May 9, 2026 • 9 mins
Dr. Trevor Wilkes from OrthoCincy joined us to discuss the injury issues involving Trey Hendrickson, Cam Taylor-Britt, and Cam Sample.
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Speaker 1 (00:00):
So we have like a thousand different REDS related injury
issues to discuss with doctor Trevor Wilkes from Ortho Sincy.
Whenever we talk injuries, we grable to the experts from
Ortho Sincy Orthopedics in sports Medicine. Well, you know, there's
a lot of great things about Ortho Sincy Orthopedics and
sports medicine locations all over the Tri State. This includes
extended evening hours in Edgewood and Anderson and also open
(00:22):
tomorrow nine a m To one pm. Great thing about
Ortho Sincy is you never need an appointment, never, so
it's cheaper and more convenient than an er. Whenever you
suffer an urgent orthopedic injury, go to orthosinc dot com.
That's orthos ci Ncy dot com. Doctor Trevor Wilkes from
(00:43):
Orthosincy is with us and let's start by talking about
Rhet Louder, who left yesterday's start against the Cubs because
he had started shaking his arm. He was showing some
difficulty finding his relief point. He had been grinding through
some physical issues recently, according to him, but Terry Francona
after the game said that Rhett had been dealing with
(01:04):
a clicking sensation. He felt clicking in his shoulder, So
I guess my first question is what could that be.
Speaker 2 (01:12):
Yeah, that's a tough one.
Speaker 3 (01:14):
And he's been off to such a promising spark start,
but you know, the clicking is tough mode because joints
sometimes click, and in our practice we hear people say
this all the time. Sometimes it's really benign things like
bresidas or your collar bone in your shoulder. With pictures,
it can be more concerning of something called a laboral
tear in your shoulder, and that may be one of
(01:35):
the things that they're really worried about. So it's tough
because it's very non specific, but it can be worrisome
if it's painful.
Speaker 1 (01:43):
Give me an idea of what they're looking for in
the MRI.
Speaker 3 (01:47):
Yeah, So for sure they're gonna be looking for a
laboral tear, so the labor rooms a little rim of
cartilage around the socket or glenoyd of your shoulder. These
injuries are pretty common in pictures, and so they're gonna
be wanting.
Speaker 2 (01:59):
To exclude or be sure it's not that.
Speaker 3 (02:02):
Then they'll be looking for other things like inflammation in
his bursts, up maybe a little inflammation at his collarbone
or other things.
Speaker 2 (02:09):
But really hopeful it's not a laboral problem.
Speaker 1 (02:11):
He's unfortunately had already a pretty extensive amount of injury,
so he's had an elbrow problem, an oblique issue. Could
could those things contribute to a possible shoulder problem.
Speaker 2 (02:21):
Yeah, it's tough.
Speaker 3 (02:22):
I feel like every time I get the privilege of
talking to you, we cover this.
Speaker 2 (02:26):
But yet, I mean, you.
Speaker 3 (02:27):
Know, throwing a baseball is a hard thing to do,
and we call it the kinetic chain. It is forced
that starts in your legs and goes all the way
out through your fingers. And if you've got problems anywhere
along the chain, in your you know, your obliques, your shoulder,
any place else, it affects the whole chain.
Speaker 2 (02:46):
So you're one hundred percent right.
Speaker 1 (02:49):
Unfortunately, they're stay in Chicago, the Reds. There were a
couple of different guys who either are headed to the
injured list or are there now. And one guy who's
there now is Amelio Paganza. The other night, in the
ninth inning, he throws a pitch and he goes down
like he had been shot. And it's rare that you
see a baseball player carded off. That's what happened the
(03:09):
other night at Wrigley Field to Ameliopegan. They are calling
his hamstring injury a Grade two strain, which frankly felt
like good news relative to what our fears were watching
him the other night. The timeline they say four to
eight weeks. That's a large timeline. Can you dive into
that for me?
Speaker 3 (03:25):
Yeah? Yeah, it was striking to watch on TV for sure,
just seen and fall. But one interesting thing I think is,
so he's a right handed pitcher, so it's his left handy,
so it's his landing leg, and so as he lands.
Speaker 2 (03:38):
He's got to accept all that force of the throw.
Speaker 3 (03:41):
We call it an eccentric muscle contraction between the muscle
contracts and gets longer, and that is what usually tears.
Hammy's tears go on a one to three scale. Two
means that there's been significant structural tearing of the muscle,
but it's usually not approached the gray that reaches three.
So you can usually see like muscle separation, a lot
(04:04):
of swelling on the on the MRI. The reason that
they're so vague is honestly, mo it's just we call
these training room injuries, you really just have to week
to week to week evaluate them in the training room,
to tell the coaching staff what the expectation is, and
they kind of heal so variably. I mean I kind
of said, it's a spectrum of an injury, and you
(04:24):
can even imagine undergrade two you've got more mild ones
and more severe ones, and then you throw on top
of it just you know, individual issues, but they're super
hard to predict. But it was still better than I'm
just really happy it didn't end up being, you know,
a knee leg of an injury, or a meniscus tear
or something more serious.
Speaker 1 (04:41):
Had this been a hamstring tear, would we have ruled
him out for the season.
Speaker 3 (04:46):
If it had been a Grade three tear. Grade three
tears are typically managed surgically in some of these elite athletes, and.
Speaker 2 (04:54):
So that could I mean, that's a that that could
be a season ender. That's a that's a four to
six month.
Speaker 1 (04:58):
Are there all right? Another pitcher who is headed to
the injured list, Brandon Williamson. Now he's he's going on
the IL with shoulder fatigue and it's now the sixty
day injured lists, so he's out for a while, and
they do this procedurally, the clear room for a spot
on the forty man roster, But still shoulder fatigue sounds
reasonably benign. I think to a lot of folks. The
(05:20):
MRI they have done has shown that the shoulder is
structurally sounds. So what is shoulder fatigue and shouldn't necessitate
a guy being on the injured list for two months?
Speaker 3 (05:30):
Yeah, yeah, that's it's a good question, and I think
it's a little bit interesting. It's a little bit of
an interesting time in the season to get shoulder fatigue.
Sometimes you see it like at the very beginning of
the season when guys are struggling handling the volume, and
then you see it late in the season with just
the volume. So it's a little bit of an interesting time.
But it was a blessing that the MRI showed it
(05:51):
was intact. You know, you wonder if his Tommy John
surgery he had in twenty four, he's still not maybe
you know, compensating for that a little bit. But I
think way to think about this is that the coaching
staff and the athlete are picking up on kind of
fatigue related mechanical problems that could lead to a more
serious injury and they're trying to prevent that by by
(06:14):
giving him some some relative rest and rehab and bringing
him back. So I hope it's a preventative measure.
Speaker 1 (06:20):
To me, it sounded as simple as he didn't pitch
last year, and so naturally, you know, with with the
sort of force and just strain and stress on his shoulder,
that it would make sense that there would be some fatigue.
But I think a lot of us were taken it
back by the timeline involved here.
Speaker 2 (06:34):
Yeah, yeah, it does see that just seem like a
lot of time. I hope that does seem like a
lot of time.
Speaker 3 (06:39):
You're one hundred percent right about the issues from not
pitching last season, So yeah, I don't know what to
say other than the training staff must have felt that
the problem that they.
Speaker 2 (06:48):
Saw in the room was going to need more like four.
Speaker 3 (06:52):
To six weeks to rehab, and that was their assessment.
Speaker 1 (06:58):
Doctor Trevor Wilkes from Orthosince is where there's two more
to talk about. Two guys who have been on the
injury list for a while. A Euhaneo Suarez has been
with the team. He's dealing with an oblique injury, and
you know, he's been doing some running. They've they've talked
about doing an MRI here soon to sort of get
an assessment of where everything is. We're approaching two weeks
with a Johanio on the injured list. Is it reasonable
(07:21):
to expect him to be able to come back sometime
soon based on what we know?
Speaker 2 (07:25):
Yeah, I hope, I hope. So.
Speaker 3 (07:26):
I know they were saying he had like an inflamed
and strained left oblique, and I feel like, I hope
that the three weeks is a reasonable a reasonable timeframe
for that moment. I'm sure they've got him doing some
challenging core work trying to assess his vocational stability. I mean,
(07:48):
when you're swinging that bat and you're using your left
oblique to really come through with your hips, it is
a lot of dynamic force.
Speaker 2 (07:56):
So I'm hopeful.
Speaker 3 (07:57):
I know three weeks was what I'd kind of like
put in my head, and I'm hopeful for him.
Speaker 1 (08:01):
I one more Hunter Green, who obviously hasn't thrown a
pitch this season. It's going to be a while before
he throws a pitch, But give me an idea, based
on what we know about Hunter Green, where things may
be in the timeline for his recovery and return.
Speaker 3 (08:15):
Yeah, this is a tough one, is you. I mean,
you really got a feel for this guy. He's been
through so much, from his Tommy John surgery to that
surgery he had recently to have bone spurs and chips
you know, removed. I think, I think, hopefully, hopefully he
is going to be able to return, you know, with
(08:37):
that kind of velocity and speed and control that he
had in the past. But I don't know, it's something
more you'd have to be worried about, given the Tommy
John and the recent arthroscopy bise elbow. You hope this
isn't the beginning of a problem he's going to start having.
Speaker 1 (08:52):
Yeah. No, Unfortunately, we talk more about Hunter Green being
injured than we do when he's on the mound, and
he's excellent when he's on the mound. Unfortunately, he's just
not holded enough. Doctor Trevor Wilkes from Ortho Sincy tremendous
as always. We'll chat soon, man, Thanks so much. Yeah,
thanks for having me anytime. What are the absolute best?
Doctor Trevor Wilkes from Orthos Sincy, Ortho Sincy Orthopedics and
Sports Medicine. We love having on their experts. Ortho Sincy
(09:15):
Orthopedics and Sports Medicine has locations all over the Tri
State that includes extended weekend and evening hours in Edgewood
and Anderson. You can learn more at Orthosinc dot com.
That's orthos ci Ncy dot com. And remember you never
need an appointment at Orthossincy. Back with more on ESPN
fifteen thirty Cincinnati Sports station
So we have like a thousand different REDS related injury
issues to discuss with doctor Trevor Wilkes from Ortho Sincy.
Whenever we talk injuries, we grable to the experts from
Ortho Sincy Orthopedics in sports Medicine. Well, you know, there's
a lot of great things about Ortho Sincy Orthopedics and
sports medicine locations all over the Tri State. This includes
extended evening hours in Edgewood and Anderson and also open
(00:22):
tomorrow nine a m To one pm. Great thing about
Ortho Sincy is you never need an appointment, never, so
it's cheaper and more convenient than an er. Whenever you
suffer an urgent orthopedic injury, go to orthosinc dot com.
That's orthos ci Ncy dot com. Doctor Trevor Wilkes from
(00:43):
Orthosincy is with us and let's start by talking about
Rhet Louder, who left yesterday's start against the Cubs because
he had started shaking his arm. He was showing some
difficulty finding his relief point. He had been grinding through
some physical issues recently, according to him, but Terry Francona
after the game said that Rhett had been dealing with
(01:04):
a clicking sensation. He felt clicking in his shoulder, So
I guess my first question is what could that be.
Speaker 2 (01:12):
Yeah, that's a tough one.
Speaker 3 (01:14):
And he's been off to such a promising spark start,
but you know, the clicking is tough mode because joints
sometimes click, and in our practice we hear people say
this all the time. Sometimes it's really benign things like
bresidas or your collar bone in your shoulder. With pictures,
it can be more concerning of something called a laboral
tear in your shoulder, and that may be one of
(01:35):
the things that they're really worried about. So it's tough
because it's very non specific, but it can be worrisome
if it's painful.
Speaker 1 (01:43):
Give me an idea of what they're looking for in
the MRI.
Speaker 3 (01:47):
Yeah, So for sure they're gonna be looking for a
laboral tear, so the labor rooms a little rim of
cartilage around the socket or glenoyd of your shoulder. These
injuries are pretty common in pictures, and so they're gonna
be wanting.
Speaker 2 (01:59):
To exclude or be sure it's not that.
Speaker 3 (02:02):
Then they'll be looking for other things like inflammation in
his bursts, up maybe a little inflammation at his collarbone
or other things.
Speaker 2 (02:09):
But really hopeful it's not a laboral problem.
Speaker 1 (02:11):
He's unfortunately had already a pretty extensive amount of injury,
so he's had an elbrow problem, an oblique issue. Could
could those things contribute to a possible shoulder problem.
Speaker 2 (02:21):
Yeah, it's tough.
Speaker 3 (02:22):
I feel like every time I get the privilege of
talking to you, we cover this.
Speaker 2 (02:26):
But yet, I mean, you.
Speaker 3 (02:27):
Know, throwing a baseball is a hard thing to do,
and we call it the kinetic chain. It is forced
that starts in your legs and goes all the way
out through your fingers. And if you've got problems anywhere
along the chain, in your you know, your obliques, your shoulder,
any place else, it affects the whole chain.
Speaker 2 (02:46):
So you're one hundred percent right.
Speaker 1 (02:49):
Unfortunately, they're stay in Chicago, the Reds. There were a
couple of different guys who either are headed to the
injured list or are there now. And one guy who's
there now is Amelio Paganza. The other night, in the
ninth inning, he throws a pitch and he goes down
like he had been shot. And it's rare that you
see a baseball player carded off. That's what happened the
(03:09):
other night at Wrigley Field to Ameliopegan. They are calling
his hamstring injury a Grade two strain, which frankly felt
like good news relative to what our fears were watching
him the other night. The timeline they say four to
eight weeks. That's a large timeline. Can you dive into
that for me?
Speaker 3 (03:25):
Yeah? Yeah, it was striking to watch on TV for sure,
just seen and fall. But one interesting thing I think is,
so he's a right handed pitcher, so it's his left handy,
so it's his landing leg, and so as he lands.
Speaker 2 (03:38):
He's got to accept all that force of the throw.
Speaker 3 (03:41):
We call it an eccentric muscle contraction between the muscle
contracts and gets longer, and that is what usually tears.
Hammy's tears go on a one to three scale. Two
means that there's been significant structural tearing of the muscle,
but it's usually not approached the gray that reaches three.
So you can usually see like muscle separation, a lot
(04:04):
of swelling on the on the MRI. The reason that
they're so vague is honestly, mo it's just we call
these training room injuries, you really just have to week
to week to week evaluate them in the training room,
to tell the coaching staff what the expectation is, and
they kind of heal so variably. I mean I kind
of said, it's a spectrum of an injury, and you
(04:24):
can even imagine undergrade two you've got more mild ones
and more severe ones, and then you throw on top
of it just you know, individual issues, but they're super
hard to predict. But it was still better than I'm
just really happy it didn't end up being, you know,
a knee leg of an injury, or a meniscus tear
or something more serious.
Speaker 1 (04:41):
Had this been a hamstring tear, would we have ruled
him out for the season.
Speaker 3 (04:46):
If it had been a Grade three tear. Grade three
tears are typically managed surgically in some of these elite athletes, and.
Speaker 2 (04:54):
So that could I mean, that's a that that could
be a season ender. That's a that's a four to
six month.
Speaker 1 (04:58):
Are there all right? Another pitcher who is headed to
the injured list, Brandon Williamson. Now he's he's going on
the IL with shoulder fatigue and it's now the sixty
day injured lists, so he's out for a while, and
they do this procedurally, the clear room for a spot
on the forty man roster, But still shoulder fatigue sounds
reasonably benign. I think to a lot of folks. The
(05:20):
MRI they have done has shown that the shoulder is
structurally sounds. So what is shoulder fatigue and shouldn't necessitate
a guy being on the injured list for two months?
Speaker 3 (05:30):
Yeah, yeah, that's it's a good question, and I think
it's a little bit interesting. It's a little bit of
an interesting time in the season to get shoulder fatigue.
Sometimes you see it like at the very beginning of
the season when guys are struggling handling the volume, and
then you see it late in the season with just
the volume. So it's a little bit of an interesting time.
But it was a blessing that the MRI showed it
(05:51):
was intact. You know, you wonder if his Tommy John
surgery he had in twenty four, he's still not maybe
you know, compensating for that a little bit. But I
think way to think about this is that the coaching
staff and the athlete are picking up on kind of
fatigue related mechanical problems that could lead to a more
serious injury and they're trying to prevent that by by
(06:14):
giving him some some relative rest and rehab and bringing
him back. So I hope it's a preventative measure.
Speaker 1 (06:20):
To me, it sounded as simple as he didn't pitch
last year, and so naturally, you know, with with the
sort of force and just strain and stress on his shoulder,
that it would make sense that there would be some fatigue.
But I think a lot of us were taken it
back by the timeline involved here.
Speaker 2 (06:34):
Yeah, yeah, it does see that just seem like a
lot of time. I hope that does seem like a
lot of time.
Speaker 3 (06:39):
You're one hundred percent right about the issues from not
pitching last season, So yeah, I don't know what to
say other than the training staff must have felt that
the problem that they.
Speaker 2 (06:48):
Saw in the room was going to need more like four.
Speaker 3 (06:52):
To six weeks to rehab, and that was their assessment.
Speaker 1 (06:58):
Doctor Trevor Wilkes from Orthosince is where there's two more
to talk about. Two guys who have been on the
injury list for a while. A Euhaneo Suarez has been
with the team. He's dealing with an oblique injury, and
you know, he's been doing some running. They've they've talked
about doing an MRI here soon to sort of get
an assessment of where everything is. We're approaching two weeks
with a Johanio on the injured list. Is it reasonable
(07:21):
to expect him to be able to come back sometime
soon based on what we know?
Speaker 2 (07:25):
Yeah, I hope, I hope. So.
Speaker 3 (07:26):
I know they were saying he had like an inflamed
and strained left oblique, and I feel like, I hope
that the three weeks is a reasonable a reasonable timeframe
for that moment. I'm sure they've got him doing some
challenging core work trying to assess his vocational stability. I mean,
(07:48):
when you're swinging that bat and you're using your left
oblique to really come through with your hips, it is
a lot of dynamic force.
Speaker 2 (07:56):
So I'm hopeful.
Speaker 3 (07:57):
I know three weeks was what I'd kind of like
put in my head, and I'm hopeful for him.
Speaker 1 (08:01):
I one more Hunter Green, who obviously hasn't thrown a
pitch this season. It's going to be a while before
he throws a pitch, But give me an idea, based
on what we know about Hunter Green, where things may
be in the timeline for his recovery and return.
Speaker 3 (08:15):
Yeah, this is a tough one, is you. I mean,
you really got a feel for this guy. He's been
through so much, from his Tommy John surgery to that
surgery he had recently to have bone spurs and chips
you know, removed. I think, I think, hopefully, hopefully he
is going to be able to return, you know, with
(08:37):
that kind of velocity and speed and control that he
had in the past. But I don't know, it's something
more you'd have to be worried about, given the Tommy
John and the recent arthroscopy bise elbow. You hope this
isn't the beginning of a problem he's going to start having.
Speaker 1 (08:52):
Yeah. No, Unfortunately, we talk more about Hunter Green being
injured than we do when he's on the mound, and
he's excellent when he's on the mound. Unfortunately, he's just
not holded enough. Doctor Trevor Wilkes from Ortho Sincy tremendous
as always. We'll chat soon, man, Thanks so much. Yeah,
thanks for having me anytime. What are the absolute best?
Doctor Trevor Wilkes from Orthos Sincy, Ortho Sincy Orthopedics and
Sports Medicine. We love having on their experts. Ortho Sincy
(09:15):
Orthopedics and Sports Medicine has locations all over the Tri
State that includes extended weekend and evening hours in Edgewood
and Anderson. You can learn more at Orthosinc dot com.
That's orthos ci Ncy dot com. And remember you never
need an appointment at Orthossincy. Back with more on ESPN
fifteen thirty Cincinnati Sports station
Mo Egger News
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