1 00:00:00,520 --> 00:00:03,920 Speaker 1: We do this every week we talk injuries with one 2 00:00:03,920 --> 00:00:07,200 Speaker 1: of the many experts from Ortho Sinsey Orthopedics and sports Medicine. 3 00:00:07,200 --> 00:00:11,039 Speaker 1: The great thing about Ortho Sincy is they have specialists, 4 00:00:11,200 --> 00:00:15,640 Speaker 1: locations and services all over the tri State, including walk 5 00:00:15,800 --> 00:00:20,160 Speaker 1: in orthopedic urgent care at five count them five locations 6 00:00:20,600 --> 00:00:24,160 Speaker 1: with extended evening and weekend hours in Edgewood and Anderson. 7 00:00:24,239 --> 00:00:28,760 Speaker 1: Learn more at orthosinc dot com. That's Ortho ci Ncy 8 00:00:28,880 --> 00:00:31,360 Speaker 1: dot com. Doctor Nick Gates from Orthosincy is with us. 9 00:00:31,480 --> 00:00:34,600 Speaker 1: So Joe Burrow is back and he's practicing. I have questions. 10 00:00:34,720 --> 00:00:38,400 Speaker 1: Let's begin with the basics, because it's been eight weeks. 11 00:00:38,440 --> 00:00:41,320 Speaker 1: The injury he is coming back from itself. What was it? 12 00:00:42,200 --> 00:00:45,720 Speaker 2: So, injury is about eight weeks ago, surgery is about 13 00:00:45,800 --> 00:00:51,320 Speaker 2: seven and a half weeks ago. The injury is analogous 14 00:00:51,680 --> 00:00:55,400 Speaker 2: to a near complete dislocation of your knee, but instead 15 00:00:55,640 --> 00:00:58,640 Speaker 2: it's a near complete dislocation of the joint at the 16 00:00:58,680 --> 00:01:00,880 Speaker 2: base of your big toe. So if you think of 17 00:01:00,920 --> 00:01:02,880 Speaker 2: a knee injury, everybody kind of knows more about that 18 00:01:03,360 --> 00:01:06,160 Speaker 2: tear an ACL plus an MCL. You've torn two of 19 00:01:06,160 --> 00:01:09,480 Speaker 2: the ligaments to your knees. Kind of very unstable. When 20 00:01:09,480 --> 00:01:12,039 Speaker 2: you tear these ligaments in your big toe joint, the 21 00:01:12,080 --> 00:01:14,640 Speaker 2: big toe joint is very unstable and will not stay 22 00:01:14,640 --> 00:01:18,600 Speaker 2: in place. So that's kind of the severity. So I 23 00:01:18,600 --> 00:01:22,160 Speaker 2: would put the severia up as a multiple ligament injury 24 00:01:22,200 --> 00:01:25,840 Speaker 2: to the knee. Now, what happens down the road and 25 00:01:25,959 --> 00:01:27,760 Speaker 2: how that recurs in what you need out of your 26 00:01:27,800 --> 00:01:30,640 Speaker 2: toe is a little bit different. That's the severity of it. 27 00:01:31,840 --> 00:01:34,840 Speaker 1: Let's talk about the timeline that he is on a 28 00:01:34,920 --> 00:01:37,320 Speaker 1: path for, and again this could change based on a 29 00:01:37,360 --> 00:01:40,280 Speaker 1: number of different variables. But we originally heard, you know what, 30 00:01:40,400 --> 00:01:44,560 Speaker 1: best case mid December. Now we're talking about late November. 31 00:01:44,600 --> 00:01:47,400 Speaker 1: So based on your experience with this injury, how surprising 32 00:01:47,480 --> 00:01:47,760 Speaker 1: is this? 33 00:01:49,680 --> 00:01:51,800 Speaker 2: I don't think it's terribly surprising. I think a lot 34 00:01:51,880 --> 00:01:53,920 Speaker 2: of it's not a lot of it. Some of it's 35 00:01:53,960 --> 00:01:56,360 Speaker 2: coming out of some of the questions that the press 36 00:01:56,400 --> 00:02:00,280 Speaker 2: asked him about timeline. He's seven and a half weeks, 37 00:02:01,040 --> 00:02:02,520 Speaker 2: just getting out of his boots, starting to throw a 38 00:02:02,560 --> 00:02:05,920 Speaker 2: football with a shoe on. So while he is quote 39 00:02:06,000 --> 00:02:10,360 Speaker 2: unquote practicing, he's just tossing ball, tossing footballs this week 40 00:02:11,360 --> 00:02:14,280 Speaker 2: without doing eleven toll eleven drills at this point, so 41 00:02:14,320 --> 00:02:17,920 Speaker 2: he's definitely up a little bit ahead of schedule, but 42 00:02:18,200 --> 00:02:20,600 Speaker 2: in three weeks he's going to be out. He's done 43 00:02:20,600 --> 00:02:24,320 Speaker 2: this three week practice window, so that puts him at 44 00:02:24,360 --> 00:02:27,440 Speaker 2: ten and a half weeks at his latest point of 45 00:02:28,400 --> 00:02:31,680 Speaker 2: being on an active roster, So he's definitely he's on time, 46 00:02:32,080 --> 00:02:35,280 Speaker 2: if not early, for sure. That's a great sign. 47 00:02:36,240 --> 00:02:38,960 Speaker 1: When he is doing what he's doing, throwing balls, that 48 00:02:39,080 --> 00:02:41,600 Speaker 1: sort of stuff. If you're monitoring him, what sort of 49 00:02:41,600 --> 00:02:42,519 Speaker 1: things are you looking for? 50 00:02:44,200 --> 00:02:46,520 Speaker 2: I think you're watching how he walks. I just watched 51 00:02:46,520 --> 00:02:48,639 Speaker 2: a video this morning of him just walking out of 52 00:02:48,639 --> 00:02:50,240 Speaker 2: the locker room want of the field with a pair 53 00:02:50,240 --> 00:02:54,960 Speaker 2: of shoes on. You're watching how he walks. First, you 54 00:02:55,000 --> 00:02:58,079 Speaker 2: can't run without limping. If you can't walk without limping, 55 00:02:58,800 --> 00:03:02,040 Speaker 2: they're gonna watch how he plants. Right now, he's throwing, 56 00:03:02,840 --> 00:03:06,360 Speaker 2: it's minerstanding. It's his lead foot, so kind of a 57 00:03:06,360 --> 00:03:10,200 Speaker 2: good thing. He doesn't have to bend the toe as much. 58 00:03:11,200 --> 00:03:14,480 Speaker 2: And you're walking for any you're looking for any hesitation. 59 00:03:14,960 --> 00:03:17,080 Speaker 2: I think we talked about this on a previous conversation 60 00:03:17,639 --> 00:03:20,840 Speaker 2: about pain. It's hard to do things when things hurt 61 00:03:20,840 --> 00:03:24,120 Speaker 2: too much. And you're making sure the pain he's not 62 00:03:24,200 --> 00:03:26,640 Speaker 2: in so much pain that it's modifying how he throws 63 00:03:26,639 --> 00:03:28,799 Speaker 2: the football or how he walks, and then the next 64 00:03:28,800 --> 00:03:30,120 Speaker 2: step will be how he jogs. 65 00:03:30,560 --> 00:03:34,600 Speaker 1: What are some of the possible setbacks that we hopefully avoid. 66 00:03:34,240 --> 00:03:41,880 Speaker 2: Here, I think you're you're really bad. Setback is repeat injury, 67 00:03:42,360 --> 00:03:44,840 Speaker 2: and I'll make that a little bit different than just 68 00:03:44,960 --> 00:03:48,320 Speaker 2: persistent pain. I think he's going to have a sore 69 00:03:48,360 --> 00:03:51,480 Speaker 2: toe while he's doing these things, and that's okay. But 70 00:03:51,840 --> 00:03:55,800 Speaker 2: if he's having increasing amounts of pain as he accelerates 71 00:03:55,800 --> 00:03:59,360 Speaker 2: his activities, that's the setback. He's got to have pain management. 72 00:03:59,560 --> 00:04:02,240 Speaker 2: He's got to be healed and comfortable enough to do that. 73 00:04:02,440 --> 00:04:05,560 Speaker 2: I think a bigger issue that no one wants to 74 00:04:05,600 --> 00:04:09,920 Speaker 2: think about is repeat injury. Where he's feeling pretty good, 75 00:04:10,360 --> 00:04:12,800 Speaker 2: he goes through this recovery and he hits one of 76 00:04:12,800 --> 00:04:18,120 Speaker 2: these timelines, whether it's early December or this possibility that 77 00:04:18,160 --> 00:04:23,320 Speaker 2: people are bringing up about a Thanksgiving Day play, a 78 00:04:23,360 --> 00:04:26,720 Speaker 2: sudden repeat significant injury to the toe. Now, as you know, 79 00:04:26,800 --> 00:04:30,479 Speaker 2: it's not a terribly common injury, but bad things happen. 80 00:04:30,839 --> 00:04:34,080 Speaker 2: So a repeat, really bad hard bend to that toe 81 00:04:34,800 --> 00:04:38,080 Speaker 2: is his biggest setback. Those are the two things I 82 00:04:38,080 --> 00:04:40,960 Speaker 2: think that could Persistent pain clows him down, but I 83 00:04:40,960 --> 00:04:44,040 Speaker 2: don't think it's a long term issue. A repeat sudden 84 00:04:44,040 --> 00:04:45,120 Speaker 2: injury is the biggest risk. 85 00:04:45,600 --> 00:04:48,159 Speaker 1: This might be kind of a stupid question, but are 86 00:04:48,720 --> 00:04:51,039 Speaker 1: is there an apparatus you could put in his shoe? 87 00:04:51,120 --> 00:04:53,240 Speaker 1: Is there a special design of a shoe that you 88 00:04:53,279 --> 00:04:57,480 Speaker 1: could sort of, I don't know, used to help mitigate 89 00:04:57,720 --> 00:05:02,600 Speaker 1: the potential risks of a recurrence the injury one hundred percent. 90 00:05:02,960 --> 00:05:06,840 Speaker 2: We've touched on this in previous conversations. There is an 91 00:05:06,920 --> 00:05:12,680 Speaker 2: orthotic device that can be fashioned to fit inside of 92 00:05:12,800 --> 00:05:15,760 Speaker 2: a typical shoe and even inside of a cleat football 93 00:05:15,800 --> 00:05:21,640 Speaker 2: cleet that protects the toe from It minimizes motion, and 94 00:05:21,680 --> 00:05:25,120 Speaker 2: it minimizes stress. If there was an injury to that area. 95 00:05:25,520 --> 00:05:27,400 Speaker 2: If he comes down on that toe in a similar 96 00:05:27,400 --> 00:05:29,279 Speaker 2: fashion that he did with the original injury, and the 97 00:05:29,320 --> 00:05:34,160 Speaker 2: toe goes through a significant upward force, that device inside 98 00:05:34,160 --> 00:05:37,920 Speaker 2: the shoe minimizes that force. Very similar to if you 99 00:05:38,000 --> 00:05:40,479 Speaker 2: go back to play football after a knee injury with 100 00:05:40,520 --> 00:05:43,320 Speaker 2: a knee brace. The knee brace is going to minimize 101 00:05:44,200 --> 00:05:47,920 Speaker 2: the amount of force that's transmitted through those recently repaired ligaments. 102 00:05:48,480 --> 00:05:53,159 Speaker 2: The great news about the toe is it's really an 103 00:05:53,279 --> 00:05:56,239 Speaker 2: up You can protect it from an upward stress pretty well. 104 00:05:56,680 --> 00:06:00,280 Speaker 2: The big toe is not suspect to side to side stress. 105 00:06:00,839 --> 00:06:03,839 Speaker 2: And athlete all football field their knee tremendous risk of 106 00:06:03,920 --> 00:06:06,400 Speaker 2: side to side impact, not so much in the toe. 107 00:06:06,480 --> 00:06:08,400 Speaker 2: So you can do a pretty good job of protecting 108 00:06:08,440 --> 00:06:11,200 Speaker 2: it with this device inside the shoe. And it's already 109 00:06:11,200 --> 00:06:13,160 Speaker 2: been mentioned in a couple of reports, so I'm sure 110 00:06:13,160 --> 00:06:14,800 Speaker 2: they're doing that, hope. 111 00:06:14,839 --> 00:06:17,240 Speaker 1: So that's our guy, doctor Nick Gates. Doctor Gates, we 112 00:06:17,240 --> 00:06:19,800 Speaker 1: appreciate the time Ortho Sincy. I say it every week 113 00:06:19,839 --> 00:06:22,280 Speaker 1: because I believe it. The great thing about Ortho Sincy 114 00:06:22,400 --> 00:06:26,320 Speaker 1: is they have specialists and locations all over the Tri State, 115 00:06:26,360 --> 00:06:30,080 Speaker 1: including walk in orthopedic urgent care weekdays nine a m. 116 00:06:30,120 --> 00:06:32,600 Speaker 1: To nine pm and on Saturdays nine am to one 117 00:06:32,640 --> 00:06:36,599 Speaker 1: pm at both Edgewood and Anderson. It's easy because you 118 00:06:36,760 --> 00:06:40,000 Speaker 1: never need an appointment and it is most definitely cheaper 119 00:06:40,000 --> 00:06:42,760 Speaker 1: than going to an er. Whenever you have an urgent 120 00:06:42,920 --> 00:06:47,320 Speaker 1: orthopedic injury, go to Orthosinc dot com. That's Ortho ci 121 00:06:47,520 --> 00:06:51,240 Speaker 1: Ncy dot com. It was about this time a year 122 00:06:51,240 --> 00:06:53,919 Speaker 1: ago that the folks at Ortho since he fixed my neck, 123 00:06:54,400 --> 00:06:57,480 Speaker 1: doctor angel Velaskez, And it was about two years ago 124 00:06:57,480 --> 00:07:00,320 Speaker 1: at this time that they helped my daughter's foot brokeer 125 00:07:00,360 --> 00:07:04,400 Speaker 1: foot at Recess Orthosinc. Dot com. That's Ortho c I 126 00:07:04,560 --> 00:07:08,719 Speaker 1: n c Y dot com. Eighteen away from six o'clock. 127 00:07:08,839 --> 00:07:11,520 Speaker 1: This is ESPN fifteen thirty Cincinnati sports station.