Episode Transcript
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Speaker 1 (00:00):
We do this every week we talk with one of
the experts from Ortho Sincy Orthopedics and sports Medicine. And
what we love about Ortho Sincy is they have specialists,
locations and services all over the Tri State, including walk
in orthopedic urgent care at five locations with extended evening
and weekend hours in Edgewood and Anderson. Learn more at
Orthosincy dot com. That's ortho ci ncy doc dot com.
(00:23):
Doctor Matt Dejardands is with us to talk about Lucaspatrick
and I want to ask you a few questions about
another NFL player, but let's start with lucas he is
out for They say it's going to be four weeks.
Got to miss four games on IR with a calf issue.
It sounds like a strain. So walk me through the
various grades of a calf strain.
Speaker 2 (00:43):
Yeah, so I think you're right.
Speaker 3 (00:44):
This is most likely represent a muscular strain is probably
what we would call it.
Speaker 2 (00:49):
And it makes sense.
Speaker 3 (00:51):
You know, once you injure it, you know in a
previous season or our previous times, it makes it a
little bit more high risk to reinjur it again. And
that would be no different than something like an ankle sprain.
So the different grades it's not overly fancy, it's just
based on there's there's two.
Speaker 2 (01:07):
Ways to grade it.
Speaker 3 (01:08):
One is just by examining the player, looking at things
like swelling, degree of pain, and any any sort of
deficit or defect in the muscle. And the other is
based on imaging like an MRI scan something or like that.
Speaker 1 (01:23):
So over the next few weeks, what's the course of treatment,
and does that timeline that they have suggested basically four
weeks make sense.
Speaker 2 (01:33):
It does.
Speaker 3 (01:34):
Treatment's pretty simple for this kind of thing. It's it's
not a lot of fancy treatment. It's more compression, you know,
early faces, compression, rice elevation like you would normally do.
Speaker 2 (01:44):
And then once once the healing.
Speaker 3 (01:46):
Process is starting, you're getting into some stretching and you're
getting into some rehab.
Speaker 2 (01:51):
And some strengthening.
Speaker 3 (01:53):
Eventually you'll get to on the field work and pushing
off on it and starting to run.
Speaker 2 (01:57):
A little bit.
Speaker 3 (01:58):
The biggest, the biggest issue with these things, just like
when Burrow had his a few seasons ago, his timing,
you know, trying to guess the right time to return
on the field for competition, that's an art form more
than it is a science. So even the grating, like
with an MRI scan, it's helpful, but it doesn't It
doesn't tell you, hey, this player is exactly going to
be ready at four weeks or five weeks. It's a
(02:20):
little bit based on the player, based on the hands
on with the training staff, and there's definitely some art
to it.
Speaker 1 (02:26):
Maybe kind of a dumb question. It's really warm right now.
When he returns, temperatures will be cooler. Can that have
an impact?
Speaker 2 (02:33):
I don't think.
Speaker 3 (02:33):
The air temperature will have a big impact, but to
that when you are rehabbing and actually getting ready to
return to competition, getting that muscle warm with some physical
activity or getting some good warm up in before you
actually get on the field to compete, that's going to
be critical to not only make the function good and
make the player good, but possibly reduce the risk of
(02:54):
re injury.
Speaker 1 (02:55):
All right, just has nothing to do with the Bengals,
but it struck me as cure us. Nonetheless, Micah Parsons
was traded by the Dallas Cowboys to the Green Bay Packers,
and he played in Week one and played pretty effectively
in his twenty nine snaps, but he is dealing with
a facet joint sprain in his back. And it's interesting
he passed his physical when he was traded and yet
he's dealing with a back injury. Let me start with that, Uh,
(03:18):
how can you how can you pass for physical if
you're dealing with a facet joint sprain, which, by the way,
I'm also going to have to ask what that is.
Speaker 2 (03:26):
Yeah, so what it is?
Speaker 3 (03:27):
The set joints. There's a number of them in the spine.
There's actually two at every level, so you have a
whole bunch of these fa set joints. And they're small,
They're about the size of a knuckle, and so it'd
be akin to jamming your finger on a basketball and
having a sprain that way, something like that happening in
the back, So we wouldn't look at it as a
serious injury. So it doesn't surprise me that he could
(03:50):
pass up physical, which would be you know, more range
of motion and movement based and some things like that.
But it's one of those things that could just be
painful and nagging. Not necessarily really serious, like you would
failure entry physical, but something that it'll just nag.
Speaker 1 (04:04):
You could it lead to something that if he continues
to play, that ends up being a little bit more serious.
Speaker 3 (04:10):
I don't think so from a serious standpoint, I think
it could nag him. And so when you're deciding to
do some treatment like an injection or stick with more
conservative approaches like you know, rest and wrapping it and
some medications that sort of thing, the goal is to
keep the pain controlled. And then when you're deciding, you know,
week to week, should the player play or not, you're
(04:34):
trying to balance the need to have the player in
versus the risk of continuing to aggravate the injury. So
it wouldn't cause any really serious effects on the back.
Speaker 2 (04:42):
They just hurt a lot.
Speaker 1 (04:43):
The talk leading up to that first game was maybe
he would have an epidural. I guess he did not
have one. Walk me through the decision to do something
like that or reframe from it.
Speaker 3 (04:53):
Yeah, So an epidural is a spine injection. It's a
type of spine injection. So there's several types of injections
you might for something like this, and all it is
is injecting some medication right down where the problem is.
So it's it's kind of a fancy injection. You use
an X ray to guide the injection down in there,
and it's a relatively long needle to get down in there,
and I'm a big lineman like that.
Speaker 2 (05:16):
But basically it's putting.
Speaker 3 (05:18):
Some steroid down in his inflamed spot to try to
reduce the inflammation. And so for the most part, that
decision we v based on how much pain he's having.
Speaker 2 (05:27):
If he's having a lot of pain.
Speaker 3 (05:29):
But function wise he's going to be good to go for,
you know, possibly good to go for the weekend, he
might decide to go with an injection. If this pain's
more moderate, he might try to go with no injection
in some medication and other treatment instead.
Speaker 2 (05:41):
It's really just to control symptoms.
Speaker 1 (05:45):
Makes total sense. Thank you so much, doctor Matthew desjard
And from ortho Cincy. The great thing about Orthocincy, and
I say it every week, is they have specialists in
locations all over the Tri State. This includes 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. It's easy because you don't need an appointment,
(06:06):
and it's certainly cheaper than going to an er. Whenever
you have an urgent orthopedic injury, go to orthosinse dot com.
That's ortho c I n c Y dot com.