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Speaker 1: Welcome back.

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Speaker 2: It is since E three sixty hour number three on

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Speaker 2: a Thursday afternoon, rolling right along on ESBN fifteen thirty

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Speaker 2: Cincinnati Sports Station. Let's spend some time on the injury front,

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Speaker 2: and let's do so with a guest from our good

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Speaker 2: friends at Novacare. Brian Growie is joining us today on

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Speaker 2: behalf of Novacare and Brian, first of all, how are

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Speaker 2: you doing.

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Speaker 1: I am doing very well, Tony, thanks for having me today.

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Speaker 2: Absolutely, absolutely, the world of football, we are always seeing

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Speaker 2: injuries throughout the game, and we saw a pretty nasty

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Speaker 2: one with the injury to Jaydon Daniels a few games ago,

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Speaker 2: and got me thinking a little bit about something that

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Speaker 2: I've went through. I've fractured my arm twice when I

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Speaker 2: was at the University of Cincinnati. Let's talk a little

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Speaker 2: bit about dislocations or fractured dislocations and just what that

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Speaker 2: it looks like to a trainer when you initially get

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Speaker 2: that diagnosis.

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Speaker 1: Absolutely, it's one of those injury patterns that I would

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Speaker 1: say is fodder for clickbait. It always looks gruesome, and

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Speaker 1: you know, it's one of those things where you don't

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Speaker 1: want to look at it, but you also don't want

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Speaker 1: to look away when people end up injuring their joint

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Speaker 1: and dislocating it. The number one thing is trying to

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Speaker 1: get the joint back in place, and that's exactly what

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Speaker 1: you know athletic trainer or a physician is going to do.

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Speaker 1: On the sideline. Those ones that are the elbow fractures

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Speaker 1: and or dislocations, you know, they can come in different varieties.

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Speaker 1: You can either have a dislocation or you can have

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Speaker 1: a dislocation with a fracture, and typically those are going

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Speaker 1: to be the ones that we discuss getting reduced and

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Speaker 1: even sometimes needing surgery.

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Speaker 2: When you think about not only the need for surgery,

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Speaker 2: but what else are you concerned with when you see

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Speaker 2: a dislocation, About that not only with the fracture itself,

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Speaker 2: but maybe what's around.

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Speaker 1: That, You know, Tony, that's a great question in regards

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Speaker 1: to injury to any extremity, especially the dislocation. The first

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Speaker 1: and foremost thing, we want to make sure that the

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Speaker 1: patient has a pulse. Do they have an injury to

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Speaker 1: a neurovascular structure, because we want to make sure that

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Speaker 1: the patient gets sent to the right place at the

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Speaker 1: right time. Do we need to send them to the hospital.

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Speaker 1: Do they have an injury to an artery? Do they

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Speaker 1: have an injury to a nerve? Especially if you're traveling,

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Speaker 1: you know, as you know with collegiate or professional athletics,

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Speaker 1: those doctors and those athletic trainers could be on the

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Speaker 1: road and they may need to send them to an

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Speaker 1: outside hospital to be sure that the limb is okay.

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Speaker 2: So with Jade Daniels a couple of weeks ago, obviously

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Speaker 2: the worry is at first how gruesome it looks, and

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Speaker 2: then you're making sure to test the ligament damage. And

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Speaker 2: for Jadan Daniels did not have any ligaman damage, so

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Speaker 2: he avoided us season ending injury. Obviously, still going to

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Speaker 2: be out quite some time. But how different of a

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Speaker 2: rehab process, how much more severity are you adding if

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Speaker 2: there were ligament damage around that fracture?

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Speaker 1: Yeah, I mean when when guys dislocate their joints and

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Speaker 1: have ligament damage, typically that does occur. It's those fractures

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Speaker 1: that actually get a little bit more tricky in terms

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Speaker 1: of idiosyncrasies associated with do you need surgery? Do you

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Speaker 1: not need surgery? But thankfully, when guys have the dislocation

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Speaker 1: and do not end up with any sort of ligament

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Speaker 1: tos injury that would affect their position. You know, because

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Speaker 1: we're personalizing this with everybody, time and place. You know,

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Speaker 1: what's your position, what do you need to do to compete?

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Speaker 1: What do you need to do to compete at the

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Speaker 1: highest level. But I would say a good timeline associated

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Speaker 1: with the dislocation is first getting the range of motion

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Speaker 1: back over the next cup, over the first few weeks,

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Speaker 1: getting the swelling down, and then getting their strength back

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Speaker 1: over the next few weeks after that, and typically we're

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Speaker 1: looking at four to six weeks on on most dislocations

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Speaker 1: that do not require surgery.

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Speaker 2: We're talking about getting back. I think one of the

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Speaker 2: unique things with injuries. There are some injuries that feel

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Speaker 2: like you run the risk of re injuring that same area,

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Speaker 2: and there are some injuries you're healed and you never

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Speaker 2: think about it again. When you talk about a fracture,

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Speaker 2: you talk about something as we're discussing here, is there

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Speaker 2: a inherent risk at suffering some type of re injury

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Speaker 2: at some point?

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Speaker 1: Yeah, that's another great question when we look at guys

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Speaker 1: that play contact sports like football, because you know they're basically,

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Speaker 1: you know, getting into a car accident multiple times during

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Speaker 1: a game, and they're putting their bodies at risk. When

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Speaker 1: we're talking about fractures, I think we usually try to

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Speaker 1: diconomize them between you know, weight bearing and non weight bearing.

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Speaker 1: You know, is it part of your extremity that you're

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Speaker 1: running on or is this more a situation where it's

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Speaker 1: a smaller bone like a finger. And I think all

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Speaker 1: of them run the risk of being reinjured, and then

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Speaker 1: I think it just depends upon, you know, risk to

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Speaker 1: the layer and what they're willing to undergo to get

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Speaker 1: back onto the field. But you see it all the time.

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Speaker 1: Guys they break their collarbone, they go back too soon

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Speaker 1: and then they rebreak it. Well, we see guys with

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Speaker 1: a fibula fracture down at their foot or ankle area

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Speaker 1: and they break that and then they're back in six

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Speaker 1: weeks and they're good to go. So we try to

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Speaker 1: personalize it again based upon sort of the what the

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Speaker 1: risk is and then what does that mean if they

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Speaker 1: rebreak it, does that mean then they're going to need

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Speaker 1: surgery and then they're going to be out the season.

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Speaker 1: So it's a balance.

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Speaker 2: I know there are some injuries that you take on

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Speaker 2: and you can maybe even play before you're back to

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Speaker 2: one hundred percent. You could pad it up, you could

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Speaker 2: play with some type of brace, depending on obviously where

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Speaker 2: the fracture or the dislocation would happen. Is this the

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Speaker 2: type of injury that you could protect in a certain

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Speaker 2: way and get back for a quarterback, Let's let's say

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Speaker 2: a right handed quarterback that that hurts his left arm,

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Speaker 2: or are you making sure it's it's one hundred soend

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Speaker 2: healthy before you're getting back out there.

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Speaker 1: So, in my opinion and in my experience, I would say,

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Speaker 1: especially with these higher level athletes, that when you get

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Speaker 1: into the NFL, they want to be out there. A

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Speaker 1: lot of these guys just love playing the game and

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Speaker 1: it's what they've dreamed of doing and are really trying

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Speaker 1: to be aggressive about trying to get back on the field.

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Speaker 1: And even in the all the way down to the

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Speaker 1: high school athletes, you know, sometimes as medical professionals, the

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Speaker 1: athletic trainers and the doctors, you know, we're protecting them

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Speaker 1: from their cells, from themselves as much as anything else.

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Speaker 1: In regards specifically to an elbow injury like that that

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Speaker 1: you're describing, I would say, you know, even in the

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Speaker 1: throwing arm. They would be a pretty low likelihood that

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Speaker 1: you would redislocate it once it kind of heals up

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Speaker 1: over the first couple of weeks. So as long as

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Speaker 1: they can compete in their position and protect and protect

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Speaker 1: themselves out on the field, I would be pretty bullish

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Speaker 1: about about getting that quarterback back onto the field.

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Speaker 2: Awesome stuff, man, Brian, this was so helpful for us.

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Speaker 2: We can't thank you enough for your time. We appreciate

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Speaker 2: certainly the University of Cincinnati and Novacare, and again, thank

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Speaker 2: you for your time. I look forward to catching up

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Speaker 2: again soon.

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Speaker 1: Thanks, Tony. Have a great day.

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Speaker 2: Absolutely, that is Brian growie with our good friends at Novacare.

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Speaker 2: From traveling to the game, walking to your seats, and

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Speaker 2: partaking in postgame celebration, your body can take a beating

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Speaker 2: from all the activity on game day. At Novacare Rehabilitation.

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Speaker 2: They understand how important it is for fans to be

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Speaker 2: there to root for their team. Through the power physical therapy,

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Speaker 2: you don't need to let aches, pains, or injury keep

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Speaker 2: you from the game. Find a center near you at

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Speaker 2: novacare dot com. Today we're moving right along cinty three

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Speaker 2: to sixty hour three on ESPN fifteen thirty Cincinnati sports

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Speaker 2: station