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Speaker 1: Welcome back right along.

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Speaker 2: I remember three since he three sixty ESPN fifteen thirty

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Speaker 2: Cincinnati Sports station. It's that time on a Friday afternoon

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Speaker 2: to check in with our Nova Care and University of

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Speaker 2: Cincinnati athletic trainer Bob Manjean, who is kind enough to

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Speaker 2: join us each and every week. Bob, what's going on.

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Speaker 3: Going? Just getting ready to leave for Kansas and you know,

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Speaker 3: got a big game tomorrow out there in Lawrence with

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Speaker 3: the University of Kansas, and hopefully it'll all go well.

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Speaker 2: It is a huge opportunity and a big time opponent

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Speaker 2: in a big time atmosphere, and a player for Kansas

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Speaker 2: has been in the news all week, Darren Peterson, the

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Speaker 2: star freshman from Kansas, who played just eighteen minutes in

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Speaker 2: his last game scored twenty three points. But it's been

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Speaker 2: an ongoing issue with Darren Peterson. He's had multiple issues

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Speaker 2: throughout issues throughout the year. One of those issues, Bob

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Speaker 2: has been cramping. And I think to the average fan,

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Speaker 2: you look and say, okay, cramping, just pump them with fluids.

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Speaker 2: Cramping shouldn't be an ongoing problem. But for Darren Peterson,

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Speaker 2: it's not the first time they've talked about cramping. What

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Speaker 2: is the difference in maybe what he's going through potentially

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Speaker 2: or how they're gett him ready that cramps can still

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Speaker 2: become a problem.

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Speaker 3: Well again, Tony, and you've played, and you know what

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Speaker 3: cramps feel like and how the best manage them. For

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Speaker 3: certain kids who have chronic cramping, we need some physiological

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Speaker 3: testing to find out, you know, is it lactate acid,

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Speaker 3: is it carb depletion, is it you know, inter muscular issues,

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Speaker 3: so that there are options to look at from testing

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Speaker 3: standpoints to try to figure out the real cause of

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Speaker 3: the cramping. You know, we do a lot of spend

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Speaker 3: a lot of time in the preseason when we're practicing

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Speaker 3: and trying to evaluate our kids to say which ones

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Speaker 3: are heavy sweaters. You know, this kin might be a

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Speaker 3: heavy sweater for all you know. And then you're right,

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Speaker 3: it's a lot of fluid replacement more than it is

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Speaker 3: anything else. And then there are a lot of different

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Speaker 3: type of products you can use to prevent cramping. We

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Speaker 3: have a couple of guys on our team who you know,

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Speaker 3: who have the tendency to cramp because of their heavy sweating.

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Speaker 3: But through the course of the game, we change what

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Speaker 3: we hydrate them with in order to try to prevent

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Speaker 3: them from having cramps. Because it's one of the worst

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Speaker 3: feelings for a trainer to have to walk up to

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Speaker 3: a head coach and say, hey, we just lost so

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Speaker 3: and so because we can't control as cramping. So again,

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Speaker 3: we work really hard in the preseason to identify the

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Speaker 3: kids who, you know, maybe the heavy sweaters or some

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Speaker 3: other you know, nutritional problem. Everybody's got nutritionists. Now we've

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Speaker 3: got a really good one that works with us untilan freeze.

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Speaker 3: It works closely with us to look at, you know,

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Speaker 3: our deficiencies, Vitamin B, invitamin D, three deficiencies, you know,

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Speaker 3: and just try to figure it out. You're not in

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Speaker 3: the middle of the game and all of a sudden

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Speaker 3: you got the kids saying, hey, I got to come

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Speaker 3: out of the game because I got cramps.

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Speaker 2: And it's again we hear cramps and we think of, well,

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Speaker 2: you just got to hydrate better. But there are so

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Speaker 2: many other instances where I'm sure Kansas is doing everything

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Speaker 2: possible off the court to make sure that he's hydrating,

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Speaker 2: but there are so many other factors that go into

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Speaker 2: it that may not be found yet or may not

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Speaker 2: be as controllable, which lead to those cramping issues that

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Speaker 2: we've seen now multiple times in a game from Darren Peterson.

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Speaker 3: Well, the trader from University Kansas is outstanding. It builds

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Speaker 3: in there for a long time. He's he's done basketball

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Speaker 3: for a long time. He knows exactly know what he's doing.

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Speaker 3: Here's the thing, though, in the college environment, you can't

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Speaker 3: control every factor with the kids. Sure did they you know,

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Speaker 3: eat right the night before, did they get their rest?

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Speaker 3: Did they hydrate the night before? Because you know, I

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Speaker 3: can pump you all full of fluids right before the

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Speaker 3: game or when you come in for walk through, but

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Speaker 3: you know, when I'm going through the stomach, it takes

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Speaker 3: a while for that to absorb into the system. So

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Speaker 3: in reality, you know, we're we're really trying to start

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Speaker 3: the hydration process four hours before on kids who may

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Speaker 3: have issues. But but again, there's there's other options. I mean,

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Speaker 3: you know, at the collegiate professional level, you know, if

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Speaker 3: we have a kid who has some difficulty and you've

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Speaker 3: experienced this and we use IVY fluids, and you know

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Speaker 3: that that immediately controls the uh uh, the amount of

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Speaker 3: fluid that you can put into the body because it

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Speaker 3: goes right into the circulatory system and it gets where

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Speaker 3: it needs to go pretty quickly. Uh. And then there

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Speaker 3: are some other medications you can try to control the

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Speaker 3: cramping that are very safe, so that you know, Again,

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Speaker 3: we monitor our kids throughout the whole game, and Mike

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Speaker 3: ray Thall does a great job but monitoring weight. So

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Speaker 3: if a kid comes in before the game and their

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Speaker 3: weight it's not at the right level. Uh, then we've

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Speaker 3: got four or five hours to get them to work

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Speaker 3: we want them because most weight loss over night is

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Speaker 3: from water.

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Speaker 2: I wonder too because and again we don't have medical

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Speaker 2: reports or the exact information, but we've also seen this

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Speaker 2: player in Darren Peterson has missed games due to hamstring injuries,

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Speaker 2: ankle injuries. He's missed games due to illnesses. Are any

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Speaker 2: of those things a secondary cause or can they lead

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Speaker 2: to the cramping or can the cramping cause some of

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Speaker 2: the other problems that he's seen throughout this year when

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Speaker 2: he's miss games.

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Speaker 3: That's exactly right. If you're dehydrated and chronically dehydrated, you're

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Speaker 3: setting yourself up for more muscle injury. More must of

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Speaker 3: their strains, hamstring strains, quad strains, that type of thing

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Speaker 3: so as far as joint injury, you know, maybe the

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Speaker 3: data is not as correlated to it, but there's certainly

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Speaker 3: correlation between. If I'm dehydrated, my muscles can't flush. I

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Speaker 3: don't have a good enough circulation system to keep them,

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Speaker 3: you know, hydrated, I'll use that word. And you have

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Speaker 3: a tendency to pull a muscle, so you know, and again,

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Speaker 3: if you have chroduc cramping, now all of a sudden

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Speaker 3: that muscle is in a constant state of spasm, then

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Speaker 3: that alone can lead to damage. So you know, And

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Speaker 3: again you've you've played with guys who had such severe

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Speaker 3: cramping that they ended up having a Grade one hamstring strain,

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Speaker 3: just because you know the severity of the cramps. You know,

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Speaker 3: with that remember your days at Higher Ground, I mean,

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Speaker 3: oh yeah, guys would be in cramps and we'd have

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Speaker 3: a heck of a time breaking them until we plug

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Speaker 3: them with the IV. For maybe two or three leaders.

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Speaker 2: In a setting like that, Does rest help? I mean,

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Speaker 2: if you have a player that has the hamstring issues,

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Speaker 2: that has the ongoing cramping issues, is resting for an

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Speaker 2: amount of time going to make a big difference or

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Speaker 2: do you need to kind of find the root problem

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Speaker 2: of the cramping. In order to get back to where

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Speaker 2: you need to be well.

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Speaker 3: First of all, you need to find the root cause

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Speaker 3: of the problem for the cramping. And number two is

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Speaker 3: I don't I like rest, don't get me wrong, but

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Speaker 3: I also like a lot of motion, you know, keep

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Speaker 3: the muscle moving. So I mean, you've been our games

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Speaker 3: and you see, you know, I've got a player who

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Speaker 3: you know, comes out of the game and doesn't fit.

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Speaker 3: He sits on the bike and he keeps his legs

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Speaker 3: moving so that he doesn't have stiffness issues or cramping issues,

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Speaker 3: so that you know, we're hydrating him on the bike.

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Speaker 3: We're using some supplemental oxygen on the bike because oxygen,

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Speaker 3: lack of oxygen depletion can also give you cramping, especially

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Speaker 3: when you're playing at higher altitudes. So you know, again

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Speaker 3: you've got to find the root cause. And then you've

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Speaker 3: got to sit with any athlete who has chronic cramping

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Speaker 3: and find out what their lifestyle is. Sometimes poor lifestyle

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Speaker 3: choices leans to chronic problems such as this.

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Speaker 2: What about for let's say a high school athlete, or

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Speaker 2: maybe they don't have have everything at their disposal to

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Speaker 2: find the issues for what what do you suggest for

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Speaker 2: maybe a high school athlete that has cramping issues or

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Speaker 2: or has these these problems that go far beyond just

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Speaker 2: making sure you're hydrating in between sporting events.

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Speaker 3: Well, number one, I would definitely recommend, like we always do,

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Speaker 3: get your rest at night, get off the video games,

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Speaker 3: use cold funge after you're done practice or games. But

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Speaker 3: more importantly, to know how much water weight you've lost,

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Speaker 3: weigh yourself. You know, weigh yourself when you get home

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Speaker 3: in the evening after practice or a game. Weigh yourself

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Speaker 3: in the morning and make sure you're putting that weight

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Speaker 3: back on in water weight, okay, fluids, so that you know,

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Speaker 3: if you notice that I'm down two pounds, three pounds,

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Speaker 3: then I've got to drink enough to get my two

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Speaker 3: or three pounds back on, because if I go into

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Speaker 3: the next activity down by two or three pounds. It's

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Speaker 3: like when these kids get sick and they get a

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Speaker 3: flu bug stomach bug, then they're either you know, they've

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Speaker 3: got nausea where they're vomiting all the time, or you know,

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Speaker 3: they have diarrhea all the time and they're completely dehydrated.

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Speaker 3: We've got to put something back in them before we

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Speaker 3: can even think of let them play, and you know

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Speaker 3: we will oftentimes use IV in those situations. But again,

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Speaker 3: if kids at the high school level will start monitoring

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Speaker 3: their weight, get their rest, make sure they're drinking enough fluids,

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Speaker 3: avoiding you know, avoiding too many caffeinated products. You know,

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Speaker 3: things should go pretty well for them. Make sure you're stretching. Okay,

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Speaker 3: if it becomes a chronic problem, then you need to

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Speaker 3: you know, you need to see your primary care physician

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Speaker 3: or one of the docs. You can pertentially do some

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Speaker 3: blood testing to see if you've got lactate acid in

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Speaker 3: build up, see if you're what we call GFR. Your

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Speaker 3: kinney function is chains because you know, you remember a

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Speaker 3: tap where we would take your blood two or three times,

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Speaker 3: and the whole idea of doing that was to check

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Speaker 3: what your creatum was and what your kingney function was,

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Speaker 3: so that as we went through the two days and

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Speaker 3: you were swinting out all this fluid, you weren't causing

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Speaker 3: yourself or putting yourself in a worse environment. So hydrate, rest,

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Speaker 3: check your weight, you know, get some stretching going. But

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Speaker 3: you know through when you're warming up and you build

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Speaker 3: it up, you don't over don't get too active, too fast,

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Speaker 3: and just ramp it up, you know, in a nice

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Speaker 3: slow pace.

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Speaker 2: Bob Manjean, University of Cincinnati and Novacare. You're the best, Bob.

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Speaker 2: Have a great trip to Kansas and bring home a

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Speaker 2: winner for us.

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Speaker 3: We're going to sure give it our best shot, Tony.

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Speaker 3: I think the kids are in a good position right now,

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Speaker 3: and you know we got three in a row. Let's

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Speaker 3: make it four.

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Speaker 2: Let's do it. Bob, Thank you so much. We'll talk

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Speaker 2: again next week.

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Speaker 3: Have a great weekend, guys.

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Speaker 2: That is Bob Manjeen. This is Sincy three sixty and

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Speaker 2: Bob with Novacare. When you're dealing with injury or just

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Speaker 2: making your health a priority, Novacare Rehibitation Rehabilitation is here

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Speaker 2: for you. There's no better time to make Novacare's movement

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Speaker 2: experts part of your healthcare team than now. Starting care

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Speaker 2: is easy and for some may not even require a

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Speaker 2: prescription for physical therapy from your doctor. To learn more,

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Speaker 2: go to novacare dot com today. Since E three to

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Speaker 2: sixty rolls on ESPN fifteen thirty Cincinnati Sports station. From

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Speaker 2: the Court to the Cage, the Diamond to the Dome,

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Speaker 2: he brings the heat Moeger today at three pm on

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Speaker 2: ESPN fifteen.

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Speaker 1: Thirty taking privacy policy in terms and conditions posted at

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Speaker 1: texting terms got us sexting or roles you for acurring

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Speaker 1: what if it? Text marketing messages message neat reads we

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Speaker 1: applied play stop opto.

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Speaker 4: This is an important message for all parents of teens.

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Speaker 4: If your teen or preteen is or has been addicted

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Speaker 4: to social media sites such as Instagram, Facebook, Snapchat, TikTok,

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Speaker 4: or YouTube, and they have suffered from eating disorders, body

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Speaker 4: image issues, anxiety, depression, or suicidal thoughts, you may be

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Speaker 4: eligible to participate in a lawsuit for significant compensation. Disclosures

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Speaker 4: by a Facebook whistleblower show Instagram and Facebook know their

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Speaker 4: social media platforms were highly addictive and may have caused

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Speaker 4: eating disorders, body image issues, depression, and suicidal ideation. It

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Speaker 4: appears these social media companies knew they had been causing

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Speaker 4: serious harm to kids, but have done little to stop it.

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Speaker 4: If your team has been harmed by social media like Instagram, Facebook, Snapchat, TikTok,

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Speaker 4: or YouTube, then you could be eligible for significant compensation.

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Speaker 4: If you'd like to discuss a lawsuit, text parent to

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Speaker 4: thirty two thirty two thirty two parent to thirty two

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Speaker 4: thirty two thirty two parent to thirty two thirty two

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Speaker 4: thirty two.

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Speaker 1: Peignan attorney spokesperson. Media Advertising Specialists, LLC is responsible for

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Speaker 1: the content of this ad, with principal offices in Chicago, Illinois.

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Speaker 5: Joey from Vermont, a farmer trying to get through the winter.

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Speaker 5: Adriana from South Carolina, a single mother living paycheck to paycheck.

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Speaker 5: Liam from Ohio, an injured father struggling to provide for

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Speaker 5: his family. Hi, I'm Shehanola Hampton, and I support the

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Speaker 5: Feeding American network of food banks because they help provide

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Speaker 5: over six billion meals to people in need each year.

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Speaker 5: More at Feedingamerica dot org.

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Speaker 6: Excuse me, I know you have a nine o'clock, so

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Speaker 6: I'll keep this short. I'm the business suit in the

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Speaker 6: back of your closet. You wore me nearly every day

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Speaker 6: before your office went quote casual. I used to be

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Speaker 6: the CEO of your closet. Now I'm just that one

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Speaker 6: intern no one ever talks to. I always thought you'd

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Speaker 6: circle back with me, get granular, keep me in the pipeline,

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Speaker 6: but nada, nothing. Don't you remember the McKittrick presentation You've

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Speaker 6: spilled coffee on me and I still looked amazing during

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Speaker 6: the breakout talkback Q and A. So I think it's

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Speaker 6: time for me to move on. I've got a great

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Speaker 6: resume and I absolutely crush it in interviews. Okay, let's

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Speaker 6: make this a clean break shift the paradigm. The only

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Speaker 6: thing I ask is that you think outside the box

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Speaker 6: here and do this. Take me to good Will where

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Speaker 6: I can really make a difference.

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Speaker 4: Your donations to Goodwill create new jobs, training programs, and

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Speaker 4: education assistance for people in your community.

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Speaker 1: To find your nearest donation center, go to Goodwill dot org.

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Speaker 3: Donate stuff, Create Jobs. A message from good Will and

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Speaker 3: the ad Council