Dr. Brian Cole to Provide Commentary on the Nik Wallenda Skyscraper Tight Rope Walk in Chicago on Nov 2 at 6P/c-Discovery Channel

Chicago is home to the world’s first skyscraper. @NikWallenda was born into the first family of high-wire walkers. They were always destined to meet.

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Dr. Brian Cole from Midwest Orthopaedics at Rush will provide commentary on the Discovery Channel Why Chicagofor the tight rope walk on Nov. 2 in Chicago . Dr. Cole will explain the physical aspects faced by Nik Wallenda during his high-wire walk between two skyscrapers over 600 feet above the Chicago River.                                                                                                    Why Chicago? (see video)

Stream it live from the Windy City, November 2, 2014- Discovery Channel – Skyscraper Live.

TAKE THE WALK NOW

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Rugby: U.S. to Play New Zealand; Building Character in Youth

Episode 14.31 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. Jeffrey Mjaanes from Midwest Orthopaedics at Rush discusses typical rugby injuries and responsibilities of a team physician; training for and profile of various rugby player positions.

Dr. Mjaanes has recently been added to the medical team for the USA Men’s Rugby team, the USA Eagles. As part of his new role, Dr. Mjaanes will serve as the official physician for the team in their match against the New Zealand All Blacks team, Saturday, Nov. 1, 2014, at Soldier Field in Chicago.

Soldier Field officially sold out for USA Eagles-New Zealand All Blacks matchup

Dr. Mjaanes previously worked with the team in February during training camps in Atlanta, Georgia, and Fort Lauderdale, Florida. His role was to help prepare them for the Rugby World Cup Qualifier held in Montevideo, Uruguay where they tied 27-27. The team then returned to Georgia and beat Uruguay 32-13, advancing to compete in the World Cup in 2015.

Americas Rugby Championship ends as Eagles Select XV defeat Uruguay, finish second

Rugby is a sport that has been increasing in popularity in the U.S. (participation has increased by more than 350 percent since 2004). While he hopes the season remains injury-free, Dr. Mjaanes is prepared to treat some of the most common rugby injuries, including those to the medial collateral ligament (MCL), anterior cruciate ligament (ACL), calf muscles, hamstring and the head, including concussions.

Segment Two – Stuart Krohn, Director of ICEF Rugby discusses building character through youth sports; the mission and vision of ICEF Rugby as a leadership, team building and character development program. ICEF align’s with the ICEF Mission of getting students to attend and compete at the top 100 colleges and universities in the nation. Rugby is used as the vehicle to provide skills to ensure this mission can become a reality.

The Red, White, Black, & Blue 3 (RWBB3) film takes us on the third journey made by ICEF student-athletes who have found rugby under the instruction of David Hughes and Stuart Krohn. This journey winds through the heartbreak and joy of the collegiate acceptance process, bounces over the shoals of relationship strain, and holds tight during the hairpin turns of teenagers becoming young adults. Oh, and these kids play some very exciting rugby along the way.
We are grateful that coaches such as Hughes and Krohn turned their love of rugby into a wildly successful character-building tool. Take the jump to discover how to apply for your invitation to one of the Premier Showings of RWBB3 in Chicago and to watch the trailer. In celebration of the All Blacks match the premiere of the 3rd documentary of the award winning series, Red, White, Black & Blue 3 is screening on Thursday afternoon, Oct 30th and Sunday evening, Nov 2nd at the Gene Siskel Theater downtown Chicago.

To Brace Or Not To Brace

From SideLineSportsDoc

By Lance LeClere, M.D., LCDR MC, United States Navy

Key Points:

  • Use of prophylactic (or “preventive”) knee braces is common in youth football
  • Evidence for effectiveness in reducing the severity of MCL injuries for some position players such as linemen, linebackers, and tight ends is fairly solid
  • There is no evidence that knee braces can reduce the incidence of ACL tears

Anterior cruciate ligament (ACL), medial collateral ligament (MCL), and other ligamentfootball knee braceinjuries of the knee can be devastating for football players and may result in significant loss of playing time and/or require surgical treatment. As player safety and injury prevention continue to be a priority, many players and parents wonder if a knee brace can help prevent major football injuries. Several factors come under consideration when trying to decide whether a player should wear a knee brace:

  • Effectiveness in preventing an injury
  • Play hindrance
  • Added weight
  • Unnatural feel
  • Cost
  • Practicality of routine use
  • Possibility of increases in injuries in the hip or ankle

Prophylactic knee bracing or using a knee brace to prevent injury in football is controversial, with no clearcut answer from quality studies. Some studies suggest that prophylactic knee bracing helps prevent MCL injuries in “high risk positions” such as offensive and defensive linemen, linebackers, and tight ends and may decrease the severity of injuries when they do occur. However, there is no strong evidence to suggest that the rate of ACL injuries is decreased by routine use of knee braces. Two published review articles on prophylactic bracing for prevention of knee injuries in football players concluded that data was not clear enough to make a recommendation for or against prophylactic bracing. Read more>>>

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New Ankle Support Technology for Basketball Shoes; What is Sacroiliac Joint Dysfunction?

Episode 14.30 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. Barry Katz, Founder and CEO of Ektio Shoes, discusses the causes and prevention of ankle sprains in basketball Ektio Grey/Black Breakaway Ankle Support Basketball Shoesplayers. Athletic activities should be fun and exhilarating, especially when you are playing in top form. One problem that many people experience when playing sports, especially basketball and other court sports, is rolling or spraining their ankle. Athletic shoes don’t typically provide enough ankle support to prevent this from happening, while specialty ankle braces can decrease mobility. Ektio shoes are designed specifically to support the ankle while still allowing the movement and mobility you need to be competitive. Ektio brings you Revolutionary Ankle Support Technology designed to protect against sprained ankles. Ektio provides maximum support, balance and stability. No more need for ankle braces or tape.

  • Strap 1 wraps all the way around the walls of the shoe and supports the lateral ligaments of the ankle, the ligaments that tend to sprain when you land on another players foot.
  •  Strap 2 lays directly over the ankle mortise (where the foot and the leg make a right angel, directly over your ankle) and locks you into the back of the shoe to limit movement within the shoe, bringing the foot and the shoe together as a single unit.
  • Ektio technology also offers patented anti-rollover bumpers designed to provide extra leverage and stability to the shoe, so you can cut hard and play quick, without fear of the shoe going overboard!

Segment Two – Kristin Dryden, PT, DPT, OCS from Athletico describes the sacroiliac (SI) joint, potential causes of dysfunction and how SI Dysfunction is treated.

The sacroiliac joint is a joint between the sacrum and the ilium, or pelvic x-ray-lower-backbone. The 2 sides of the sacroiliac joint normally work together. If 1 side becomes stiff, they will not move together and this causes pain or muscle stiffness in the area. Pain is often made worse with walking and bending activities. It is also possible that 1 side may become too loose (lax) as well, resulting in SIJ dysfunction. This may occur during the menstrual cycle or pregnancy due to hormonal changes that cause the ligaments to become more lax. SIJ dysfunction can occur with injury, such as when a person falls and lands on 1 side of the body and alters the position of the joint, or when an athlete overtrains. Muscle imbalances and hip problems, such as hypermobility or dysplasia, may also lead to SIJ dysfunction. Sacroiliac pain is also related to some types of arthritis, such as ankylosingspondylitis, an inflammatory process most often affecting the lower back, which may cause the vertebrae to fuse.

People with SIJ dysfunction may experience:

  • Pain that may be sharp, stabbing or dull, localized to 1 side of the pelvis/low back, groin, or tailbone.
  • Pain that may radiate down to the knee.
  • Pain with movements, such as standing up from a sitting position, turning in bed, or bending/twisting.
  • Muscle tightness and tenderness in the hip/buttock region.
  • Pain with walking, standing, and prolonged sitting.
  • Pain that is worse when standing and walking, and eases when sitting or lying down.

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
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  • 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
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  • Wellness bag to include MCT Lean Vegan Protein Blend, MCT Lean MCT oil, superfoods, and other surprises
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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