Zipping Back to an Active Life after Shoulder Surgery

My name is Shea McGovren. I am a daughter, sister, girlfriend, friend, niece, cousin, granddaughter and health care provider. I love to laugh, waterski, snowski, live, white water raft, walk our dog and to practice physical therapy. For nearly 10 years I was unable to enjoy all these activities and many others due to the excruciating pain that I endured. At 15 years young, I injured my shoulder in an extreme traction mechanism in my high school English class. I was forced to see many doctors but there was only one team that specifically knew what procedure would completely end my pain – Dr. Brian Cole and his wonderful Physician Assistant, Kyle Pilz.

August 2006: Anterior Capsular Shift
October 2008: Bicep Tenodesis to Soft Tissue
August 2009: Debridement
July 2010: Possible Bicep Tenotomy but physician stated ‘could not find bicep’
November 11, 2011: Bicep Tenodesis Revision by Dr Brian Cole [yes, I still have my bicep!]

I am so lucky to truly say I have been given my life back but only due to Dr. Cole and his team. I am currently able to sleep through the night, do my job with ease, be generally happier and put greater energy into my relationships with family, friends and boyfriend.

Recently my wonderfully supportive, loving, beautiful mother and I won a trip to Miraval Resort and Spa where we went zip lining. As I jumped from the platform, I sped away from all the pain, anger, nights spent crying, the tests, the medications and into a completely different life with a completely different Shea.

Thank you to these wonderful people who put up with me day in and day out.

My Mother – Susan, for never giving up. We knew I wasn’t crazy! :)
My Father – John, for always supporting me.
My Brother – Matt, for always asking how I was.
My Boyfriend – Brad, your consistent optimism was exactly what I needed.

    — Shea McGovren

Shea McGovren Shea McGovren

Torn Hip Labrum, Hip Arthroscopy

What happened to Colorado Rockies shortstop Troy Tulowitski? How soon will he be back on the field after hip surgery?

 

By Dr. Shane Jay Nho from Midwest Orthopaedics at Rush:

Troy Tulowitski has a torn hip labrum and underwent hip arthroscopy. Hip labral tears are common among high-level athletes due to an underlying bony deformity called femoroacetabular impingement. These deformities can cause shear stress on the cartilage and labrum until the labrum tears and becomes painful.

Treatment Options:

The treatment requires hip arthroscopy to repair the torn labrum and remove the areas of bony deformities to improve the movement of the hip joint. Although the surgery is performed on an outpatient basis, the recovery and rehabilitation time differ depending on what is found and what is performed at the time of surgery. Generally, recovery after hip arthroscopy is about 6 months after surgery. It can be longer or shorter depending on the injury and patient.

In Troy’s case, he will not return until the spring season, but most studies to date do report a high return-to-sport. Those athletes who are able to return-to-sport are able to do so at the same level of competition. We do expect that he will recover and be ready in time to play in 2015.

Dr. Nho is originally from the northern suburbs and a graduate from Northwestern University. HeShane Nho, M.D. enrolled in the MD/MS program at Rush Medical College and the Graduate College of Rush University. He completed his surgical internship at New York Presbyterian Hospital of Weill Cornell Medical College and a residency in orthopaedic surgery at the Hospital for Special Surgery in New York. He returned to the Chicago area to complete a fellowship in sports medicine at Rush University Medical Center. He was the recipient of the Herodicus Society Traveling Fellowship and has trained with hip arthroscopists and hip joint preservation surgeons from the United States and Switzerland.

Knee Pain- When to Seek a Professional

By Michelle Helberg, MBA, ATC, EMT-B from Athletico

With fall sports underway, injuries are prone to happen.  With the cutting, twisting and tackling movements that occur in sports, such as football and soccer, Medial Collateral Ligament (MCL) injuries can occur.

Jumpers Knee PainThe MCL is a ligament that attaches to your femur (thighbone) and tibia (shinbone) and stabilizes the knee. This protects the knee from giving way toward the inside of the knee. Injury to this ligament can arise from a force outside of the knee or when a quick, twisting motion occurs. The MCL is one of the four major ligaments that stabilize the knee. Unfortunately, when MCL injuries occur, other ligaments such as the ACL are prone to injuryas well. While this is not always the case, it has the potential to happen.

Some symptoms of MCL injuries are joint line pain (where the knee bends), stability issues in the knee, swelling and pain with lateral motions. The first few steps to take after this injury occursis to decrease

the pain and swelling. To do this, place ice on the injured area for 15-20 minutes. Taking over the counter NSAIDS (anti-inflammatory) medication will also help. Many people choose to wear a knee brace for additional knee support.

The next step is to get your knee examined by a medical professional. Athletico offers complementary screens at any of our locations and our trained professionals can supply recommendations of doctors who treat these injuries. Determining the severity of the problem helps you understand the potential length of time until your knee starts feeling better.

 Severity Information:  

  • Grade 1- no opening with a valgus stress test (this is an orthopedic test to test the medial stability of the knee) but pain in the joint line. Knee is in very stable condition.
  • Grade 2- Mild opening with a valgus stress test, pain, swelling, partial tearing
  • Grade 3- Significant swelling, unstableness, valgus stress test reveals a lot movement.

After the professional examination, x-rays and MRI are standard procedure for determining severity and correct treatment. Occasionally individuals are put on crutches or placed into a hinged knee braceuntil they can walk normally. Strengthening exercises then start to get the knee stronger through conservative measures such as ice, rest, bracing and physical therapy. On rare occasions surgery is indicated, but more often than not, the above mentioned practices are the way most MCL injuries are treated.

To schedule a complimentary injury screen for knee pain or any other complaints click here.

Athletico Physical Therapy

What is Kinesio Taping?

 

Have you ever wondered about the brightly colored tape that adorns the shoulders and knees ATI Physical Therapy discusses Kinesio Tape, why it's used, and how it may help patients during rehabilitation.of athletes? 

It’s called Kinesio Tape.

Check out this video by ATI physical therapist Bradley Pearsall from our Belleville, Michigan clinic.  He explains Kinesio Tape, why it’s used, and how it may help patients during rehabilitation.

The information provided by this website or this company is not a substitute for a face-to-face consultation with your physician, and should not be construed as individual medical advice.  If you think you may benefit from Kinesio Taping or have questions about this technique, contact your local ATI clinic to schedule a Complimentary Injury Screening.

ATI Physical Therapy

Will Tanaka’s Elbow Survive Without Surgery?

By Accelerated Physical Therapy

Have you ever tweaked a muscle and you knew right away something wasn’t right? That’s exactly what happened on July 8,2014 while playing the Indians Masahiro Tanaka, the NY Yankees huge off season pitching acquisition left the game knowing something wasn’t right. An MRI on his elbow revealed a partial tear of his UCL and a faced a tough decision as to how to treat it.

Surgery or no surgery, that is the question.

The UCL or better knows as “Tommy John Ligament” is a relatively small ligament on the inside of your elbow that resists the tremendous forces created by pitching. Studies have revealed that every pitch thrown has enough force to tear your UCL if there was no help from the secondary stabilizers such as bones and other surrounding soft tissue structures. If this ligament is compromised and does not do its job, the surrounding soft tissue structures, flexor-pronator muscles will have to work harder to support the medial elbow. Additional work will have to be done along the kinetic chain, especially the shoulder to make up for the loss of velocity. It is no surprise that Tanaka recently started to have general arm soreness after mound progression and simulated game throwing.

In our opinion, he will most likely wind up going under the knife to repair this torn ligament and could very well return next year as the dominant thrower he left as. I do understand and respect the Yankees decision to try non-op rehabilitation as current literature has shown that the return to play rates for UCL reconstruction are not as high as once thought. That discussion will be for another post.

As sports medicine professionals, it’s our job to identify those at risk of UCL injuries. At Accelerated Physical Therapy we have video analysis systems that can identify flaws in mechanics and help correct them before the body breaks down. We film youth baseball pitchers throughout the Midwest to help put the brakes on this injury that continues to plague America’s pastime.

AcceleratedRehab

 

Related Article Update

Low-Carb Beats Low-Fat for Weight Loss, Heart Health

THE QUESTION Cutting carbohydrates has become a popular way to lose weight. In the process, might you also be helping your heart?

Low-Carb Beats Low-Fat for Weight Loss, Heart Health: StudyTHIS STUDY involved 148 men and women, about 47 years old on average, who were obese but did not have cardiovascular disease or diabetes. They were randomly assigned to follow either a low-carb diet (no more than 40 grams of carbohydrates daily) or a low-fat diet (less than 30 percent of daily calories from fat). They also met periodically with a dietitian, individually and in groups. A year later, people in the low-carb group had lost, on average, more weight than those on the low-fat diet (12 pounds vs. four pounds). They also experienced a greater reduction in risk factors for cardiovascular disease, including a drop in body fat, a lower ratio of total cholesterol to high-density lipoprotein (HDL) cholesterol, and lower triglyceride levels. Also, levels of HDL, sometimes called good cholesterol, rose more among those on the low-carb diet.

WHO MAY BE AFFECTED? Adults, especially those who are overweight. Nearly 27 million Americans have heart disease, and about 600,000 die from it every year — more than from any other cause. Eating as few fatty foods as possible has been part of the mantra for preventing heart disease, along with controlling blood pressure, exercising and not smoking, but cutting carbs has not traditionally been on that list.

SOURCE: bit.ly/1qjI8OG Annals of Internal Medicine, online September 1, 2014

MOR Physicians Research Incidence and Trends of ACL Reconstruction

Two Midwest Orthopaedics at Rush sports medicine physicians, Dr. Brian Cole and Dr. Bernard Bach, were involved in ACL reconstruction research recently published in the American Journal of Sports Medicine.

The study found that the incidence of ACL reconstruction increased between 1994 and 2006, particularly in females as well as those younger than 20 years and those 40 years or older. It also suggested that research efforts as well as cost-saving measures may be best served by targeting prevention and outcomes measures among in these groups.

Read the complete summary of the study at American Journal of Sports MedicineDr. Brian Cole              Dr. Bernard Bach

            Dr Brian Cole                                 Dr. Bernard Bach

Related Article:
Study on the Societal Impacts of ACL Tears and the Long-term Economic Benefits of ACL Surgery

NBA Injuries; Rehab from Hand Surgery; Exercise induced Headaches

Episode 14.23

Segment One – Dr. Brian Cole and Steve Kashul are joined by Milwaukee Bucks director of scouting, and former NBA point guard, Billy McKinney to share stories about player injuries and player compensation. With player access to the most sophisticated training and training personnel- why are players hurt and require surgery more than they did in the past. 

Billy McKinney

Over a 30 year period, Billy McKinney has established himself as one of the most experienced and versatile executives in the NBA. McKinney has served as a player, scout, assistant coach, administrator, consultant, as well as an on-air analyst for several teams’ television and radio broadcasts. He currently serves as the director of scouting for the Milwaukee Bucks.

Billy’s lifelong friend Chick Sanford from Thera Tech Equipment discusses Continuous Passive Motion hand device, a post-operative therapy designed to aid in recovery afterXT DigiGlide Kaiser Portable Hand CPM joint surgery, both in the hospital and at home. If a patient fails to move the joint sufficiently and properly after surgery, it will become stiff and scar tissue will form. This may result in a joint with limited range of motion, from which it can take months of physical therapy to recover. A CPM device is used to move the joint through a prescribed range of motion for an average of 3-6 weeks without the patient’s muscles being used. 

BENEFITS OF CPM

▪ Reduced pain, stiffness and swelling with an increase in synovial fluid flow helping in the healing process

▪ Increased range of motion

▪ Decreased formation of random scar tissue or adhesions

Segment TwoDr. Larry Robbins from Robbins Headache Clinic discusses exercise and headaches: causes, types and treating pro athletes who experience this condition. People with migraines often complain that exercise either brings on a headache, or increases one. How do you approach someone with migraines who has difficulty exercising because of the headache? Advice for people who say that running, weight lifting, or aerobics bring on a headache. 

Lawrence Robbins, M.D., is considered to be one of the top 10 experts in the country on management of headache medication. He also is a leader in the field on “refractory” headaches: those that are difficult to treat. He started the American Headache Society section on refractory headaches, and has written as much on the topic as anyone in the world. Doctor Robbins has spearheaded cutting edge research, ranging from the immune system in headache patients to Botox for headache. He was one of the first to recognize how headaches can be linked to anxiety and bipolar disorder. He remains one of the few headache doctors who treat psychological disorders.

Play podcast – 30 minutes

The Paul George Leg Injury; Preventing ACL Injuries

Episode 14.22

Segment One

Richard Mackson, USA TODAY SportsDr. Walter Virkus discusses the open tibia and fibula fracture suffered by the Indiana Pacer’s Paul George at the recent televised USA Basketball exhibition; nature of the injury, treatment, rehab and outlook for return to play. Walter Virkus, M.D. is director of orthopedic trauma services at Indiana University Health Methodist Hospital. Dr. Virkus leads a team of orthopedic trauma specialists in caring for patients with serious injuries at the Level I Trauma Center. Dr. Virkus earned his medical degree from the New Jersey Medical School at the University of Medicine and Dentistry of New Jersey. He completed his residency  at the University of Maryland in Baltimore,  and  fellowships at the Shock Trauma Center,  Hospital for Special Surgery,  and  the University of Florida. He is board certified in orthopedic surgery.

Paul George optimistic about recovery from gruesome leg injury

Segment Two 

Mike Sullivan, MS, ATC from Accelerated Rehab and IATA discusses the collaboration between the Illinois Athletic Trainers Association and Midwest Orthopaedics at Rush on ACL Screening and Prevention Programs.

According to some research, approximately 400,000 ACL injuries occur in the U.S. every year, making ACL tears among the most common injuries in young athletes today. In just five years, the number of ACL patients seen by MOR physicians has more than doubled, and taking into account the growth of sports medicine specialists at MOR, there has been a seven-fold increase in the reported number of ACL patients over a 10-year period.  But what’s more concerning, is the rapid rise of ACL injuries in athletes under 25 years of age.  MOR reported the number of ACL patients in that age group has tripled over the past five years.

The IATA, an advocate for safety in sports, and MOR sports medicine physicians, who treat competitive athletes and are team doctors for the Chicago Bulls and Chicago White Sox, are launching “Knees for Life,” a public awareness campaign designed to educate athletic trainers, coaches and parents about steps they can take to help prevent ACL tears in athletes and hopefully keep their knees injury free for life.

Download a FREE ACL injury Prevention Brochure >>

Request a FREE ACL injury Prevention Gym Bag Tag >>

Play Podcast – 30 minutes

Use of Yoga in Physical Therapy & Training; Sports Injuries in Young Athletes

Episode 14.21

Segment OneLisa Hua, PT from ATI Physical Therapy talks with Steve Kashul and Dr. ATI Physical Therapy's Pasadena clinic director weighs in on the benefits of yoga.Charles Bush-Joseph from Midwest Orthopaedics at Rush, about the uses and benefits of Yoga in Physical Therapy, Sports Training and Fitness. Lisa graduated from the University of Illinois in 2008 with a degree in Biology. She went to PT school at Washington University in St Louis and graduated with her DPT in 2011. She has been a practicing clinician for ATI Physical Therapy for 3 years and is currently the Clinic Director at the ATI in Oak Park, IL. Her focus and passion is in orthopaedic rehabilitation of post-op and non-operative patients, athletes, and sports rehabilitation.


Segment Two
– Steve Kashul and Dr. Charles Bush-Joseph, Head Team Physician for the Chicago White Sox, discuss the symptoms and how to recognize concussions in young football players; overuse injuries in young female cross country runners; dealing with overuse injuries in MLB in view of the approaching playoff season. Dr. Bush-Joseph has been long involved in the care of high school, collegiate, and recreational athletes and is the head team physician for the Chicago White Sox Major League Baseball Club and Associate Team Physician for the Chicago Bulls. Thru his experience with high profile professional athletes, Dr. Bush-Joseph was elected to the Major League Baseball Medical Advisory Board and president of the Major League Baseball Team Physician Association for 2012. This exclusive group of team physicians advises the Major League Baseball Commissioner on medical policy and emerging trends in training and the medical care of the elite athlete.

    

Play Podcast – 30 minutes