00:00This is the Injury Report, presented by NYU Langone Health.
00:05All right, Knicks fans, you guys saw the report from our Knicks beat writer for the Post,
00:09Steph Bondi.
00:10Deuce McBride is back on the court taking contact after being out since January after
00:15he got hernia surgery.
00:16So in today's Injury Report, we're welcoming back Dr. Julia Iafredi, sports orthopedic
00:23surgeon at NYU Langone, because Deuce is aiming to be back into the lineup by the playoffs.
00:29And that's a month away.
00:31Doc, appreciate you hopping back on with this.
00:34Long time no see.
00:36Let's have some fun with this one.
00:38Let's talk about Deuce, because when we talk about a guard like him returning from a hernia
00:43injury, his biggest skill set, I believe, is he's quick, he's got defensive pressure, and
00:49he's got explosive bursts.
00:51So what are the biggest physical limitations and risks that could still show up when he
00:57gets cleared to return back to the action?
01:01Yeah, Brandon, great to see you always.
01:03It's a good question.
01:05It's tough, right?
01:06These sports hernias is not the same as like a typical inguinal hernia.
01:11So there's a little bit of difference in terms of the type of recovery that we see.
01:14With the surgery that Miles ended up having, you know, this was done about a month ago
01:20now.
01:20I think it was February 6th he had the surgery.
01:23And with sports hernia repair, usually when we're looking at recovery time, it's around
01:30that 6 to 12 weeks for most athletes to be able to get to competition by 12 weeks.
01:35And that's going to involve some rest, that's going to involve some physical therapy, that's
01:38going to, that PT is going to really focus on core and hip strengthening.
01:43But the issue with Miles, or with Deuce, as we like to call him, is this man is not just
01:50a regular athlete, right?
01:52He has that explosiveness, that lateral kind of agility that we expect from him.
01:57And that's the thing that's actually going to be the slowest to come back following these
02:01kinds of repairs.
02:02So that signature kind of defensive pressure ability that he has might actually still be
02:08slowed.
02:09Now, we know playoffs are starting in one month.
02:12He's been practicing with the team, which is great, but he's probably going to be a little
02:16bit slower with some of that, you know, side to side motion.
02:20And he also is probably going to have a little bit of stiffness still with, with that post
02:26repair.
02:26So if he is sitting on the bench and then comes off the bench, I mean, they're really going
02:31to have to do a good job of kind of keeping him warmed up throughout the game because that
02:35back and forth with sitting and being stationary for a while, that's really going to make it
02:39tougher for him to kind of get up and go.
02:41You know, right now he's around four to six weeks post-op.
02:45So they should be really working on like vigorous core strengthening, flexibility.
02:51But, you know, again, for somebody like him, I don't think he's going to be back to his
02:57elite playing potential in the next month.
03:00I think it's probably going to look closer to that three-month portion.
03:04Doesn't mean he won't be able to play.
03:06I just, I don't think he's going to be that signature deuce.
03:08He's going to be more that miles.
03:10Million dollar question here.
03:12And this kind of hits home for me and my family.
03:15My father just got surgery for a hernia.
03:18He's in his mid-60s.
03:19I won't give his real age out there.
03:21I don't want to get that text, but I guess we can call him a regular person because he
03:25doesn't play for the Knicks.
03:27How would you treat a regular person or a Mike London when it comes to recovering from a hernia?
03:34Yeah.
03:35Well, I would treat Mike London like any other amazing weekend warrior athlete in my clinic.
03:40Uh, but what I will say is that, um, a lot of times, sometimes these, um, these sports
03:46hernias, which again, is not the same thing as an inguinal hernia.
03:49So the sports hernia is a muscle issue or an area where the two muscles come in attached
03:54to each other.
03:55Whereas an inguinal hernia is actually a problem where abdominal contents are coming out through
04:00the inguinal canal in the groin.
04:01So they're treated very differently.
04:03And, um, you know, I don't know which one, which kind of surgery your dad's having, but,
04:07um, with these types of, um, sports hernias or athletic pubalgia, as we call it in the
04:13medical field, um, sometimes we can actually rehab these without any surgery, but if somebody
04:18does need mesh placed, if they do need some sort of, um, uh, surgical procedure, uh, a
04:25lot of the times we are talking, you know, very slow return to sport.
04:29You're trying to limit some of that, like aggressive ballistic type movements.
04:33Um, we do use some adjuncts like, um, obviously the physical therapy, but also shockwave therapy
04:40has been used to try to help remodel some of that tendon as well as PRP injections.
04:44So PRP being platelet rich plasma, where we take some of your blood, spin it down in a
04:48centrifuge, inject it into that damaged tissue under ultrasound guidance to really try to
04:53force that healing cascade to occur.
04:54And then we start pushing them on to, uh, working on that, uh, balanced dynamic, uh, kind
05:01of motion and then, and then the ballistic motion lastly.
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