Dr. Amelia Wiggins from OrthoCincy joined us to discuss Spencer Steer's nagging shoulder issues, and a scary health issue facing an NBA star.
Learn more about OrthoCincy by going here.
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Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
We do this once a week. Last couple of weeks
it's been on a Thursday, but typically on Wednesdays. We
talked with one of the experts from Orthos Sincey Orthopedics
and Sports Medicine, and I've been talking about Orthos since
for a while. I recently went to Ortho since the
NKU office, the one in Highland Heights, because I've had
(00:20):
a neck issue that I waited way too long to
fix and Orthos Sincey fixed it. My guy, doctor angel Alaskaz,
took care of me. He's got me on the path
to betterhealth and I cannot thank him enough in the
staff at Ortho since for being so awesome to work with.
One of the awesome things about Orthos since he is
(00:41):
they have specialists, locations and services all over the Tri State,
including walk in orthopedic urgent care at five locations with
extended evening and weekend hours in Edgewood and Anderson. Learn
more at orthosinc dot com. That's Ortho ci NCY dot com.
Doctor Amelia Wiggins from Orthosinsia is with us. I want
(01:01):
to ask you about Spencer Steer. So this is a guy,
a good player. Last year he bangs up his shoulder
sliding into a base and he plays through it right,
and then he spends the off season resting, rebuilding strength,
and he shows up to spring training and the shoulder
has still been sore and they limited his throwing and
he was dhing at the start of the spring, and
(01:23):
hopefully he's going to be okay. What's interesting is he
rested a bunch during the off season. The pain hasn't
really gone away, and they've done an MRI and can't
find any structural damage. So let's start there. When they
do the MRI, what are they looking for?
Speaker 2 (01:38):
Oh, with an MRI, you know, they'll obviously be looking
for a laborl tear or a rotator cuff injury, any
muscle damage, or even a fracture to the bone. Sometimes
a bone contusion can cause discomfort. So there's a lot
of stuff that they'll be looking for with an MRI.
They probably got it with contrast, which means they inject
to die into the joint to get the best view
of the labor So.
Speaker 3 (02:00):
It sounds, you know, it sounds like that's good.
Speaker 2 (02:03):
That there weren't wasn't any structural damage, because you know,
when we get an them ARI, we're thinking all right,
it's something torn that needs a surgery to fix it,
or if there's a muscle strain, then we can kind
of come up with a prognosis of right, this will
take a few months, a few weeks, et cetera to heal.
So dingmre I just give us a closer look at
the pathology there and then we can anticipate a timeline
(02:25):
to treatment and recovery from that.
Speaker 1 (02:27):
All right, So obviously results are negative. So what are
some of the likely causes for this soreness?
Speaker 2 (02:34):
Yeah, so that's that's good, you know that it is negative,
although sometimes that's more frustrating. Sometimes you want to see
the tear that you can just fix it and kind
of get on with it, you know. I think so,
you know, most shoulder, most overhead athletes, you know, we'll
have some level of impingement and that might be playing
(02:55):
a role here. That's where the labor or the rotator
cuff can get pinched between the ball and the socket there.
That happens a lot with baseball players, especially you know,
high level athletes there, and that impingement can linger. And
really the treatment is just a lot of therapy and
a lot of throwing biomechanics. You know, when we take
(03:18):
time away from the sport, we've got to build back
from the base, from the ground level, and that's.
Speaker 3 (03:27):
That's time consuming, you know.
Speaker 2 (03:30):
Yeah, so maybe so there might be some impingement. There's
a lot of biomechanics that go into throwing and muscle recruitment.
Speaker 3 (03:40):
So if there was an injury to a.
Speaker 2 (03:41):
Muscle, you know, it's that's going to heal, but your
brain needs to reconnect with those muscles, and after an injury,
that can be hard to lay down those nor much
of their connections again, so to to recruit those muscles
appropriately and the sequences that they need to be recruited.
It's something that he'll be working through with his trainers,
(04:01):
and I think that takes some time and.
Speaker 3 (04:04):
Could be playing a role here.
Speaker 2 (04:06):
The other thing to think about is that I think
he played through it a little bit. I think he
didn't rest it right away, and so the injury can
become chronic then and the body doesn't heal it. You know,
if you're rest after an injury and acute injury, your
blood supply is the best. There after the injury, it
can heal, and just that muscle can heal and move
on chronic injury is linger, you know, there's a reason
(04:29):
why we shut you down. Kind of less is more
at the beginning. So if this has become chronic, if
he now has chronic inflammation in the muscle in the
rotator cuff tendon, that can continue to be uncomfortable, it
can continue to alter his throwing biomechanics. And that also
could be playing a role here, the fact that he
just didn't shut it down soon enough. So are we
(04:50):
taken longer on.
Speaker 3 (04:51):
The back end?
Speaker 1 (04:52):
Yeah, So are we talking about something that we could
be thinking about and worrying about and talking about deep
into the season.
Speaker 3 (05:01):
You know, hopefully not, hopefully not.
Speaker 2 (05:03):
It's sound like they've got a good plan moving forward,
you know, keeping him at first base, maybe third base,
you know, try to limit his throwing.
Speaker 3 (05:10):
Obviously he can hit no problems, so.
Speaker 2 (05:12):
That's good, I think, you know, you always hope that
things will get better in a few months, and when
they become chronic, then it can be a few more months.
But hopefully they can just continue to tailor his return
and not go too fast and then we can have
him healthy, you know, earlier mid season and forget about it.
Speaker 1 (05:33):
Yeah, let's hope. So doctor Amilia Wiggins from Ortho Cinsia
is with us. We rarely talk about NBA players in
this segment, but there's a major injury involving the most
promising young player in the sport as far as I'm concerned,
and the injury is something that I've never heard of.
Victor Webbin Yama of the San Antonio Spurs is going
to miss the remainder of the season because he is
(05:54):
dealing with deep vein thrombosis. No real official word on
when this started, so it kind of came from left field.
What is deep vein thrombosis.
Speaker 2 (06:08):
That's a blood clot. That is a blood clot, and
that's the medical term for that. And I'm sure you've
heard of family members or friends having a blood clot
in their leg. You know a lot of times people
get them after traveling for long distances. If they don't
get up on the plane and walk around, you know,
the blood can can accumulate in the legs and clot.
(06:31):
It's unusual to happen in an upper extremity. It's even
more unusual to happen in a young, healthy athlete. Typically,
we see blood clots in our older population that are
less healthy, less active, less mobile.
Speaker 3 (06:45):
So this is it is very unusual.
Speaker 2 (06:47):
And typically they're more in the lower extremities, so we
don't often see a blood clots in the upper extremity.
This is you know, this is concerning.
Speaker 3 (06:57):
I was reading up on this as well. It's this
concerning issue for him.
Speaker 1 (07:04):
What are the causes We kind of went into that,
what are some of the symptoms and how do they
determine that this is something that he's not going to
be able to play through.
Speaker 2 (07:13):
Well, a blood clot is very dangerous because that is
a plot in the vein and if the dislot is
that can go to your lungs and that's what that's
what we call a pulinary imbeli or polari imblist.
Speaker 3 (07:25):
A PE for people have a pe and those are deadly.
You if a blood.
Speaker 2 (07:30):
Clot goes into your lungs, they will obviously stop while
you're breathing, and those can be deadly in a matter
of seconds. So that's obviously that's why they've shut him
down if they don't want that clot to dislodge, and
that is obviously very scary. The question is why did
he get this? You know why did he get this that.
(07:50):
You can have it from being sedentary, you can have
it from having a plotting disorder. So they'll need to
look at his blood to see if he is prone
two spontaneously developing clots.
Speaker 3 (08:02):
Some people are missing.
Speaker 2 (08:04):
Certain factors in their blood it makes them more prone
to these. Another reason that specifically overhead athletes could get
blood cloths in their shoulders is what's called thoracic outlet syndrome,
and that is up where the break plexus and the
subclavian artery and vein are up under your clavicle. Sometimes
(08:24):
people the muscles get too tight and can compress on
the vein. Sometimes people have an extra rib there and
that can compress on the subclavian vein and that could
cause a blood clot. So they'll be looking into why.
The hope for his career would be that it's that
thoracic outlet syndrome because that you can do surgery for
(08:46):
to correct. You can take out the extra rib, you
can release the muscles around the vein and get the
blood flowing properly. If he has a clotting disorder, then
that could become more of a chronic, long term issue
for him, which would be very problematic.
Speaker 1 (09:01):
Going to be wishing for the best at it sounds scary.
Hopefully it's a good resolution, Doctor Ameilia Wiggins from Ortho,
since I appreciate the time as always, thank you so much.
Speaker 3 (09:13):
Thank you.
Speaker 1 (09:14):
There you have it, our friend, doctor Amelia Wiggins from
Orthos Sinc. I say this every single week because it's true.
The great thing about Ortho SINCY is they have specialists
on locations across the Tri State. This includes walk in
orthopedic urgent care weekdays nine eight to nine pm Saturday's
nine eight to one p at both Edgewood and Anderson.
It's easy because you don't need an appointment and it's
(09:35):
definitely cheaper than going to an er when you have
an urgent orthopedic injury. Good orthosinc. Dot com. That's Orthos
c I n CY dot com.
We do this once a week. Last couple of weeks
it's been on a Thursday, but typically on Wednesdays. We
talked with one of the experts from Orthos Sincey Orthopedics
and Sports Medicine, and I've been talking about Orthos since
for a while. I recently went to Ortho since the
NKU office, the one in Highland Heights, because I've had
(00:20):
a neck issue that I waited way too long to
fix and Orthos Sincey fixed it. My guy, doctor angel Alaskaz,
took care of me. He's got me on the path
to betterhealth and I cannot thank him enough in the
staff at Ortho since for being so awesome to work with.
One of the awesome things about Orthos since he is
(00:41):
they have specialists, locations and services all over the Tri State,
including walk in orthopedic urgent care at five locations with
extended evening and weekend hours in Edgewood and Anderson. Learn
more at orthosinc dot com. That's Ortho ci NCY dot com.
Doctor Amelia Wiggins from Orthosinsia is with us. I want
(01:01):
to ask you about Spencer Steer. So this is a guy,
a good player. Last year he bangs up his shoulder
sliding into a base and he plays through it right,
and then he spends the off season resting, rebuilding strength,
and he shows up to spring training and the shoulder
has still been sore and they limited his throwing and
he was dhing at the start of the spring, and
(01:23):
hopefully he's going to be okay. What's interesting is he
rested a bunch during the off season. The pain hasn't
really gone away, and they've done an MRI and can't
find any structural damage. So let's start there. When they
do the MRI, what are they looking for?
Speaker 2 (01:38):
Oh, with an MRI, you know, they'll obviously be looking
for a laborl tear or a rotator cuff injury, any
muscle damage, or even a fracture to the bone. Sometimes
a bone contusion can cause discomfort. So there's a lot
of stuff that they'll be looking for with an MRI.
They probably got it with contrast, which means they inject
to die into the joint to get the best view
of the labor So.
Speaker 3 (02:00):
It sounds, you know, it sounds like that's good.
Speaker 2 (02:03):
That there weren't wasn't any structural damage, because you know,
when we get an them ARI, we're thinking all right,
it's something torn that needs a surgery to fix it,
or if there's a muscle strain, then we can kind
of come up with a prognosis of right, this will
take a few months, a few weeks, et cetera to heal.
So dingmre I just give us a closer look at
the pathology there and then we can anticipate a timeline
(02:25):
to treatment and recovery from that.
Speaker 1 (02:27):
All right, So obviously results are negative. So what are
some of the likely causes for this soreness?
Speaker 2 (02:34):
Yeah, so that's that's good, you know that it is negative,
although sometimes that's more frustrating. Sometimes you want to see
the tear that you can just fix it and kind
of get on with it, you know. I think so,
you know, most shoulder, most overhead athletes, you know, we'll
have some level of impingement and that might be playing
(02:55):
a role here. That's where the labor or the rotator
cuff can get pinched between the ball and the socket there.
That happens a lot with baseball players, especially you know,
high level athletes there, and that impingement can linger. And
really the treatment is just a lot of therapy and
a lot of throwing biomechanics. You know, when we take
(03:18):
time away from the sport, we've got to build back
from the base, from the ground level, and that's.
Speaker 3 (03:27):
That's time consuming, you know.
Speaker 2 (03:30):
Yeah, so maybe so there might be some impingement. There's
a lot of biomechanics that go into throwing and muscle recruitment.
Speaker 3 (03:40):
So if there was an injury to a.
Speaker 2 (03:41):
Muscle, you know, it's that's going to heal, but your
brain needs to reconnect with those muscles, and after an injury,
that can be hard to lay down those nor much
of their connections again, so to to recruit those muscles
appropriately and the sequences that they need to be recruited.
It's something that he'll be working through with his trainers,
(04:01):
and I think that takes some time and.
Speaker 3 (04:04):
Could be playing a role here.
Speaker 2 (04:06):
The other thing to think about is that I think
he played through it a little bit. I think he
didn't rest it right away, and so the injury can
become chronic then and the body doesn't heal it. You know,
if you're rest after an injury and acute injury, your
blood supply is the best. There after the injury, it
can heal, and just that muscle can heal and move
on chronic injury is linger, you know, there's a reason
(04:29):
why we shut you down. Kind of less is more
at the beginning. So if this has become chronic, if
he now has chronic inflammation in the muscle in the
rotator cuff tendon, that can continue to be uncomfortable, it
can continue to alter his throwing biomechanics. And that also
could be playing a role here, the fact that he
just didn't shut it down soon enough. So are we
(04:50):
taken longer on.
Speaker 3 (04:51):
The back end?
Speaker 1 (04:52):
Yeah, So are we talking about something that we could
be thinking about and worrying about and talking about deep
into the season.
Speaker 3 (05:01):
You know, hopefully not, hopefully not.
Speaker 2 (05:03):
It's sound like they've got a good plan moving forward,
you know, keeping him at first base, maybe third base,
you know, try to limit his throwing.
Speaker 3 (05:10):
Obviously he can hit no problems, so.
Speaker 2 (05:12):
That's good, I think, you know, you always hope that
things will get better in a few months, and when
they become chronic, then it can be a few more months.
But hopefully they can just continue to tailor his return
and not go too fast and then we can have
him healthy, you know, earlier mid season and forget about it.
Speaker 1 (05:33):
Yeah, let's hope. So doctor Amilia Wiggins from Ortho Cinsia
is with us. We rarely talk about NBA players in
this segment, but there's a major injury involving the most
promising young player in the sport as far as I'm concerned,
and the injury is something that I've never heard of.
Victor Webbin Yama of the San Antonio Spurs is going
to miss the remainder of the season because he is
(05:54):
dealing with deep vein thrombosis. No real official word on
when this started, so it kind of came from left field.
What is deep vein thrombosis.
Speaker 2 (06:08):
That's a blood clot. That is a blood clot, and
that's the medical term for that. And I'm sure you've
heard of family members or friends having a blood clot
in their leg. You know a lot of times people
get them after traveling for long distances. If they don't
get up on the plane and walk around, you know,
the blood can can accumulate in the legs and clot.
(06:31):
It's unusual to happen in an upper extremity. It's even
more unusual to happen in a young, healthy athlete. Typically,
we see blood clots in our older population that are
less healthy, less active, less mobile.
Speaker 3 (06:45):
So this is it is very unusual.
Speaker 2 (06:47):
And typically they're more in the lower extremities, so we
don't often see a blood clots in the upper extremity.
This is you know, this is concerning.
Speaker 3 (06:57):
I was reading up on this as well. It's this
concerning issue for him.
Speaker 1 (07:04):
What are the causes We kind of went into that,
what are some of the symptoms and how do they
determine that this is something that he's not going to
be able to play through.
Speaker 2 (07:13):
Well, a blood clot is very dangerous because that is
a plot in the vein and if the dislot is
that can go to your lungs and that's what that's
what we call a pulinary imbeli or polari imblist.
Speaker 3 (07:25):
A PE for people have a pe and those are deadly.
You if a blood.
Speaker 2 (07:30):
Clot goes into your lungs, they will obviously stop while
you're breathing, and those can be deadly in a matter
of seconds. So that's obviously that's why they've shut him
down if they don't want that clot to dislodge, and
that is obviously very scary. The question is why did
he get this? You know why did he get this that.
(07:50):
You can have it from being sedentary, you can have
it from having a plotting disorder. So they'll need to
look at his blood to see if he is prone
two spontaneously developing clots.
Speaker 3 (08:02):
Some people are missing.
Speaker 2 (08:04):
Certain factors in their blood it makes them more prone
to these. Another reason that specifically overhead athletes could get
blood cloths in their shoulders is what's called thoracic outlet syndrome,
and that is up where the break plexus and the
subclavian artery and vein are up under your clavicle. Sometimes
(08:24):
people the muscles get too tight and can compress on
the vein. Sometimes people have an extra rib there and
that can compress on the subclavian vein and that could
cause a blood clot. So they'll be looking into why.
The hope for his career would be that it's that
thoracic outlet syndrome because that you can do surgery for
(08:46):
to correct. You can take out the extra rib, you
can release the muscles around the vein and get the
blood flowing properly. If he has a clotting disorder, then
that could become more of a chronic, long term issue
for him, which would be very problematic.
Speaker 1 (09:01):
Going to be wishing for the best at it sounds scary.
Hopefully it's a good resolution, Doctor Ameilia Wiggins from Ortho,
since I appreciate the time as always, thank you so much.
Speaker 3 (09:13):
Thank you.
Speaker 1 (09:14):
There you have it, our friend, doctor Amelia Wiggins from
Orthos Sinc. I say this every single week because it's true.
The great thing about Ortho SINCY is they have specialists
on locations across the Tri State. This includes walk in
orthopedic urgent care weekdays nine eight to nine pm Saturday's
nine eight to one p at both Edgewood and Anderson.
It's easy because you don't need an appointment and it's
(09:35):
definitely cheaper than going to an er when you have
an urgent orthopedic injury. Good orthosinc. Dot com. That's Orthos
c I n CY dot com.
Mo Egger News
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