1
00:00:00,080 --> 00:00:02,680
Speaker 1: Let's talk to a medical expert about Hunter Green. We

2
00:00:02,759 --> 00:00:05,640
Speaker 1: do this on a regular basis, chatting with the experts

3
00:00:05,640 --> 00:00:08,719
Speaker 1: from Ortho Sincy, Orthopedics and sports medicine. The great thing

4
00:00:09,240 --> 00:00:13,080
Speaker 1: about Ortho Sincy is they have specialists, locations and services

5
00:00:13,560 --> 00:00:17,439
Speaker 1: all over the Tri State. This includes walk in orthopedic

6
00:00:17,520 --> 00:00:21,680
Speaker 1: urgent care at five locations with extended evening and weekend

7
00:00:21,720 --> 00:00:26,479
Speaker 1: hours in Edgewood and Anderson. Learn more at orthosinc dot com.

8
00:00:26,880 --> 00:00:31,160
Speaker 1: That's Ortho ci Ncy dot com. Doctor Jonathan Slaughter from

9
00:00:31,240 --> 00:00:34,519
Speaker 1: Orthosincy is with us. We're talking about Hunter Green and

10
00:00:34,680 --> 00:00:39,239
Speaker 1: elbow stiffness. What comes to mind when I say elbow stiffness.

11
00:00:39,840 --> 00:00:44,120
Speaker 2: Yeah, elbow stiffness, especially an overhead thrower, especially this day

12
00:00:44,159 --> 00:00:47,920
Speaker 2: and age, when we're getting so much talk with Tommy

13
00:00:48,000 --> 00:00:51,840
Speaker 2: John and the honor colateral ligament or the UCL. That's

14
00:00:51,920 --> 00:00:54,920
Speaker 2: always your first thought, Oh, great, elbow soreness and a thrower,

15
00:00:55,000 --> 00:00:57,279
Speaker 2: especially something that's already had a Tommy John, that's your

16
00:00:57,400 --> 00:01:02,200
Speaker 2: first concerns is UCL. Okay, But there's so many things

17
00:01:02,200 --> 00:01:05,480
Speaker 2: in the elbow being a complex joint, especially with the

18
00:01:05,480 --> 00:01:10,880
Speaker 2: forces that sees with throwing, that can cause pain, swelling, stiffness.

19
00:01:12,280 --> 00:01:15,119
Speaker 2: So you start thinking, like you said, bone spurs, where

20
00:01:15,160 --> 00:01:19,360
Speaker 2: you can get extension valgus, extension, overload, where you get

21
00:01:19,480 --> 00:01:23,600
Speaker 2: abnormal stress. Where you get bone spurs that build that

22
00:01:23,600 --> 00:01:29,240
Speaker 2: can prevent stiffness, pain, pinching, ulner collateral ligament. You can

23
00:01:29,280 --> 00:01:35,480
Speaker 2: get the golfer's elbow or the common flexor tendon that attaches.

24
00:01:35,160 --> 00:01:37,399
Speaker 3: Over the owner. Collateral ligament can get strained.

25
00:01:37,840 --> 00:01:40,920
Speaker 2: You can get tennis elbow, which is your wrist and

26
00:01:41,080 --> 00:01:43,640
Speaker 2: finger extensors, the common extensor tendon.

27
00:01:44,120 --> 00:01:45,240
Speaker 3: So there's many.

28
00:01:45,080 --> 00:01:48,440
Speaker 2: Things that you can look in that can cause pain, swelling, stiffness.

29
00:01:49,480 --> 00:01:52,600
Speaker 1: He says the UCL is okay, the scans are clean,

30
00:01:52,720 --> 00:01:54,880
Speaker 1: Yet he's going to go see a couple of different doctors.

31
00:01:54,920 --> 00:01:58,440
Speaker 1: Could could a scan really be clean? And which would

32
00:01:58,480 --> 00:02:00,760
Speaker 1: suggest things are going to be okay, there's nothing really

33
00:02:00,760 --> 00:02:03,720
Speaker 1: structurally wrong here, but he's still dealing with discomfort. How

34
00:02:03,760 --> 00:02:06,000
Speaker 1: do those two things mesh?

35
00:02:06,080 --> 00:02:09,320
Speaker 2: Yeah, So when he says the UCL is okay, I

36
00:02:09,360 --> 00:02:13,880
Speaker 2: am assuming he's referring to as prior MRI that he had,

37
00:02:13,880 --> 00:02:16,200
Speaker 2: because I've not heard he had us had an MRI

38
00:02:16,440 --> 00:02:21,680
Speaker 2: yet after this recent announcement of stiffness. So I would

39
00:02:21,680 --> 00:02:23,480
Speaker 2: imagine when he was having the pain at the end

40
00:02:23,480 --> 00:02:24,280
Speaker 2: of last season.

41
00:02:24,919 --> 00:02:27,480
Speaker 3: They got the MRI then and the ligament was intact.

42
00:02:27,520 --> 00:02:31,120
Speaker 2: It wasn't showing any tear, it wasn't showing fluid signal

43
00:02:31,240 --> 00:02:35,000
Speaker 2: changes within the ligament. It wasn't showing fluid getting underneath

44
00:02:35,040 --> 00:02:38,440
Speaker 2: the ligament where it attaches to the bone. So I'm

45
00:02:38,480 --> 00:02:43,080
Speaker 2: guessing that scan the ligament looked fine, intact, and you

46
00:02:43,120 --> 00:02:45,840
Speaker 2: can still get There are people we see all the

47
00:02:45,919 --> 00:02:50,000
Speaker 2: time with pain swelling that of any joint we can

48
00:02:50,000 --> 00:02:55,760
Speaker 2: get in. The MRI doesn't show anything specific, but a

49
00:02:55,800 --> 00:02:59,400
Speaker 2: lot of times you will see inflammation or other changes elsewhere.

50
00:03:00,240 --> 00:03:04,240
Speaker 1: Opening Day is three weeks from Thursday. Should I assume

51
00:03:04,320 --> 00:03:06,360
Speaker 1: that Hunter Green will not be on the mound for

52
00:03:06,400 --> 00:03:06,800
Speaker 1: that game.

53
00:03:08,280 --> 00:03:11,720
Speaker 2: My assumption, again, all this is assumption without knowing exactly

54
00:03:11,720 --> 00:03:14,440
Speaker 2: where his pain is and seeing things. My assumption is

55
00:03:14,480 --> 00:03:19,600
Speaker 2: I'd be surprised if he's active for Opening Day, just

56
00:03:19,639 --> 00:03:22,080
Speaker 2: because he had this similar pain and stiffness at then

57
00:03:22,160 --> 00:03:25,840
Speaker 2: the last season. I think it was going to be

58
00:03:26,000 --> 00:03:27,919
Speaker 2: a little bit after Opening Day before he hit the

59
00:03:27,960 --> 00:03:28,800
Speaker 2: active He said he.

60
00:03:28,800 --> 00:03:31,800
Speaker 1: Had an injection right before spring training. What may have that.

61
00:03:31,760 --> 00:03:34,960
Speaker 3: Involved depends on what they were targeting.

62
00:03:35,000 --> 00:03:38,400
Speaker 2: If they were targeting something like ext or valgus extension,

63
00:03:38,400 --> 00:03:42,280
Speaker 2: overload or impingement with the bone spurs, it could have

64
00:03:42,280 --> 00:03:46,320
Speaker 2: been an intra articular steroid injection or as steroids into

65
00:03:46,360 --> 00:03:49,720
Speaker 2: the joint to try to calm the inflammation down. If

66
00:03:49,760 --> 00:03:52,560
Speaker 2: it was maybe some inflammation in one of the tendons,

67
00:03:52,680 --> 00:03:55,360
Speaker 2: not the UCL, but one of the tendons, it could

68
00:03:55,400 --> 00:03:59,040
Speaker 2: have been PRP or plasma rich protein to try to

69
00:03:59,240 --> 00:04:00,000
Speaker 2: get that the heel.

70
00:04:00,600 --> 00:04:03,440
Speaker 1: When you hear that he talks about you know, last year,

71
00:04:03,480 --> 00:04:06,040
Speaker 1: I felt discomfort, but I pushed through. From a pure

72
00:04:06,080 --> 00:04:09,360
Speaker 1: baseball perspective, great, right, they were trying to make the postseason.

73
00:04:09,800 --> 00:04:12,640
Speaker 1: But from a medical perspective, what things come to mind

74
00:04:12,680 --> 00:04:15,080
Speaker 1: when you hear him refer to pain that he pitched

75
00:04:15,080 --> 00:04:15,880
Speaker 1: through late last.

76
00:04:15,680 --> 00:04:19,599
Speaker 3: Season, especially an overhead thrower.

77
00:04:19,640 --> 00:04:22,000
Speaker 2: If it's pain on the inside of the elbow where

78
00:04:22,000 --> 00:04:24,800
Speaker 2: the UCL is, you're always worried. Well, great, if you're

79
00:04:24,880 --> 00:04:29,280
Speaker 2: just having some light sprain, just very partial tearing, but.

80
00:04:29,279 --> 00:04:31,680
Speaker 3: The ligament's okay, Well it's weakend.

81
00:04:31,760 --> 00:04:34,400
Speaker 2: If you're pushing through, could you then turn that into

82
00:04:34,440 --> 00:04:37,839
Speaker 2: something that more severe and more significant tear? So from

83
00:04:37,839 --> 00:04:40,480
Speaker 2: a medical perspective, you're always really thinking could you make

84
00:04:40,520 --> 00:04:43,400
Speaker 2: it worse? But I'm sure they were on top of them.

85
00:04:43,480 --> 00:04:47,440
Speaker 2: Got scans. Ucl looked okay, Everything looked okay. It's likely

86
00:04:47,440 --> 00:04:50,080
Speaker 2: some impingement or something like that you can push through

87
00:04:50,480 --> 00:04:52,160
Speaker 2: without causing more damage.

88
00:04:52,760 --> 00:04:55,240
Speaker 1: Should I fear the worst case? And what is the

89
00:04:55,240 --> 00:04:56,000
Speaker 1: worst case? Here?

90
00:04:56,920 --> 00:04:59,760
Speaker 2: Worst case would be the ucl as torn right now,

91
00:05:00,920 --> 00:05:02,960
Speaker 2: I would be optimistic and hopeful.

92
00:05:03,000 --> 00:05:05,560
Speaker 3: It's not worth getting well.

93
00:05:05,600 --> 00:05:08,719
Speaker 2: As my mother in law always tells me, don't trouble, trouble,

94
00:05:09,000 --> 00:05:12,520
Speaker 2: in other words, until it's here, don't don't fret about it.

95
00:05:13,040 --> 00:05:16,440
Speaker 2: And so the worst to me would be it would

96
00:05:16,480 --> 00:05:20,000
Speaker 2: be a second Tommy John required if it's a ucl

97
00:05:21,160 --> 00:05:24,840
Speaker 2: and outcomes of those are much more guarded. I mean,

98
00:05:24,880 --> 00:05:26,799
Speaker 2: he could come back, but that would be the worst

99
00:05:26,839 --> 00:05:29,599
Speaker 2: case scenario. But in the words of Jill and Pelsary,

100
00:05:30,080 --> 00:05:31,680
Speaker 2: don't trouble, trouble very nice.

101
00:05:31,720 --> 00:05:34,440
Speaker 1: Sorry, Jill gets a shout out. Worst case is often

102
00:05:34,520 --> 00:05:37,360
Speaker 1: not the most likely case. So I'm going to try

103
00:05:37,400 --> 00:05:38,960
Speaker 1: to take your advice. I'm gonna try to take your

104
00:05:39,000 --> 00:05:41,560
Speaker 1: mother in law's advice. It's not gonna work because I'm

105
00:05:41,600 --> 00:05:44,320
Speaker 1: gonna fret over this, and I think most Reds fans are,

106
00:05:44,400 --> 00:05:46,880
Speaker 1: but we'll be paying attention. He is going to have

107
00:05:47,440 --> 00:05:51,120
Speaker 1: two consultations with doctors. Put yourself in the exam room,

108
00:05:51,120 --> 00:05:52,760
Speaker 1: give me an idea of the things you're looking at.

109
00:05:52,800 --> 00:05:53,479
Speaker 3: Looking for.

110
00:05:54,920 --> 00:05:58,680
Speaker 2: One where the pain is, especially with his emotion when

111
00:05:58,760 --> 00:06:04,440
Speaker 2: he's getting the pain and his motion. And then certain

112
00:06:04,560 --> 00:06:08,520
Speaker 2: test maneuvers where we're really stressing that Honor collateral ligament.

113
00:06:09,040 --> 00:06:10,279
Speaker 3: Is that lighting it up?

114
00:06:10,440 --> 00:06:12,839
Speaker 2: Then I would we would throw an ultrasound on it

115
00:06:13,320 --> 00:06:17,760
Speaker 2: and measure how much his joint is giving way to stress.

116
00:06:18,160 --> 00:06:20,640
Speaker 2: Every joint gives some, but as he lacks, is he

117
00:06:20,720 --> 00:06:24,279
Speaker 2: giving too much? That's what would be really focused and on.

118
00:06:25,880 --> 00:06:29,160
Speaker 1: Awesome insight. Making a bit of a house call, answering

119
00:06:29,160 --> 00:06:31,839
Speaker 1: our call last second. Appreciate the time, Doctor Slaughter, thanks

120
00:06:31,880 --> 00:06:35,680
Speaker 1: so much always, Mom, guy's the best doctor. Jonathan Slaughter

121
00:06:35,720 --> 00:06:38,440
Speaker 1: from Ortho Sinsey. I say this every single week because

122
00:06:38,480 --> 00:06:41,720
Speaker 1: it's true. The great thing about Ortho Sincy is they

123
00:06:41,760 --> 00:06:44,840
Speaker 1: have specialists on locations all over the Tri State, including

124
00:06:45,360 --> 00:06:48,560
Speaker 1: walk in Orthopedic urgent care weekdays from nine am to

125
00:06:48,640 --> 00:06:50,840
Speaker 1: nine pm and on Saturdays from nine am to one

126
00:06:50,880 --> 00:06:54,400
Speaker 1: pm at both Edgewood and Anderson. It's easy because you

127
00:06:54,480 --> 00:06:57,720
Speaker 1: do not need an appointment, and it's definitely cheaper than

128
00:06:57,720 --> 00:07:01,200
Speaker 1: going to an er. Whenever you have an urgent orthopedic injury.

129
00:07:01,520 --> 00:07:06,600
Speaker 1: Good Orthosinc dot com. That's ortho ci ncy dot com.

130
00:07:06,960 --> 00:07:13,840
Speaker 1: What a difference two years makes? Next Cincinnati's ESPN fifteen

131
00:07:14,000 --> 00:07:16,840
Speaker 1: thirty Traffic from.

132
00:07:16,640 --> 00:07:21,320
Speaker 4: The UCHealth Traffic Center at the Ucgardner Neuroscience Institute. The

133
00:07:21,480 --> 00:07:27,320
Speaker 4: Multiple Sclerosis Experts deliver personalized treatments, groundbreaking research, and integrated

134
00:07:27,360 --> 00:07:32,080
Speaker 4: support services. Earn more at UCHealth dot com. Northbound seventy

135
00:07:32,120 --> 00:07:34,760
Speaker 4: one seventy five, The left two lanes are blocked from

136
00:07:34,800 --> 00:07:38,360
Speaker 4: an accident between Buttermilk Pike and Dixie Highway, with a

137
00:07:38,440 --> 00:07:41,720
Speaker 4: thirty minute delay back from two to seventy five in Erlanger.

138
00:07:42,080 --> 00:07:45,880
Speaker 4: Also an injury accident Glendale Milford Road at Wayne Avenue.

139
00:07:46,120 --> 00:07:48,560
Speaker 4: I'm at ezelic with traffic this report