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Speaker 1: Let's talk with one of the experts, one of the

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Speaker 1: doctors from Ortho Sincy Orthopedics and Sports Medicine. The great

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Speaker 1: thing about Ortho Sincy is they have specialist locations and

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Speaker 1: services all over the Tri State, including walking orthopedic urgent

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Speaker 1: care at five locations with extended evening and weekend hours

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Speaker 1: in Edgewood and Anderson. Learn more at orthosinc dot com.

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Speaker 1: That's Ortho ci Ncy dot com. Doctor Jonathan Slaughter from

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Speaker 1: Orthosincy is with us. So a lot of people have

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Speaker 1: said this, he gets the PRP injection at the outset

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Speaker 1: of the offseason instead of the procedure that he's having,

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Speaker 1: and so forget that he should have had the procedure

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Speaker 1: that he's having earlier in the offseason so he wouldn't

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Speaker 1: have to miss any time in twenty twenty six. Is

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Speaker 1: that from your perspective? Is that a fair way of

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Speaker 1: looking at things from a fans perspective?

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Speaker 2: It's a tough question, and it comes down to where

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Speaker 2: this is where medicine is really an art. And then

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Speaker 2: when you're a sports doctor, it can complicate things because

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Speaker 2: now you have to figure out the timing not just

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Speaker 2: of the injury, but of the season and where they're at.

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Speaker 2: And so when he had this bone spurs in his

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Speaker 2: elbow with some loose bodies, you think, well, can we

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Speaker 2: treat this nonoperatively avoid the risk of surgery, And that's

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Speaker 2: what they kind of talked about and decided to try.

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Speaker 2: Could we do this peer p get the inflammation down,

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Speaker 2: maybe get some healing of it to where then we

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Speaker 2: don't have to undergo surgery. The problem is when that fails,

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Speaker 2: now the next step is the surgical procedure, and the

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Speaker 2: timeline is also thrown off.

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Speaker 1: So having the surgery today, let's talk about the timeline

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Speaker 1: that has sort of been big part of the public discourse.

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Speaker 1: I guess fourteen to sixteen weeks. What will those roughly

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Speaker 1: three or four months look like for Hunter Green?

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Speaker 2: Yeah, the first six weeks is basically just healing, recovery,

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Speaker 2: getting inflammation down, and maintaining motion and building strength, basically

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Speaker 2: not picking up a ball. By six weeks, if he's

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Speaker 2: got good motion, strength and the swelling and inflammation is down,

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Speaker 2: that's when you start a throwing program. That would start

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Speaker 2: just flat ground light tossing variable degrees of distance as

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Speaker 2: well as effort. Once you progress through the flat phase.

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Speaker 2: You then go up to the mound starting light effort fastballs,

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Speaker 2: progress up in the amount of pitches, the amount of

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Speaker 2: effort and strength, as well as mixing in the other

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Speaker 2: pitches that he has.

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Speaker 1: Once he gets back to maximum level throwing. Whenever that is,

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Speaker 1: is there a risk of the bone chips reforming or

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Speaker 1: there being some sort of aggravation of the injury that

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Speaker 1: could further delay his return and maybe put his entire

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Speaker 1: season in jeopardy.

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Speaker 2: With this injury, it's called vougus extension overload, where when

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Speaker 2: the elbow goes through a vougus stress, which is what

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Speaker 2: you experience with throwing, and your arm goes into extension

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Speaker 2: at the end of the pitch, you get increased force

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Speaker 2: on the inside of the elbow and will slaw is

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Speaker 2: what we discuss in orthopedics, where the bone reacts to

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Speaker 2: external stress and it builds more bone in that area

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Speaker 2: and that's how you develop these bone spurs or what

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Speaker 2: we call osteophytes. Well, he's going to continue to exert

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Speaker 2: this stress through pitching and he can redevelop those. Now

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Speaker 2: I doubt he would redevelop those in this year, but

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Speaker 2: that could be a future worry of developing more bone spurs,

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Speaker 2: and then those bone spurs can break, and that's how

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Speaker 2: those loose bodies develop.

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Speaker 1: Hunter Green throws hard, and so when you talk about

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Speaker 1: his max effort, that means getting it up there one

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Speaker 1: hundred miles an hour even more. I know you're not

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Speaker 1: a pitching coach, you're a doctor. But from a medical

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Speaker 1: professionals perspective, is there a suggestion that he either changed

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Speaker 1: his mechanics or just not throw his hard.

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Speaker 2: From a medical perspective, you would always say you want

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Speaker 2: to avoid this stress that's causing the issue. Well, pitching

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Speaker 2: creates that stress, so he's not going to be able

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Speaker 2: to fully avoid the stress that causes these bone spurs.

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Speaker 2: And he's at the elite level. He's one of the

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Speaker 2: top pitchers, so his form as is is at an

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Speaker 2: elite form. He might make minor adjustments which I would

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Speaker 2: leave to the professional pitching coaches, but overall I don't

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Speaker 2: see him changing much of what got him to where

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Speaker 2: he is.

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Speaker 1: Hunter Green is as awesome as he is when he

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Speaker 1: is healthy. Has now a very extensive injury history, Tommy

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Speaker 1: John surgery a shoulder problem in twenty twenty to a

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Speaker 1: hip issue in twenty twenty three. Elbow and growing twenty

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Speaker 1: twenty four to twenty twenty five, and now this how

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Speaker 1: much is just a cumulative effect a concern here when

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Speaker 1: it comes to Hunter.

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Speaker 2: A lot of it can also just be mental, the

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Speaker 2: mental effect of almost every year being on the il,

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Speaker 2: the toll it can take mentally. Again, he's an elite

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Speaker 2: athlete with elite trainers put in his body through maximum stress.

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Speaker 2: But it's one of those do you call him injury prone? Well,

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Speaker 2: once you start getting all these injuries, you know, he

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Speaker 2: might be what you would call injury prone. But I

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Speaker 2: don't think there's anything biological to say, yeah, this is

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Speaker 2: why he keeps getting these injuries.

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Speaker 1: Well, but because I you know, I always think that's

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Speaker 1: the most fascinating part of this, right because as fans

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Speaker 1: we go, well, he's injury prone, and I think often

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Speaker 1: luck is involved. But I always do wonder if there's

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Speaker 1: something physiological or biological that would suggest that maybe a

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Speaker 1: guy like Hunter just isn't going to have the sort

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Speaker 1: of long career that so many of us hope he's

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Speaker 1: going to have.

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Speaker 2: Nothing biological. I think most of it is luck. I

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Speaker 2: think part of it is just the rigors of one

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Speaker 2: hundred and sixty plus games schedule or one hundred and

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Speaker 2: sixty two game schedule, as well as off season training

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Speaker 2: and what's demanded of.

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Speaker 1: Them one more And this kind of goes back to

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Speaker 1: something you and I talked about last week. He was

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Speaker 1: feeling discomfort before spring training, but he still threw, still

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Speaker 1: appeared in a game. We'd love to go back in time,

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Speaker 1: I guess. But when a picture, whether it's at this

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Speaker 1: level or at the amateur level, is feeling that discomfort

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Speaker 1: from where you sit, how much do you recommend, Look,

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Speaker 1: don't get on the mound, don't pick up a ball,

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Speaker 1: don't throw. Let's look at this before we incur further

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Speaker 1: risk of something even more drastic than what we're dealing.

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Speaker 2: With here, big time. So I even this weekend we

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Speaker 2: had the Anderson Little League managers meeting, and as a

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Speaker 2: safety officer, I was telling them, Look, if your kid

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Speaker 2: has elbow pain, best thing you can do for them

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Speaker 2: is shutting down. From a thrilling perspective. It doesn't mean

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Speaker 2: you can't do other baseball related activities, but at the

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Speaker 2: first sign of inflammation, the best thing you can do

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Speaker 2: is rest at is it, take anti inflammatories, get the

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Speaker 2: inflammation down. If that pain continues after getting inflammation down.

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Speaker 2: That's when you investigate further.

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Speaker 1: Makes total sense. I appreciate the insight consecutive weeks, doctor

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Speaker 1: Jonathan Slaughter from a Ortho Sinsey. Appreciate the time we

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Speaker 1: will chat. I'm sure soon.

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Speaker 2: Thank you.

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Speaker 1: Mo an awesome expertise from doctor Jonathan's Slaughter from Orthos Sincy.

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Speaker 1: I say this every week because it's true. The great

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Speaker 1: thing about Ortho Sinsey is they have specialists and locations

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

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Speaker 1: urgent care weekdays from nine am to nine pm at

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Speaker 1: on Saturdays nine am to one pm at both Edgewood

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Speaker 1: and Anderson. It's easy because you don't need an appointment,

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Speaker 1: and it's definitely cheaper than going to an er. Whenever

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Speaker 1: you have an urgent orthopedic injury, go to orthosinc dot com.

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Speaker 1: That's Ortho c I n c Y dot com