Dr. Kathleen Weber Featured on BullsTV Pre-Game Live

Dr. Kathleen Weber, sports medicine primary care physician and team physician for theMORGif-180x150-link Chicago Bulls joined BullsTV host Steve Kashul during Bulls Pre-Game Live on December 19th, 2016. Dr. Weber discussed the NBA’s new Concussion Protocol and the efforts being made to protect all players from returning too soon to the court.

Kashul and Dr. Weber also talked about how the physicians at Midwest Orthopaedics at Rush all work together in treating the Chicago Bulls players.



By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of, Orthopedic Surgery, Stanford University

Key Points:

  • More than a third of young athletes treated for concussions at a Texas sports clinic went back into the game after their injury despite safety recommendations
  • Whether the kids were unaware they had a concussion, or whether they intentionally withheld the injury from coaches or trainers is unknown
  • The study shows that there is still a need to educate players and coaches about the signs and symptoms of concussion, and to change the culture around reporting a possible concussion

By now everyone’s heard what you need to do: if you suspect you might have a concussion P9250071you need to come out of the game immediately, and not play again until properly cleared by a medical professional skilled in sports concussion management. We’ve been saying this in these pages for years; every major professional sports league has strict concussion protocols; every college does too. But a recently presented clinical study shows that kids playing sports still want to stay in the game after a possible concussion and many return to play in the same game or training session.

The research study, “Same Day Return to Play After Pediatric Athletes Sustain Concussions,” was presented at the American Academy of Pediatrics (AAP) 2016 National Conference & Exhibition in San Francisco on Oct. 22. The study was conducted by clinicians at the Texas Scottish Rite Hospital for Children in Plano, Texas. Shane M. Miller, M.D., FAAP, a pediatric sports medicine specialist at Texas Scottish Rite Hospital for Children in Plano, Texas, noticed a significant number of his patients reported they returned to play after a concussion before being cleared by a medical professional, despite medical guidelines, state law and educational efforts.

38% of the players continued to play after the initial injury

The study authors analyzed records for 185 patients between the ages of 7 and 18 treated for concussion during a 10-month period in 2014. 71 (38 percent) reported returning to play on the same day as their initial injury. Patients who immediately returned to play after their injury reported less severe symptoms of dizziness and balance problems immediately after being hurt. The study doesn’t address this specifically, but my feeling is that these kids probably didn’t think their symptoms were enough for them to feel they had a concussion. By the time they were seen in the clinic, however, their symptoms had worsened.

What’s going on? Either players are unaware of what a possible concussion feels like, or they are not reporting the injury to their coach or parents

Players want to keep playing. When it comes to injuries on the field, many injuries willssd.banner not be witnessed by the coach, referee, or even other players. The result is that many injuries require the injured players to report the injury themselves. Young players might not have knowledge about what a concussion feels like, the need for removal from play for proper recovery, and the risk of possible serious/permanent brain injury with a second concussion shortly after the first injury. We need to do better with our education. Also, players might know they have a concussion and intentionally withhold that information from coaches, trainers, or teammates. We need to do better about changing the culture around reporting.

Players, coaches, and parents must recognize a possible concussion and remove the player immediately

The study shows that we still have some work to do in changing the culture around play after possible concussion, and we also have some work to do in educating players, coaches, and parents about the signs and symptoms of a possible concussion. 38% is a big number, but perhaps even more kids were continuing play after concussion a decade ago. Let’s keep working at making this number smaller.

Big List of Conditions Physical Therapy Treats

Many people are unaware of the variety of conditions physical therapy can treat.

In addition to common ailments like lower back pain, physical therapy can be an effective treatment option for conditions like vertigo and headaches. Discover what other conditions can benefit from physical therapy by checking out the big list featured below:

ACL Injuries

ACL tears sideline more than 200,000 athletes each year according to data from thephysical therapy for acl injuries American Academy of Orthopaedic Surgeons. To help prevent this injury, Athletico Physical Therapy offers the 3P Program, which helps patients strengthen muscles surrounding the knee, core, hip and lower leg. For those who have already undergone ACL surgery, physical therapy can help with the rehabilitation process.


Arthritis refers to the degradation of a joint surface causing inflammation within the joint. Therapeutic interventions can be helpful in reducing pain associated with arthritis, and physical therapy can also help to improve overall function.

Back Pain

Most people will experience back pain in their life and physical therapy can prove to beathletico-2132 an effective treatment option. Upon meeting with a physical therapist for back pain, the first step is an evaluation followed by an individualized plan to address the patient’s specific needs.


Concussions have increasingly been in the news the last few years, but many people don’t know that physical therapy can help with a variety of long term concussion symptoms, like dizziness, balance problems and headaches. In fact, Athletico Physical Therapy offers a Head Injury and Concussion Management program that assists individuals who have had a concussion or participate in an activity where there is potential for a concussion.


Physical therapy can help alleviate headaches that are a result of musculoskeletalPhysical Therapy for headache pain relief issues, including muscle tension and tightness, disc pathology, lack of neck motion, poor posture or tightness in the back between the shoulder blades. Based on each patient’s individual needs, treatment options range from the use of heat or ice to posture education.

Jaw Pain (TMJ/TMD)

The joint used to move the jaw, called the Temporomandibular Joint (TMJ), is one of the most frequently used joints in the body. Acute or chronic inflammation of the TMJ is referred to as Temporomandibular joint disorder (TMD/TMJ Syndrome). Physical therapy options for this ailment include manual therapy, anti-inflammatory modalities, posture correction, therapeutic exercises, and modifications to physical activity and diet.

Plantar Fasciitis

Plantar fasciitis refers to inflammation of the plantar fascia, which is the connectiveLongsitting Calf Stretch tissue that runs along the bottom of your foot. Treatment options vary and can range from simple calf stretches to conducting a walking analysis.


Sciatica, which is a low back problem that causes pain down the leg, is another condition that can be treated by physical therapy. Treatment can include anything from muscle energy techniques to core strengthening exercises.

Urinary Incontinence

If you are experiencing bladder leaking or the urge to make frequent restroom trips, you may suffer from urinary incontinence. Physical therapy can help by increasing the strength, stability and endurance of the core, transverse abdominals, hip muscles and pelvic floor.


Vertigo, which causes a spinning sensation or feelings of dizziness, can often times bephysical therapy and vestibular therapy treated with physical therapy. Treatment options include canal repositioning maneuvers, exercises to improve balance, manual treatment of the cervical spine and more.


Whiplash describes an injury to the neck area that usually involves a rapid movement into extension and flexion. Often times this type of injury is associated with car accidents, but it can also occur as a result of participation within high-velocity, contact sports like football. Those who visit a physical therapist for their whiplash symptoms will typically go through a spine movement assessment. Based on the findings, a specific exercise program will be put in place along with other treatment options, including massage, manual stretches and range of motion exercises.

That’s Not All…

This is just the tip of the iceberg when it comes to conditions physical therapy can treat. If you think physical therapy may benefit you, please contact one of our clinics for a complimentary injury screening.

Click to Schedule a Complimentary Injury Screen

Dr. Julia Bruene Explains Sports Safety and How to Protect Your Child During the Game

Sports medicine physician Dr. Julia Bruene of Midwest Orthopaedics at Rush talks about preventing some of the more serious childhood sports injuries on www.rush.edu. While the most common ones are scrapes, bruises, joint sprains, muscle strains, and bone injuries, the more serious ones involve the head and face. “Injury to the head can be very serious, even life-threatening,” she explains.

Protect your child’s face and head during the game

While the most common injuries in childhood sports are scrapes, bruises, joint sprains, muscle strains, and bone injuries, some of the more serious injuries can involve the head and face. That’s why it’s so important to protect these potentially vulnerable areas.

“Injury to the head can be very serious, even life-threatening,” says Julia Bruene, MD, a sports medicine physician at Rush.

“A concussion is a prime example of this,” Bruene explains. “In sports, the seriousness of a head injury is often downplayed by calling it a ‘dinger’ or ‘getting your bell rung.’ But, any suspected concussion should be taken seriously and be evaluated by a health professional, such as an athletic trainer or physician, immediately.”

The 411 on concussion

A concussion is the violent shaking of the brain within the skull. “This can happen in any sport, even sports you don’t think of as being high-impact. You might get hit hard in the head with a ball, run into another player or collide with the ground,” Bruene says.

Anyone who’s had a concussion should avoid any more blows to the head and definitely shouldn’t play sports until the brain has had time to heal. The bottom line is no athlete who is still symptomatic from a concussion should return to play.

“Care needs to be taken to avoid a second concussion while the brain is repairing itself from the initial injury,” says Bruene. “The athlete has the potential to suffer severe damage with the second concussion if the brain hasn’t fully recovered. This ‘second impact syndrome’ is usually universally fatal.”

Watch closely for symptoms of a concussion, which may not appear right away.

Protecting the head

  • Wear a hard, well-fitting helmet for baseball and softball
    • All batters should wear a single or double ear-flap helmet, and catchers should wear a catcher’s helmet.
    • Little league batters should consider a helmet with a polycarbonate face shield.
    • Little league-aged athletes should wear a well-fitting hard helmet for the duration of the game, not just while batting.
  • Wear a well-fitted helmet at all times for football.
  • Kids and adolescents should avoid “heading” the ball in soccer. And even teenagers and adults should try to avoid headers as much as possible.

Protecting the eyes

Baseball is the leading cause of sports-related eye injuries in children, and the highest incidence occurs in children 5 to 14 years of age. But all athletes are vulnerable to eye injuries.

  • Any athlete with less than 20/40 vision in either eye needs to take extra care and wear shatter-proof polycarbonate lenses for all games and practices.
  • Athletes who wear glasses needs to either wear sports goggles or have some shatter-proof protective covering for their glasses.
  • Any time there’s injury to the eye where vision is affected, the eye should be evaluated by someone with medical expertise.

Protecting the teeth

  • A mouth guard should be used for all contact sports such as football, rugby and lacrosse.

In sports, the seriousness of a head injury is often downplayed by calling it a ‘dinger’ or ‘getting your bell rung.’ But, any suspected concussion should be evaluated by a health professional immediately.

Other activities requiring protection

  • Helmets should always be worn for roller skating, rollerblading or skateboarding, or when riding bikes, scooters, Segways or hover boards.
    • Helmets should be properly fitted and snug.
    • “Parents should support wearing a helmet and start the training as young as possible, about three years old,” Bruene says.
    • Adults should set a good example by wearing helmets themselves.

“My goal is for athletes to stay healthy and stay in their sports,” says Bruene. “Following these safety tips will help them avoid serious injuries while having they’re competing.”

Soccer Has the Second-Highest Frequency of Head Injuries among Female Athletes

Girls soccer: Trainers, coaches and players weigh in on concussionsThis Evanston Review/Chicago Tribune story discusses concussion among youth athletes, including the increase in awareness, identifying those at risk and the importance of the right treatment protocol. Dr. Jeffrey Mjaanes, Director of the Chicago Sports Concussion Clinic at Rush, weighed in on whether the recent U.S. Soccer ban on headers for kids under 10 was appropriate.

“It turns out the vast majority of those concussions happen from athlete-to-athlete contact,” said Dr. Jeffrey Mjaanes, Midwest Orthopaedics at Rush sports medicine physician and medical director of Chicago Sports Concussion Clinic at Rush. “Is it the ball striking the front of the head, and a player heading the ball purposely that causes the concussion? In the vast majority of cases, it is not that. What it is is in the act of heading, you actually get elbowed in the head, a shoulder to the head or something like that. That is actually the more likely way to get a concussion.”

Find out more about concussions.

Read the entire article here.