Episode Transcript
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Speaker 1 (00:00):
This.
Speaker 2 (00:00):
We do this on Wednesdays, chat with one of the
experts from Ortho Sinsey. Great thing about Ortho Sincy is
they have specialists and locations across the tri State offering
walking orthopedic urgent care Weekdays nine eight to nine p
Saturdays nine eight to one p. Learn more. Excuse me
at Orthosincy dot com. Excuse me, that's Ortho c I
(00:22):
n c Y dot com. Doctor Angel velaskez Is with
US Bengals made it official. Cam Samples going on the
injured list with a torn achilles. We've obviously talked about
these types of injuries before, but remind us what the
achilles tendon is and what it does.
Speaker 3 (00:38):
Well, thank you for having me today, mo.
Speaker 4 (00:41):
First, the achille stand on is the continuation of your
calf mosle.
Speaker 3 (00:46):
So your calf muscle contracts to pull the achillo stand on.
That pull to the heel and make your foot going down.
So everything you.
Speaker 4 (00:53):
Are gonna push off from the ground, you contract that
calf muscle or gas use that pull the ateno.
Speaker 3 (01:01):
So, uh, you know there is an injury that that
is that.
Speaker 4 (01:04):
Is really common on sports who require a lot of running.
Speaker 3 (01:08):
Jumping, especially stop and going.
Speaker 4 (01:11):
So basketball, tennis, you know, football, soccer. Those are sports
that require a lot of those movements. Abruptly movement you know,
obviously in baseball happens too, but it's less likely than
all those other sports.
Speaker 2 (01:25):
As as a sports medicine professional, when something like this happens,
do you have a pretty good idea almost instantly that
the achilles is torn or that it's at least an
achilles injury?
Speaker 5 (01:38):
Well, if you're watching obviously this game, you know, you know,
when you're when you're on the sports you're on the silent,
so you're watching from there and you're watching the play,
you could see when the mechanism of injury happens, when
the person is pushing off, how they just stop and
grab their their ankle.
Speaker 4 (01:56):
So just by that you're like, okay, he's pushed off,
grab the ankle, So yeah, this.
Speaker 3 (02:00):
Could be an acid extendal injury. But of course when
you get there.
Speaker 4 (02:03):
To the allete, they're gonna tell you, heyfl Paul, you know,
and you can you can definitely feel the DIBt or
the separation of the tendon. And obviously when you contract
or when you compress the half most so you don't
see the food going down plant a flash, and so
I you know, for Shu Alissa when you put your
(02:23):
hands on the alley.
Speaker 2 (02:24):
The belief is that Cam is gonna be okay to
play in twenty twenty five and be on the field
for summer workouts next year. So walk me through the
timeline from last week when he suffered the injury almost
a week ago, to the surgeon's table, assuming there's gonna
be some sort of procedure, and then what the rehab
and recovery look like.
Speaker 4 (02:44):
Well, number one, you know what is the you know,
the average of how how many people are on.
Speaker 3 (02:50):
Rift for having this achlist Roger, uh, you know, males
over females.
Speaker 4 (02:54):
And obviously the sports are already mentioned earlier. There's a
study several years ag GO that look at thirteen different
articles about professional athletes or elite athletes who have a
kilestener rosher and they look at seven hundred and nine
of those athletes in.
Speaker 1 (03:10):
Major League Baseball, NBA, Professional soccer, NFL, and they figure
out that around eighty percent sixty one to one hundred
percent actually will return to full activities after the injury.
Speaker 4 (03:26):
And if you look these a big range, you know,
sixty one two hundred percent is of forty percent difference there,
you know. So number one, when they when they when
the alley had this injury, they have to go to
the process of you know, diagnosis that could be on
physical exam with ultrasan and MRI. You know, then obviously
the news or delivered the alley has had a kilestender rosher.
(03:47):
You know, when that inflammation from the kilesterender Russian go
away relatively soon, they will get the procedure.
Speaker 3 (03:55):
Traditionally they have a long incision that goes through the
to the skin to suppose that a killa tendon.
Speaker 4 (04:01):
And now we have this new relatively new procedure everybody
knows about, you know Aaron Rodgers. That is the speed
bridge where the incision is smaller his side to side
instead along and actually the sushering doesn't go directly to
the defect or the tears goes from the good tissue
of the tendon on one side to the good tissue
(04:24):
and the.
Speaker 3 (04:24):
Tendon on the other side. And there's some anchors on
the hill.
Speaker 4 (04:27):
So that allowed the tendons to have less tension while
they're recovering, and obviously that allows for a q quicker
and more aggressive rehab program timeframe typically about six months
people start doing so many sports specific activities.
Speaker 3 (04:45):
With this procedure, we'll talk about four months.
Speaker 4 (04:47):
So that's a big difference there two months, and that's
why you could see Aaron Rodgers doing things in the fields,
you know, really early.
Speaker 2 (04:54):
Yeah, no it. He obviously flirted with coming back last season.
Doctor Angeville scis from Orthosinsias with us. Let's talk about
Matt McClain, who we have talked about a ton. He
has not played this year. They've been targeting a rehab
assignment starting on Monday. However, he's had a recent complication
with a stress reaction in his ribcage. Now, all the
(05:17):
reporting from GABP would just what do you think it's
gonna be that big of a deal. They're still targeting
August twelfth. I hate to do this, but when it
comes to Matt McClain, I've just I've developed a great
amount of skepticism. Let's talk about this newest development, a
stress reaction. What is the cause? What is it? How
does a stress reaction occur in the ribcage?
Speaker 4 (05:37):
You know, the riccage has a bunch of muscils that
are over the area. You have the most to make
you or help you to take a deep breath, the
one that help you to take the breath out, and
then you have the oblique most that you have rotates,
so any of those most that you are activating by
you know, in this case recovery, trying to come back, trying.
Speaker 3 (05:56):
To speed up can pull a lot of stress into.
Speaker 4 (05:59):
The riccage of that the repage, so the bond get bruised,
and that's a stress reaction.
Speaker 3 (06:04):
It is not, you know, a significant injury. Uh, it's
just about you.
Speaker 4 (06:08):
Know, giving the time with pain control and be sure
the pain goes away before you're active.
Speaker 3 (06:15):
It's really common on swimmers actually.
Speaker 4 (06:16):
But obviously you have a guy that is coming from
a shoulder injury.
Speaker 3 (06:21):
You know, things he needs to.
Speaker 4 (06:24):
Learn again how to do some motion and probably trying
to split it up, you know, to try to come
background if liquick, especially hitting, probably that's where he got it.
Speaker 3 (06:33):
The other thing that I look at my patient is
bottom in the deficiency.
Speaker 4 (06:36):
It's controversy, but we see bottom in the deficiency actually
increase the risk for stress structure.
Speaker 3 (06:41):
So that's one of the things that I would look for.
Speaker 4 (06:44):
But it's about pain control, it's about giving it two
to three weeks to get that information goes down in
the bone and then split it up and go from there.
Speaker 2 (06:53):
Awesome insight. As always, you are the best. We'll talk soon, man, Thanks.
Speaker 3 (06:57):
So much, Thank you both, Thank you much.
Speaker 2 (07:00):
Appreciate it, Doctor angel Alaskaz from Orthos. Since we say
this every week, the great thing about the people at
Orthos SINCY is they have specialists on locations across the
Tri State, which includes walk in orthopedic urgent care weekdays
nine am to nine pm and on Saturdays nine am
to one pm, and Edgewood and Anderson. It is easier
and cheaper than going to an er when you have
an urgent orthopedic injury. Just go to Orthosinc. Dot com.
(07:23):
That's Orthos c I n c Y dot com.