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00:00Let's go out to the River Islands guest line because it is time for clear to play.
00:04We're going to take you inside the tent, get you updated on the latest injuries in the
00:07Bay and proud to partner with UCSF Health on this segment.
00:11Here comes Dr. Brian Feeley.
00:13Hey Doc, what's going on?
00:14How's it going guys?
00:15Glad to have you.
00:16What do you think, by the way, about Pierce Hall as his practice window opens?
00:24What's he dealing with coming off of what is kind of a hard injury for all of us to
00:27understand?
00:28Yeah, I think the biggest thing for him is that he really legitimately most missed most
00:34of camp.
00:35And then even though he was miraculously shot, but not shot in a horrific way, he then had
00:43to take some time off just to recover.
00:45So then he's missed essentially all the conditioning that most of the players get.
00:49So we've had three to four weeks to build back into that.
00:52So I think the next few weeks, especially going into the Bay in a few weeks, suggests
00:56that he can get back into playing shape, get used to taking contact, see how it feels
01:02to get contact in the chest.
01:03Because even though he didn't get any rib fractures, he still might be a little bit
01:08more sore than anticipated and they won't know for sure until he takes some hits in
01:12practice and then hopefully relatively soon in a real game.
01:15Yeah, that's something that's just so exciting.
01:17And when he gets out there for the first time in a real NFL game and makes his debut, it's
01:21going to be emotional for fans and certainly for Ricky as well.
01:25Jordan Mason injured, he had the AC joint sprain.
01:28He was able to come back for one snap after halftime and then that was about it.
01:33How does the sprained AC joint affect your ability as a ball carrier?
01:37So your AC joint is that little bump you feel on the top outside of your shoulder and that's
01:43where your collarbone meets your shoulder blade.
01:46When you have a mild AC sprain or a type one to two AC sprain, the hard part is bringing
01:51your arm across your body.
01:53So if you think about grabbing a football, bringing it across your body and protecting
01:57it, you're basically leaning against a bruise, getting hit in that area and then being tackled
02:03and landing on that side.
02:04So it's not really a question of increased injury risk.
02:07It's more a question of how much pain he can deal with and not in a toughness way.
02:12If you just can't bring your arm across to protect the ball, they're not going to put
02:15them back in there.
02:16Long term, these are the type of injuries that if there's no significant displacement,
02:20meaning the collarbone isn't too high up and out of the area of a sprain and into a
02:26shoulder separation, he should be able to return this year and do fine.
02:30Doc, I know that you don't kick with your shoulder, but at the same time, that looks
02:34really painful with what happened with Matthew Wright in Seattle and there are question marks.
02:41What are we looking at here with a kicker injuring a shoulder?
02:45Yeah, so for any time you have a shoulder dislocation or a subluxation of the shoulder,
02:50the shoulder wants to slide out of the joint and then slide back in.
02:54And even though the shoulder is inherently, it's a pretty unstable joint.
02:59Anything that's pathologic, meaning you tear something or get close to tearing something
03:04and stretch the capsule, it's going to be painful.
03:07And if you think about kicking a soccer ball in the backyard, we don't put a lot of force
03:11into it.
03:12But if you have a 45 yard field goal, you have to swing your entire body through it.
03:15You have to use your upper body to generate momentum.
03:18And if your shoulder doesn't feel 100% and that's going to change how you rotate your
03:23hips and leg through, that might be pretty considerable in terms of outcome.
03:27So my guess is they'll keep a pretty close eye on them this week, look for accuracy,
03:31look for distance.
03:32And if those aren't progressing well, then they may have to have alternative plans.
03:39Now the reality is, is that most people can come back with a shoulder subluxation in about
03:43eight to 10 days.
03:45So my guess, my hope is a kicker can come back during that time too.
03:49And in the meanwhile, they signed Anders Carlson to the practice squad just in case Matthew
03:53Wright can't go and kick Malik Mustafa with the low ankle sprain.
03:58Why is a low ankle sprain so much less troubling generally than a high ankle sprain?
04:02Yeah.
04:04Yeah.
04:05So when you have a low ankle sprain, which we've probably all had, that's at the very
04:08distal part of the very bottom part of the bone on the outside of your ankle.
04:13There's three ligaments there.
04:14You typically for a mild ankle sprain, you sprain the one in the front, it gets swollen,
04:19but there's no separation of the bones.
04:21So usually that's essentially day to day.
04:23And usually it takes about a week to 10 days to get back because you just need to control
04:27the swelling and feel stable.
04:29A high ankle sprain is an entirely different injury.
04:34That's where there's separation between the tibia and the fibula, the two bones in the
04:37leg.
04:38And even though it's part of the ankle, it's much higher up and then your ankle is essentially
04:42unstable.
04:43So every time you step, your foot is essentially being driven up in between two bones.
04:49So it's a very different injury, very different outcomes and needs to be treated in an entirely
04:53different manner.
04:54Doc, any light you can shed on Charverius Ward who it looks to us like he's just not
05:00a hundred percent all year and then to go right up to the game thinking he would play
05:04and then didn't on Thursday night, what do you think is the right move for him going
05:10forward?
05:11You know, I think anytime you've got a player that doesn't feel a hundred percent in the
05:16first half of the season when you're in playoff contention, I think the idea is be safe and
05:21be conservative.
05:22I mean, if you look at the, he's 28 years old, so he's not like he's old and this is
05:27an aging injury.
05:29This is more something along the lines of wear and tear in the knee, something that
05:33probably needs a little bit of extra rest.
05:35He gets 10 days off this week, plays Dallas, arguably that might be another week off and
05:41then they've got the bye week.
05:42So my guess is they'll continue to be a little conservative with him, try to get him to play
05:47against Kansas City and then with the hopes that he can really rest and recover for the
05:51second half of the season.
05:52Doc, Aiden Hutchinson with the terrible fractured tib fib and he had surgery and they say four
05:57to six months.
05:58Is there any possible way that he could make it back in four months if they made the Super
06:02Bowl?
06:03Yeah, I think it's tough.
06:06So we typically think about bone healing being in about six to eight weeks, but even though
06:11we focus on the bone, all his soft tissues have to recover too.
06:15So he's going to spend probably at least two to three weeks protected weight buried, meaning
06:19he's not going to put very much weight on it.
06:21You get a lot of muscle atrophy where your muscle shrinks, whether or not he could really
06:26be back.
06:27Let's say lions in the Super Bowl.
06:29It's possible, but unlikely.
06:32And then there is a risk that he has more injury when he plays.
06:35It's relatively low because at that point the bone should be healed.
06:38But I think legitimately we say four months to maybe go out for a nice, aggressive hike,
06:45six months for playing football.
06:46So it'd be unlikely for him to return this year.
06:48OK, there it is.
06:49Hey, old aggressive hike.
06:50Right.
06:51Yeah, I went on one of those today.
06:52Actually, it wasn't aggressive at all.
06:56Anyway, Doc, thank you so much for jumping in.
06:58We appreciate it.
06:59All right.
07:00Have a good day, guys.
07:01Thanks, Doc.
07:02OK, YouTube Proceeding was sponsored by UCSF Health.