to an
r Whenever you have an urgent orthopedic injury God orthosinc.
Speaker 1 (09:03):
Dot com. That's Ortho c I n c Y dot
com
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