Proper Training Shoe Selection; When is Surgery not an Option?; Bone Loss & Osteoporosis

Episode 17.16 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 (01:31): Steve and Dr. Cole talk with Perry Miroballi, the Co-Owner of New Balance Fresh Foam 822v3 Trainer, Pisces with Black & Poisonberryfour New Balance Stores, about proper athletic shoe selection; providing video analysis and foot scans to determine pressure points and arch type; the wide variety of sports specific shoes that are now available from New Balance and the advancements in New Balance shoe technology. More than 500 major league baseball players now wear New Balance Shoes and they now make a golf shoe that is only 7 ounces, the lightest shoe in golf.


Segment Two (12:52): Steve and Dr. Cole talk about a wide range of non-surgical options for pain and orthopedic problems and how the art of medicine serves to determine the right approach to treating injuries.


Segment Three (20:08): Steve and Dr. Cole talk with Dr. Chris Stout, Vice President of Research and Data Analytics at ATI Physical therapy. The discussion centers around bone loss,  osteoporosis and calcium deficiency; the importance of proper life style, exercise and nutrition to minimize the effects of bone loss. Dr. Stout is also on faculty of the College of Medicine at the University of Illinois, Chicago. He has published over 35 books and been translated into eight languages. He founded a 501(c)(3) to work on international humanitarian projects, and subsequently has won five international humanitarian awards and four additional honorary doctorates.

Juvenile Arthritis

Juvenile arthritis is the term used to describe arthritis in children younger than 16 years. Juvenile arthritis is twice as common in girls as boys and the most common type is juvenile idiopathic arthritis (JIA). Juvenile idiopathic arthritis is an autoimmune disorder affecting the joints of the knee, hands and feet. It causes pain, swelling, stiffness, and feeling of warmth in the joints. The probable causes of JIA include autoimmune condition, genetic factors, and environmental factors.

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First-Ever National Study Shows Majority of Paddle Tennis Players Sustained Injuries Related to Playing

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The first-ever national study of platform (paddle) tennis injuries revealed 66 percent of paddle tennis players say they sustained an injury from playing the game. The study also found that of the platform tennis players reporting an injury, more than half sustained two or more.

The most common conditions reported were injuries to the shin/calf (21%), knee (16%), elbow (16%), ankle (13%) and shoulder (10%). Sixty percent of the injuries were caused by overuse and 40 percent were due to an incident that occurred during play. The study, which involved an online survey of American Platform Tennis Association players nationwide, was coordinated by Dr. Leda Ghannad, a sports medicine physician at Midwest Orthopaedics at Rush, with approval from the internal review board at Rush University Medical Center. More than 1,000 players responded to the survey.

“We knew it was a high-injury sport based on the number of paddle patients we treat,” admits Dr. Ghannad. “But until now, there wasn’t any research that proved this. Paddle tennis requires a mixture of speed, agility and quick bursts of energy, which makes athletes more susceptible to getting hurt. Many players are also middle-aged ‘weekend warriors’ who don’t strengthen or stretch their muscles and ligaments in between games or practices.”

Paddle tennis is similar to tennis but is played outside in the winter on a small, elevated court surrounded by a screen. Courts are heated from underneath to clear snow and ice. Most participants are between the ages of 40 and 65.


“Platform tennis is a great way to get exercise in the winter and I don’t want to discourage anyone from playing it,” explains Dr. Ghannad. “However, because of the high injury rate, it is critical to incorporate warm up exercises and prevention strategies into your routine.”


If you suffer an injury from platform tennis, call the MOR platform injury appointment line:  855-603-4141.

Patients’ Own Fat Tissue Can Help Treat Joint Problems

Doctors at Rush first in Chicago area to use treatment along with arthroscopic surgery


Body fat now can help treat bone joint conditions, including injuries and osteoarthritis — the type of arthritis caused by wear and tear in tissue between joints, which affects 27 million people. A new device gently suctions, processes and uses a patient’s own fat tissue to provide a potential source of stem cells and growth factors to promote healing.

Orthopedic physicians at Rush University Medical Center are the first sports medicine specialists in the Midwest to offer treatment with the device, called Lipogems, used at the time of arthroscopic surgery. The FDA approved Lipogems for widespread use in November of 2016.

“The technology is ideal for patients with certain orthopedic conditions, such as painful joints — including the knee, ankle or shoulder — with limited range of motion. Additionally, it can be used in soft tissue defects located in tendons, ligaments and/or muscles to improve the biologic environment,” said Dr. Brian Cole, professor of orthopedic surgery and section head of the Rush Cartilage Restoration Center at Rush University Medical Center.

“Fat has long been used for support of tissue repair and replacement,” Cole said. “Fat has the ability to be a source of important cells which produce important proteins involved with healing and reduction in inflammation.” The Lipogems system liposuctions fat cells from the abdomen or thigh while the patient is sedated with a local anesthetic.

The Lipogem procedure rinses and cleans inflammatory oils and blood from the harvested fat and keeps the natural and beneficial properties of the fat tissue, which is injected into the injured site. The entire procedure from harvesting to the injection is completed in less than 30 minutes.

The fat tissue tends to remain in the area where it is injected instead of being immediately reabsorbed by the body, allowing the body to maximize the benefits of the injection for an extended period of time. Following injection, the tissue promotes healing and symptom reduction as early as three weeks after treatment.

Lipogems treatment is at times used when standard treatment options such as physical therapy, nonsteroidal anti-inflammatory drugs, or steroid injections have not provided significant relief. “It offers benefits for people who are unable to get surgery, would like an alternative to surgery, or it can be used in conjunction with their surgery,” Cole said.

In April, Cole became the first doctor in Chicago to use Lipogems in tandem with arthroscopic surgery, which he performed on a patient with knee arthritis. Cole says “while we were thoughtful about the timing of utilizing this technology to be sure there were no significant safety issues, we are anxious to now examine the efficacy of this novel treatment.”

Cole is also interested in implementing and studying the Lipogem procedure as an adjunct to other soft-tissue problems such as rotator cuff tears and tendon or ligament injury.

“We are excited to be offering this alternative to our patients and are conducting ongoing basic science and clinical research trials on patients with knee arthritis and other conditions to investigate the role of stem cells and growth factors that are present in the small blood vessels in fat.”