1 00:00:02,520 --> 00:00:05,720 Speaker 1: Welcome back, rolling along to finish up our number one 2 00:00:05,880 --> 00:00:10,039 Speaker 1: on this Friday ESBN fifteen thirty Cincinnati Sports station. Thanks 3 00:00:10,039 --> 00:00:13,080 Speaker 1: to our friends at Skyline Chili. We also thank our 4 00:00:13,119 --> 00:00:16,239 Speaker 1: friends at Novacare for their continued support and each week 5 00:00:16,280 --> 00:00:18,000 Speaker 1: we have a chance to speak with our guy from 6 00:00:18,000 --> 00:00:22,079 Speaker 1: the University of Cincinnati and Novacare, Bob Mangean, who joins 7 00:00:22,160 --> 00:00:22,600 Speaker 1: us right now. 8 00:00:22,640 --> 00:00:25,160 Speaker 2: Bob, what's going on, Tony? 9 00:00:25,280 --> 00:00:27,280 Speaker 3: Just a beautiful day down here in Clinton now that 10 00:00:27,400 --> 00:00:30,040 Speaker 3: the rain's over and we're getting ready for basketball practice. 11 00:00:30,320 --> 00:00:34,239 Speaker 1: Got an away game on Sunday against UCF And then 12 00:00:34,280 --> 00:00:37,559 Speaker 1: for you, Bob, Monday Night. You know, the Pittsburgh Steelers 13 00:00:37,560 --> 00:00:40,560 Speaker 1: have won twenty three straight Monday night home football games. 14 00:00:41,400 --> 00:00:43,959 Speaker 1: What's your level of confidence in your Steelers on Monday Night? 15 00:00:45,960 --> 00:00:48,400 Speaker 3: I would say I'm okay with it. I think they've 16 00:00:48,400 --> 00:00:50,959 Speaker 3: got a great chance to win. You know, Aaron Rodgers 17 00:00:51,040 --> 00:00:51,960 Speaker 3: is hot right now. 18 00:00:52,520 --> 00:00:55,000 Speaker 2: Okay, so okay, and they're actually protecting him. 19 00:00:55,000 --> 00:00:58,120 Speaker 3: I'm liking shock they're giving him a little bit of protection. 20 00:00:58,800 --> 00:01:03,560 Speaker 1: I am igu Because obviously the Pittsburgh season is continuing. 21 00:01:03,560 --> 00:01:05,440 Speaker 1: There are a lot of NFL teams whose season is 22 00:01:05,440 --> 00:01:08,560 Speaker 1: over and whenever that may be. I'm always fascinated with 23 00:01:09,400 --> 00:01:12,319 Speaker 1: uh going into an off season of sports and the 24 00:01:12,400 --> 00:01:14,920 Speaker 1: decision of players, because you go through a season and 25 00:01:15,160 --> 00:01:17,200 Speaker 1: you're going to get banged up. You have guys playing 26 00:01:17,240 --> 00:01:20,520 Speaker 1: through injuries that some are more significant than others. And 27 00:01:20,560 --> 00:01:23,360 Speaker 1: I'm always intrigued by the idea when a season ends 28 00:01:23,400 --> 00:01:25,840 Speaker 1: of are you just going to try to rehab an 29 00:01:25,840 --> 00:01:30,160 Speaker 1: injury or are you going to address an injury via surgery, 30 00:01:30,240 --> 00:01:33,520 Speaker 1: because we have seen times in the past where surgery 31 00:01:33,600 --> 00:01:36,440 Speaker 1: is not done and then the injury maybe lingers into 32 00:01:36,440 --> 00:01:38,240 Speaker 1: the start of the next season, or they wait and 33 00:01:38,280 --> 00:01:41,240 Speaker 1: put it off and then they end up missing part 34 00:01:41,280 --> 00:01:43,560 Speaker 1: of the early part of next season. So for me 35 00:01:44,080 --> 00:01:47,480 Speaker 1: of a training side of things, what are those conversations 36 00:01:47,560 --> 00:01:49,680 Speaker 1: like when a season wraps up and you're talking or 37 00:01:49,720 --> 00:01:52,920 Speaker 1: dealing with those players on whether to go to rehab 38 00:01:53,040 --> 00:01:55,920 Speaker 1: or whether to have surgery. 39 00:01:56,320 --> 00:01:58,200 Speaker 2: Well, again, it's a team approach. 40 00:01:58,240 --> 00:01:59,800 Speaker 3: And you know what I mean by that is it's 41 00:01:59,840 --> 00:02:03,440 Speaker 3: the docs, it's the trainers, it's the fiscal therapists. The 42 00:02:03,520 --> 00:02:07,480 Speaker 3: staff get together, they analyze the injury, they look at 43 00:02:07,600 --> 00:02:10,600 Speaker 3: you know, what's the best evidence. Is the evidence there 44 00:02:10,639 --> 00:02:13,080 Speaker 3: to go ahead and operate on it and get it 45 00:02:13,400 --> 00:02:15,760 Speaker 3: to the point where you feel more comfortable with it, 46 00:02:16,400 --> 00:02:19,080 Speaker 3: or is it, you know, a better opportunity to just 47 00:02:19,120 --> 00:02:23,240 Speaker 3: go with conservative management. You know, and again there's never 48 00:02:23,880 --> 00:02:25,440 Speaker 3: you're not going to be right all the time. 49 00:02:25,760 --> 00:02:26,000 Speaker 2: You know. 50 00:02:26,520 --> 00:02:29,800 Speaker 3: We've had situations where we've tried to treat things conservatively 51 00:02:29,919 --> 00:02:34,360 Speaker 3: and sure enough, within a month of trying that, you know, 52 00:02:34,440 --> 00:02:36,119 Speaker 3: you end up cutting bait and. 53 00:02:35,960 --> 00:02:36,919 Speaker 2: Going with the surgery. 54 00:02:37,080 --> 00:02:39,840 Speaker 3: So as you go through the off season, you're trying 55 00:02:39,880 --> 00:02:43,960 Speaker 3: to mimic as best you can what they're going to 56 00:02:44,000 --> 00:02:45,960 Speaker 3: be in for when they come to the start of 57 00:02:46,000 --> 00:02:49,640 Speaker 3: the next season. You can't always do that clinically, and 58 00:02:49,760 --> 00:02:51,440 Speaker 3: a lot of we have is done out. 59 00:02:51,320 --> 00:02:53,800 Speaker 2: On the field. You know, put them in the environment 60 00:02:53,840 --> 00:02:56,120 Speaker 2: they're going to be in. Try to do your best 61 00:02:56,200 --> 00:02:57,680 Speaker 2: to you know. 62 00:02:58,280 --> 00:03:02,200 Speaker 3: Mimic exactly the force is they're going to undergo and. 63 00:03:02,240 --> 00:03:03,359 Speaker 2: See how they progress. 64 00:03:03,800 --> 00:03:05,880 Speaker 3: As long as they're progressing, I don't have any problem 65 00:03:05,880 --> 00:03:10,359 Speaker 3: with conservative care. If they're not progressing, or if they 66 00:03:10,360 --> 00:03:13,120 Speaker 3: have a setback, then obviously you're going to go right 67 00:03:13,200 --> 00:03:17,200 Speaker 3: to surgery. Or if the injury is significant enough during 68 00:03:17,240 --> 00:03:20,040 Speaker 3: the season and you're able to get them through the season, 69 00:03:20,600 --> 00:03:24,320 Speaker 3: then go ahead and you know, cut bait and do 70 00:03:24,400 --> 00:03:25,000 Speaker 3: the surgery. 71 00:03:25,400 --> 00:03:26,120 Speaker 2: And again for. 72 00:03:26,160 --> 00:03:29,160 Speaker 3: Us in basketball, you know, football is right now, both 73 00:03:29,200 --> 00:03:32,680 Speaker 3: college and NFL. You know what's best for these guys. 74 00:03:33,280 --> 00:03:35,960 Speaker 3: But again when you operate on them, especially at the 75 00:03:35,960 --> 00:03:39,560 Speaker 3: collegiate level anymore, you know, and the kid wants to transfer, 76 00:03:39,680 --> 00:03:40,839 Speaker 3: the kid's got another year. 77 00:03:41,040 --> 00:03:43,800 Speaker 2: Does the kid have a red shirt year? They can't 78 00:03:43,880 --> 00:03:44,960 Speaker 2: have a medical year. 79 00:03:45,480 --> 00:03:48,119 Speaker 3: So those are all the questions in college you got 80 00:03:48,120 --> 00:03:50,680 Speaker 3: to ask, you know, in the you know, at the 81 00:03:50,800 --> 00:03:54,880 Speaker 3: NFL level, you know, it's pretty black and white. You know, 82 00:03:55,240 --> 00:03:56,960 Speaker 3: they're trying to be at the best they can be. 83 00:03:57,240 --> 00:03:59,960 Speaker 3: So many times you hear about these off season surgery 84 00:04:00,720 --> 00:04:03,120 Speaker 3: and the guys come back and they want to be 85 00:04:03,320 --> 00:04:07,080 Speaker 3: as good as possible for the next season. And again 86 00:04:07,120 --> 00:04:09,840 Speaker 3: there's no right answer, no wrong answer. You just go 87 00:04:09,920 --> 00:04:12,320 Speaker 3: with what the evidence tells you to try. 88 00:04:12,440 --> 00:04:15,119 Speaker 1: And is there a time frame or a cutoff where 89 00:04:15,120 --> 00:04:16,960 Speaker 1: you may say, okay, we are going to do the rehab, 90 00:04:16,960 --> 00:04:19,120 Speaker 1: but if it's not taking, then you switch up the 91 00:04:19,160 --> 00:04:21,400 Speaker 1: conversation say okay, we want to get the surgery done 92 00:04:21,839 --> 00:04:25,080 Speaker 1: sooner rather than later, because you again you you have time, 93 00:04:25,200 --> 00:04:28,000 Speaker 1: you have the off season, but also nowadays, there is 94 00:04:28,080 --> 00:04:30,280 Speaker 1: really no off season. You're you're training and you're getting 95 00:04:30,320 --> 00:04:32,520 Speaker 1: ready for the next year and all that. So is 96 00:04:32,560 --> 00:04:35,000 Speaker 1: there that fine line of Okay, let's rehab this and 97 00:04:35,080 --> 00:04:37,160 Speaker 1: let's keep an eye on it, and if it doesn't improve, 98 00:04:37,279 --> 00:04:38,600 Speaker 1: now we got to get to the surgery. 99 00:04:39,720 --> 00:04:42,880 Speaker 3: I'm using pretty quick. I usually give it two three weeks. 100 00:04:42,920 --> 00:04:46,520 Speaker 3: If I don't see there a strength improvement or functional improvement, 101 00:04:47,120 --> 00:04:50,640 Speaker 3: if they're still complaining of pain with certain movements, I'll 102 00:04:50,640 --> 00:04:54,400 Speaker 3: probably cut baiton and look at a surgical option for 103 00:04:54,480 --> 00:04:55,080 Speaker 3: the athlete. 104 00:04:56,040 --> 00:04:58,320 Speaker 2: Just to make sure that you know you have a 105 00:04:58,440 --> 00:04:59,440 Speaker 2: known outcome. 106 00:04:59,600 --> 00:05:02,080 Speaker 3: You go in there, you've looked at it. You can 107 00:05:02,080 --> 00:05:04,680 Speaker 3: get all the MRIs you want, you can do all 108 00:05:04,680 --> 00:05:08,640 Speaker 3: the ultrasounds you want. Surgery gives you the opportunity to 109 00:05:08,680 --> 00:05:11,880 Speaker 3: have a direct look at it and investigate the injury 110 00:05:12,440 --> 00:05:15,080 Speaker 3: up close and personal, as I call it. So I'm 111 00:05:15,120 --> 00:05:17,479 Speaker 3: willing to give it about two three weeks. But after that, 112 00:05:17,600 --> 00:05:20,600 Speaker 3: if I'm not seeing a functional improvement of pain improvement 113 00:05:21,680 --> 00:05:25,040 Speaker 3: and ability to you know, perform the way they want 114 00:05:25,080 --> 00:05:28,480 Speaker 3: to start to perform, then I'm willing to say, okay, 115 00:05:28,520 --> 00:05:30,400 Speaker 3: let's go ahead and go down the road. Of surgery, 116 00:05:30,800 --> 00:05:33,000 Speaker 3: so that we know that we have a you know 117 00:05:33,080 --> 00:05:35,400 Speaker 3: what exactly is going on. Let's take a look at 118 00:05:35,400 --> 00:05:38,680 Speaker 3: it and see exactly what's going on, Especially with injuries 119 00:05:38,800 --> 00:05:43,039 Speaker 3: like you know, meniscus or articular cartilage, you know those 120 00:05:43,120 --> 00:05:45,800 Speaker 3: kinds of injuries. I'd rather take a look at it. 121 00:05:46,800 --> 00:05:51,000 Speaker 1: I also in today's world, especially at the college level, 122 00:05:51,200 --> 00:05:54,960 Speaker 1: in the transfer portal, So you're dealing with an athlete 123 00:05:55,200 --> 00:05:57,800 Speaker 1: and he goes through an injury during the season, and 124 00:05:57,839 --> 00:06:00,279 Speaker 1: now he's going to transfer to a different school. She's 125 00:06:00,320 --> 00:06:02,880 Speaker 1: going to transfer to a different school. Are you then 126 00:06:02,920 --> 00:06:06,080 Speaker 1: in contact with that next school? Are you kind of 127 00:06:06,160 --> 00:06:08,080 Speaker 1: washing your hands of the situation? Are you trying to 128 00:06:08,080 --> 00:06:10,160 Speaker 1: take care of it before that athlete moves on to 129 00:06:10,240 --> 00:06:14,440 Speaker 1: the next school. How do injuries now affect the timeline 130 00:06:14,760 --> 00:06:17,320 Speaker 1: of an athlete deciding to go to a different school 131 00:06:17,320 --> 00:06:18,880 Speaker 1: even though they need something taken care of. 132 00:06:20,080 --> 00:06:23,640 Speaker 3: Well, we're in a buying because, just like any other patient, 133 00:06:23,720 --> 00:06:26,640 Speaker 3: you have to follow hipper roles, which means that if 134 00:06:26,680 --> 00:06:28,720 Speaker 3: the athlete comes in and says to me, hey, I 135 00:06:28,760 --> 00:06:31,919 Speaker 3: don't know, I don't want you talking to my next school, 136 00:06:32,080 --> 00:06:35,359 Speaker 3: or I don't give you permission to release my medical information. 137 00:06:36,000 --> 00:06:38,400 Speaker 3: So when this school calls, it's like, well, I can't 138 00:06:38,400 --> 00:06:42,240 Speaker 3: tell anything. You know, a nice kid, but you know, 139 00:06:42,360 --> 00:06:45,800 Speaker 3: I can't really discuss this medical information. And we do 140 00:06:45,920 --> 00:06:47,719 Speaker 3: the same thing, you know, we try to call and 141 00:06:47,760 --> 00:06:51,160 Speaker 3: get medical information from, you know, the athletic trainer from 142 00:06:51,200 --> 00:06:54,480 Speaker 3: the school they're transferring from, and we oftentimes don't get 143 00:06:54,480 --> 00:06:57,480 Speaker 3: the full picture. So I think, you know, you've got 144 00:06:57,480 --> 00:07:00,680 Speaker 3: to do different ways of investigating exact play, you know, 145 00:07:00,760 --> 00:07:04,800 Speaker 3: watching the injury, watching their performance after injury, if they 146 00:07:04,839 --> 00:07:07,280 Speaker 3: made it back, and you're really trying to. 147 00:07:07,240 --> 00:07:08,320 Speaker 2: Make an assessment. 148 00:07:09,560 --> 00:07:12,480 Speaker 3: I mean, it's pretty obvious when they have surgery that 149 00:07:12,560 --> 00:07:15,880 Speaker 3: they've had to have the surgery, because usually it's on 150 00:07:15,960 --> 00:07:20,120 Speaker 3: social media or it's out there in some injury report. 151 00:07:20,640 --> 00:07:23,400 Speaker 3: But again, you don't know in some cases what kind 152 00:07:23,400 --> 00:07:26,640 Speaker 3: of surgery they had, or if they didn't have surgery, 153 00:07:26,680 --> 00:07:29,760 Speaker 3: exactly the extent of the injury until you bring them in. 154 00:07:30,280 --> 00:07:32,160 Speaker 2: And now we you know, like. 155 00:07:32,120 --> 00:07:35,880 Speaker 3: The NFL, you know, we do physicals and we screen 156 00:07:35,960 --> 00:07:40,720 Speaker 3: the kids prior to them signing, and same thing you 157 00:07:40,760 --> 00:07:42,640 Speaker 3: know with basketball. You know, I try to do my 158 00:07:42,720 --> 00:07:46,160 Speaker 3: best due diligence to look at a kid and try 159 00:07:46,160 --> 00:07:47,880 Speaker 3: to predict is he going to make it? If you're 160 00:07:47,880 --> 00:07:51,560 Speaker 3: not going to make it? And sometimes you're right, sometimes 161 00:07:51,560 --> 00:07:52,200 Speaker 3: you're wrong. 162 00:07:52,240 --> 00:07:52,440 Speaker 2: You know. 163 00:07:52,840 --> 00:07:55,520 Speaker 3: And again, if it were a perfect world, you know, 164 00:07:55,600 --> 00:07:58,080 Speaker 3: i wouldn't be working at the university level. I'm being 165 00:07:58,280 --> 00:08:00,400 Speaker 3: writing a book on how to guess which kids to 166 00:08:00,440 --> 00:08:01,200 Speaker 3: signing with kids. 167 00:08:01,240 --> 00:08:05,120 Speaker 1: Not so sure, Bob Manjean, you're the best, Bob. Good 168 00:08:05,200 --> 00:08:08,600 Speaker 1: luck on Sunday with the Bearcats in Orlando. Good luck 169 00:08:08,600 --> 00:08:10,480 Speaker 1: on Monday with the Pittsburgh Steelers as well. 170 00:08:11,640 --> 00:08:13,080 Speaker 2: Well. I appreciate it, Tony. 171 00:08:14,320 --> 00:08:17,800 Speaker 3: I'm thinking we're going to get ours hopefully this Sunday, 172 00:08:17,840 --> 00:08:20,360 Speaker 3: and then turn around Monday night and have a two 173 00:08:20,600 --> 00:08:21,200 Speaker 3: two for two. 174 00:08:21,240 --> 00:08:21,720 Speaker 2: There we go. 175 00:08:21,960 --> 00:08:24,560 Speaker 1: That as Bob Manjean from the University of Cincinnati and Novacare, 176 00:08:24,560 --> 00:08:26,880 Speaker 1: if you enjoy staying active but minor inggs and pains 177 00:08:26,960 --> 00:08:29,480 Speaker 1: keep getting in the way, use the same physical therapists 178 00:08:29,480 --> 00:08:32,560 Speaker 1: as the Bearcats. Novacare Rehabilitation has been the exclusive physical 179 00:08:32,559 --> 00:08:35,800 Speaker 1: therapy provider to the Bearcats for over twenty years. Novacare 180 00:08:35,840 --> 00:08:39,000 Speaker 1: has a location on UC's campus within the Richard Linder Center, 181 00:08:39,160 --> 00:08:41,680 Speaker 1: where you two can be treated like a Bearcat. Visit 182 00:08:41,679 --> 00:08:44,560 Speaker 1: novacare dot com. To learn more. Our one is done, 183 00:08:44,880 --> 00:08:50,199 Speaker 1: which means Duke Tobin addresses the media next right here 184 00:08:50,200 --> 00:08:53,280 Speaker 1: on the Home of the Bengals, ESPN fifteen thirty Cincinnati 185 00:08:53,320 --> 00:08:55,760 Speaker 1: Sports station KWISE Cincinnati. 186 00:08:55,920 --> 00:08:57,520 Speaker 3: Make us the number one pre sent on your car 187 00:08:57,640 --> 00:08:59,920 Speaker 3: radio and on the free, new and improved I Hardrate 188 00:09:00,080 --> 00:09:00,839 Speaker 3: you AD free. 189 00:09:00,960 --> 00:09:05,880 Speaker 2: Never sounded so good, ESPN fifteen thirty Man Trouble in 190 00:09:05,880 --> 00:09:06,440 Speaker 2: the Bedroom,