Is Shoulder Pain Keeping you from Enjoying Life?

Shoulder Replacement

Patient Education Digital Flipbook

The DJO Surgical Shoulder Solutions Patient FlipBook is an interactive, digital magazine that can be viewed on digital devices such as iPads and other tablets, laptops and smart phones. The Flipbook is designed to be flipped through like a magazine but with interactive image pop-ups, patient testimonial videos, and surgical procedure animations.


Still Active after Two New Knees and Shoulders

Daniel Quealy, 65, of Clarendon Hills has always been active, having played organized sports from grade school through college. His competitive juices eventually led him to play softball and racquetball and participate in marathons and triathlons. All of these things made Dan feel alive.

Over time, knee pain became his ultimate challenge. It became so severe that hedan-quealy_backpacking depended on a daily regimen of aspirin just to get through a day. Eventually, the pain reached a crescendo when he had difficulty just walking and couldn’t safely carry his grandkids. That’s when he knew it was time to ask for help.

Quealy carefully researched options for treatment. With several family members in the medical field, he repeatedly heard that the patients of one doctor seemed to have more successful recoveries. That was Dr. Scott Sporer, a hip and knee replacement physician at Midwest Orthopaedics at Rush (MOR).

He arranged an appointment with Dr. Sporer at the MOR office in Winfield, who diagnosed him with degenerative arthritis in his knees. They discussed moving forward with a bilateral (both sides) knee replacement. Quealy was motivated to get them both done at the same time and not prolong the recovery. The procedures went well and he credits “dedication, good physical therapy and family support” with his smooth road to recovery.

After his rehabilitation, he eliminated some of the more high impact sports he participated in, but was still able to ride bicycles and perform lower impact activities.

Subsequently, Quealy began to develop pain in his shoulders. They were consistently aching and preventing him from sleeping well. He knew the group to go for treatment and this time sought out Dr. Gregory Nicholson, a shoulder specialist at Midwest Orthopaedics at Rush. Dr. Nicholson diagnosed him with degenerative labral tears and performed a shoulder arthroscopy procedure on Quealy’s right shoulder and two years later on his left shoulder. A shoulder arthroscopy is a minimally invasive procedure during which tiny incisions are made in the shoulder and a fiber optic camera is used to view the shoulder joint. Then, any damage can also be repaired by inserting other tools through the same tiny incisions.

Post-surgery and after dedicating himself to a regimen of physical therapy and living pain-free, Quealy says that “it was definitely worth it.” What Quealy liked most about Dr. Sporer and Dr. Nicholson was that they were upfront, honest and had a no-nonsense style. He recalls that before his procedures, pain consumed most of his day and affected his mood. After his knee and shoulder procedures, he became his old self again.

MORGif-180x150-linkToday, Quealy remains active. He participates in strength training, hiking and yoga with little to no limitations. Most recently, Quealy completed a six-day backpacking trip in the Grand Canyon that required him to carry a 45 pound pack on unpaved trails. More importantly, he can carry his newest grandchild safely and with confidence. Quealy credits Dr. Sporer and Dr. Nicholson with a dramatic improvement in his quality of life.

If you would like to discuss your knee pain with Dr. Scott Sporer or your shoulder pain with Dr. Gregory Nicholson, please call 877 MD BONES (877.632.6637) for an appointment at a location nearest you.

Spare The Scalpel: A Surgeon’s Perspective on the Future of Orthopedic Medicine (A TEDx Talk)

Dr. Brian Cole from Midwest Orthopaedics at Rush discusses the evolution of orthopedic/sports medicine and the role of regenerative medicine, and medical technology…past, present and future. Presented on April 30, 2016 at the TEDxRushU Event, Rush University Medical Center.

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TED is an annual event where innovative, interesting, and motivated individuals are invited to share their insights and passions. TED stands for Technology, Entertainment, Design — three broad subject areas that are collectively shaping our future. Attendees have called it “the ultimate brain spa” and a “journey into the future.”

Brian J. Cole, MD, MBA, is a Professor in the Department of Orthopedics with an appointment in the Department of Anatomy and Cell Biology at Rush University Medical Center in Chicago, Illinois; Chairman of Surgery at Rush Oak Park Hospital and head of the world’s most active Cartilage Research and Restoration Center specializing in alternatives to joint replacement for arthritis. He is a Team physician for the Chicago Bulls, Chicago White Sox and DePaul University.

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Protecting Yourself from Environmental Toxins; AC Joint Sprains; Increasing Testosterone Naturally

Episode 16.27 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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KarenSegment One: Karen Malkin from Karen Malkin Health Counseling discusses how to reduce exposure to toxins in your environment; the use of plastic containers in food storage-cooking-serving; how to purify your water supply. When trying to achieve a healthier lifestyle, diet and exercise tend to get most of the attention. But there’s another critical step to living healthier: reducing your intake of toxic chemicals. In particular, chemicals known as endocrine disruptors can confuse your body by crossing wires in your hormonal system, which may in turn causes an increase or decrease in the production of various hormones. See entire article by Karen posted on this blog October 6, 2016:

 5 Ways to Protect Your Hormones From Toxins & Endocrine Disruptors  

Segment Two: Dr. Cole and Steve discuss the recent AC Joint Sprain suffered by Jimmy Garoppolo of the New England Patriots. Understanding the injury which can come from a direct blow and the decision to use injections vs. rest; getting the player back in the game without causing further injury.

The AC joint is made up of the clavicle (collarbone) and the acromion (what most refer to as the shoulder-blade). You can run your finger out on your collarbone to your shoulder and hopefully appreciate the location of the joint. Structurally this joint is important for stability, but in the case of throwing, there are a few other stabilizers that can compensate for a short time. Functionally this joint is important, as the shoulder complex relies on the humerus and scapula being in synch; however the AC joint should not be a major limiter to the throwing motion.

Segment Three: Thomas Delaur, Executive Body and Business Coach talks with Dr. Cole and Steve about increasing testosterone levels naturally; the importance of healthy fats in your diet; Finding the Balance between Body, Brain, Business and Family; how to harness your skills in business to optimize your body. Tapping into the levels of discipline that make you successful in one aspect of life, and correlating them with other aspects of their life and business.

Work/Life Balance – Re-imagined

We are constantly reminded of the work/life balance and how integral it is to a happydelaur life. But I know that as a top performer the idea of balance can be de-motivating. I encourage my clients to reestablish their view on balance as not something that forces them to bring their work ethic down to other avenues of their life, but to bring those other avenues UP to the levels of discipline and focus that they have in the best areas of their life. If you’re in business, you’re hard wired for optimization, we just have to tap into it… using health and performance as the platform.

Featured Body Part: Shoulder

By Cori Cameron for ATI Physical Therapy

The shoulder is a complex joint that is made up of three bones: the clavicle, scapulaFeatured Body Part: Shoulder and humerus. It can achieve over 16,000 positions! While pain in certain body parts can make regular daily activities a challenge, the shoulder is one that can make even simple tasks like showering, getting dressed and eating difficult. The pain can be caused from anything ranging from everyday wear and tear to an injury. Read on to learn more about common causes, conditions, injury prevention and rehabilitation.

Common Causes
While many of us may initially think that shoulder pain is due to some sort of injury, this isn’t always the case. Shoulder problems can also be caused by everyday use, overuse, and even the natural process of aging. That being said though, an injury is the most common cause of shoulder pain. Injuries can be caused by:

  • A fall on an outstretched arm
  • A direct hit to the shoulder
  • Bending or twisting of the shoulder in an abnormal manner

Common Conditions
Shoulder pain can be caused by any one of these common conditions:

  • Arthritis – Osteoarthritis, also known as “wear and tear”, is the most common type of shoulder arthritis. Symptoms typically begin around middle age and include swelling, pain and stiffness.
  • Bursitis – Swelling and inflammation of the bursa between the should blade and rotator cuff. A bursa is a small, fluid-filled sac located in the joints that helps reduce friction between muscle and bone.
  • Fracture – Broken bones in the shoulder occur in the collarbone (clavicle), upper arm bone (humerus), and shoulder blade (scapula).
  • Impingement – Occurs when the arm is lifted away from the body and the top of the shoulder blade “impinges”, or puts pressure on, the underlying soft tissues (tendons and bursa).
  • Instability/Dislocation – Occurs when the head of the humerus is forced out of the shoulder socket. This can be a particl (sublaxation) or complete dislocation.
  • Tendinitis – Inflammation of a tendon in the shoulder. This can be acute (overuse) or chronic (degenrative).
  • Tendon Tears – Occurs when the tendons split and tear. In cases of complete tears, many times the tendon is pulled away from its attachment to the bone. Rotator cuff tendon injuries are the most common of shoulder tendon tears.

Injury Prevention
While injuries aren’t always avoidable, prevention is always key. ATI’s Jane Cobler, PT, DPT, gives us some tips to help prevent and rehabilitate shoulder injuries:

  • Good Posture – Good posture has a direct effect on the mechanics of your shoulder.  Try this trick: sit in a slouched position and then try to raise your arms overhead; keeping your arms there, sit up straight and then see how much farther your arms can raise when you correct your posture.
  • Keep Yourself Balanced – If you work out your chest/pecs, don’t neglect your mid-back muscles – do some rows!
  • Body Mechanics are Important – Don’t rely on your smaller upper body muscles to do most of the work – use larger muscles in your legs to support lifting/movement.
  • Work the Small Muscles – The rotator cuff is your shoulder’s primary stabilizer and often neglected – keeping these smaller muscles strong helps keep your shoulder more stable.

If you have pain in your shoulder that isn’t going away, rehabilitation is a great step to take to get your functionality back to normal. Shoulder rehabilitation may include:

  • Intrinsic Rotator Cuff Strengthening – To keep the “ball in the socket” of the shoulder joint, having a strong and stable cuff is a large component of rehab.
  • Scapular Stabilization and Re-training – The muscles that support the shoulder blade assist in the movement of the shoulder joint itself and are often a key component to normalizing shoulder mechanics. These are usually difficult muscles to retrain for many people, so don’t get frustrated!
  • Posture – Postural re-education and shoulder rehab go hand in hand. You have to position your shoulder well with good posture in order to get the most out of your recovery. Your therapist may use various techniques like joint mobilization/stretching, machines or tape to help you increase your postural awareness, in addition to exercises.

When weighing your treatment options for shoulder pain, consider physical therapy. Physical therapy offers a wide variety of treatment options including strengthening, flexibility assessments, and sustainable home exercise programs. Stop in or call any ATI location for a complimentary injury screen or to learn more about how physical therapy can help you overcome your shoulder pain. Click here to schedule a complimentary injury screen.

We’ll never give you the cold shoulder!

New Cartilage Transplant Technology; Rotator Cuff Tendonitis; Yoga and Why you Should Do It

Episode 16.25 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. Vishal Mehta, an orthopedic surgeon who was on our show last year sharing his experience with ProChondrix, a fresh cartilage allograft from AlloSource. Dr. Mehta is back with us one year later to talk about the results he is seeing with the product and how his patients are doing. Dr. Mehta is a fellowship-trained orthopedic surgeon specializing in sports medicine. ProChondrix® is a new treatment option for patients suffering from debilitating cartilage defects who do not want to give up their active lifestyle.

Segment Two: Steve and Dr. Cole discuss the causes, symtoms and treatment for rotator cuff tendonitis. Rotator cuff tendinitis, or tendonitis, affects the tendons and muscles that help move the shoulder joint. If you have tendinitis, it means that your tendons are inflamed or irritated. Rotator cuff tendinitis is also called impingement syndrome.

  1. Rotator cuff tendinitis, or tendonitis, occurs when the tendons and muscles thatRotator-Cuff-Tendonitis
    help move the shoulder joint are inflamed or irritated.
  2. It commonly occurs in people who play sports that frequently require extending the arm over the head.
  3. Most people with rotator cuff tendinitis can regain full function of the shoulder without any pain after treatment.

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Segment Three: Yoga and Why you Should Do It by Alicia Molloy from ATI Physical yogaTherapy. “Yoga means different things to different people, but I think everyone that practices yoga has a story about how it has been beneficial to their health in at least one way. Flexibility and stress management/reduction are two benefits that people readily agree upon. However, both through my personal experiences as well as those of my students, I have seen yoga help people sleep better, eat better, and reduce their risk of injuries from other activities. I’ve had students alleviate back pain and reduce the frequency of their migraines. Yoga definitely isn’t <a panacea> to fix all ills and prevent diseases, but it does way more for your health than giving you Gumby-like flexibility.”

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