Athlete of the Month

Ray Bell, 55, of River Forest, IL, is the owner of a Chicago area printing business, a husband of twenty-eight years, the father of two daughters and a competitive athlete.

Although Ray did not start competing until his mid-forties, he now cycles approximatelyRay Bell 4,000 miles per year, in addition to swimming and running regularly. He recently placed in the top third in a Wisconsin Ironman, was a top ten finisher in his age group in the Chicago (Olympic distance) Triathlon and completed both a half and full marathon.

Ray currently trains with the Lake and Harlem Cycling Group in Oak Park and believes the strenuous exercise is both physically and mentally energizing. He also notices his thoughts are clearer and more focused after a workout.

However, after ten years of success and excellent health, Ray never expected a recreational sport injury to take him out of competition.

In the summer of 2013, Ray was water skiing near his Michigan lake home when he fell and injured his hamstring. He remembers being pulled forward and somersaulting underwater with his ski extended. He surfaced in great pain. Fearing the worst, he was anxious to get to a good doctor, so he immediately drove several hours back to Chicago.

Shane Nho, M.D.

Dr. Shane Nho

Ray went to see sports medicine physician Dr. Brian Cole of Midwest Orthopaedics at Rush (MOR) who, after a thorough exam, confirmed that he had completely detached two hamstrings tendons. He referred Ray to Dr. Shane Nho, also a sports medicine physician and surgeon at MOR. Dr. Nho recommended immediate surgery.

After a successful operation, Ray completed six months of physical therapy with an Athletico physical therapist. Dr. Nho was pleased with the outcome and explains, “He was in great shape overall and was very diligent with his rehab. Both of these contributed to his great outcome.” In fact, Ray’s recovery has exceeded both his and Dr. Nho’s expectations.

Less than a year after surgery, Ray enjoyed a cycling challenge starting in Lyon, France which finished on top of L’Alpe d’Huez in the central French Alps regularly used in the Tour de France. This ride involved a five-day trip spanning three hundred miles, ascending 30,000 feet.

Ray realized his goal to recover fully from his injury to continue competing. He is grateful to Dr. Nho who was able to successfully get him back doing what he loves.

Visit MOR OrthoCare Now to learn more or call 844 BONES DR (844.266.3737) to schedule an appointment.


screenshot of the Basketball injury prevention info

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Basketball was first introduced to the world in 1891 by Dr. James Naismith, using a soccer ball and two peach baskets. Today’s high-speed, physical sport scarcely resembles the original game. With modern basketball’s fast pace game come many opportunities for injuries. It is estimated that more than 1.6 million injuries are associated with basketball each year.


  • Ankle Sprains
  • Jammed Fingers
  • Knee Injuries
  • Deep Thigh Bruising
  • Facial Cuts
  • Foot Fractures


Ankle Sprains
Treatment for an ankle sprain involves rest, ice, compression, and elevation (RICE). The need for X-rays and evaluation by a physician is determined on aphoto: youth basketball player case-by-case basis and depends on the severity and location of pain. Pain and swelling over the bone itself may need further evaluation. An injury to the ankle in a child who is still growing could represent a simple sprain or could be the result of an injury to the growth plates located around the ankle and should be evaluated by a physician.
Jammed Fingers
Jammed fingers occur when the ball contacts the end of the finger and causes significant swelling of a single joint. Application of ice and buddy taping the finger to the adjacent finger may provide some relief and allow the athlete to return to play. If pain and swelling persist, evaluation by a physician or athletic trainer is recommended and an x-ray of the finger may be needed.
Knee Injuries
Basketball requires extensive stop and go and cutting maneuvers which can put the ligaments and menisci of the knee at risk. Injury to the medial collateral ligament is most common following a blow to the outside of the knee and can be often be treated with ice, bracing and a gradual return to activity. An injury to the anterior cruciate ligament is a more serious injury and can occur with an abrupt change in direction and landing for the jump. Although this ligament tear is most commonly a seasonending injury that requires corrective surgery, current techniques used to repair the ACL ligament generally allow the player to return to play the following season.
Deep Thigh Bruising
Treatment includes rest, ice, compression, and elevation. Commercially available girdles with thigh pads are now available for protection.

Facial Cuts

Depending on the depth of the injury, the cut may require stitches or a “butterfly” sterile tape. Ice may provide pain relief and decrease swelling. Players can return to play after all blood is removed and the wound is dressed.
Stress Fractures
Stress fractures can occur from a rapid increase in activity level or training or from overtraining. Stress fractures in basketball most commonly occur in the foot and lower leg (tibia). Once diagnosed, a period of immobilization and non-weight bearing is recommended. Return to play is permitted once the fracture has completely healed and the athlete is pain free.


  • Have a pre-season physical examination and follow your doctor’s recommendations
  • Hydrate adequately – waiting until you are thirsty is often too late to hydrate properly
  • Pay attention to environmental recommendations, especially in relation to excessively hot and humid weather, to help avoid heat illness
  • Maintain proper fitness – injury rates are higher in athletes who have not adequately prepared physically
  • After a period of inactivity, progress gradually back to full-contact basketball through activities such as aerobic conditioning, strength training, and agility training.
  • Avoid overuse injuries – more is not always better! Many sports medicine specialists believe that it is beneficial to take at least one season off each year. Try to avoid the pressure that is now exerted on many young athletes to over-train. Listen to your body and decrease training time and intensity if pain or discomfort develops. This will reduce the risk of injury and help avoid “burn-out.”
  • Talk with your coach and/or athletic trainer about an ACL injury prevention program and incorporating the training principles into team warm-ups
  • The athlete should return to play only when clearance is granted by a health care professional.

Daniel E. Matthews, MD; Jo A. Hannafin, MD, PhD – Andrews Institute

Brain brownout: Concussions may cause worse memory problems for women

Women may have a harder time recovering from concussion, a new study suggests. Taiwanese researchers found women were more likely than men to continue to have memory deficits nearly three months after a mild traumatic brain injury, or mTBI, according to the study published in the journal Radiology.

The findings provide “evidence that women may have greater risk for developing working memory impairment after mTBI and may have longer recovery time,” said study coauthor Dr. Chi-Jen Chen, a professor at Taipei Medical University Shuang-Ho Hospital. Women may have a harder time recovering from concussion, a new study suggests.

Taiwanese researchers found women were more likely than men to continue to have memory deficits nearly three months after a mild traumatic brain injury, or mTBI, according to the study published in the journal Radiology.

The findings provide “evidence that women may have greater risk for developing working memory impairment after mTBI and may have longer recovery time,” said study coauthor Dr. Chi-Jen Chen, a professor at Taipei Medical University Shuang-Ho Hospital.

After suffering four concussions playing college volleyball, Ellie Wiekamp, 24, still has headaches and memory problems.

After suffering four concussions playing college volleyball, Ellie Wiekamp, 24, still has headaches and memory problems.

“According to our preliminary results, more aggressive management should be initiated once mTBI is diagnosed in women, including close monitoring of symptoms, more aggressive pharmacological treatments, rehabilitation, as well as longer follow-up.”

Chen had noticed that almost twice as many women as men were showing up in her clinic after concussions. She wondered if there might be some kind of physical difference making concussions more severe in women.

To determine whether there was a real effect, she and her colleagues rounded up 30 concussed patients and 30 non-brain-injured volunteers. Each group had equal numbers of men and women. The concussed patients were scanned shortly after doing a memory test with functional MRI twice: one month after their injury and again six weeks later. The volunteers were scanned once. All the study participants took neuropsychological tests designed to measure attention span, impulsivity, and deficits in working memory.

The first set of fMRI scans showed differences between the concussed patients and the healthy volunteers in the area thought to contain working memory circuits. Intriguingly, there was an increase in the activation of working memory circuits in men and a decrease in the women.

By the second scan, the concussed men’s brains were much closer to those of the healthy male volunteers. But the concussed women’s working memory circuits were still less active, suggesting that their brains had not healed. Their neuropsychological test scores backed this up.

All of this comes as no surprise to Sharon Chayra. It’s been 10 years since the Las Vegas woman’s horse rolled on top of her and she’s still feeling the effects of the concussion she experienced. The doctor who saw that day her sent her home with a prescription pain killer and told her she’d be fine. But she still has problems with her memory and her verbal abilities remain diminished.

“It used to be that extemporaneous speaking was easy, now I struggle to find simple words,” Chayra, 51, says. “The concussion really knocked my verbal skills for a loop, though strangers probably wouldn’t notice. It hasn’t crippled me. But it’s frustrating.”

You can look at concussions as a sort of brain brownout, says Dr. Douglas Smith, a professor of neurosurgery and director of the Center for Brain Injury and Repair at the University of Pennsylvania. When the brain gets concussed, axons, the nerve cell’s communication cables, “become dysfunctional and lose their ability to conduct electricity,” Smith said. “We think the vast majority can recover function. But there’s good evidence that some axons do not recover. Instead they degrade and then they are gone forever.”

People who have trouble recovering from a concussion may end up with more axons going the degradation route, Smith said. And it’s possible that this is more common among women, he said. Concussion expert David Hovda commended the researchers for taking on the tough task of trying to disentangle the effects of gender on mTBI.

“We know so much more about males between the ages of 16 and 25 with mTBI than we do about children and women,” said Hovda. “One thing we do know, said Hovda, a professor of neurosurgery and director of the Brain Injury Research Center at UCLA, is that women are more likely than men to end up in the “miserable minority,” the 10-20 percent of people whose symptoms linger for years. That’s what happened to Ellie Wiekamp, 24, of San Clemente, California.

Wiekamp had four concussions playing volleyball in college, the last in 2012. She still has headaches, trouble focusing, slowed mental processing and memory problems. “My own mother says I was always witty and quick to respond,” Wiekamp says. “All these concussions seem to have diminished that. It’s hard to come up with things on the spot. It drives me insane.”

Linda Carroll | TODAY

Yoga Exercises for Impingement Shoulder & Rotator Cuff

Yoga Exercises for Impingement Shoulder & Rotator Cuff

Shoulder impingement happens when lifting your arm overhead causes your shoulder blades to rub against the muscles of your rotary cuff. These four muscles — the supraspinatus, infraspinatus, teres minor and subscapularis — control the ability to rotate your arms and lift them overhead. In fact, shoulder impingement is generally caused by repetitive use of your arms overhead in activities such as swimming, tennis, pitching, painting, carpentry and even yoga. To increase your range of motion and rebuild your strength, try some modified yoga poses.

If you are experiencing severe shoulder pain, check with your health practitioner before doing any exercises.


Yoga Exercises for Impingement Shoulder & Rotator Cuff



By increasing your mindfulness of how you use your muscles, yoga alignment principles can help ease shoulder pain. Lift your arms straight out in front of you and turn your palms toward each other. Pull your belly in and lengthen the sides of your body. Externally rotate your upper arms and notice how your shoulders relax down your back. Gently release your arms to your sides. Maintain this alignment for your yoga poses and all other activities.


Yoga Exercises for Impingement Shoulder & Rotator Cuff

Half Downward-facing Dog

To strengthen your rotator cuff muscles, do half downward-facing dog, a modified pose at the wall. Place your palms flat on the wall at shoulder height, and walk your feet back directly under your hips as you bend forward with your head between your arms and your spine parallel to the floor. Keeping both hands firmly pressed into the wall, turn your arms inward and bend your elbows slightly. Then turn your upper arms outward so the heads of your arm bones engage in your shoulder sockets.

Yoga Exercises for Impingement Shoulder & Rotator Cuff


Cat/cow gently helps you acclimate to weight-bearing. On your hands and knees, make sure your hands are directly below your shoulders and tuck your toes under. Exhale as you curve your back upward and look back to your legs for cat pose, and inhale as you lift your head and seat and look forward for cow pose.

Yoga Exercises for Impingement Shoulder & Rotator Cuff

Downward-facing Dog

Because you extend your arms overhead during downward-facing dog, practice this pose cautiously as your healing progresses. Start with just the arms stretched out while you remain on our knees and gradually work your way into the pose as your shoulder improves. From hands and knees, exhale and slowly straighten your knees as you lift your seat upward so you’re in an upside-down “V” shape. Yoga teacher B.J. Sadtler of Glen Ellyn, Illinois, suggests keeping your elbows slightly bent to maintain external rotation.

Yoga Exercises for Impingement Shoulder & Rotator Cuff

Plank Pose

To avoid further injury, strengthen your core and upper body muscles with plank pose. From downward-facing dog, inhale as you bring your shoulders forward directly over your hands. Keeping your abdominal muscles engaged and your upper arms externally rotated, hold for a few breaths. Exhale back to downward-facing dog. Repeat four times.

By Lorraine Shea for LIVESTRONG.COM

Which Should Come First: Cardio or Strength Training?

Which Should Come First: Cardio or Strength Training? 

No matter how good we get at understanding exercise, there are still some basic things about it that are endlessly vexing. What should come first in your workout, cardio training or strength training? If you or someone you know has recently joined the new “Never Do Cardio” cult, that’s not the answer and please read this first.

When simple questions continue to puzzle us, it is often because the “simple” question has a nuanced answer that is dependent upon numerous factors. And we run into trouble whenever we take what works for an individual and try to make that the template for all of humanity to follow. The “correct” answer to this question can vary from person to person, but by the end of this blog, you should have a better idea of how to answer this question for you.


A recent ACE-commissioned study found that performing cardio exercise after resistance training created a heart-rate response that was 12 beats per minute higher for the exact same workout intensity and duration. This would seem to present clear evidence that cardio should be performed first due to the increase in perceived effort from this shift in heart rate and a potential shifting of the intensity from “moderate” to “vigorous” with no modifications to external intensity. In fact, these were the general conclusions of the study.

However, both Lance Dalleck, Ph.D., the lead researcher in the study, and Cedric X. Bryant, Ph.D., ACE’s Chief Science Officer, agree that the results of this study doesn’t mean every single person should always do cardio first. “When working holistically with a client,” says Dr. Dalleck, “the client’s needs and goals should drive the development of the exercise program.”

Indeed, you can find other, equally well-designed studies that conclude that it’s better to perform strength training first because it depletes the body’s carbohydrates stores, which means it uses slightly more fat for fuel.

Furthermore, most studies have looked at the impact of strength and cardio on a single session as opposed to over a period of time. More recent studies are investigating what is happening to the body’s response and recovery from exercise as a result of strength and cardio together.

Some highlights:

-Running negatively affects strength training more than cycling.

-Endurance training volume should be limited to 20 to 30 minutes to minimize potentially negative effects.

-Moderate- to high-intensity endurance training decreases the efficacy of strength training.

Feeling confused? As with most things related to fitness, it is never a good idea to try to turn general guidelines into hard and fast rules that apply to all people. The more deeply you look into this question, “Should I do strength or cardio first?” the clearer it becomes that the only correct answer is: ”It depends.”

It depends on…

Goals: Fat loss? Weight loss? Feel better? Have more energy for recreational activities? Get stronger?

Attitude/Mindset: Hate exercise? Love it? Sort of enjoy it, but sometimes struggle? Don’t like it, but you do it consistently because you want the benefits badly enough to do it? Hate cardio? Hate strength training?

To help you make sense of the best choice for you, take a look at this chart:

Simple is better, but we can’t always reduce a question to a simple answer for everyone. Sometimes, the best answer is “It’s complicated,” which then becomes simple again when filtered through the needs of the individual.

New Technology: Tissue Transplantation; Functional Apparel

Episode 15.10 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.


Segment One: Advancements in Tissue Transplantation

Steve and Dr. Cole with Tom Cycyota, President and CEO of AlloSource, For the last 15 years, Tom has led AlloSource in processing, distributing and developing innovative allografts for use in spine, sports medicine, foot and ankle, orthopedic, reconstructive, trauma and wound care procedures.

As the world’s leader in fresh cartilage tissue used for joint repair and skin allografts to heal severe burns, AlloSource has grown into one of the largest tissue networks in the country with more than 400 employees. AlloSource is the world’s largest processor of cellular bone allografts and delivers unparalleled expertise and customer service to our growing network of surgeons, partners and the country’s most reputable Organ Procurement Organizations.

AlloSource strives to be the tissue bank patients, and the world’s most respected transplant teams, ask for by name. This is accomplished by understanding the needs of our doctors and providing the best tissue for our recipients. AlloSource offers more than 200 standard and customized precision allografts, and acts as a trusted and knowledgeable partner to the medical community, all with the intention of maximizing medical impact and the gift of donation. AlloSource’s donor tissue is supplied exclusively by our domestic partner Organ Procurement Organizations. Please Contact AlloSource for more information.

Segment Two: New Technology in Functional Apparel 

Steve and Dr. Cole with Bill Schultz, President & Founder of AlignMed Inc., discuss The Experience, Benefits and Features of The Posture Shirt.

Engineered with AlignMed’s patented NeuroBand™ Technology, the Posture Shirt®provides postural control, muscle activation important biofeedback for muscle retraining.