Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
We do this once a week we talk injuries with
one of the experts from Ortho Sinsey Orthopedics and Sports Medicine.
The great thing about Ortho Cincy is they have specialists
and locations all throughout the tri State, including walkin orthopedic
urgent care at five locations. Five locations, I said, and
that includes extended evening and weekend hours in Edgewood and Anderson.
(00:23):
You can learn more at orthosinc dot com. That's Ortho
ci Ncy dot com. Doctor Nick Early from Orthosincy is
with us. We're talking specifically about Hunter Green today, who
second Stint on the injure list because of the groin issue.
He is also reportedly dealing with some lower back pain
extending to the hip area. Jim Day revealed that on
the TV broadcast over the weekend. And so I guess,
(00:45):
I guess let's begin with this. They've done an MRI.
They're trying to determine that the groin issue is clean.
So when they do that, what are they looking for?
Speaker 2 (00:55):
So that situation, specifically, after somebody's had a groin grin poll,
you're looking to see if there's any significant damage to
the tenons that are inserting around the groin to see
if there's anything that would potentially even just show tearing
or significant injury that may require a longer period of
time of healing or potentially even some kind of intervention. So,
(01:20):
you know, from a standpoint of it being clean, it
doesn't necessarily mean that there's not an issue at all.
It just means that there's probably nothing there that would
be you know, considered a high grade injury or something
that's an identifiable, you know, kind of tear that would
require some kind of surgery or something along those lines.
Speaker 1 (01:37):
So with the initial injury, he went on the injury
list for you know, basically two and a half weeks,
a little bit less than two and a half weeks,
missed a couple of starts, came back, made three starts.
Now they're talking about him missing multiple weeks and yet
no new damage revealed with the MRI. So I think
for a lot of folks, those two things don't add up.
How do they add up?
Speaker 2 (01:59):
So in the most part, you know, if you have
a straight up growing strain, you will get better with
time and healing and you know, some therapy and things
along the lines that I think that you know, most
people will will improve with However, the hip is a
very complicated area in terms of anatomy and in terms
of things that could potentially be causing trouble. And if
(02:19):
you have an injury in one area, it's very possible
to sometimes start to have compensatory injuries or other things
that are going on. Sometimes you can have an injury
in a couple of different places, so you can injure
the growin muscles, which are some of the muscles that
are kind of attached to the They come all the
way down your leg. You're a large kind of hamstring
(02:40):
muscles that come up into the area where we think
of our typical growing muscles and growing attachment there. But
there's also a lot of different structures and the hip
that could be associated with you know, hip and growing
pain that may not be just for those structures. And
that's where I think you can start to you know, see, okay,
(03:01):
the MRI looks okay, but we're still having pain in
this area. Is there something you know, from another structure
that we're not seeing on the MRI potentially that could
be causing an issue. One of those structures, you know,
can be associated with back, you know, back issues, or
other parts of the hip in pelvis or even the adominal
wall sometimes, which can can lead to pain in the
(03:23):
area of the growing without necessarily having you know, damage
to the to those growing muscles on the inside part
of your leg that we typically typically think of when
you think of a groin injury. And so that's where
it can get a little bit you know, unclear sometimes
and I think you can sometimes have to get additional
(03:43):
imaging of other structures or just try to treat other
areas in addition to the growing pool. That's you know,
giving you some issues, and it can become a little
bit less predictable. And I think, you know, that's where
the time frame becomes a little bit, uh, you know,
a little less clear.
Speaker 1 (04:02):
Does similar explanation work for answering the question about how
this might be affecting as lower back?
Speaker 2 (04:10):
Yeah, So for one thing, what we see is that
people who have hip issues oftentimes will you know, have
some back issues or back tightness as well. For one thing,
you can start to change your gate and walk funny,
you can start to get tightness in some of the
muscles against some compensatory tightness. The other side of it
(04:31):
is that sometimes back issues can sometimes cause hip issues,
or you can actually have some you know, back tightness
or or you know, some other kind of lower grade
types of injuries that can just lead to potentially having
you know, some some tightness and some soreness in the hips.
So they oftentimes kind of play off each other and
can be separate but related. And so for sure, you know,
(04:55):
it would not be out of the question that you
could be having a back issue that could be contributing
to your hip.
Speaker 1 (05:01):
How is the the treatment and rehab effected given the
fact that we're now talking about possibly something here that
just goes beyond a groin injury.
Speaker 2 (05:09):
So you know, once again, it really depends most of
the time. You know, if it's something that's it's going
to be muscle related or you know, kind of muscle
and tended and potentially some of the deeper ligaments in
the uh in the area around that part of the body,
you know, it's gonna be something that's still gonna be
treated with time, rest, rehab, and the time frame kind
(05:31):
of depends on the severity of the problem. You know,
without without knowing exactly what the situation is now in
terms of the back, most back things are going to
are going to be treated the exact same way in
terms of just trying to approach it. It's just a
matter of how exactly you know to to manage the
rehab and and the big thing about you know, the
(05:54):
back is also is just obviously you know, that's a
little bit less predictable in terms of, you know, just
the timeframe of how how that will affect him over
the course of it is kind of recovering here than
just like a normal muscle strain, because back issues tend
to be kind of more recurrent for people. Once once
(06:16):
like a growin strain, is healed up, for the most part,
you know that will get back to where it's one
hundred percent normal. The question is with any back issues,
are there underlying, you know, structural things or is this
just more of a muscle tightness issue that just is
going to require some some you know, recovery time and
some rehab. However, even that tends to be something that
is a little bit more recurrent for people.
Speaker 1 (06:36):
Off and on makes total sense. Hunter Green, very important
to this team and going to be out for a while.
Hate that we're talking about this, but awesome insight. As always,
Doctor Nick Early from Orthos Sinsey. Thanks so much.
Speaker 2 (06:50):
All right, thank you very much.
Speaker 1 (06:51):
That's our guy, doctor Nick Early from Orthos Sinsey. I
say it every single week because it's true. The great
thing about Ortho Sinsey is they have specialists and locations
all over the Try State, including walk in orthopedic urgent
care weekdays nine a m. To nine pm and on
Saturdays nine am to one pm at both Edgewood and Anderson.
Learn more at orthosinc dot com. It's definitely cheaper than
(07:14):
going to an er, and it's certainly easier because you
never need an appointment. Whenever you have an urgent orthopedic injury,
just walk in. Learn more orthossinc dot com, ORTHOSINCI dot com.
That's Orthos c I n c Y dot com