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Speaker 1: It's time to talk injuries with one of the experts

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Speaker 1: from Ortho Sincy Orthopedics and sports Medicine. The great thing

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Speaker 1: excuse me about Ortho Sincy is they have specialist locations

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Speaker 1: and services all over the Tri State. This includes walk

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Speaker 1: in orthopedic urgent care at five countum five locations with

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Speaker 1: extended evening and weekend hours in Edgewood and Anderson. You

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Speaker 1: can learn more at orthosinc dot com. That's Ortho ci

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Speaker 1: NCY dot com. Joining us this week is doctor Trevor

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Speaker 1: Wilkes from Ortho Sincy. Let's talk about Trey Hendrickson. So

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Speaker 1: we're reading sports hernia that is maybe going to require

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Speaker 1: surgery at the end of this season. They haven't put

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Speaker 1: them on ir they're I guess holding out hope that

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Speaker 1: he's going to be able to play. This was originally

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Speaker 1: a back issue, then we saw hip and now sports hernia.

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Speaker 2: Let's start with that. What is a sports hernia?

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Speaker 3: Yeah, yeah, great question, Melan, Thanks for having me. So

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Speaker 3: sports herneias have been something that's been in the news,

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Speaker 3: kind of rising in sort of acknowledgment over the last

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Speaker 3: fifteen twenty years. So what it really is is the

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Speaker 3: group of muscles that represent your abdominal, oblique, and core

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Speaker 3: muscles as well as your groin muscles attached to the

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Speaker 3: pubic bone of your pelvis. And where those muscles attach

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Speaker 3: the you can develop cares of the tendons, so the

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Speaker 3: soft tissue attachment to the bone. And that's what actually

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Speaker 3: differentiates a sports hernia from like a regular hernia that

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Speaker 3: people have heard about with their regular doctor. You see

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Speaker 3: sports hernias primarily with explosive athletes that do pivot kind

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Speaker 3: of twisting sports, so hockey, power hitters, soccer, and in

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Speaker 3: football kind of the classics.

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Speaker 1: How was something like this diagnosed because the injury was

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Speaker 1: first reported as a back issue and now it's a

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Speaker 1: hip injury.

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Speaker 3: Yeah, So that gets to the rub of why I

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Speaker 3: think it's been rising in people looking for it. But

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Speaker 3: it's really what we call medicine often a diagnosis of exclusion,

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Speaker 3: meaning you've got to make sure it's not other things.

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Speaker 2: First.

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Speaker 3: There's really no definitive test that tells you it's a

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Speaker 3: sports hernia, which is one of the hard things, but

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Speaker 3: so generally a constellation of symptoms. So where the athlete's

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Speaker 3: complaint of you often do some plain X rays, make

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Speaker 3: sure there's not a bone issue. MRI can definitely show

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Speaker 3: some inflammation in the area, but it's really a diagnosis

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Speaker 3: of making sure it's not other things first and then

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Speaker 3: coming to this diagnosis.

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Speaker 1: So reading that surgery in the off season is a possibility.

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Speaker 1: So what determines whether or not surgery is going to.

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Speaker 3: Be needed, yees, essentially the failure of non surgical care.

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Speaker 3: So typically we'll begin athletes with a short period of rest,

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Speaker 3: just like you would another soft tissue injury. It can

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Speaker 3: vary by severity, you know, four to six weeks. But

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Speaker 3: if an athlete proves that they cannot come back to

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Speaker 3: their exclusive, their explosive sports afterwards, then then surgery is

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Speaker 3: often indicated. The surgery is something that's been kind of

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Speaker 3: developed and enhanced and gotten better in the last ten

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Speaker 3: fifteen years. Recent studies have found about a ninety percent

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Speaker 3: success of return into sports after the surgery.

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Speaker 1: So but he could still perhaps play through something like

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Speaker 1: this despite k needing surgery down the road.

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Speaker 3: Yeah, that that that is a tough question. And then

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Speaker 3: there you get to one of the man one of

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Speaker 3: the really difficult issues sometimes with with where an athlete

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Speaker 3: is in a contract with where with where a team

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Speaker 3: is in a season. I think if an if an

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Speaker 3: athlete feels like they can perform at a at a

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Speaker 3: high level, that helps the team and their pain level

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Speaker 3: is acceptable.

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Speaker 2: Yeah, you're it's right.

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Speaker 3: Most sometimes you can play with it and have and

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Speaker 3: then have surgery in the offseason. You've actually seen that

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Speaker 3: with several hockey players recently. Now, you do have to

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Speaker 3: be careful if you let a sports hernity to get

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Speaker 3: too bad and that soft tissue injury gets too severe,

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Speaker 3: then it can lead to a complete hernia and a

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Speaker 3: more comp like a more involved surgery. So there is

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Speaker 3: a bit of a line that he'd be working with

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Speaker 3: the sports medicine team.

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Speaker 1: Let's let's just say, for example, he has what we'll

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Speaker 1: call typical sports hernia surgery as soon as the off

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Speaker 1: season gets here, which frankly feels like it's going to

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Speaker 1: get here sooner rather than later. How would that impact

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Speaker 1: the next season or his offseason training, that sort of stuff.

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Speaker 3: Yeah, so's it's a three month recovery process. Of course,

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Speaker 3: that a lot of that's gonna happen in the off season,

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Speaker 3: and then he would have kind of a hardening conditioning period.

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Speaker 2: Agains.

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Speaker 3: It's a reasonably good ninety success and getting back to play.

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Speaker 3: So that's that's reasonably favorable for him.

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Speaker 1: Let's talk about Cam Taylor britt So, he came out

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Speaker 1: of the game against Pittsburgh with a foot injury.

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Speaker 2: He was in a boot in the locker room on

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Speaker 2: Monday using.

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Speaker 1: A scooter surgery, likely for what is being called a

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Speaker 1: Liz Frank injury. I've heard this term before, but I'm

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Speaker 1: not sure I know what it is. What is a

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Speaker 1: Liz Frank injury?

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Speaker 2: Yeah, so that's unfortunate.

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Speaker 3: One. Frank injuries are a really difficult injury to the

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Speaker 3: ligaments that hold the bones in the middle of your foot.

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Speaker 3: So if you think about your foot and you think

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Speaker 3: about the arch of your foot, there's there's a constellation

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Speaker 3: of little bones in there called the qneiforms, and they

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Speaker 3: help your foot kind of move and bend and twist

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Speaker 3: and do all the things that your foot can do

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Speaker 3: to accommodate to the ground. And when you tear those

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Speaker 3: ligaments that join those bones together, it's just a really

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Speaker 3: bad injury.

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Speaker 2: You just these.

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Speaker 3: Athletes put so much stress on their foot. It's it's

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Speaker 3: kind of notorious for giving people persistent problems.

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Speaker 1: What is the timeline the likely timeline we're we're looking

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Speaker 1: at here from surgery to him being able to be

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Speaker 1: back on the field again.

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Speaker 2: Yeah.

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Speaker 3: So, like a lot of these injuries, they occur on

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Speaker 3: a spectrum. It basically, if the tear is bad enough

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Speaker 3: and the bones aren't lined up perfectly, surgeries indicated. Not

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Speaker 3: generally speaking, the surgery requires six weeks of not walking

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Speaker 3: on the foot, so boot and scooter, six weeks of

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Speaker 3: kind of gradually introducing weight, and then three months is

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Speaker 3: kind of rehab. So overall it's generally considered to be

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Speaker 3: six months for full sports clearance. So yeah, and even then,

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Speaker 3: you see ten to fifteen percent of guys have some

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Speaker 3: persistent pain in the arch of their foot, so it's

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Speaker 3: a tough one for Cam unfortunately.

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Speaker 1: All right, one more Cam sample defensive end. He has

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Speaker 1: an oblique strain. And these injuries to me always sound

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Speaker 1: more benign than they end up being. So walk me

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Speaker 1: through the different grades and then what each one of

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Speaker 1: them may suggest in terms of the timeline for Cam. Yeah.

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Speaker 3: Yeah, So the oblique muscles like these are the core

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Speaker 3: muscles along the side of your six pack, help you

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Speaker 3: to twist and stabilize your core. The plastic muscle grading

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Speaker 3: system that everybody does is one to three, So one

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Speaker 3: is better, three is worse, three is usually you got

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Speaker 3: more bruising, maybe in a deficit in the muscle. Now,

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Speaker 3: the actually really interesting data Moami's injuries from Major League Baseball.

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Speaker 3: They track the injuries really close. They found that for

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Speaker 3: grade ones, generally for hitters, it's about three weeks for

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Speaker 3: return to play. So if we kind of extrapolate some

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Speaker 3: of that for a low grade injury, you're looking at

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Speaker 3: three weeks for a higher grade injury at the six.

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Speaker 2: Wow.

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Speaker 1: You know, it feels like we talk about this with

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Speaker 1: baseball players all the time. Does this sort of injury

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Speaker 1: for a higher contact sport complicate things?

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Speaker 3: Yeah, I think, I mean, I think it does. Yeah,

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Speaker 3: I mean I just did a little bit of research

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Speaker 3: for this. The best data I found was from baseball.

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Speaker 3: But yeah, football adds the whole other level of contact

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Speaker 3: as you said, and getting hit there and the constant

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Speaker 3: you know, potential to reinjure that muscle.

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Speaker 2: So and I do think it's a little harder. Yeah,

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Speaker 2: certainly seems like tremendous insight.

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Speaker 1: As always, doctor Trevor Wilkes Orthos, sincey we appreciate the time.

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Speaker 2: We will chat soon. Thanks so much, thanks for having me.

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Speaker 1: That's our guy, doctor Trevor Wilks from Orthos Sincy. I

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Speaker 1: say it every week because I believe it. The great

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Speaker 1: thing about Orthos Sincy is they have specialists in locations

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Speaker 1: all over the Tri States. This includes walk in orthopedic

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Speaker 1: urgent care weekdays nine am to nine pm and Saturdays

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Speaker 1: nine am to one pm at both Edgewood and Anderson

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Speaker 1: Easy because you don't need an appointment and cheaper than

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Speaker 1: going to an er. Whenever you have an urgent orthopedic injury,

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Speaker 1: you go to Orthosincy dot com. That's Ortho c I

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Speaker 1: ncy dot com