Train Like a Boxer; Get the Facts on TBIs

Episode 14.29 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One – Debbie Pickus and Melissa Nelson, owners of Title Boxing Club in Northbrook, Illinois discuss how the Title Boxing workouts differ from other modes of training; a new kind of high intensity interval training..It’s not just for fighters anymore; group classes deliver the amazing results of boxing, minus the combat, to strengthen your body from head to toe.

A fitness club with a punch. TITLE Boxing Clubs offer explosive total body boxing and kickboxing fitness workouts to help women and men burn up to 1,000 calories per hour in each group class. If you are looking for a fitness club that offers effective group exercise classes and personal training, TITLE Boxing Club is the fitness club for you. Find your TITLE Boxing Club and get your First Shot Free! If you are looking for a solid workout come Hit It Hard for one hour. This complete fitness workout helps you strengthen your core faster than other exercise classes. TITLE Boxing Club offers flexible membership plans and classes for every fitness level and personalized schedule.

 

Segment Two –  Dr. Barry Miskin, Co-director of the Joe Namath Neurological Research Center discusses hyperbaric oxygen (HBO) therapy and the clinical trial for traumatic brain injury patients taking place the Jupiter Medical Center.

“People ask me, ‘Joe, have you ever had concussions?’” Namath said. “Well, there was a time I jokingly said, ‘I don’t know if I’ve ever had concussions, but I had a heck of a lot of smelling salts.’ “After seeing some of my teammates — a couple of them literally deteriorate and pass on — I began to analyze and monitor myself, so to speak,” the football Hall of Famer added. The NFL recently reported as many as a third of players can be expected to show premature brain injury. Namath said his health was good before the treatment, but he reports having more energy and says, “Now, if I forget things, it’s my own fault.”

Hyperbaric chambers are currently best known for helping to heal wounds. Doctors at Jupiter Medical Center reasoned they might also help heal traumatic brain injuries. “It stimulates regeneration of cells,” explained Dr. Barry Miskin. “So there are stem cells that are regenerated, and you’re actually generating new brain tissue.” The medical center has named a neurological research center for Namath. It’s seeking funding and 100 patients to continue the experiment. More information or join the trial.

Traumatic brain injury (TBI) is believed to be the leading undiagnosed injury in the United States. Victims can experience symptoms of confusion, loss of memory, slurred speech and seizures. Those living with TBI can struggle with its devastating effects for days, months, years or even for the rest of their lives. Regardless of age, anyone can suffer a detrimental brain injury, including: professional athletes, motorcyclists, children involved in team sports, military personnel and even senior citizens.

The Joe Namath Neurological Research Center at Jupiter Medical Center is committed to investigating new ways to reverse brain injury and improve long-term recovery. Help us provide important answers and hope to those affected by head trauma. Contribute to cutting-edge research by donating to The Joe Namath Neurological Research Center. It is our mission to pioneer a clinical study that explores the effectiveness of hyperbaric oxygen (HBO) therapy as a treatment for the debilitating toll of TBI.

Join the Fight Against Traumatic Brain Injury – You Can Help

Division I Pitcher Returns to Play after UCL Reconstuction

Jake and Tommy: The fact that St. Edward senior Jake LaFrenz recently committed to play Division I baseball at Coastal Carolina University near Myrtle Beach, SC. less than three months removed from elbow surgery is a testament to the effectiveness of the Tommy John procedure, which the late Dr. Frank Jobe first performed in 1974.

Thanks to his personal coach, R.C. Lichtenstein, also the pitching coach for Tampa Bay Rays Class AA affiliate in Birmingham, LaFrenz connected with Coastal Carolina pitching coach Drew Thomas, who was looking for a left-hander. Video was sent to Thomas, who liked what he saw, according to LaFrenz. They stayed in touch.

However, while LaFrenz was pitching at an event for scouts from Valparaiso and Pittsburgh in Lemont on June 1, which happened to be LaFrenz’s birthday, the Elgin resident tore the ulnar collateral ligament in his left arm. He underwent Tommy John surgery on June 25, performed by well-known orthopedic surgeon Dr. Brian Cole of Midwest Orthopaedics at Rush, the same surgeon who performed the ACL replacement of Bulls guard Derrick Rose.

LaFrenz visited the Conway, SC. campus over Labor Day and loved what he saw. Undeterred by LaFrenz’s Tommy John surgery, the Chanticleers coaching staff offered him a roster spot and the chance to play his way into a partial scholarship based on his first-year performance. “They said they don’t see me as a walk-on guy. Before I got injured they said they there was a scholarship with my name on it,” LaFrenz said. “I’m excited. It’s nice to have the opportunity to play Division I baseball. I love the game of baseball so much. I want to be a college coach or general manager someday. I can’t see myself in anything else but baseball.”

Cleanse your body and nourish your soul

As the weather changes, so does your metabolism. Treat yourself to an educational, nourishing, whole foods cleanse to help your body deto x from sugar and inflammatory foods.  This special 14 Day Fall Transformation will also help you naturally balance your gut microbiome, a main player in keeping you VIBRANT and FREE from chronic disease.
  • Kick sugar
  • Boost your metabolism
  • Improve sleep
  • Lose weight and gain energy
  • Let go of toxic food triggers
  • Create a healthy gut
  • Feel great in your body while enjoying delicious fall foods

Your program includes:

  •  4 days of pre-cleanse preparation e-mails
  • 14 days of curriculum and support
  • 3 days of transition support
  • Private follow session with Karen
  • Wellness bag to include MCT Lean Vegan Protein Blend, MCT Lean MCT oil, superfoods, and other surprises
  • Private web page with guidelines, shopping list, recipes, handouts, videos and much more
  • Private Facebook page for community support
Your 14-Day Fall Transformation begins any Monday of your choice during October and November.  Click here to sign up

Upper Extremity Physeal Injury in Young Baseball Pitchers

Published by: Bryan M. Saltzman, MD; Peter N. Chalmers, MD; Randy Mascarenhas, MD, FRCSC; Brian J. Cole, MD, MBA; and Anthony A. Romeo, MD in The Physician and Sportsmedicine

Abstract: Adolescent baseball players, especially pitchers, are at increased risk for shoulder and elbow injuries as their level of competition increases. The intersection of the adolescent growth spurt with the high levels of elbow valgus and shoulder rotational torques placed upon the arm during overhand pitching predisposes the shoulder and elbow to physeal injuries. Little League shoulder and Little League elbow syndromes most commonly represent pathology at the physeal regions of the proximal and distal humerus and proximal ulna sustained from repetitive loads caused by overhead throwing.

There is a growing understanding that these injuries occur on a wide spectrum from delayed physeal closure and physeal widening to acute transphyseal fracture. Although operative intervention is infrequently required, patient and parent counseling can be complex. Health care professionals who care for adolescent baseball players also can play an important role in prevention. Appropriate counseling requires a comprehensive understanding of the clinical, radiographic, and biomechanical aspects of these injuries. This review summarizes these major concepts, focusing on the best available evidence from recent biomechanical and clinical studies on shoulder and elbow injuries in adolescent baseball pitchers.

Introduction: Adolescent baseball players, specifically pitchers, are at an increased risk for shoulder and elbow injuries as skill and level of competition increases. Little League shoulder and Little League elbow are conditions that commonly represent physeal pathology of the proximal and distal humerus and proximal ulna sustained from the repetitive valgus and rotational loads inherent to overhead throwing. The concomitant adolescent growth spurt1 and the increasing athletic demand on these young players lead to a spectrum of upper extremity injury from delayed physeal closure or physeal widening to acute transphyseal fracture.

Health care professionals who care for adolescent baseball players play an important part in patient, parent, and coach counseling to prevent what can be an avoidable condition. It is important to comprehend the various clinical, biomechanical, and radiologic facets of physeal injuries in youth baseball players, and this review summarizes the best available evidence from recent published literature on the topic.

READ THE COMPLETE ARTICLE

Basic Anatomy of the Adolescent Elbow; Basic Anatomy of the Adolescent
Shoulder; Basic Biomechanics of the Overhead Throwing Motion; Phases of the Pitching Motion; Injury Types and Pathomechanics as a Function of Pitching Motion; Common Injuries Sustained in Adolescent Overhead Throwing
Athletes; Little League Shoulder and Elbow: Clinical Workup; Eliciting a History From the Adolescent Overhead Throwing Patient; Physical Examination of the Adolescent Elbow; Physical Examination of the Adolescent Shoulder; Radiographic Assessment of the Elbow; Radiographic Assessment of the Shoulder; Clinical Studies on Little League Elbow Injury; Clinical Studies on Little League Shoulder Injury; Comparison of Adult and Adolescent Throwers; Prevention Strategies.

Elevated vacuum for both above-knee and below-knee amputees

Unity® For All

With the Unity Sleeveless Vacuum by Össur, there is finally an elevated vacuum system for all prosthetic users. Whether an above-knee or below-knee, low active or high active, mechanical or microprocessor solution is required, the Unity Vacuum System offers the flexibility to combine a variety of Össur feet and knees to achieve the optimal combination of prosthetic components for each unique user.

Bob McGuire is a moderately active, 79-year-old unilateral above-knee amputee of the left leg.

Addressing a Medical Necessity

There are many reasons to believe that above-knee amputees will benefit from the use of elevated vacuum as much, if not more, than below-knee amputees.

  • Elevated vacuum suspension systems manage limb volume fluctuation, a problem that people with limb loss are challenged with.
  • When limb volume decreases, the socket is loose-fitting, often causing pressure to bony prominences, which may result in pain and/or injury to the limb.
  • The vacuum-assisted socket has shown to eliminate daily volume loss.
  • The combination of reduced pistoning and maintenance of volume is thought to account for the more symmetrical gait observed in users using elevated vacuum suspension.
  • Activity Balance Confidence scores were found to be significantly higher in participants using vacuum suspension (95% confidence), indicating a lower predicted incidence of future falls.

OSSUR

Melanoma Prevention; Video Gait Analysis for Runners

Episode 14.28 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One – Dr. Sigrun Hallmeyer discusses early detection, recognition and prevention of melanoma, particularly in children, who is at higher risk, causes, and advancements in treatment.

Dr. Sigrun Hallmeyer is Chair, Cancer Committee, Advocate Lutheran General Hospital. Member, Division of Hematology/Oncology, Lutheran General Hospital. Dr. Hallmeyer has done research in breast and prostate cancer. She has published work in lymphoma and prostate cancer and has presented her results at international meetings. Dr. Hallmeyer conducts research studies in these areas and in melanoma, other types of skin cancer and breast cancer. Residency: Pinnacle Health Hospitals, Harrisburg, PA. Fellowship: University of Illinois (Chicago), Hematology/Oncology.

Announcing the OCT. 19 – “This Run’s For Jack” Melanoma 5k sponsored by the Jack H. Marston II Melanoma Fund for Research, Education and Healing.

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Segment Two – Jenny Krema clinical director from ATI Physical Therapy discusses Video Gait analysis for runners. Observing runners stride and form and other objective measures to identify abnormal running style: landing angle of knees, bounce and vertical rise; top 3 items for correction: landing patterns, heel running and long stride causing hamstring strain; who are the runners being tested for running form to reduce ortho running injuries such as runners knee and plantar fasciitis. Valuable evaluations for participants in the upcoming Chicago Marathon.

While not everyone can be an elite gymnast, most everyone can run. However, as many top runners know, just because you can “go” doesn’t mean you’ve got the “gait.” Common running injuries such as stress fractures, strains, and sprains can all plague runners during their training. As in any sport, improving your technique (and, in this case, your gait) can help runners perform better and prevent injuries.

- See more at: http://www.atipt.com/blog/gauging-your-gait#sthash.lYA0RKWI.dpuf

Adding Dynamic Stretching to Your Marathon Race Routine

by Mia Cleary from Athletico

You have been training for the Bank of America Chicago Marathon for months and are about to enter the final “stretch”. You are probably starting to think about race morning and your pre-race routine that day.  If not, it is a good time to start. It is important not to forget one of the most crucial and often overlooked parts of your routine…STRETCHING!  I highly recommend having a pre-race plan for stretching. Check out our latest Debut Marathoner Series Dynamic Stretching Race Routine.

  • Consider the weather. Will it be comfortable to stretch outside or will it be a chilly morning?
  • Consider your time commitment towards stretching. How much time do you want to commit to stretching before and after your race? Stretching before your race should be a minimum of five minutes.

Before your race, try dynamic stretching, which involves controlled, repetitive movements that mimic the way your muscles will move during your run. For example, when you are running you need to have flexibility of your hip flexor muscle (front, upper part of your thigh).  This flexibility allows for your leg to travel behind you before your toe leaves the ground. Here are a few stretches to try on race morning:

Debut Marathon Dynamic Stretching Race RoutineForward lunge: A dynamic stretch that mimics this motion is a forward lunge, keeping your back straight and feeling a stretch through your upper thigh (leg that is behind you and bent). The stretching of this specific muscle group allows you to have greater flexibility and helps you run more efficiently.

Debut Marathon Dynamic Stretching Race RoutineHamstring walk stretch: Another dynamic stretch to try is the hamstring walk stretch. Keeping back straight. Raise one leg in front of you keeping the leg straight  until you feel the stretch in your hamstring (back of the thigh of the leg that is raised). Continue doing this by alternating raised legs in a walking manner.

Debut Marathon Dynamic Stretching Race RoutineLateral lunge to stretch adductors: Stand with feet parallel, hip width apart. Step to the right shifting your weight to the right by bending your right knee into a side lunge position. Remember to keep your butt back and your left leg should be as straight as possible. Push off with your right foot and return to starting position. Continue doing this as a side “walk.”

Dynamic stretching is a great way to warm up your muscles before the big race and should not be overlooked! Happy stretching and best of luck on race day!

Athletico Physical Therapy

Concussion: When Do I Pull My Athlete Out?

By ATI Physical Therapy

Concussions continue to be a hot topic on the sidelines and in the news, especially now that we are in the thick of football season.  And while there has been much advancement in the diagnosis and treatment of traumatic brain injuries, knowing when to pull an athlete out of the game isn’t always an exact science.

ATI Sports Medicine discusses concussions on when coaches and parents should pull their athletes out.Because the sideline diagnosis of a concussion can be tricky – and we often rely on the “truth” from a player on how he or she actually feels – coaches and parents need to be diligent in how they handle situations when a blow, or a jarring of an athlete’s head, looks suspicious.

Eric Buck, Certified Athletic Trainer and Sports Medicine Supervisor with ATI Physical Therapy, has spent many years on the sidelines treating athletes of all ages, and from all areas of sports.  Eric offers these tips and guidelines that may help answer the question “when do I pull my athlete out?”

“Early recognition that something may be wrong is essential.  No matter how hard the impact, any trauma to the head or neck can be a cause for a potential concussion, and it’s important to immediately assess a player’s safety,” says Eric.  “Simply ask questions, observe for visible symptoms and promote honesty and trust.  Often, your athlete just won’t look or feel right.”

Eric stresses the importance of removing the athlete immediately once a symptom is reported or observed, and then seeking advice from a medical healthcare professional licensed to evaluate concussions. “You know your kids better than anyone, and you will know if they aren’t acting normal.  If you are unsure if they are symptomatic, use caution and remove from the activity.  When in doubt, pull them out!  Never anticipate a resolution of symptoms.”

Concussion Facts

  • A concussion is considered a brain injury.
  • A concussion can occur with or without loss of consciousness.
  • Younger athletes experience greater severity, and can take longer to recuperate.
  • There is no such thing as a mild concussion.
  • A concussion can occur with or without a hit to the head.  A sudden jarring can be just as traumatic.
  • After one concussion, an athlete is 1 – 2 times more likely to receive a second one.
  • It is not normal for an athlete to “have their bell rung.”  Removal from play should always occur following this symptom.

Concussion Symptoms

These symptoms may or may not be immediately noticeable, but may include the following, individually or in combination thereof:

  • Appearing dazed, stunned or confused
  • Answers questions slowly
  • Difficulty thinking clearly or loss of memory
  • Feeling sluggish, hazy, or groggy
  • Headache or blurry vision
  • Nausea or vomiting

CONCUSSION! Now What?

“Concussion-like symptoms are numerous.  Instead of listing the symptoms, I tell parents to ask what feels abnormal, note any out of the ordinary appearances and monitor these symptoms throughout the day.  Be sure to schedule an evaluation with an athletic trainer or a physician licensed to practice medicine whom is proficient in concussion care,” says Eric. “These healthcare professionals will perform a thorough assessment and develop a plan of care and recovery to safely return to sports.”

A trip to the emergency room is never a wrong choice, but most concussions can be treated conservatively. However, if an athlete experiences the following symptoms, take them to the emergency room immediately!

  • Symptoms rapidly worsen in severity
  • Loss of consciousness or “blacking out”
  • Vomiting
  • Slurred speech, or unequal pupil dilation

Following diagnosis, remember COMPLETE REST is the true remedy.  Treat a concussion by resting the brain from all stimulating activity, including sports, television, video games and texting.  Also, take away the athlete’s phone to remove temptation.

There is no need to continually wake from sleep.  Be sure the athlete is comfortable, maintain hydration and a normal diet.  Avoid additional exertion or stressful activity until symptom-free. Remember, recovery is day-to-day and differs between athletes.  Keep the athlete out of play until an appropriate health-care professional says he or she is symptom-free and gives the okay to return to activity.

Additional Tips

  • All athletes should receive a baseline concussion test prior to the start of any athletic season.  Results from this testing can be used to help determine if an athlete has a concussion.
  • Studies have shown that when a certified athletic trainer is present, it greatly increases the chances that a concussion will be properly diagnosed.
  • Educate your athlete on the mechanisms and symptoms of a concussion.
  • Ask questions about the concussion policy at your school, league or club, including access to a certified athletic trainer.

ATI Sports Medicine offers a comprehensive concussion care program, including baseline and post-concussion neuro-cognitive testing, assignment of a certified athletic trainer and access to physicians specializing in concussion management.  For more information on ATI’s Concussion Care Program, contact eric.buck@atipt.com.

For more information on concussions, visit the following links:

Concussion Information: http://www.atipt.com/concussion-information

Athletic Trainers are Crucial in Assessment and Management of Concussed Athletes: http://www.atipt.com/news-media/blog/athletic-trainers-are-crucial-in-assessment-and-management-concussed-athletes

Concussions in Football: http://www.atipt.com/blog/on-football-field-concussions-make-a-big-impact 

Heads Up: Concussion: http://www.cdc.gov/concussion/headsup/

- See more at: http://www.atipt.com/news-media/blog/concussion-when-do-i-pull-my-athlete-out#sthash.HdOSashW.dpuf

Sleep Deprivation; Overuse Injuries

Episode 14.27 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One – Health Counselor Karen Malkin discusses how sleep deprivation affects your body and how lack of sleep or poor quality sleep affects weight gain and carb cravings; why is it so important for brain function and memory to improve your sleep patterns?, what are the things that prevent quality sleep?, and ways to balance your sleep rhythms.

SLEEP HYGIENE

With all the health benefits outlined here, it’s clearly important to prioritize your sleep, and this can be done by establishing good sleep hygiene. Here are some tips for
achieving optimal sleep:

  1. Do not eat within 2 hours of sleeping.  Eating a heavy meal before bed will lead to
    poor quality sleep as the body needs to work to digest the food instead of resting, rebuilding, and detoxifying.
  2. Turn off the computer two hours before bed. The blue light of the screen stimulates your brain.
  3. Try a hot Epsom salt bath to relax your muscles and relieve stress.
  4. Get a massage or stretch out your muscles before bed.
  5. Try laying a hot water bottle on your midsection. This raises your core temperature and helps you relax.
  6. Aim for 7-8 hours of sleep and go to sleep at the same time each night.
  7. Pay attention to the days you feel great and make connections around your sleep and cravings.

Creating a pattern with your sleep habits will help ensure you get quality sleep every night. And before long, you’ll wake up feeling refreshed and watch your cravings slip away like a bad dream from long ago… Read more>>

Karen Malkin, HC, AADP

Certified health, nutrition and eating psychology counselor

Segment Two – Steve and Dr. Cole discuss the prevalence of overuse injuries in pro-golfers as well as elite athletes and youth sports. How minutes of exposure translates into incidence of injury and how cross-training and recovery can help to mitigate this problem.

See related post: Are Pro Golfers Too Bulked Up?

Introducing Core Power Protein Drink; The Future of Stem Cell Research

Episode 14.26 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 AM Radio, Saturdays at 8:30 AM/c.

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Segment One – Tim Doelman & JJ Betts of Core Power explain the superiority of Core Power and the importance of nutritional recovery. Get the inside story on how Core Power is made and why it’s the right product to restore your core and not leave your workout unfinished.

What is Core Power? It’s a protein revolution out there, and people everywhere are discovering why protein is an important part of their diets. Protein is critical for everybody, but even more so for active individuals who are searching for what to drink and what to eat after a workout. The market has responded to this consumer awareness with a number of high-protein recovery shakes, but most of them are made with powders and additives and are therefore chalky, hard to swallow and awful tasting. Core Power looked at this as an opportunity to give people who are looking for the best source of protein what they really want: natural protein that tastes great.

Amy SchermCore Power is a delicious post workout recovery drink for your active lifestyle, Core Power is a real milk protein drink made from fresh, low-fat, lactose-free milk and real honey. Its balanced protein to carb ratio and nutrient-rich profile make for the perfect end of every workout. From endurance sports and bodybuilding to running, yoga and cross-fit, Core Power helps you recover faster, build lean muscle and stay at the top of your game. No matter which game you happen to play.

Segment Two – Dr. Adam Anz of the Andrews Institute for Orthopaedics and Sports Medicine discusses the advancements in stem cell research with Dr. Cole: procedures, uses, benefits and the future technology; treating knee injuries by removing the deforming source by unloading the joint with use of the Rebound Cartilage Brace by OSSUR. The Rebound Cartilage brace is a protective functional solution designed to support regeneration of the knee cartilage after repasir procedures. Based on the clinically-proven 3-Points of Leverage System and patented Cartilage Protection Straps,™ joint unloading is maintained in flexion for protection of the cartilage during the healing process.

When one walks through the various wards of a hospital, it is easy to encounter a wide range of patients who are dealing with a number of health issues. A child may be battling with leukemia. An elderly man could be struggling with Parkinson’s disease, hoping that one day, scientists will find a cure. A college football player with a knee injury may wonder whether surgeons will be able to repair his tendons and get his career back on track.

On the surface, it may not seem like these individuals share much in common. However, in the eyes of science, these patients may all benefit from stem cell research. This field of medicine is rife with opportunities for therapy, drug development and other scientific advances that may ultimately lead to treatments for diseases that were once thought to be incurable.

The potential for stem cells in regenerative medicine has piqued the interest of many athletes who have sustained injuries, such as torn ligaments and tendons. Adult stem cells may be especially promising if they are harvested from an athlete’s own bone marrow and fat cells. At the Andrews Institute, doctors and surgeons are studying stem cells in order to bring the best treatments to patients in a manner that is safe, effective and ethically responsible.