00:00Max Freed is around that halfway point of a trip to the 15-day IL with a left bone bruise.
00:06Why put him on the IL for a bone bruise and what exactly is going on with that elbow?
00:11So when you throw, your elbow whips at an incredible velocity. It's a really abnormal
00:16motion. And your elbow bone actually makes contact with your arm bone. So the tip of your elbow
00:22hits the back of your arm. If you do that once or twice, it's not that big a deal.
00:26But if you do that 100 times here, 100 times there at the velocity that someone like Freed's
00:32throwing, that repetitive impaction can cause damage and a bruise of the bone, which you can
00:37see on something like an MRI where it lights up. So it can be really painful.
00:41Your patients that are pro athletes, do they need a 15-day IL when they have a bone bruise?
00:47So yeah, I mean, the short answer is yes. This isn't a common one. So this isn't one that an
00:52everyday athlete has an analogous injury for. This is pretty much unique to throwers because
00:58of that motion that they have. But yes, if they had, if I had a high school kid, a college
01:02kid or a pro athlete, it's always the same treatment plan. You get the imaging, you shut
01:06them down, you gradually work them back. And then each step of the way, if they don't have
01:10pain, you can advance them to the next step.
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